Session Type
Meeting
Search Results for Thrombotic thrombocytopenic purpura
Abstract Number: 295
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Thrombotic thrombocytopenic purpura (TTP) is a rare but deadly thrombotic microangiopathy (TMA) that is caused by ADAMTS13 deficiency. The PLASMIC clinical scoring system was developed and validated to determine the pretest probability of severe ADAMTS13 deficiency in cases of suspected TTP. We studied the role of the PLASMIC score in guiding use of the […]
Abstract Number: 415
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 68-year-old woman with a past medical history of hypertension and relapsing Thrombotic Thrombocytopenic Purpura (TTP) presented with acute kidney injury. She was diagnosed nine years ago with TTP and had three subsequent relapses; the last episode was seven years ago. She had undergone treatment with steroids, rituximab, and plasmapheresis. She was incidentally […]
Abstract Number: 499
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 77-year-old African-American male with Adult-onset Still’s disease (AOSD) was admitted at the hospital for severe thrombocytopenia. The patient had been diagnosed with AOSD four years before this hospital admission. His AOSD was well-controlled with anakinra, an interleukin-1 receptor antagonist, and low-dose prednisone. On admission, the patient did not have any neurological manifestation. […]
Abstract Number: 571
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 37 year-old man presented with altered mental status and a headache after a motor vehicle collision where he was a restrained driver while intoxicated with alcohol. He had a known history of glucose-6-phosphate-dehydrogenase deficiency (G6PD). Exam was notable for superficial abrasions on bilateral upper and lower extremities, diffuse generalized abdominal tenderness to […]
Abstract Number: 574
SHM Converge 2021
Case Presentation: A 38-year-old male with self-reported history of asthma presented with generalized weakness and syncope. He endorsed 2-week of bilateral leg pain with numbness, loss of taste, and nausea. Vital signs were remarkable for tachycardia in 110s and hypotension at 101/52. Labs showed hemoglobin 3.3, WBC 3.6, platelet 83, MCV 93.9, reticulocyte 1.1%, total […]
Abstract Number: 578
SHM Converge 2023
Case Presentation: A 54-year-old man presented with resolving epigastric pain. Initial labs revealed platelets at 21K/uL. He had no symptoms, signs of bleeding, history of easy bruising or hematologic disease. Further labs showed LDH 690U/L, haptoglobin < 30mg/dL, and bilirubin 2.8mg/dL (indirect 2.2), consistent with intravascular hemolysis. Hgb was 13.4g/dL with MCV 83fL and reticulocyte […]
Abstract Number: 608
SHM Converge 2021
Case Presentation: A 77-year-old female with a history of hypertension and osteoporosis presented to the emergency department with dizziness, fatigue, decreased oral intake, and weakness for a few weeks. She also reported blurry vision and paresthesias in her lower extremities. Physical examination including a neurological examination was normal. Laboratory tests revealed a severe macrocytic anemia […]
Abstract Number: 777
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 59-year-old African-American female presented to our hospital with fatigue, exertional dyspnea and dark cola colored urine for two weeks. She was diagnosed with RRMS in 2009 and had been taking IFN-β since then with good response and no complications. Family history was significant for colon cancer in her mother, but no hematologic […]
Abstract Number: D39
SHM Converge 2022
Case Presentation: A 43-year-old man presented to the hospital with three days of lethargy, confusion, jaundice, abdominal pain with associated vomiting and poor oral intake. Medical history includes recently diagnosed Adult-onset Still’s Disease (AOSD) 6 weeks prior to presentation, for which he was taking prednisone 60 mg daily. Exam was notable for lethargy, petechiae on […]
Abstract Number: 1188
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 15 year-old female with obesity presents to the hospital with vomiting, headache, and decreased responsiveness. Prior to arrival she had about 10 episodes of non-bloody vomiting, after which she had altered consciousness. She denied any diarrhea, dysuria, blood in stool, and vaginal bleeding. She denied bleeding and bruising easily. No recent consumption […]