Session Type
Meeting
Search Results for Vasculitis
Abstract Number: H43
SHM Converge 2022
Case Presentation: A 15-week G2P3 pregnant 33-year-old woman with past medical history of chronic hepatitis C, current intravenous drug use (IVDU) presented from a correctional facility complaining of abdominal pain and hematuria. Exam revealed a gravid uterus and bilateral pedal edema. Patient responding only to pain and not following commands. Temp 102.8 F, HR 120’s […]
Abstract Number: J30
SHM Converge 2022
Case Presentation: A 71-year-old woman who initially presented with sepsis from MSSA bacteremia was found to have an acute splenic infarct as well as a splenic artery pseudoaneurysm that was managed by coil embolization. She was discharged on a 4-week course of cefazolin for the treatment of her MSSA bacteremia. Two weeks later, she was […]
Abstract Number: L31
SHM Converge 2022
Case Presentation: 71-year-old man with a history of atrial fibrillation, presented with four-months of fatigue, 50lb weight loss, night sweats and petechiae spreading from legs to abdomen and arms. On admission, vital signs were unremarkable. On physical exam, he had non-blanching, non-palpable petechiae extending from his lower extremities (LEs) to torso and upper extremities and […]
Abstract Number: P31
SHM Converge 2022
Case Presentation: A 62-year-old female presented with one month of progressive bilateral lower extremity pain, weakness, and functional decline. Her medical history was significant for cirrhosis secondary to hepatitis C (treated), chronic pancytopenia, and hypothyroidism. Her medications included atorvastatin, levothyroxine, omeprazole, spironolactone, tiotropium, venlafaxine, and quetiapine. She was a current smoker with a 20-pack year […]
Abstract Number: P34
SHM Converge 2022
Case Presentation: 49-year-old male patient with history of hypertension was sent by his nephrologist to the ER for unexplained worsening renal function and likely renal biopsy. Vital signs were stable, exam was unremarkable, however BUN was 85 mg/dL with creatinine of 10.1 mg/dL (baseline of 1.5 mg/dL). 24-hour urine protein excretion was 5.2 grams. The […]
Abstract Number: 1015
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 73-year-old woman with a history of coronary artery disease and remote cervical cancer presented to the hospital with a two-month history of progressive leg weakness and confusion. Over the course of six weeks, symptoms progressed to flaccid paralysis and loss of sensation in both legs. Magnetic resonance imaging (MRI) demonstrated enhancing hemorrhagic […]
Abstract Number: 1022
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 66 year-old woman presents with three weeks of acute onset bilateral lower extremity pain and foot weakness; two weeks of dyspnea, non-productive cough, epistaxis; and one week of oliguria and lower extremity edema. Her past medical history includes COPD, prior heavy tobacco use, and pre-diabetes. Medications and allergies are non-contributable. Her father […]
Abstract Number: 1025
Hospital Medicine 2020, Virtual Competition
Case Presentation: This is the case of a 55-year-old female with history of asthma who presented with chief complaint of abdominal pain. The patient endorsed an 8-month history of intermittent stomach discomfort that acutely worsened to severe RUQ pain, nausea, and diarrhea. Social history was notable for recent travel to China and herbal supplement use. Patient’s outpatient […]
Abstract Number: 1028
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 36-year old male with a history of paraplegia secondary to a motor vehicle accident and long-standing polysubstance abuse presents to the ED for worsening facial wounds that first appeared two years ago. The patient states the most recent lesion on the upper back appeared two months ago and was preceded by cocaine […]
Abstract Number: 1041
Hospital Medicine 2020, Virtual Competition
Case Presentation: 65 year old man with history of end stage renal disease, ischemic cardiomyopathy, paroxysmal atrial fibrillation, diabetes presented with complaints of rash in his bilateral legs for four days. Few days later, he noticed petechial rash involving bilateral ankles and feet that started on the left side and did spread to involve bilateral […]