Session Type
Meeting
Search Results for Vasculitis
Abstract Number: 480
SHM Converge 2024
Case Presentation: A 55-year-old male with history of bilateral degenerative hip joint disease presented for worsening serosanguinous drainage from his wounds one week after bilateral hip replacement. He further developed diaphoresis and chills and received cephalexin at an outside hospital from where he was later discharged. He did not have improvement from antibiotics and his […]
Abstract Number: 486
SHM Converge 2023
Case Presentation: A 65-year-old male with a past medical history of hypersensitivity pneumonitis/bronchiolitis, coronary artery disease, hypertension and hyperlipidemia was admitted for uncontrolled pain. Myalgias and fatigue were present for a month following a tick bite and shingles. He was treated with doxycycline 100mg twice a day for 14 days and valacyclovir 1g three times […]
Abstract Number: 486
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Introduction: Hydralazine is an adjunctive antihypertensive medication that is associated with antineutrophil cytoplasmic antibody (ANCA) – associated vasculitis. Kidney involvement usually comprises a pauci-immune, necrotizing glomerulonephritis with crescents. We describe a rare case of hydralazine induced ANCA positive vasculitis with acute tubulointerstitial nephritis and without glomerular involvement. Case Report: A 74 year old […]
Abstract Number: 491
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 25 year-old woman with severe persistent asthma, chronic self-resolving episodes of hemoptysis, history of miscarriage, and iron deficiency anemia secondary to heavy menses presented with sub-acute worsening shortness of breath and hemoptysis despite adherence to home inhalers. Patient had multiple prior hospitalizations requiring intubation for asthma exacerbations, complicated by hemoptysis. Upon presentation, […]
Abstract Number: 492
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: An 11-year-old obese male of Micronesian descent presented with a pruritic bullous rash and bilateral lower extremity pain. Scattered non-blanching purpura started on both ankles 10 days prior and spread to his legs, back and arms accompanied by bilateral leg pain and intense pruritus. Four days prior to presentation, blisters to legs and […]
Abstract Number: 492
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Anti-thyroid Drugs (ATD) such as propilthiourcil (PTU) and methimazole (MTM) can cause a number of systemic changes such as fever, rash, and respiratory symptoms (from epistaxis to diffuse alveolar hemorrhage). Guidelines almost always recommend MTM over PTU because it has fewer side effects. We present a patient diagnosed with Grave’s Disease who developed […]
Abstract Number: 505
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A previously healthy sixteen-year old Japanese-American female presented to her primary care provider following one week of frontal headache, dizziness, and a feeling of “floating while walking.” Exam revealed upper extremity blood pressure of 148/93 and a loud bruit across her left lower back. A renal ultrasound ruled out renal artery stenosis, but […]
Abstract Number: 509
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 36-year-old Dominican female, G3P2002, at six weeks gestation and no significant medical history presented with complaints of fever, headache, myalgias, nausea, vomiting, diarrhea, and diffuse abdominal pain for two days. She denied any recent travels, sick contacts, or any bug bites or ticks on her body. Patient is only allergic to penicillin […]
Abstract Number: 510
SHM Converge 2024
Case Presentation: We present a 79-year-old woman with a longstanding history of seropositive, erosive, and nodular rheumatoid arthritis. Her rheumatoid arthritis was diagnosed over 40 years prior and had been complicated by Large Granular Lymphocytic (LGL) Leukemia and Felty syndrome with confirmed splenomegaly and neutropenia. She was originally treated with filgrastim for severe neutropenia. About […]
Abstract Number: 510
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: We describe a rare case of a nephrotic syndrome (NS) as a complication of secondary syphilis (SS), which resolved with appropriate treatment of the infection. This is a 54 year-old male with no pertinent medical history, who presented to clinic with bilateral palmar rash. He was diagnosed of secondary syphilis with positive Venereal […]