Session Type
Meeting
Search Results for Vitamin B12
Abstract Number: 681
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 79-year-old male presented to the emergency department after a witnessed episode of unresponsiveness, jerking motions, urinary incontinence and post-ictal confusion. The patient’s wife denied a history of epilepsy but reported several months of progressive dysarthria and gait ataxia, for which he had been evaluated nine months earlier. Work-up was negative for hemorrhage, […]
Abstract Number: 689
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 58 year old African-American female child-care worker with history of GERD presented with symptomatic anemia. She was in her usual state of health until ten days prior to presentation, when she had several days of GI illness consisting of abdominal pain and diarrhea. Her symptoms self-resolved, only with residual mild epigastric abdominal pain. […]
Abstract Number: 700
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 38-year-old Hispanic female with chronic constipation, anemia and numerous transfusions secondary to uterine bleeding presented to the emergency department with a two-week history of worsening bilateral lower extremity ascending numbness and weakness extending to her abdomen causing her difficulty with walking. She reported blurry vision, headaches, difficulty breathing, and 24 hours of […]
Abstract Number: 706
SHM Converge 2024
Case Presentation: A 17 year-old male with a history of marijuana and nitrous oxide use presented with 4 days of paresthesia in his bilateral lower extremities, sudden onset-ataxia, gait instability, and genital numbness extending to his extremities. Comprehensive infectious and neurologic workup for Guillain-Barré syndrome, transverse myelitis, and other neuropathies all returned negative. Magnetic resonance […]
Abstract Number: 731
SHM Converge 2024
Case Presentation: A 23-year-old male with no past medical history presented with neck pain and bilateral arm paresthesia of four-week duration. The patient was prescribed ibuprofen, and an MRI cervical spine was ordered. The MRI showed multilevel degenerative disc disease, and the patient was referred to physical medicine and rehabilitation. In the weeks prior to […]
Abstract Number: 819
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 29 year old Hispanic male with no significant past medical history presented to the Emergency Department with new onset jaundice. He also endorsed a constellation of symptoms for several months including weight loss, progressive fatigue, frequent headaches, decreased appetite, daily nausea with occasional emesis, and dark urine. He was not taking any […]
Abstract Number: 854
SHM Converge 2023
Case Presentation: A previously healthy 27-year-old man presented with one week of generalized weakness and lightheadedness upon standing. He works in construction (installing fireplaces) but had been unable to work during the last week due to symptoms. On presentation, he was tachycardic with HR 120; vital signs were otherwise normal. Exam was notable for significant […]
Abstract Number: 894
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 33 year-old US born woman with iron deficiency anemia presented after one episode of pre-syncope. She reported 3 weeks of progressive fatigue, shortness of breath, and pain in the chest, back, and hips. She denied abdominal pain, menstrual abnormalities, sick contacts, recent trauma, and blood disorders or malignancy in her family. She […]
Abstract Number: C27
SHM Converge 2022
Case Presentation: A 32 year old male presented to the emergency department unresponsive. Three months prior he had developed urinary incontinence, cognitive impairments, paresthesias in his extremities and weakness requiring crutches. His symptoms progressed leaving him bed bound weeks prior to arrival. EMS was contacted when he became unresponsive to verbal-noxious stimuli and exhibited difficulty […]