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Search Results for abdominal
Abstract Number: 752
SHM Converge 2023
Case Presentation: Hereditary angioedema (HAE) is an uncommon diagnosis, but one with which providers should be familiar. While most frequently associated with localized edema of extremities and face, it may also present with gastrointestinal manifestations. Viral infection, including SARS-CoV-2 infection, can be one of many triggers for angioedema exacerbation. Here we present the clinical vignette […]
Abstract Number: 782
SHM Converge 2021
Case Presentation: A 4-year-old previously healthy boy presented with 10 days of fevers, intermittent abdominal pain, and poor appetite. Exam was notable for mild abdominal distension without tenderness. Labs showed leukocytosis, normocytic anemia, and elevated inflammatory markers. An echocardiogram showed mild dilation of his left anterior descending and left main coronary arteries, and he was […]
Abstract Number: 805
Hospital Medicine 2020, Virtual Competition
Case Presentation: 29-year-old female with a history of cervical cancer status post cervix removal in 2014 and epilepsy presented to the emergency department with a three-month history of chronic generalized abdominal pain, failure to thrive, 40 lb. unintentional weight loss and anorexia that had acutely worsened in the previous two weeks. One day prior to […]
Abstract Number: 808
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 64-year-old woman with a history of heart failure (HF) and end stage renal disease on dialysis presented with three days of abdominal pain. She was lethargic, hypothermic to 34.5 C, with jugular venous pulsations (JVP) to the earlobe, a systolic murmur at the left sternal border, and right upper quadrant tenderness. Laboratory […]
Abstract Number: 846
SHM Converge 2024
Case Presentation: We present the case of a 74-year-old female with a past medical history of colon cancer status post left hemicolectomy who presented with severe abdominal pain for the past six hours associated with non-bloody loose stools. She was tachycardic but hemodynamically stable. The abdomen was soft and non-tender with hypoactive bowel sounds. However, […]
Abstract Number: 864
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 21-year-old African American, primigravid presented at eight weeks gestation with a two-week history of progressively worsening lower abdominal and back pain, as well as intractable nausea and vomiting. Her symptoms were accompanied by tachycardia, hypertension, constipation, dark urine and blistering lesions on her lips. On exam, she was tender across her abdomen […]
Abstract Number: 875
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 48-year-old woman presented with a history of intermittent abdominal pain for eight years, with an extensive workup that had been negative. She ended up being labeled as having irritable bowel syndrome. The pain was localized to the epigastrium, was present during most of the day, but was aggravated by large meals. Upon […]
Abstract Number: 876
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 56 year-old woman with past medical history of gastritis and past surgical history of appendectomy and C-section presented with a six-month history of intermittent abdominal discomfort, non-bloody diarrhea, nausea and bloating that was significantly worsening during the week prior to admission. In a span of six months, the patient was noted to […]
Abstract Number: 885
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 72-year-old man from Bangladesh, who immigrated to the U.S. 4 years ago, presented with ten days of constipation and progressively worsening abdominal pain. He reported no alcohol use, recent travel, known tuberculosis (TB) contact, IV drug use or incarceration history. The patient appeared frail and vital signs were within normal limits. His […]
Abstract Number: B33
SHM Converge 2022
Case Presentation: A 40-year-old Hispanic male with a history of diabetes mellitus presented with recurrent febrile episodes. His temperature on admission was 41.6oC associated with seizure-like activity requiring intubation. Labs were significant for WBC 1,800, platelets 85,000, creatinine 1.53, AST 178, ALT 199, ALP 254, and HA1c 10.3%. RUQ ultrasound showed a hepatic lesion concerning […]