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Search Results for acute
Abstract Number: D49
SHM Converge 2022
Case Presentation: A 93-year-old female was brought by her daughter via EMS to the emergency department with complaints of vomiting and drowsiness. She was treated, 2 weeks prior, with Cefalexin for a presumed UTI. After antibiotics initiation, the patient developed multiple episodes of non-bloody, watery diarrhea, with subsequent drowsiness, confusion, and poor appetite. She denied […]
Abstract Number: F10
SHM Converge 2022
Background: COVID-19 cases first emerged in China in December 2019. An air of fear and anxiety engulfed the globe as it rapidly spread across borders affecting the entire human race. Media outlets started reporting information containing rising death tolls and horrific visuals generating a global hysteria(1). Stress is a well-known trigger for acute coronary syndromes […]
Abstract Number: G31
SHM Converge 2022
Case Presentation: A healthy 44-year-old woman with latent TB on isoniazid (INH) for 6 months was sent to the hospital by her primary care physician for elevated liver tests and right sided abdominal pain, anorexia, and jaundice for two weeks. She had normal liver tests prior to starting INH. She denied illicit drugs, alcohol or […]
Abstract Number: H35
SHM Converge 2022
Case Presentation: A 57-year-old male with multiple medical conditions presented to the Emergency Room (ER) for evaluation of worsening skin rash and bleeding gums. The patient was discharged from the hospital 3 days ago and treated for an infected left prosthetic knee joint, he initially received empiric antibiotics Vancomycin and Piperacillin-Tazobactam, Cultures from tissue sample […]
Abstract Number: I30
SHM Converge 2022
Case Presentation: Our patient is a 62 year-old gentleman with PMH significant for HTN, moderate-severe bilateral RAS and stage IIIa CKD who was transferred to our hospital for AKI requiring dialysis. 1 month prior to presentation, spironolactone was added to his antihypertensive medications of amlodipine, carvedilol, azilsartan and furosemide. He was in his usual state […]
Abstract Number: J34
SHM Converge 2022
Case Presentation: A 50-year-old man presented with one week of diarrhea. He reported ten voluminous watery bowel movements each day, nausea, and frequent non-bloody, non-bilious emesis. Additional symptoms included increasing right-sided abdominal pain, generalized pruritus, and diffuse weakness. Eating meat exacerbated both his abdominal discomfort and pruritus. His history included Ulcerative Colitis, Primary Sclerosing Cholangitis, […]
Abstract Number: J39
SHM Converge 2022
Case Presentation: A 49-year-old vegetarian male (on supplements with vitamin B12) with recent myocardial infarction (MI) presented with 8-months of worsening neurological symptoms beginning as paresthesias progressing to cognitive decline and gait instability. Physical exam was significant for poor recall, inability to perform basic calculations, impaired proprioception in the right lower extremity, sensory ataxia in […]
Abstract Number: K16
SHM Converge 2022
Background: Emergency room crowding has been proven to lead to poor outcomes (e.g., mortality) and has worsened during the COVID-19 pandemic. Novel clinics that work collaboratively with emergency departments (ED) to transfer lower acuity patients to receive care in ambulatory settings rather than the ED have emerged. Our innovative ED Surge program cares for these […]
Abstract Number: K32
SHM Converge 2022
Case Presentation: 49-year-old female with past medical history of hypertension & bipolar disorder presented to hospital with complaints of worsening weakness involving her lower extremities for 8 weeks. The weakness began 10 days after receiving the first dose of mRNA-1273 (Moderna Vaccine). Her weakness started in her bilateral feet, gradually ascended up to involve waist […]
Abstract Number: K43
SHM Converge 2022
Case Presentation: A 52 year old man with a PMHx of IVDU and HLD presents with a CC of “Cold Leg”. This was preceded by sudden onset numbness and weakness of his right foot and leg, inability to ambulate and severe pain in his thigh. He reported prodromal fevers, sweats and arthralgias. His last IVDU […]