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Abstract Number: 41
PAINFUL LIES THE CROWN
SHM Converge 2024
Case Presentation: An 89-year-old man with coronary artery disease, hypertension, and osteoarthritis presented with acute-onset severe posterior neck pain, with no viral prodrome. The patient reported experiencing generalized weakness and associated headache, but denied any fevers, chills, cough, myalgia, joint pain, ulcers or rashes. Additionally, he did not report any photophobia, phonophobia, changes in vision, [...]
Abstract Number: 476
CROWNED DENS SYNDROME: A RARE PRESENTATION OF CPPD
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation:   A 76-year-old female was admitted from an outside hospital for concern for osteomyelitis of her cervical spine.  She had previously had a week of neck pain with limited range of motion due to pain.  She was treated for E. coli sepsis following positive blood and urine cultures, but her neck pain persisted.  Upon transfer, [...]
Abstract Number: 558
VASODILATOR TESTING FOR IDIOPATHIC PULMONARY HYPERTENSION: IS IT REALLY NECESSARY?
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 72 year old male presented with worsening shortness of breath and increasing oxygen requirement for six weeks. The patient had been on supplemental oxygen for the past 2 years for hypoxia. As an outpatient, right heart catheterization revealed a pulmonary arterial pressure (PAP) of 76/24 mmHg, mean PAP of 41 mmHg, wedge [...]
Abstract Number: 601
CALCIUM OXALATE NEPHROPATHY FROM BLACK TEA OVERCONSUMPTION REQUIRING INTERMITTENT HEMODIALYSIS
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 52-year-old male presented with one week of abdominal pain, myalgia, and diarrhea. The patient was referred to our Emergency Department after outpatient testing revealed an increase in serum creatinine to 11 mg/dL from 0.7 mg/dL six months prior.The patient had medical history of hypertension, gastroesophageal reflux disease, and former alcohol use disorder. [...]
Abstract Number: 867
UNVEILING THE CROWN: CASE OF CROWNED DENS SYNDROME MIMICKING INFECTION
SHM Converge 2024
Case Presentation: A 95-year-old man with hypertension, benign prostatic hyperplasia, irritable bowel syndrome, and a recent herpes zoster ophthalmicus infection presented to the emergency department (ED) with fevers. The patient had been well until 3 days prior, when he developed a temperature of 103°F followed by severe pain in the neck radiating to both shoulders. [...]
Abstract Number: K37
ALTERED MENTAL STATUS IN AN ELDERLY WOMAN, MUST BE THE URINARY TRACT INFECTION, OR IS IT?
SHM Converge 2022
Case Presentation: An 80-year-old female with past medical history significant for atrial fibrillation on apixaban, coronary artery disease, heart failure with preserved ejection fraction, Grave’s disease s/p thyroidectomy on vitamin D, calcium and levothyroxine supplements, and diabetes mellitus presented with 1 week of malodorous urine and 3 weeks of auditory and visual hallucinations. She reported [...]
Abstract Number: 0541
OVER THE COUNTER MEDICATIONS:READILY AVAILABLE BUT NOT RISK FREE: A CASE OF CALCIUM CARBONATE INDUCED PANCREATITIS.
SHM Converge 2025
Case Presentation: The following case describes the excessive use of calcium carbonate (Tums) as a cause of recurrent episodes of pancreatitis. A 39-year-old female presented to the emergency department with severe epigastric pain radiating to her back. The pain was exacerbated by oral intake and was associated with nausea, vomiting, and constipation. Her past medical [...]
Abstract Number: 1008
A CROWNED DIAGNOSIS
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 66-year-old female with a history of Cerebrovascular accident, diabetes, hypertension, chronic kidney disease, and osteoarthritis, presents to the hospital for worsening acute neck pain which had woken her up in the night a week prior. She had had minimal to no relief with Tylenol or Flexeril and her neck pain had continued [...]
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