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Search Results for diabetic
Abstract Number: 654
SHM Converge 2024
Case Presentation: A 60-year-old female with no past medical history presented to the emergency department with subacute worsening right thigh swelling and pain. Her history included mild trauma to her right thigh during a recent cross-country road trip. Her physical exam showed significant swelling and tenderness to the anteromedial right thigh with palpable distal pulses […]
Abstract Number: 661
SHM Converge 2024
Case Presentation: A 44-year-old man with a past medical history of poorly controlled diabetes mellitus type 2 presented to the emergency room with 7 months of bilateral leg pain and swelling that acutely worsened in the last 2 weeks and multiple recent mechanical falls. The falls were not associated with loss of consciousness or other […]
Abstract Number: 664
SHM Converge 2023
Case Presentation: A 32 year old male with alcohol abuse and Kratom use was initially hospitalized for 7 days for acute alcoholic pancreatitis and discharged with corticosteroids due to concern for alcoholic hepatitis. On day 14 of corticosteroids, he was readmitted for acute blood loss anemia requiring transfusion. Initial esophagogastroduodenoscopy (EGD) showed gastric mucormycosis on […]
Abstract Number: 704
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 61-year-old male with a past medical history of type 2 diabetes mellitus (T2DM), hypertension, hyperlipidemia, coronary artery disease (CAD) with multiple previous PCIs and status post CABG 6 days prior, presented to the ED with a 1 day history of nausea, vomiting, upper abdominal discomfort and chest pain. He was maintained on […]
Abstract Number: 709
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 47-year-old woman with migraines, bipolar disorder, and hypothyroidism presented with a 2-day headache that was not improving with sumatriptan. She also complained of generalized weakness, dizziness, nausea, and vomiting. Workup revealed diabetic ketoacidosis, with blood glucose 530 mg/dL, venous pH 7.02, bicarbonate of 8 mmol/L, and anion gap 29. The patient had […]
Abstract Number: 719
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 57-year-old woman with type 1 diabetes on insulin pump and hypertension presented to the ED with abdominal pain with associated nausea/vomiting and shortness of breath for one day. She reported her insulin pump has been malfunctioning for several days. She denied fever/chills, chest pain, or diarrhea. She denied any toxic habits.Vital signs […]
Abstract Number: 719
SHM Converge 2021
Case Presentation: A previously healthy 19 year-old female presented to the emergency room with complaints of nausea, headaches, polyuria, polydipsia and anorexia for four days. She denied urinary urgency or frequency. Her exam was unremarkable except for a flat affect and slowed speech. She was found to have hyperglycemia to 401mg/dL, elevated beta hydroxybutyrate to […]
Abstract Number: 724
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 25-year-old female with a history of hypertension and diabetes mellitus (DM) type 1 presented with altered mental status, abdominal pain, and tenderness. On presentation, she was afebrile, hemodynamically stable. Further workup revealed leukocytosis 27000/ml, acute kidney injury with creatinine 2.47 mg/dl, blood glucose 1000 + mg/dl; glycosylated hemoglobin A1c (HbA1c 11.5%); amylase […]
Abstract Number: 732
SHM Converge 2021
Case Presentation: A 52-year-old Hispanic man with a medical history of hypertension, T2D with neuropathy, and hyperlipidemia without previous exposure to glucocorticoid presented to the emergency department (ED) with mild fever, headache, and shortness lasting three days. His diabetes had been well controlled with glipizide, metformin, and liraglutide, and his recent glycated hemoglobin was 7.2% […]
Abstract Number: 741
SHM Converge 2023
Case Presentation: Patient is a 47-year-old female with a past medical history of uncontrolled type 2 diabetes, hypertension, and stage 3 chronic kidney disease. She was admitted to the hospital on 10/14/22 with intractable nausea/vomiting (N/V) and diarrhea. She had been in and out of the hospital for the past few months with these symptoms. […]