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Search Results for inflammatory
Abstract Number: 464
SHM Converge 2023
Case Presentation: 57-year-old male, with history of recurrent idiopathic hypothermic episodes, HFrEF on carvedilol, T2DM on no medication for 3 months, and stage 4 CKD, presented to the ED for altered mentation. Vitals were unremarkable except for hypothermia (86.4°F). Patient was hypoglycemic (62 mg/dL). WBC count was low (1.26 10^3/uL). Urine WBCs were elevated (31-50/HPF). […]
Abstract Number: 469
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 11 y/o M presenting with 2 months of worsening headache and 2-3 days of rapidly progressive blurry vision. Patient initially presented to his school nurse after complaining in class of blurry vision. He was seen by a local optometrist and then transferred to the emergency department for further evaluation. Ophthalmologic evaluation in the […]
Abstract Number: 471
SHM Converge 2023
Case Presentation: A 43-year-old male with human immunodeficiency virus (HIV), off antiretroviral therapy (ART) for 5 years presented to an outside hospital in July 2022 with diffuse umbilicated skin lesions. Skin scrapings for the monkeypox virus PCR were positive. No medications were prescribed. Days later, the patient was admitted to a different hospital with worsening […]
Abstract Number: 478
SHM Converge 2021
Case Presentation: This is a case of a 37-year-old female with a 9 month history of moderate ulcerative pancolitis (UC) who was admitted with worsening abdominal pain, a 30 lb weight loss, nausea, vomiting, and bloody diarrhea. She had been treated with mesalamine, vedolizumab, and infliximab with no improvement and refused corticosteroid therapy due to […]
Abstract Number: 479
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 47-year-old Caucasian woman presented with severe vomiting and abdominal pain for three days. Her past medical history revealed that she was diagnosed in 2010 with ulcerative colitis proctitis and was recently started on azathioprine. In the past, she had received a short course of steroids, but was complicated by an increase in […]
Abstract Number: 483
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 41-year-old man with recently diagnosed HIV/AIDS and Pneumocystis jirovecii pneumonia (PCP) was admitted with 5-day history of fever, throat pain, headache, and dry cough. Six weeks prior to admission, the workup was notable for CD4 88 cells/µL and CT chest imaging with ground glass opacities consistent with PCP. He was initiated on […]
Abstract Number: 506
SHM Converge 2023
Case Presentation: A 33-year-old G2P1011 woman who was 6 days postpartum from an uncomplicated vaginal delivery presented to the emergency department with acute right flank pain, hypotension (BP 88/60), tachycardia (HR 125) and new onset anemia with hemoglobin 9g/dL. CT abdomen/pelvis (CT AP) revealed a 21.5cm right renal angiomyolipoma (AML) with an associated bleeding pseudoaneurysm […]
Abstract Number: 507
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 28-year old Vietnamese man who has sex with men (MSM) with recent diagnosis of AIDS, on antiretroviral therapy (ART), presented to the hospital with 1 month of fevers associated with headaches, night sweats, anorexia, and diarrhea. He was born in Vietnam but moved to the United States 2 years prior to presentation […]
Abstract Number: 528
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 37-year-old African American female with history of colitis presented with dyspnea and cough. Workup revealed a pleural-based left upper lobe mass and mediastinal lymphadenopathy. She denied exposure to mold, fungus, chemicals, inhalants, farms, or birds. Pathology was inconclusive but revealed poorly differentiated granulomas. She was given a diagnosis of sarcoidosis (without associated […]
Abstract Number: 536
Hospital Medicine 2020, Virtual Competition
Case Presentation: 41 years old Hispanic gentleman with no significant past medical history who presented to the hospital for difficulty walking and diarrhea.Over the last four years, he has had watery non-bloody diarrhea multiple times daily. He reported one bloody bowel movement a week before his presentation. He had lost a significant amount of weight […]