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Meeting
Search Results for necrotizing
Abstract Number: 840
SHM Converge 2024
Case Presentation: A 19-year-old male with past medical history of well-controlled juvenile myoclonic epilepsy was transferred from a community hospital for management of acute necrotizing pancreatitis. Upon arrival, he was severely hypovolemic and hypotensive, prompting aggressive intravenous fluid resuscitation and initiation of vasopressor therapy. He became obtunded, and was intubated for airway protection. Broad-spectrum antibiotics […]
Abstract Number: 869
Hospital Medicine 2020, Virtual Competition
Case Presentation: Patient is a middle-aged African-American female with a history of hypertension and hyperlipidemia, for which she had been on atorvastatin for approximately four years. She originally presented to her primary care physician for evaluation of a one month history of progressive myalgias and proximal muscle weakness. Creatine phosphokinase (CPK) level was elevated to […]
Abstract Number: 877
SHM Converge 2023
Case Presentation: A previously healthy 5-year-old female was transferred to our facility for increasing respiratory distress in the setting of a COVID-19 infection with suspected secondary bacterial pneumonia. Approximately five days prior, she tested positive for COVID-19 after developing a cough. She was treated with supportive therapy until parents noticed her “breathing heavily.” At the […]
Abstract Number: 881
SHM Converge 2024
Case Presentation: A 44-year-old man with no significant medical history was referred from our ophthalmology clinic with clinical concern for optic neuritis. One week earlier, he noted acute onset of left eye discomfort and blurred vision which evolved to central vision loss and brightness desaturation, accompanied by new headaches. Initial exam and lab work were […]
Abstract Number: 967
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69-year old male with past medical history significant for granulomatosis with polyangiitis and lower extremity deep vein thrombosis (DVT) presented with worsening pain, swelling and erythema of his right lower extremity. He reported exposure to stagnant rainwater in his yard a day prior to admission. Hours after the exposure he developed fever […]
Abstract Number: 993
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 51-year-old Caucasian male presented for evaluation of worsening lower extremity muscle weakness and associated myalgias. He received a diagnosis of NAM after three months of progressive proximal, symmetric upper and lower extremity weakness with myalgias, and an initial creatinine kinase (CK) of 13,875 IU/L. He had been on Atorvastatin 40 mg for […]
Abstract Number: B31
SHM Converge 2022
Case Presentation: A 51-year-old male with a history of alcoholic liver cirrhosis presented with severe bilateral leg pain associated with nausea, vomiting, and diarrhea, after consuming raw oysters 36 hours prior to admission. Physical exam revealed an encephalopathic obese man with a temperature of 38.2oC, heart rate of 102 bpm, and BP of 85/50 mmHg. […]
Abstract Number: B48
SHM Converge 2022
Case Presentation: A 55-year-old man with a past medical history of poorly controlled diabetes and remote intravenous drug use was evaluated for a right chest wall infection. 1 week prior to presentation, he had chest wall erythema, pain resulting in decreased range of motion, fevers, chills, decreased appetite, and weight loss. He presented to an […]
Abstract Number: H30
SHM Converge 2022
Case Presentation: A 69 year old woman presented to the hospital with 2 days of progressively worsening right lower leg pain and rash. Other symptoms included persistent nausea & vomiting following a recent episode of gastroenteritis. Exam demonstrated normal vital signs and bilateral lower extremity edema extending to the knees with apparently equal bilateral tenderness. […]
Abstract Number: K46
SHM Converge 2022
Case Presentation: A 40-year-old male with a biopsy-proven, signal recognition particle (SRP) positive necrotizing autoimmune myositis (NAM) being treated with abatacept, presented to the hospital with a two-day history of worsening shortness of breath. On arrival to the hospital, vital signs were remarkable for a heart rate of 170/ min. The physical exam was unremarkable. […]