Session Type
Meeting
Search Results for paraneoplastic
Abstract Number: 543
SHM Converge 2023
Case Presentation: An 80-year-old female with a history significant for breast cancer status post mastectomy with chemo/radiation therapy and phenytoin-induced liver injury in 2013 presented with nine months of weakness, weight loss, and 2-3 month history of confusion, memory loss, and widespread tremors, suspicious for focal status epilepticus. Workup revealed hyponatremia (135 mmol/L) and elevated […]
Abstract Number: 551
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: The patient was a 57 year old male with IgG lambda MM (Multiple Myeloma) without remission after autologous hematopoietic stem cell transplant. One month after transplantation, he developed erythematous right flank swelling, high fever, fatigue and anorexia. CT scan revealed inflammatory stranding of right medial gluteal musculature and pre sacral space which was […]
Abstract Number: 561
SHM Converge 2023
Case Presentation: A 69-year-old male with no significant medical history presented to his primary care provider with a 6-week history of progressive rash with painful lesions involving the oral mucosa, face, scalp, back, arms, legs, and groin. The condition was initially treated as a fungal process. In the setting of rapidly progressive oral erosions and […]
Abstract Number: 574
SHM Converge 2024
Case Presentation: A 65-year-old female with a history of focal epilepsy and carotid stenosis with recent endarterectomy presented with four weeks of abrupt aphasia, right sided weakness and several days of altered mental status and unusual left-hand movements. Since the endarterectomy one month prior to presentation, her family reported cognitive decline, memory loss and increased […]
Abstract Number: 585
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: This is the case of a 51-year-old male without prior medical or psychiatric history who developed altered sensorium, cognitive dysfunction, mutism and disorganized behavior of 3 weeks of evolution causing severe impairment over his ability to self-care. He was transferred to our institution from a psychiatric hospital since he underwent 2 weeks of […]
Abstract Number: 598
SHM Converge 2024
Case Presentation: A 74-year-old Hispanic male patient with a history of monoclonal gammopathy of undetermined significance presented with worsening right upper extremity (RUE) motor weakness for the last few months. This was present in an ulnar nerve distribution with muscle wasting in the hypothenar and fourth and fifth metacarpal areas. Blood work was notable for […]
Abstract Number: 614
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 63 year old African-American Male with a history of well-controlled hypertension and hyperlipidemia presented with a four day history of new-onset lower extremity, upper extremity, and abdominal swelling. He denied shortness of breath, chest pain, orthopnea, and constitutional symptoms, but did report occasional non-drenching night sweats. He reported being otherwise healthy with no known history of […]
Abstract Number: 636
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 58-year-old male with previously treated non-Hodgkin lymphoma and multiple myeloma was admitted with 3 weeks of progressively worsening mucocutaneous blisters. The initial pruritic blister was located on the right arm and progressively spread to include his extremities, chest, back, and groin (covering 60% TBSA), with mucosal involvement, and an inability to tolerate […]
Abstract Number: 655
SHM Converge 2021
Case Presentation: A 63-year-old man with a history of hypertension presented with gait instability, progressive over one month, as well as positional hand tremors and nausea. On initial evaluation, he was afebrile with blood pressure of 169/98. Abnormalities on neurological examination included ocular flutter, left upper extremity dysmetria and wide-based cautious gait with bilateral leg […]
Abstract Number: 661
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60-year-old female with metastatic breast cancer presented with involuntary irregular forceful and painful contractions of facial muscles and dystonic posturing of her hands and feet lasting 5 to 30 minutes. Episodes sporadically occurred up to 20 times daily. MRI brain and spinal cord showed no evidence of metastatic disease or dural enhancement. […]