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Search Results for pulmonary
Abstract Number: F26
SHM Converge 2022
Case Presentation: A 49-year-old man with known history of class III obesity (body mass index 43), hypertension, hyperlipidemia, and insulin dependent diabetes presented to the emergency department with bilateral lower extremity swelling and dyspnea on exertion of two weeks duration. Pertinent vitals included blood pressure 161/74 mmHg, heart rate 99 beats per minute, and saturation […]
Abstract Number: F27
SHM Converge 2022
Case Presentation: A 26-year-old otherwise healthy female was prescribed trimethoprim-sulfamethoxazole (TMP-SMX) for a recurring, spontaneously draining vaginal mass below her urethra with inguinal adenopathy. 5 days after starting TMP-SMX, she developed a full-body rash, fever, myalgia, nausea, and a depressed WBC of 2.4 K/mcL. Possible drug fever was suspected and TMP-SMX was discontinued and covered […]
Abstract Number: F38
SHM Converge 2022
Case Presentation: A Caucasian male in his early 60s with metastatic pancreatic cancer presented to the urgent care with complaints of neck pain. He recently underwent kyphoplasty at the level of T3-T4 two weeks prior. He noticed a growing lump in his neck that grew over the last two days and associated with excruciating pain. […]
Abstract Number: J39
SHM Converge 2022
Case Presentation: A 49-year-old vegetarian male (on supplements with vitamin B12) with recent myocardial infarction (MI) presented with 8-months of worsening neurological symptoms beginning as paresthesias progressing to cognitive decline and gait instability. Physical exam was significant for poor recall, inability to perform basic calculations, impaired proprioception in the right lower extremity, sensory ataxia in […]
Abstract Number: J47
SHM Converge 2022
Case Presentation: A 43-year-old woman presented to the emergency department for sudden-onset of right calf pain, dyspnea, and coughing of blood-tinged sputum, along with worsening of right-sided, dull, heavy, pleuritic chest pain which had otherwise been present for three weeks. She was diagnosed with systemic lupus erythematosus four days prior to presentation. On physical exam, pulse rate was 114/min […]
Abstract Number: M23
SHM Converge 2022
Background: Symptomatic venous thromboembolism (VTE) occurs in about 1% of patients within 3 months after admission to a medicine ward.1,2 The 9th Edition American College of Chest Physicians Guidelines recommends the use of pharmacologic VTE prophylaxis in acutely ill hospitalized medical patients at increased risk of thrombosis and suggests against its use in low risk […]
Abstract Number: O28
SHM Converge 2022
Case Presentation: A 52-year-old unvaccinated male with past medical history of asthma and uncontrolled obstructive sleep apnea presented to the ED ten days after receiving a diagnosis of COVID-19 with worsening dyspnea. He endorsed a cough, fever, chills, and non-bloody diarrhea, and denied chest pain, leg edema, and anosmia. His initial vitals were remarkable for an oxygen saturation of 65%. A CBC demonstrated leukopenia […]
Abstract Number: O34
SHM Converge 2022
Case Presentation: 72 year old male presented with two months of fever, night sweats and malaise. He later developed dyspnea and was hospitalised twice. CT chest revealed scattered bilateral nodular lung opacities. He had dental work done prior to symptom onset and was thus thought to have right sided infective endocarditis (IE) with septic emboli. […]
Abstract Number: P34
SHM Converge 2022
Case Presentation: 49-year-old male patient with history of hypertension was sent by his nephrologist to the ER for unexplained worsening renal function and likely renal biopsy. Vital signs were stable, exam was unremarkable, however BUN was 85 mg/dL with creatinine of 10.1 mg/dL (baseline of 1.5 mg/dL). 24-hour urine protein excretion was 5.2 grams. The […]
Abstract Number: 1016
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 70-year-old male presented with a low-grade fever, progressive weakness and urinary frequency. Prior to this admission, he had a diagnosis of recurrent urinary tract infection (UTI) that was treated with antibiotics. A CT scan of his abdomen and pelvis, performed out of concern for an abscess, revealed right-sided ureterohydronephrosis. A stent was […]