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Search Results for purpura
Abstract Number: 295
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Thrombotic thrombocytopenic purpura (TTP) is a rare but deadly thrombotic microangiopathy (TMA) that is caused by ADAMTS13 deficiency. The PLASMIC clinical scoring system was developed and validated to determine the pretest probability of severe ADAMTS13 deficiency in cases of suspected TTP. We studied the role of the PLASMIC score in guiding use of the […]
Abstract Number: 350
SHM Converge 2021
Case Presentation: 59 year old man with hypertension initially presented to the hospital with bleeding, oral lesions. They developed four days prior to presentation. They manifested as bullae which eventually “popped” and bled. Patient had no other associated symptoms, including fever, chills, dizziness, chest pain, dyspnea, or irregular bleeding. He works as a city bus […]
Abstract Number: 368
SHM Converge 2021
Case Presentation: A 48-year-old man presents with chief complaints of fever, nausea, vomiting, rash and discoloration of hands and feet for 1 day. He was admitted to intensive care unit for septic shock and altered mental status. Patient was intubated and started on intravenous fluids, pressor medications and broad-spectrum antibiotics (vancomycin and piperacillin/tazobactam). On day […]
Abstract Number: 415
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 68-year-old woman with a past medical history of hypertension and relapsing Thrombotic Thrombocytopenic Purpura (TTP) presented with acute kidney injury. She was diagnosed nine years ago with TTP and had three subsequent relapses; the last episode was seven years ago. She had undergone treatment with steroids, rituximab, and plasmapheresis. She was incidentally […]
Abstract Number: 430
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: An ADL-independent 75-year-old woman with a history of diabetes who was receiving insulin therapy visited our emergency department owing to fever and chills, which had started 3 days before the visit. At that time, her consciousness level was GCS E4V4M6, temperature was 36.8°C, pulse rate was 83 beats/minute, blood pressure was 82/46 mmHg, […]
Abstract Number: 458
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: Case of a 63-year-old female with medical conditions of hypertension, chronic obstructive pulmonary disease, diabetes mellitus type 2, and pulmonary embolism (2013) presented to our clinics with progressively worsening purpuric lesions since 1 month prior to evaluation. She stated that these lesions began in the lower extremities and progressed to involve her buttocks, […]
Abstract Number: 499
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 77-year-old African-American male with Adult-onset Still’s disease (AOSD) was admitted at the hospital for severe thrombocytopenia. The patient had been diagnosed with AOSD four years before this hospital admission. His AOSD was well-controlled with anakinra, an interleukin-1 receptor antagonist, and low-dose prednisone. On admission, the patient did not have any neurological manifestation. […]
Abstract Number: 510
SHM Converge 2021
Case Presentation: A 40 year old recently immigrated Indian male with medical history significant for two episodes of hemorrhagic dengue fever presented with a three day history of epistaxis, gingival bleeding, hematuria, hematochezia and a vesicular rash. On presentation, the physical exam was remarkable for a large mucosal hematoma, gingival bleeding, and diffuse hemorrhagic vesicular […]
Abstract Number: 547
SHM Converge 2021
Case Presentation: A 50-year-old male healthcare worker with a past history of splenectomy secondary to EBV complications, mild persistent asthma, and type 2 diabetes mellitus presented to the emergency department with acute hypoxic respiratory failure secondary to COVID-19 pneumonia. He quickly progressed to septic shock with worsening hypotension, tachycardia, lactic acidosis, increasing oxygen demands, and […]
Abstract Number: 548
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 64 year-old male with a past medical history significant for COPD presented with fever, abdominal pain and rash. Patient endorsed fever and chills for 2 weeks prior to inpatient hospitalization. Patient subsequently noted intermittent generalized abdominal pain associated with hematochezia. Patient noted onset of bilateral lower extremity rash the day of hospital […]