Session Type
Meeting
Search Results for purpura
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 […]
Abstract Number: 555
SHM Converge 2024
Case Presentation: A 55-year-old female with a past medical history of seizure disorder and prior opioid use presented to an outside emergency department with a 1-day history of expressive aphasia and headache. Her NIH Stroke Scale was 4. CT head w/o contrast demonstrated a subacute infarct within the left middle cerebral artery (MCA) territory and […]
Abstract Number: 571
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 37 year-old man presented with altered mental status and a headache after a motor vehicle collision where he was a restrained driver while intoxicated with alcohol. He had a known history of glucose-6-phosphate-dehydrogenase deficiency (G6PD). Exam was notable for superficial abrasions on bilateral upper and lower extremities, diffuse generalized abdominal tenderness to […]
Abstract Number: 574
SHM Converge 2021
Case Presentation: A 38-year-old male with self-reported history of asthma presented with generalized weakness and syncope. He endorsed 2-week of bilateral leg pain with numbness, loss of taste, and nausea. Vital signs were remarkable for tachycardia in 110s and hypotension at 101/52. Labs showed hemoglobin 3.3, WBC 3.6, platelet 83, MCV 93.9, reticulocyte 1.1%, total […]
Abstract Number: 578
SHM Converge 2023
Case Presentation: A 54-year-old man presented with resolving epigastric pain. Initial labs revealed platelets at 21K/uL. He had no symptoms, signs of bleeding, history of easy bruising or hematologic disease. Further labs showed LDH 690U/L, haptoglobin < 30mg/dL, and bilirubin 2.8mg/dL (indirect 2.2), consistent with intravascular hemolysis. Hgb was 13.4g/dL with MCV 83fL and reticulocyte […]
Abstract Number: 590
SHM Converge 2024
Case Presentation: A 53-year-old male with a history of Goodpasture syndrome, systemic lupus, and Wegener’s granulomatosis underwent a deceased donor kidney transplant for end-stage renal disease. Two days post-surgery, the patient developed anemia and thrombocytopenia, elevated lactate dehydrogenase, and increased creatinine, prompting a preemptive diagnosis of TTP. Plasmapheresis was initiated every other day, alternating with […]
Abstract Number: 592
SHM Converge 2021
Case Presentation: This is a unique case of acquired thrombotic thrombocytic purpura (aTTP) due to the novel SARS-CoV-2 virus (COVID-19). Our patient is a 36-year old male with hypertension, alpha-thalassemia trait, who presented with abdominal pain. He has a family history pertinent for a sister with immune thrombocytopenic purpura. He was found to have cholecystitis […]
Abstract Number: 598
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 77 year old Jehovah’s Witness woman presented with one month of petechial rash, epistaxis and oral mucosal bleeding. There was no recent travel or infectious illness. She denied herbal or toxic ingestions. Her exam was remarkable only for diffuse petechiae. Labwork was significant for new severe thrombocytopenia (2 K/UL), a normal peripheral […]
Abstract Number: 607
SHM Converge 2023
Case Presentation: A 54 year old male with a history of intravenous drug use presented for three days of altered mental status, dyspnea, and low urine output. He was previously admitted a month ago for septic shock secondary to aortic valve endocarditis and underwent aortic valve repair, but left against medical advice before completing his […]
Abstract Number: 608
SHM Converge 2021
Case Presentation: A 77-year-old female with a history of hypertension and osteoporosis presented to the emergency department with dizziness, fatigue, decreased oral intake, and weakness for a few weeks. She also reported blurry vision and paresthesias in her lower extremities. Physical examination including a neurological examination was normal. Laboratory tests revealed a severe macrocytic anemia […]