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Meeting
Search Results for purpura
Abstract Number: 626
SHM Converge 2021
Case Presentation: A 48-year-old man with extreme obesity, heart failure, and a clinical diagnosis of gout presented with abdominal pain. Abdominal examination was limited by body habitus, as his body mass index was 68. Admission laboratory studies revealed acute kidney injury. He had been hospitalized before for similar presentations, but clear etiologies for the abdominal […]
Abstract Number: 628
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 36-year-old man presented with 10 days of progressive rash that started on his abdomen. The lesions grew, developed a more intense violaceous color, and spread to his lower back, buttocks, forearms and lower legs. The rash spared his upper torso, upper arms, neck, face and palmar/plantar surfaces. He also reported chills, nausea, […]
Abstract Number: 636
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 57-year-old man presented with three weeks of palpable petechial rash, abdominal pain, polyarthralgia and edema. The rash started as “red dots” on his abdomen and spread throughout his body. On exam, he exhibited diffuse palpable purpura with blistering to his bilateral feet. Initial work up was notable for creatinine (Cr) 3.30 from […]
Abstract Number: 663
SHM Converge 2023
Case Presentation: A 34-year-old male without significant past medical history presented with fevers, progressive purpuric rash that started in the ankles and spread in a centrifugal distribution, joint stiffness, as well as a rapidly progressive right-sided neck mass. Two weeks prior to presentation he had experienced sore throat and subjective fevers which self-resolved. One week […]
Abstract Number: 672
SHM Converge 2024
Case Presentation: A 48-year-old male with past medical history significant for hypertension, alcohol use disorder in remission, known grade I esophageal varices, and cirrhosis who presented with confusion and oral mucosa bleeding. He was tachycardic to 100 but had adequate blood pressure of 106/68. Initial labs remarkable for hemoglobin 9.4 g/dL and platelet count 1 […]
Abstract Number: 680
SHM Converge 2024
Case Presentation: A 29-year-old man with a history of morbid obesity, asthma, and chronic tracheostomy presented with 3 weeks of abdominal pain. The pain was intermittent and epigastric, without relationship to eating. He had poor appetite and nausea, though no emesis. He denied use of ibuprofen or alcohol. He denied fevers or chills. The pain […]
Abstract Number: 724
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 39-year-old male with no known history presented with complaints of back pain and shortness of breath for four days. Work up initially revealed pyelonephritis. The patient was treated with Amoxicillin-Clavunate. After a month, patient was re-evaluated for increased shortness of breath, fatigue, abdominal pain, diffuse arthralgia, and a new rash. The shortness […]
Abstract Number: 747
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 48-year-old man with a history of gastroesophageal reflux disease and obstructive sleep apnea presented with one week of pain, warmth, and rash over the right foot accompanied by episodic fever and headaches. He was a landscaper. Six weeks ago, he fell from a ladder with resultant right nondisplaced medial malleolar and comminuted […]
Abstract Number: 755
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 71-year-old woman presented with one month of progressive dyspnea, fatigue, weight loss, bilateral lower extremity edema, and new “purple and red spots” on her extremities. Her medical history included breast cancer more than two decades ago for which she underwent surgery and radiation therapy. She had since been out of care. On […]
Abstract Number: 765
SHM Converge 2023
Case Presentation: 68 y.o. male presented with a purpuric rash, petechia, and suspected vasculitis. Past medical history included Hypertension, Non-Alcoholic Fatty Liver disease, Obstructive Sleep Apnea, Depression/Anxiety, DM type II and obesity. Significant presentations included pruritic rash and petechiae that started about a month before the presentation, worsening dyspnea, intermittent hemoptysis, and worsening bilateral pedal […]