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Search Results for rare
Abstract Number: 629
SHM Converge 2024
Case Presentation: We report here a case of high output heart failure (HOHF), a rare but potential complication of Arteriovenous fistula (AVF) in a post-renal transplant patient.A 60-year-old male with end-stage renal disease and subsequent renal transplant 3 months ago presented with exertional dyspnea, worsening anasarca, and weight gain of 20 pounds. The patient also […]
Abstract Number: 633
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 37-year old G2P2002 female with recent vaginal delivery one month prior, presented with progressively worsening intermittent head, neck and back pain localized to the right side for the past two months. She reported tongue deviation and slurred speech. After the delivery, she began breastfeeding and noticed a lump on her right breast […]
Abstract Number: 637
SHM Converge 2021
Case Presentation: An otherwise healthy 21 year old woman presented to an outside hospital with developing headache, confusion, twitching, nausea and vomiting. Workup included an unremarkable head CT with LP consistent with aseptic meningitis. Viral meningoencephalitis was suspected, she improved and was discharged. She had recurrence of intermittent frontal headaches with associated dizziness, bilateral lower […]
Abstract Number: 650
SHM Converge 2023
Case Presentation: A 19 year-old woman with anxiety and recurrent fevers of unclear etiology presents with fever, sore throat, and body aches. Three days prior to presentation, the patient developed sore throat, dysphagia, and dysphonia. She presented to urgent care, started amoxicillin without improvement. She developed fevers (Tmax 104F) two days later, prompting an Emergency […]
Abstract Number: 658
SHM Converge 2023
Case Presentation: We present a case of a 59 year old man with a history of HTN, T2DM (a1c 8.3%) and splenectomy in 1981 who presented with two weeks of progressive constipation, episodic flushing, sweating, palpitations and severe lightheadedness, no longer able to stand.On admission he was tachycardic to 140 and hypertensive to 200/120. CT […]
Abstract Number: 661
SHM Converge 2023
Case Presentation: A 56-year-old male with a past medical history of hemophagocytic lymphohistiocytosis (HLH), in remission following chemotherapy in 2018, left MCA CVA in 2016 without significant residual deficits, restless leg syndrome, neurodegenerative motor neuron disease with lower extremity spasticity, and peripheral neuropathy was brought to the hospital for weeks of increasing confusion and generalized […]
Abstract Number: 664
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: 70 year old male admitted for a complicated UTI was placed on piperacillin / tazobactam empirically and subsequently developed abdominal distension and small bowel obstruction. He was admitted to the ICU for fulminant colitis secondary to severe Clostridium Difficile with concern for toxic megacolon. Labs showed a WBC of 34 along with an […]
Abstract Number: 665
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: 42-year-old woman with a history of pulmonary embolism and Antiphospholipid syndrome on lifelong anticoagulation with warfarin presented with severe neck pain and headache for five days. Examination revealed an ill appearing woman, febrile to 101F with excruciating neck pain aggravated by movement in all directions and swallowing. Labs were remarkable for an elevated […]
Abstract Number: 682
SHM Converge 2024
Case Presentation: The World Health Organization designates a rare disease as one affecting under 6.5-10 per 10,000 people (1). We present a case of disparate findings, ultimately diagnosing Erdheim-Chester Disease (ECD), a rare non-Langerhans histiocytic multisystem disorder with fewer than 1000 reported cases (2,3).A 63-year-old man presented with months of progressively worsening anasarca, acute on […]
Abstract Number: 700
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 70-year-old healthy active male with past medical history of Hypertension and tobacco use 1 pack per day, presented with flushing, weakness, pre-syncope, skin hives, diarrhea, shortness of breath and unintentional 20 pounds loss. Recently returned from a trip to Cuba and his PCP performed blood work and stool studies , significant for […]