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Search Results for rare
Abstract Number: 769
SHM Converge 2024
Case Presentation: A 46-year-old female with history of rheumatoid arthritis and asthma presented with chest and back pain to an outside facility and was evaluated for acute coronary syndrome and cholecystitis. Patient’s absolute eosinophil count (AEC) was 1.76 at that time. Patient was re-admitted with altered mental status and vomiting. Her AEC was 41. Strongyloides […]
Abstract Number: 770
SHM Converge 2021
Case Presentation: A 10-year-old female presented with her third episode of painless hematochezia. Episodes were separated by months, each lasting 3 to 5 days with passage of multiple “fist-sized” bright red clots. There were no other associated symptoms and resolution of bleeding was spontaneous. Extensive prior workup included coagulation studies, upper and lower gastrointestinal (GI) […]
Abstract Number: 786
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient is a previously healthy 23 year old African American female who presented to the hospital with sudden onset lethargy, abdominal pain and profound anemia. Imaging identified hemoperitoneum secondary to hemorrhagic ovarian cyst rupture and given her severe presentation she required salpingoophorectomy. In addition to bicytopenia with a hemoglobin of 4.8 and […]
Abstract Number: 792
SHM Converge 2023
Case Presentation: A 72-year-old man with known multiple myeloma is admitted to hospital for initiation of chemotherapy due to cancer progression. He was first diagnosed with smoldering myeloma in 2003. He was then diagnosed with multiple myeloma after a bone marrow biopsy in 2021 revealed 98% plasma cells. One year after diagnosis, he started noticing […]
Abstract Number: 799
SHM Converge 2024
Case Presentation: A 49 year old female with past medical history of atrial fibrillation, cerebrovascular accident, and hypertension presented with abdominal pain and rectal bleeding. Patient reported 3 days of worsening, non-radiating L-sided abdominal pain. Review of systems was positive for one episode of fever to 38.3℃, nausea, anorexia, and blood-streaked diarrhea. The patient had […]
Abstract Number: 808
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 32-year-old African American male past medical history significant for recently diagnosed Guillain-Barre syndrome (GBS) was admitted for recurrent mechanical falls at home. One week prior to his admission, he was treated for GBS with high dose Intravenous Immunoglobulin (0.4 g/kg/day) for 5 consecutive days and subsequently discharged home where he stayed for […]
Abstract Number: 809
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: An 84-year-old man from China with a history of remote gastric cancer with prior subtotal gastrectomy, chronic hepatitis B virus infection on antivirals (without cirrhosis, normal liver function tests) was brought to the hospital after his family found him to be obtunded. At baseline he was independent in all iADLs. Physical exam showed […]
Abstract Number: 839
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 25-year-old African American male presented with complaints of headache and acute painful vision loss in his left eye. He had stable vital signs. On exam, he had 20/20 vision in his right eye with intact visual field and 20/400 vision in his left eye with superior temporo-nasal visual field loss. Fundoscopic exam […]
Abstract Number: 922
SHM Converge 2024
Case Presentation: A 49-year old man presented to the emergency department (ED) with dizziness and lethargy. He had a history of hypertension, anemia, and pilomatrix carcinoma (PC), a rare cutaneous malignancy. This was diagnosed one year prior and treated with wide excision with negative margins. He was lost to follow up for 7 months prior […]
Abstract Number: B29
SHM Converge 2022
Case Presentation: A 69-year-old male with past medical history of bipolar disorder, schizophrenia, and substance abuse presented to the ED with suicidal and homicidal ideations, and hallucinations. He tested positive for COVID-19 at an outside hospital a week prior to presentation. He endorsed subjective fevers and productive cough with non-bloody sputum and denied dyspnea, chest […]