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Search Results for steroid
Abstract Number: 545
SHM Converge 2023
Case Presentation: Diclofenac is a routinely prescribed non-steroidal anti-inflammatory agent in hospital with well-recognized hepatotoxic potential. However, there are only two reported cases of topical diclofenac-induced liver injury in literature. Herein, we describe a case of a 94-year-old man with Paget’s disease and osteoarthritis, who developed acute hepatotoxicity after four months of application of topical […]
Abstract Number: 551
SHM Converge 2024
Case Presentation: A 49-year-old male with a medical history significant for unmanaged type 2 diabetes mellitus presented to the emergency department with generalized body weakness associated with 5 days of melena and coffee ground emesis in the setting of heavy use of naproxen for chronic severe lower back pain. He reported recent visits to a […]
Abstract Number: 567
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 46 year-old woman presented with one week of palpitations and dyspnea on exertion. Her medical history was remarkable for a pericardial effusion of unknown etiology two months prior, treated with pericardiocentesis in Guyana. On presentation she was hemodynamically stable. Exam was significant for distant heart sounds and decreased breath sounds at the […]
Abstract Number: 570
Hospital Medicine 2020, Virtual Competition
Case Presentation: A previously healthy 38-year-old man presented with 8 days of intermittent colicky RUQ pain and jaundice. He denied any OTC or illicit drug use but did report daily alcohol use. On admission HAV, HBV, HCV, and HIV 1 & 2 screening, urine drug screen, and autoimmune workup were negative. Ceruloplasmin, serum copper, serum […]
Abstract Number: 580
SHM Converge 2024
Case Presentation: A 64-year-old woman presented to the Emergency Department (ED) with widespread exanthem that started weeks prior to presentation. She reported having had similar exanthems at the same time the previous two years, which resolved with oral steroid therapy on both occasions. However, they were not as extensive as the present rash. 6 weeks […]
Abstract Number: 582
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: 23- year old Latino male with no known history presented to the ER complaining of worsening left eye pain. Patient stated that he has been cleaning manmade lakes and for one week started to have an erythematous and painful left eye associated with persistent frontal headache, and blurry vision. Patient endorsed recent diagnosis […]
Abstract Number: 583
SHM Converge 2023
Case Presentation: A 59-year-old previously healthy female presented to the emergency department with progressive cognitive decline, psychomotor retardation, and both auditory and visual hallucinations of subacute onset for which she was previously admitted to inpatient care at two separate hospitals. Extensive testing during these admissions were negative for: infection, metabolic derangement, hematologic malignancy, toxins, heavy […]
Abstract Number: 607
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 70-year-old man with no significant history presented with lower back pain for 1 month. The pain, specifically involving the bilateral lower back which radiated down the buttocks, was sharp, intermittent, and 10/10 in severity. His pain started gradually but progressively worsened, limiting the patient’s ability to ambulate. The patient reported constipation for […]
Abstract Number: 608
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 63-year-old man with lung adenocarcinoma with multiple rib metastases and lytic spinal lesions was receiving palliative radiation treatment when computed tomography (CT) incidentally revealed a fluid collection along the anterior cecum with pneumatosis. Cultures taken during CT-guided abscess drainage were positive for piperacillin-tazobactam-sensitive enterococcus, and the patient was started on antibiotics. His […]
Abstract Number: 611
SHM Converge 2023
Case Presentation: A 31 year old male with no known medical history presented to the hospital with complaints of acute onset chest pain, shortness of breath and 30 lb weight gain. History was notable for a period of starvation with intake of exogenous testosterone, T3 and growth hormone prior to a bodybuilding competition followed by […]