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Search Results for thyroid
Abstract Number: 549
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 38-year-old man with untreated hyperthyroidism presented with two-week history of progressively worsening weakness and dyspnea along with a six-month history of unintentional 38 pound weight loss, diarrhea, and palpitations. Exam was notable for confusion, cachexia, diffuse thyromegaly, jugular venous distension, exophthalmos, thyroid bruit, bilateral rales, and tachycardia (HR to 150s). A transthoracic […]
Abstract Number: 565
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 67-year-old man with history of Hashimoto thyroiditis was attending a routine clinic appointment and was found to have a resting heart rate of 40 beats per min and was referred to the emergency department. The patient had not been evaluated by a physician for two years and previous heart rates were unknown. […]
Abstract Number: 566
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 47-year-old Hispanic female smoker presented with aone-week history of severe, intermittent substernal chest pain radiating tothe left arm. The pain was associated with palpitations and shortness ofbreath. She was afebrile with a heart rate of 100, a blood pressure of119/59, a fine tremor, and brisk reflexes. No lid lag or proptosis wasappreciated. […]
Abstract Number: 585
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: This is the case of a 51-year-old male without prior medical or psychiatric history who developed altered sensorium, cognitive dysfunction, mutism and disorganized behavior of 3 weeks of evolution causing severe impairment over his ability to self-care. He was transferred to our institution from a psychiatric hospital since he underwent 2 weeks of […]
Abstract Number: 586
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Introduction: Thyrotoxic crisis is rare and presents as a life-threatening exacerbation of hyperthyroidism. It can have a myriad of manifestations affecting multiple organ systems. The mortality rate is as high as 30% even with treatment. Thyrotoxic crisis is usually precipitated by acute illness, surgery especially on the thyroid, or radioiodine treatment of a patient with partially treated […]
Abstract Number: 594
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 28-year-old female with unremarkable past medical history presented with a 3-day history of fever, diffuse abdominal pain, nausea, and vomiting. Vital signs were significant for temperature of 38.3 C and heart rate of 180 BPM. Physical exam revealed left-sided costovertebral angle tenderness. Laboratory studies were notable for total bilirubin 2.7 mg/dL, direct […]
Abstract Number: 636
SHM Converge 2021
Case Presentation: A 37-year-old male with anxiety presented to the ED in Maine after a week of warmth and irritability, followed by sudden onset nausea and vomiting, epigastric and chest pain with left shoulder radiation, and palpitations. He denied COVID exposures, loss of taste or smell, shortness of breath, dysphagia, changes in weight, or skin […]
Abstract Number: 640
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: An 18 year old Asian man presented with sudden paralysis after a fall from a lofted bed during sleep. On arrival he reported inability to move his arms or legs. He denied any neck or back pain and did not experience any bowel or bladder incontinence. He reported no alcohol or drug use. […]
Abstract Number: 647
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: We report a case of an asymptomatic 65-year-old Hispanic male with a left neck mass. Ultrasound and fine needle aspiration were compatible with thyroid cancer. He underwent a total thyroidectomy with modified radical left neck dissection. The tumor measured 5 x 3.5 x 2.7 cm, with complete involvement of the left thyroid lobule. […]
Abstract Number: 652
SHM Converge 2023
Case Presentation: A 30 year old male presented with symptoms of intermittent episodes of chest pain with palpitations, tremors associated with night sweats, heat intolerance, and unintentional weight loss for the last 6 months. He had no significant past medical history, did not take any medications at home, and had no prior surgeries. He denies […]