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Search Results for thyroid
Abstract Number: 653
SHM Converge 2024
Case Presentation: A 67-year-old male with a history of Graves’ disease, paroxysmal atrial fibrillation status post cardiac ablation not on anticoagulation, and chronic ibuprofen use presented to the emergency department with progressive dizziness, fatigue. He noted 10 days of black stools. Additionally, patient’s wife reported he had confusion that started yesterday. Patient presented stable on […]
Abstract Number: 654
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 30 year-old female with AIDS presented with three weeks of headache, dry cough, odynophagia, vomiting, fatigue and weight loss. She had a history of cryptococcal meningitis requiring lumbo-peritoneal drain four years prior but was lost to follow up, with non-adherence to maintenance and antiretroviral therapy. She had normal vital signs and appeared […]
Abstract Number: 658
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 67-year-old female with a history of hypothyroidism, type II diabetes and hypertension presented with acute on chronic diarrhea. She reported a 9-month history of profuse watery stools, up to 15 times per day. Outpatient workup including infectious stool studies, celiac panel, and allergy testing, had been unrevealing. Esophagogastroduodenoscopy and colonoscopy with biopsies […]
Abstract Number: 666
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 39-year-old Hispanic male presented to his primary care physician with progressive fatigue, leg weakness, and occasional falls. His past medical history was unremarkable. A clinical diagnosis of disk herniation was made and treated conservatively. Two weeks later, he presented to our emergency department (ED) with upper and lower extremity weakness, unable to […]
Abstract Number: 671
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 42-year-old Ethiopian woman presented to the emergency department complaining of an enlarging neck mass, dysphagia, anorexia, vomiting and constipation for the previous two weeks. She had no relevant past medical or family history. On admission, she became acutely altered requiring intubation for airway protection. She was normotensive and tachycardic, and a significant […]
Abstract Number: 673
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: Pericardial effusion is relatively common in patients with uncontrolled hypothyroidism, but rarely, it progresses to cardiac tamponade. We describe a case of myxedema coma presenting with cardiac tamponade. Discussion: A 63-year-old African American morbidly obese lady with history of hypothyroidism presented with worsening dyspnea and unresponsiveness. Family reported that she is non-compliant […]
Abstract Number: 673
SHM Converge 2024
Case Presentation: An 82 y/o woman with Grave’s disease (diagnosed 3 years prior), h/o thyrotoxicosis, CKD stage 4, HTN, DM2, PAD s/p right AKA, HFpEF, and dementia presented to the ED with worsening bilateral upper extremity edema and new-onset right facial swelling. She denied dyspnea, dysphagia or voice change. Her arm edema was previously managed […]
Abstract Number: 693
SHM Converge 2023
Case Presentation: This abstract discusses the inpatient care of a 74 year-old female who had three hospital admissions throughout 2022 with a detailed focus on the second admission. According to the patient’s discharge summary from her first admission, she was diagnosed with severe rhabdomyolysis (secondary to statin use) and acute renal failure requiring outpatient hemodialysis. […]
Abstract Number: 699
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: We report a case of a 29 yo female whose initial clinical manifestation of pheochromocytoma/MEN was suspected due to an incidental discovery of bilateral adrenal lesions revealed by abdominal CT instead of a positive family history with relevant symptoms. Despite repeatedly presenting to the emergency department for episodic anxiety accompanied by hypertension, the […]
Abstract Number: 709
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 24-year-old Hispanic female with a past medical history of diabetes mellitus and hyperthyroidism presented with slurred speech for one day that was associated with left-sided upper and lower extremity weakness. She did not use tobacco, alcohol, or illicit drugs. She had sinus tachycardia at 170 beats per minute and was febrile with […]