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Search Results for thyroid
Abstract Number: 718
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 38 year old lady with past medical history of recurrent kidney stones presented to the emergency department with a 1 day history of lethargy, confusion, and severe right sided abdominal pain. She was febrile with temperature of 38.9oC and tachycardic with heart rate of 168 bpm. She had leukocytosis of 13,000/ml and […]
Abstract Number: 725
SHM Converge 2023
Case Presentation: A 45-year-old female with a history of obesity on long-term phentermine presented with 2 months of progressive dyspnea on exertion, orthopnea, and lower extremity swelling. On presentation, the patient was tachycardic and normotensive. Her exam was notable for diffuse wheezing, jugular venous distension, and +2 bilateral lower extremity pitting edema. Labs were remarkable […]
Abstract Number: 732
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 62-year-old man with type 2 diabetes was hospitalized with a two-week history of fatigue, sore throat, diarrhea, and 18-pound weight loss. In the ED, he was hypotensive and tachycardic, which improved with IV fluids. Physical exam was significant for bilateral posterior cervical lymphadenopathy and splenomegaly. Labs showed leukocytosis (25.8K) with 18.2% lymphocytic […]
Abstract Number: 750
SHM Converge 2023
Case Presentation: A 62-year-old woman with a history of chronic kidney disease (stage 5) and acquired hypothyroidism secondary to radioactive iodine therapy for multinodular goiter presented with subacute slowed mentation, difficulty concentrating, slurred speech, visual hallucinations, and fatigue. Review of systems revealed cold intolerance, constipation, and dry skin. She was adherent to her daily levothyroxine. […]
Abstract Number: 769
SHM Converge 2023
Case Presentation: A 74-year-old female presented to the ED with two days of shortness of breath and fatigue. She reported a past medical history of heart failure with reduced ejection fraction, chronic kidney disease, and essential hypertension. Medications included Lisinopril, Amlodipine, Furosemide, Atorvastatin, Aspirin, Famotidine, and Warfarin. She denied tobacco, alcohol, and illicit drug use. […]
Abstract Number: 775
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 48-year-old woman presented with a rapidly progressive brown tumor of the right anterior aspect of her hard palate. She had end stage renal disease for decades and secondary hyperparathyroidism for 16 years, which progressed to tertiary hyperparathyroidism within the past year. Two months prior to referral, she first noticed a lesion in […]
Abstract Number: 777
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 21-year-old previously healthy female with no known medical history was brought in by ambulance from a rave party with concerns for being pale, tremulous and diaphoretic. She reportedly had consumed three shots of alcohol, marijuana, and two unknown pills. On exam she was noted to be non-interactive, febrile to 104F, and with […]
Abstract Number: 779
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 52 y.o with a past medical history of uncontrolled, untreated hypertension presented to our hospital with a 3 week history of progressively worsening lower extremity edema and shortness of breath. Review of systems was positive for hoarse voice x6 months, unintentional weight gain, cold intolerance, abdominal fullness, and cough productive of white […]
Abstract Number: 789
SHM Converge 2023
Case Presentation: A 12-year-old girl presented to her pediatrician with 1.5 weeks of constant, non-exertional, nighttime chest pain and dyspnea. Initial chest x-ray was negative, electrocardiogram (EKG) showed sinus tachycardia and ST changes prompting urgent referral to a cardiology clinic, where repeat EKG showed persistent sinus tachycardia, diffuse ST elevations, and reciprocal PR depression consistent […]
Abstract Number: 796
Hospital Medicine 2020, Virtual Competition
Case Presentation: Patient is a 29 year old female with no significant past medical history who presented to our hospital with an unintentional 60 pound weight loss over 3 months and 4 days of palpitations, shortness of breath, leg swelling, and orthopnea. Physical exam revealed 4+ pitting edema, tachycardia (130 beats/minutes) and jugular venous distention […]