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Search Results for toxicity
Abstract Number: 23
SHM Converge 2023
Case Presentation: A 32-year-old healthy female presented with right lower quadrant abdominal pain, hematuria, and easy bruising for four days. She denied prior episodes and family history. On physical exam, she had stable vital signs, gingival bleeding, and hemorrhagic papules on her hands [image 1] and lip. Her labs were significant for: hemoglobin 11 g/dL, […]
Abstract Number: K1
SHM Converge 2022
Case Presentation: A 49-year-old male with primary sclerosing cholangitis and newly diagnosed locally advanced cholangiocarcinoma was initiated on 5-Fluorouracil (FU) based chemotherapy (FOLFOX) as an outpatient (Figure 1). Within one day of receiving FOLFOX, the patient presented to the ED with acute, intermittent chest pain radiating to his left arm and shortness of breath. Vital […]
Abstract Number: 342
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 57-year-old woman with history of bipolar I disorder treated with risperidone and lithium for over 10 years was sent to the ED for stroke evaluation by her primary care physician due to significant confusion and slurred speech. The patient’s family reported a 3-day history of tremulousness, a week of ataxia with a […]
Abstract Number: 357
SHM Converge 2021
Case Presentation: A 66-year-old man with a history of stage IIId melanoma, who received 6 cycles of Nivolumab, presented with anorexia and persistent large-volume diarrhea. Initial workup included a non-elevated white blood cell count of 6.9 k/mm3 and a creatinine of 1.6 mg/dL from baseline creatinine of 0.8 mg/dL. CT imaging of the abdomen showed […]
Abstract Number: 414
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: An 89 year old male presented with itchy red rash over the body since two weeks. His past medical history was significant for Rheumatoid Arthritis (RA) managed with 2.5 mg weekly oral Methotrexate and 200mg daily Hydroxychloroquine for RA. Examination revealed multiple annular purpuric lesions with central erosion on lower extremities, upper extremities […]
Abstract Number: 434
SHM Converge 2021
Case Presentation: A 77 year old male with history of diabetes mellitus, systolic heart failure and morbid obesity who presented with multiple episodes of falls occurring over a 2 week period. The patient reported bilateral weakness and pain in the lower extremities, in addition to sensation of paresthesias and numbness. He reported a progressive loss […]
Abstract Number: 444
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 70 year old male with metastatic malignant melanoma on immunotherapy with nivolumab and ipilimumab was sent to the hospital by his oncologist for abdominal pain and elevated liver enzymes. His labs were notable for AST 275, ALT 1138, alkaline phosphatase of 394 and total bilirubin of 3.94. This patient had no known […]
Abstract Number: 458
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 90 year old female, with diabetes mellitus type 2, hypertension and osteoporosis presented to our emergency room with altered mental status for 5 days. The patient had been treated for jaw osteonecrosis over the past 6 months which included multiple debridements and IV antibiotics. She was started on IV ertapenem 1g daily […]
Abstract Number: 467
SHM Converge 2021
Case Presentation: A 64-year-old woman with end-stage renal disease (ESRD) on peritoneal dialysis (PD) presented with altered mental status. She reported “seeing monsters when I close my eyes,” “bouncing off the walls like I was drunk,” and slurring her speech at home. Her family added that she was highly functional at baseline, lived independently and […]
Abstract Number: 481
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 25 year-old man presented with agitation and altered mental status. He was placed in physical restraints and given Ativan due to severe agitation. He was found to be tachycardic, with dilated pupils, erythematous arms, and dry skin. Upon further questioning, the patient endorsed blurred vision, dry mouth, and difficulty urinating. A foley […]