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Search Results for toxicity
Abstract Number: E32
SHM Converge 2022
Case Presentation: A 67-year-old woman with a history of metastatic squamous cell carcinoma of the lungs and plaque psoriasis presented with subacute pruritic and painful descaling lesions of the skin after pembrolizumab maintenance therapy (Figure 1.A). The lesions on the skin were erythematous and desquamating, worse in the upper extremities, lower extremities, abdomen, and trunk. […]
Abstract Number: G29
SHM Converge 2022
Case Presentation: LF is a 63 year-old female with a history of schizoaffective disorder, gastroparesis, and stage III chronic kidney disease (CKD) who was initially admitted to the inpatient psychiatric unit for psychosis with suicidal and homicidal ideation in the context of medication nonadherence. Mental status exam was remarkable for persecutory delusions and auditory hallucinations. […]
Abstract Number: G31
SHM Converge 2022
Case Presentation: A healthy 44-year-old woman with latent TB on isoniazid (INH) for 6 months was sent to the hospital by her primary care physician for elevated liver tests and right sided abdominal pain, anorexia, and jaundice for two weeks. She had normal liver tests prior to starting INH. She denied illicit drugs, alcohol or […]
Abstract Number: I35
SHM Converge 2022
Case Presentation: 47 year-old male with PMH of hypertension, DM, CAD and ESRD on peritoneal dialysis, presented with altered mental status for 1 day. He had developed a vesicular rash in the right upper extremity and was diagnosed with herpes zoster at another facility 2 days prior, for which he was prescribed valacyclovir that was […]
Abstract Number: K48
SHM Converge 2022
Case Presentation: A 42 year-old Caucasian male with a past medical history significant for schizoaffective disorder with command auditory hallucinations, often commanding him to harm himself or others, with multiple suicide attempts by ingestion, and history of poly-substance abuse, was found by his friend on the floor of his apartment, seemingly unconscious, with copious amounts […]
Abstract Number: N33
SHM Converge 2022
Case Presentation: A 54-year-old woman with stage IV endometrial stromal sarcoma s/p TAH, BSO, and ileocolic resection for bowel involvement, presented with acute onset of altered mental status on the evening of receiving her day 3 of cycle 3 ifosfamide infusion. On presentation, patient was tachycardic to HR 110s, afebrile, and otherwise with stable vital […]
Abstract Number: O43
SHM Converge 2022
Case Presentation: A 63-year-old female with history of end-stage renal disease, atrial fibrillation (AFib), cirrhosis, and Parkinson’s disease was admitted to the hospital after an unwitnessed fall with persistent encephalopathy and altered mental status. Upon admission the patient was found to have wide QRS complexes with an Atrial fibrillation, clinical findings of heart failure, and […]
Abstract Number: P26
SHM Converge 2022
Case Presentation: 62-year-old male with GERD, ESRD on hemodialysis (HD) presented to the hospital in 2021 with a chief complaint of bilateral lower extremity swelling and difficulty ambulating though a chronic problem, symptoms worsened a few days prior to hospitalization. Patient also complained of myalgias bilateral lower extremities. Patient was hemodynamically stable and afebrile. Labs […]
Abstract Number: P29
SHM Converge 2022
Case Presentation: 20-year-old severely agitated female with history of major depression disorder and anxiety presented after ingesting up to 85 pills including escitalopram, bupropion and alprazolam. Subsequently requiring 4-point restraint due to combative behavior. Labs remarkable for hypokalemia and metabolic acidosis. UDS positive for amphetamines, benzodiazepines cannabis. However negative testing for acetaminophen, salicylates, and ETOH. […]
Abstract Number: 1032
Hospital Medicine 2020, Virtual Competition
Case Presentation: 82-year-old female with atrial fibrillation, non-ischemic cardiomyopathy (EF 25%), rheumatoid arthritis, bed bound at home with hospice care presents for acute encephalopathy and tachycardia. Patient’s son (the primary caregiver) reported that patient is on four drops of oral 1% atropine solution daily for bronchorrhea. Accidentally a family member who is not a primary […]