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Search Results for transplant
Abstract Number: 583
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 18-year-old woman who presented with a year history of recurrent painless gross hematuria and a 3-year history of anemia requiring continuous oral iron replacement therapy and subsequent blood transfusions. On further evaluation, she was also found to have significant proteinuria with preserved renal excretion function and a negative autoimmune panel. A renal […]
Abstract Number: 594
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 65 year old male with no significant medical history presented to an outside facility complaining of fatigue, weakness, nausea and vomiting. He had moderate alcohol history and significant weight loss over the past 6 months. Initial lab workup was notable for elevated liver transaminases with a hepatocellular pattern, Maddrey score of 53.6 […]
Abstract Number: 607
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 56 year-old man with a history of immunosuppressive therapy with prednisone and tacrolimus for a cadaveric kidney transplant presented with 1 month of personality change and lethargy. He was also noted to have generalized weakness and fatigue. He was initially seen 3 weeks prior to admission for these symptoms, which were attributed […]
Abstract Number: 611
SHM Converge 2021
Case Presentation: A 35-year-old Caucasian male patient presented to our clinic complaining of fatigue, proximal muscle weakness, and pain. Twelve years ago, he was diagnosed with acute myeloid leukaemia, and due to poor prognostic factors, he underwent allogeneic HSCT from his sister, an HLA full-matched sibling donor. His past medical history is significant for chronic […]
Abstract Number: 617
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 51-year-old male with a past medical history of alpha-1 antitrypsin deficiency with severe emphysema status post bilateral lung transplantation presented to the pulmonary transplant clinic for follow up. On evaluation, he was found to have declining FEV1 and FVC levels. A chest x-ray was performed to evaluate underlying abnormalities and revealed bilateral […]
Abstract Number: 619
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: AH is a 74-year-old male with end stage renal disease, who received a living donor renal transplant in 6/2013. Following transplant AH had immediate graft function. His maintenance immunosuppression was tacrolimus and prednisone. Post transplant course was notable for the development of glomerulopathy, resulting in CKD III, complicated by chronic hyperkalemia, in part […]
Abstract Number: 622
SHM Converge 2024
Case Presentation: A 62-year-old male patient with a history of heart transplant nine years ago on mycophenolate mofetil (MMF) presented for chronic diarrhea with increasing frequency, urgency, incontinence, sporadic melena, and fevers. He tested positive for Clostridium difficile (C. diff) toxin and improved on fidaxomicin. Soon after discharge, he required rehospitalization for worsening symptoms. A […]
Abstract Number: 624
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 40-year-old-male with history of diabetes type 1 and renal transplant on immunosuppression presents with 2 weeks of weakness, anorexia, and cough. Initial exam revealed temperature 102.8 but was otherwise normal. He was started on empiric broad-spectrum antibiotics. Two days after admission, he was found obtunded and dysarthric. He suffered an aspiration event […]
Abstract Number: 625
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 53-year-old woman with a history of metabolic syndrome and necrotizing pancreatitis presented with new onset ascites. Her story began nine months earlier, when she developed abdominal pain. CT at that time revealed pancreatitis and cholelithiasis without biliary dilation. Lab values were notable for: lipase 55000, total bilirubin (TBIL) 5.3, AST 660, ALT […]
Abstract Number: 629
SHM Converge 2024
Case Presentation: We report here a case of high output heart failure (HOHF), a rare but potential complication of Arteriovenous fistula (AVF) in a post-renal transplant patient.A 60-year-old male with end-stage renal disease and subsequent renal transplant 3 months ago presented with exertional dyspnea, worsening anasarca, and weight gain of 20 pounds. The patient also […]