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Abstract Number: 135

NEGATIVE ANTIBODIES, POSITIVE DAMAGE: A CASE OF SERONEGATIVE IMMUNE-MEDIATED NECROTIZING MYOSITIS

SHM Converge 2026

Case Presentation: A 56-year-old male with end-stage renal disease on hemodialysis, hypertension, dyslipidemia (on atorvastatin), diabetes, and prior cerebrovascular accident without residual deficits presented with two months of progressive weakness, dysphagia, and polyarthralgia. The weakness led to recurrent falls and impaired mobility. Symptoms began in his left leg and gradually progressed to the right leg, [...]

Abstract Number: 136

FULMINANT WILSON DISEASE UNMASKED BY POST-INFECTIOUS MULTI-SYSTEM FAILURE

SHM Converge 2026

Case Presentation: A man in his 20s without significant medical history presented to the hospital with painful pruritic petechial lower extremity rash and was found to have elevated creatinine and liver function tests (LFTs). He was treated for acalculous cholecystitis and suspected hemolytic uremic syndrome or post-streptococcal glomerulonephritis. His renal function improved, but his bilirubin [...]

Abstract Number: 137

VENOUS AIR EMBOLISM AS LATE COMPLICATION OF UPPER ENDOSCOPY, EXACERBATED BY CAMPYLOBACTER INFECTION

SHM Converge 2026

Case Presentation: A 69-year-old male with history of iatrogenic pneumomediastinum after EGD (2 months prior) presented to the ED with 3 days of watery nonbloody diarrhea, vomiting, and fever up to 104°F. His Apple Watch alerted that his heart rate was 120 and O2 saturation 80%. He denied SOB or chest pain. In the ED, [...]

Abstract Number: 138

THE MISDIRECTION OF CELIAC ARTERY DISSECTION

SHM Converge 2026

Case Presentation: A 57 y/o Caucasian woman with undifferentiated connective tissue disease (UCTD), hypertension, and hyperlipidemia, presented to the emergency department for worsening dyspnea and nasal congestion. She was diagnosed with COVID-19 and treated with Paxlovid. A week later, she developed chest and left upper quadrant abdominal pain that were unresponsive to antacids and pain [...]

Abstract Number: 139

METASTATIC HEPATOCELLULAR CARCINOMA AFTER FONTAN PROCEDURE: A CAN’T-MISS COMPLICATION OF PATIENTS WITH CONGENITAL HEART DISEASE

SHM Converge 2026

Case Presentation: A 33 year old male with a history of hypoplastic left heart (treated by staged surgeries during infancy including the Fontan procedure at age 3), autism spectrum disorder, and intellectual/developmental disability presented to the emergency department (ED) with progressively worsening lower back pain that started 5 days prior to presentation. An outpatient screening [...]

Abstract Number: 140

BERIBERI SCARY: A CASE OF UNEXPECTED THIAMINE-DEFICIENT NEUROPATHY

SHM Converge 2026

Case Presentation: A 36-year-old female with GERD, H. pylori infection, and cholelithiasis post cholecystectomy was admitted with 1 month of progressive weakness, blurry vision, and pain limiting ambulation. She needed a rollator and assistance for transfers. She had a 60-lb weight loss with anorexia after the recent death of her father. Family noted odd behavior [...]

Abstract Number: 141

AIR ON THE BRAIN: THE HOSPITALIST’S ROLE IN COMPLEX CARE COORDINATION FOR A RARE COMPLICATION

SHM Converge 2026

Case Presentation: A 38-year-old woman with a history of epidural giant cell tumor of the cervical spine (diagnosed 15 years prior to admission, in remission after C7-T1 corpectomy and fusion, chemotherapy and radiation) was admitted to the hospital with several months of progressive dysphagia. Endoscopic biopsy of a posterior cervical esophageal lesion demonstrated invasive squamous [...]

Abstract Number: 143

PULLED TO THE BONE: SEVERE TRICHOTILLOMANIA LEADING TO CALVARIAL OSTEOMYELITIS

SHM Converge 2026

Case Presentation: A 60-year-old woman with history of trichotillomania and multiple psychiatric comorbidities presented with a full-thickness parietal scalp wound measuring 6.0 x 3.0 cm, with exposed calvarium. She reported persistent hair pulling behavior as the underlying cause. Previous attempts at surgical closure failed due to ongoing self-trauma from trichotillomania. On exam, the wound appeared [...]

Abstract Number: 144

HERPES ZOSTER INFECTION: A CASE OF NEUROGENIC BLADDER

SHM Converge 2026

Case Presentation: A 70-year-old man with a remote history of pulmonary tuberculosis presented with several days of abdominal pain, distention, constipation, and difficulty urinating. One week earlier, he developed a painful, erythematous vesicular rash on his abdomen and lower back, diagnosed as shingles involving the sacral dermatomes. He was treated with valacyclovir, nitrofurantoin, and gabapentin. [...]

Abstract Number: 145

IT’S ALWAYS THE MED LIST: A HIDDEN CAUSE OF ASTERIXIS

SHM Converge 2026

Case Presentation: A 76-year-old male with past medical history of prostate cancer, hypertension, diabetes, chronic kidney disease, and COPD presented after an episode of dizziness leading to a near fall. The day prior to admission, he had multiple episodes of vomiting and poor oral intake. He also noted intermittent “shaking movements” involving his arms and [...]

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