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Abstract Number: 411

SEVERE HYPERCALCEMIA AND ACUTE KIDNEY INJURY FROM EXTREME VITAMIN D SUPPLEMENTATION: A MODERN TOXICITY IN HOSPITAL MEDICINE

SHM Converge 2026

Case Presentation: A 68‑year-old man with type 2 diabetes and hypertension presented with one month of progressive nausea, vomiting, 20‑lb weight loss, and abdominal pain. He reported taking 14 calcium tablets daily (1,200  mg each) and over 150,000 IU of vitamin D per day for several weeks. On admission, creatinine was 5.24  mg/dL (baseline ~0.8–1.0), [...]

Abstract Number: 412

TAKING THE ‘FAMILY’ OUT OF FAMILIAL ADENOMATOUS POLYPOSIS: A CASE OF DE NOVO POLYPOSIS

SHM Converge 2026

Case Presentation: A 28-year-old female with no significant medical history presented with two weeks of hematochezia and lower abdominal cramps. She endorsed a 6-month, 30-pound weight loss and intermittent diarrhea/constipation. She denied family history of gastrointestinal malignancy. Physical exam was notable for firm palpable mass on the abdomen and left chest wall. Laboratory evaluation was [...]

Abstract Number: 413

NOT ALL THAT BRANCHES IS STONE: CONTRAST RETENTION MASQUERADING AS STAGHORN CALCULI

SHM Converge 2026

Case Presentation: A 67yo woman with severe COPD paroxysmal AFib presented with acute chest pain and dyspnea, leukocytosis and acute-on-chronic hypoxemic respiratory failure. A CT angiography of the chest showed a left upper lobe infiltrate and no pulmonary embolism. She was admitted and treated for COPD exacerbation secondary to pneumonia.On hospital day 2, she developed [...]

Abstract Number: 414

A RARE CASE OF ENTEROCOCCUS FAECALIS LUMBAR OSTEOMYELITIS WITH NEGATIVE MRI AND PACEMAKER-RELATED COMPLICATIONS.

SHM Converge 2026

Case Presentation: A 79-year-old Caucasian male presented with a two-week history of progressively worsening low back pain. The pain was unresponsive to rest or over-the-counter analgesics and had become severe enough to limit ambulation. He denied any history of trauma, fever, or recent infections.His past medical history was significant for hypertension, coronary artery disease, hypothyroidism, [...]

Abstract Number: 415

ATYPICAL PRESENTATION OF SEPTIC CAVERNOUS SINUS THROMBOSIS IN A 72-YEAR-OLD MALE

SHM Converge 2026

Case Presentation: A 72-year-old male with a past medical history of hypertension and hyperlipidemia presented with progressive left-sided facial pain involving the cheek, jaw, and ear, worsened by arm elevation. Over two weeks, he developed worsening headache, fever up to 39.2°C, and periorbital swelling. He had recently completed antibiotics for a dental infection. On admission, [...]

Abstract Number: 416

DIAGNOSTIC DILEMMA: RECURRENT MUCOCUTANEOUS REACTIONS TO ANTIFUNGALS WITH OVERLAPPING STEVENS-JOHNSON SYNDROME AND LICHEN PLANUS IN A PATIENT WITH CHRONIC LYMPHOCYTIC LEUKEMIA

SHM Converge 2026

Case Presentation: A 59-year-old male with chronic lymphocytic leukemia (CLL), hypertension, and hyperlipidemia presented with painful oral ulcerations and a minor rash on back. Patient’s ulcers were mildly improved on oral fluconazole prescribed by his primary care provider. On admission, oral mucosa was erythematous, ulcerated, and had white plaques across the palate. A small hyperpigmented [...]

Abstract Number: 417

MULTIFACTORIAL ACUTE KIDNEY INJURY AND PERSISTENT CANDIDA AURIS FUNGEMIA IN A PATEINT WITH CHRONIC PROSTHETIC JOINT INFECTION: A COMPLEX CASE REPORT

SHM Converge 2026

Case Presentation: A 74-year-old woman with stage 3 chronic kidney disease, chronic right hip prosthetic joint infection (PJI), hypertension, and bilateral hip arthroplasties was admitted for altered mental status, worsening renal function, and metabolic disturbances. She had a history of total femoral and knee arthroplasty for PJI, complicated by necrotic wounds and ongoing seropurulent drainage.The [...]

Abstract Number: 418

PSYCHIATRIC MANIFESTATIONS IN VASCULAR HEMIBALLISMUS: A CASE STUDY

SHM Converge 2026

Case Presentation: A 67-year-old woman with hypothyroidism, managed on levothyroxine, presented as a stroke alert due to sudden onset of left facial droop, slurred speech, and irregular, jerking movements of the left limbs. These symptoms initially began during a prior hospitalization. She exhibited partial voluntary control over the movements, raising suspicion for a possible functional [...]

Abstract Number: 419

SEROTONIN SYNDROME IN AN ELDERLY PATIENT FOLLOWING COMBINED USE OF VENLAFAXINE AND TRAZODONE: A CASE REPORT

SHM Converge 2026

Case Presentation: This report describes a 70-year-old female with a history of major depressive disorder, breast cancer, anxiety, hypothyroidism, hypertension, and type 2 diabetes mellitus, who developed serotonin syndrome (SS) after starting venlafaxine while on chronic trazodone. She presented to the ED with new-onset confusion, agitation, intractable nausea, vomiting, diaphoresis, fever (39.1°C), tremors, muscle rigidity, [...]

Abstract Number: 421

BLEEDING TRUTHS: ANTICOAGULATION UNCOVERS HIDDEN TB IN HIV

SHM Converge 2026

Case Presentation: Tuberculosis (TB) remains a major opportunistic infection in advanced HIV. Gastrointestinal TB is uncommon and often mimics malignancy or inflammatory bowel disease. In severely immunocompromised patients, low pulmonary bacillary burden can lead to false-negative respiratory testing for acid-fast bacilli (AFB). A 72-year-old man with hypertension, type 2 diabetes, and heart failure presented with [...]

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