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Abstract Number: 1025
SHM Converge 2025
Case Presentation: A 61-year-old woman presented to the Emergency Department (ED) with weakness. She had multiple falls over two months, including a presumed mechanical fall on the stairs that caused a nasal fracture two weeks prior to presentation. The patient had difficulty getting out of her car and climbing the stairs in her home and [...]
Abstract Number: 1026
SHM Converge 2025
Case Presentation: A 73-year-old male with a past medical history of hypertension, benign prostatic hypertrophy, gastroesophageal reflux disorder, latent tuberculosis, and no smoking history presented with 4 days of chills, dyspnea, diarrhea, and dysuria. Initial vital signs were notable for SpO2 88% on room air and HR 110s. Labs were notable for VBG with slight [...]
Abstract Number: 1027
SHM Converge 2025
Case Presentation: 59 year-old male with history of hypertension, presented with right arm weakness and slurred speech for 15 minutes. He reported feeling difficulty grabbing items while at the grocery store with his cousin and after starting to slur his words, EMS was called. Upon exam in the emergency department, he regained full strength in [...]
Abstract Number: 1028
SHM Converge 2025
Case Presentation: An 88-year-old woman with history of hypertension and hyperlipidemia presented to the ED after a fall. She denied trauma or loss of consciousness at the time of the event. Prior to the fall, she denied palpitations, chest pain, dizziness, or other prodromal symptoms. She denied prior events. She attributed her fall to swelling [...]
Abstract Number: 1029
SHM Converge 2025
Case Presentation: An 18-year-old female with no significant medical history presented to the hospital with diffuse abdominal pain and jaundice for 2 weeks, associated with nausea, non-bloody vomiting, and subjective fevers. The patient was treated for exudative tonsilitis 2 weeks earlier and had taken 6 grams of acetaminophen over 48 hours before presentation to the [...]
Abstract Number: 1030
SHM Converge 2025
Case Presentation: A 55-year-old woman with a history of hyperlipidemia and hypothyroidism presented with a one month of proximal muscle weakness in her arms and legs, and ten-pound unintentional weight loss. Eight months earlier, routine labs showed mild elevations in ALT and AST levels to ~90. Her atorvastatin was discontinued; however, her liver enzymes continued [...]
Abstract Number: 1031
SHM Converge 2025
Case Presentation: 68-year-old male with a history of recurrent angioedema, complicated by intubation, presented to the emergency room (ER) for progressive tongue swelling and dyspnea prior to arrival. He was on aspirin 81 mg for years with a recent addition of cilostazol for peripheral artery disease. Physical exam was significant for tongue and lip swelling. [...]
Abstract Number: 1032
SHM Converge 2025
Case Presentation: A 69 year old male with no past medical history presented to the hospital with significant generalized pruritus. 3 weeks prior to presentation, the patient started taking a daily dose of a turmeric supplement. About a week later, he began developing a slow but progressive generalized pruritus, scleral icterus, pale stools, darkening urine [...]
Abstract Number: 1033
SHM Converge 2025
Case Presentation: A 29-year-old male with a history of Crohn’s Disease controlled on Humira presented with two weeks of fever and fatigue. His review of systems was notable for mild left flank pain and nasal congestion. Blood work revealed a white blood cell count of 14.3 (76% neutrophils) and a CRP of 171.2. Initial infectious [...]
Abstract Number: 1035
SHM Converge 2025
Case Presentation: A 58-year-old woman presented with abdominal pain, nausea, and oral intolerance. Her vitals were stable on admission, but physical exam revealed a distended abdomen with tenderness to palpation in the left lower quadrant and an absence of bowel sounds. Her laboratory results were remarkable only for a hemoglobin of 8.1, which appeared chronic. [...]