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Abstract Number: 770
SHM Converge 2023
Case Presentation: A 30-year-old G1P1 woman with a history of seasonal allergies, depression, and remote intravenous heroin use presented with progressively worsening bilateral hand swelling over the past three years since giving birth. She described painless bilateral hand swelling with nail thinning, skin bruising, decreased finger dexterity, and intermittent leakage of fluid. She did not […]
Abstract Number: 771
SHM Converge 2023
Case Presentation: 46 yo man with chronic pain due to T8-T10 compression fractures from renal osteodystrophy related to tertiary hyperparathyroidism in the setting of end-stage renal disease from sickle cell nephropathy had recurrent prolonged admissions due to uncontrolled pain to the point where the patient was unable to perform his activities of daily living. Traditional […]
Abstract Number: 772
SHM Converge 2023
Case Presentation: A 47 y/o male with history of known esophageal adenocarcinoma and end-stage renal disease on dialysis presented to the hospital with abdominal pain and melena. The patient was diagnosed with esophageal adenocarcinoma one year prior and has had gastrointestinal bleeding in the recent past. He had an upper endoscopy one month prior which […]
Abstract Number: 773
SHM Converge 2023
Case Presentation: A 71-year-old male with a medical history of type 2 diabetes and hypothyroidism presented with six months duration of intermittent pain, swelling, numbness and tingling of his hands. He was previously diagnosed with carpal tunnel syndrome and had carpal tunnel release of his left wrist five months prior to presentation; however, the swelling […]
Abstract Number: 774
SHM Converge 2023
Case Presentation: 70-year-old female with past medical history of vascular dementia, recent COVID infection (three weeks before) was brought from nursing home for altered mental status, one episode of vomiting and hypoxia as per the records. On arrival she was hypotensive to 71/43 mm Hg requiring norepinephrine, heart rate 118 beat/minute, saturating 94% on 2L, […]
Abstract Number: 775
SHM Converge 2023
Case Presentation: A 73 year old female with a 50 pack year smoking history was admitted with 2 months of dysphonia, oral pain, odynophagia, and a 30 pound weight loss. Exam revealed a large ulcerative lesion of the tongue and white plaques on the tongue and oral mucosa. CRP was 5.74 mg/dL and ESR was […]
Abstract Number: 776
SHM Converge 2023
Case Presentation: A 73 year old female with previous history of IgG lambda multiple myeloma presented to the emergency room with three weeks of gradually worsening shortness of breath, fatigue, and loss of appetite. Her multiple myeloma was diagnosed 2.5 years ago and she had since undergone several rounds of radiation and chemotherapy. Upon arrival […]
Abstract Number: 777
SHM Converge 2023
Case Presentation: A 36-year-old woman with past medical history of depression and sickle cell trait presented to the hospital with two days of fevers and chills. She was treated for streptococcus A pharyngitis with clindamycin one month prior to presentation, but at this time had no other symptoms. On presentation, her exam was notable for […]
Abstract Number: 778
SHM Converge 2023
Case Presentation: 78yo male on chronic anticoagulation (warfarin) for pmh significant of three previous venous thrombosis (DVT), hypertension, diabetes, and hypercholesterolemia presented with one week of progressive right lower extremity erythema, edema, pain and tmax of 99F. On physical exam, he had tense, non-pitting edema and erythema from 10cm distal to the right knee to […]
Abstract Number: 779
SHM Converge 2023
Case Presentation: 46-year-old lady with past medical history of polysubstance abuse, seizures, HIV on treatment, mood disorder on quetiapine/valproic acid was brought to hospital by a family member for drowsiness. They reported that she has been drowsy since one week and had history of recent heroin use. Patient intermittently awake could give history of her […]