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Abstract Number: 838
SHM Converge 2024
Case Presentation: We present the case of an 18-year-old female with no medical history presented to the emergency department with a two-day history of jaundice and dark-colored urine. She had no other typical symptoms of IM like sore throat, fever or flu-like symptoms. The only medication that she has been taking regularly is oral contraceptive [...]
Abstract Number: 839
SHM Converge 2024
Case Presentation: A 74-year-old female with a history of sigmoid diverticulitis 9 months prior, C. difficile, gastroesophageal reflux disease, hypertension, coronary artery disease, and a surgical history of bariatric surgery, hernia repair, hysterectomy and appendectomy, presented to the emergency department for progressive epigastric, right upper quadrant (RUQ), left upper quadrant (LUQ), abdominal pain for 1 [...]
Abstract Number: 840
SHM Converge 2024
Case Presentation: A 19-year-old male with past medical history of well-controlled juvenile myoclonic epilepsy was transferred from a community hospital for management of acute necrotizing pancreatitis. Upon arrival, he was severely hypovolemic and hypotensive, prompting aggressive intravenous fluid resuscitation and initiation of vasopressor therapy. He became obtunded, and was intubated for airway protection. Broad-spectrum antibiotics [...]
Abstract Number: 841
SHM Converge 2024
Case Presentation: A 59 year-old man with a 30 pack-year smoking history was sent to ED from retina clinic for further workup of recurrent left eye uveitis refractory to steroids. He had a 2 month history of persistent left eye central vision loss and floaters, without right eye issues or systemic symptoms. He had negative [...]
Abstract Number: 842
SHM Converge 2024
Case Presentation: A 74 year old man with a history of hypertension and chronic hepatitis C infection presented to the hospital with a worsening pruritic rash on his palms and soles. The rash developed acutely one year prior and biopsy was suggestive of eczematous dermatitis. Symptoms persisted in spite of multiple treatments including topical and [...]
Abstract Number: 843
SHM Converge 2024
Case Presentation: A 31-year-old man presented to the ED with 2 days of fever and odynophagia, without neck pain. The physical exam was notable only for post-pharyngeal erythema without cervical lymphadenopathy. Blood cultures were drawn. The patient was discharged after reporting feeling better with a presumptive diagnosis of a viral infection. 5 days after the [...]
Abstract Number: 844
SHM Converge 2024
Case Presentation: 19 year old male who presented to Riverside Medical Center with acute onset, progressive bilateral lower extremity weakness and paresthesias, urinary retention and saddle anesthesia. Initial CBC significant for anemia and thrombocytopenia. Peripheral smear showed 67% circulating blasts with occasional Auer rods, which was suggestive of acute myeloid leukemia. Flow cytommetry showed expression [...]
Abstract Number: 845
SHM Converge 2024
Case Presentation: A 38-year-old female with a history of generalized anxiety disorder and recent COVID-19 infection presented with ascending parasthesias. Two weeks prior to admission, she developed a fever and sore throat. She subsequently tested positive for COVID-19. Four days after her symptoms began she developed bilateral numbness and tingling in her feet which progressed [...]
Abstract Number: 846
SHM Converge 2024
Case Presentation: We present the case of a 74-year-old female with a past medical history of colon cancer status post left hemicolectomy who presented with severe abdominal pain for the past six hours associated with non-bloody loose stools. She was tachycardic but hemodynamically stable. The abdomen was soft and non-tender with hypoactive bowel sounds. However, [...]
Abstract Number: 847
SHM Converge 2024
Case Presentation: A 33 year old previously healthy male with no significant past medical history presented to the ED with two days of severe bilateral shoulder pain and chest swelling, found to have bilateral anterior shoulder dislocations with humerus fractures, an AKI and rhabdomyolysis. Patient stated he awoke from sleep two days prior with severe [...]