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Meeting
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Abstract Number: 426
SHM Converge 2023
Case Presentation: Pharyngeal pain is typically associated with upper respiratory tract pathology; rarely is it considered the initial presentation of acute coronary syndrome (ACS). Delayed diagnosis and treatment of ACS in such cases can lead to poor patient outcomes and increased mortality (1). A 76-year-old male with a medical history of benign prostate hyperplasia and […]
Abstract Number: 427
SHM Converge 2023
Case Presentation: A 76-year-old female with Diabetes Mellitus and COPD on 3L home oxygen and chronic prednisone, presented to the Emergency Department with diffuse abdominal pain and nausea. She denied alcohol or tobacco use. On arrival, vital signs were significant for tachycardia with new oxygen requirements. Physical exam was notable for epigastric, left lower quadrant, […]
Abstract Number: 428
SHM Converge 2023
Case Presentation: A 57-year-old male with previous hemorrhagic stroke complicated by residual left sided deficits with vascular dementia, primary hypertension on a regimen of carvedilol 25mg twice daily, and recurrent urinary tract infections due to obstructive calculi presented with acute-onset lethargy and encephalopathy. Presenting vitals were notable for hypotension (64/53), bradycardia (43 beats per minute), […]
Abstract Number: 429
SHM Converge 2023
Case Presentation: An 80-year-old man with a past medical history of hypertension, benign prostatic hyperplasia, and hypothyroidism, presented to the emergency department due to a sudden loss of consciousness. The episode lasted a few minutes and was not associated with trauma, prodrome, seizure, or postictal confusion. Patient had recently been prescribed phenazopyridine for a suspected […]
Abstract Number: 430
SHM Converge 2023
Case Presentation: A 61-year male presents with complaints of a cough and progressive dyspnea for over a week. Pertinent history included a Tuberculosis (TB) infection over thirty years ago with an unclear treatment course. Social history was positive for a 40 pack-year smoking history. On presentation, he was tachycardic, hypoxic and tachypneic. Physical exam was […]
Abstract Number: 431
SHM Converge 2023
Case Presentation: A 63-year-old man with type 2 diabetes, a previous gunshot wound with left upper extremity contracture, and a prior stroke presented to the emergency room in July 2022 with a rash on his right hand, swelling of the distal right arm, and a few scattered spots on his abdomen and flanks. The patient […]
Abstract Number: 432
SHM Converge 2023
Case Presentation: Our first patient is a 75-year-old female with a history of hypertension, type 2 diabetes, hypothyroidism, rheumatoid arthritis, chronic kidney disease stage III, FSGS, and fibromyalgia who presented with a one-week history of midsternal chest pain, dyspnea on exertion, decreased exercise tolerance and epigastric discomfort. Vital signs were notable for tachypnea (22 bpm) […]
Abstract Number: 433
SHM Converge 2023
Case Presentation: A 65-year-old man with a history of nasal polyps was admitted to the hospital with a lactate of 10 mmol/L (0.5-2.2 mmol/L). He reported drenching night sweats and a 10-pound weight loss over the last 2-3 months. He noted orthostatic and ambulatory dizziness, as well as left-sided tinnitus, sinus pain, and nosebleeds over […]
Abstract Number: 434
SHM Converge 2023
Case Presentation: A 67 year-old woman presented with six weeks of worsening disorientation. Her husband reported severe insomnia, abnormal behaviors, decreased short-term memory, and very labile mood. She had a history of well-controlled bipolar disorder on chronic lithium therapy. She had a forty pack-year smoking history. She was diagnosed with a urinary tract infection and […]
Abstract Number: 435
SHM Converge 2023
Case Presentation: A 24-year-old male with a history of acute pancreatitis three months prior, presented with sharp peri-umbilical and right upper quadrant abdominal pain for three weeks. He endorsed fevers, rigors, jaundice, nausea, vomiting, poor appetite, and dark colored urine. He denied hematemesis, melena or hematochezia. He had intermittent alcohol use but no illicit drug […]