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Abstract Number: 436
SHM Converge 2023
Case Presentation: A 43-year-old male presented to the emergency room with dry mouth and fever. The patient endorsed pain and dryness when eating solid foods. He noted 40 pounds of unintentional weight loss over 1 month. He had a 30 pack-year smoking history but reported no alcohol or illicit drug use. He did not take […]
Abstract Number: 437
SHM Converge 2023
Case Presentation: Patient is a 71-year-old female who presented to the emergency department due to outpatient labs showing a significant anemia. Her primary complaint was a worsening feeling of generalized weakness over the last four weeks. She denied blood in her stool or urine, or any history of bleeding or clotting disorders. She was found […]
Abstract Number: 438
SHM Converge 2023
Case Presentation: A 75-year-old male with a history of type 2 diabetes mellitus, atrial fibrillation and hypertension presents to the hospital for evaluation of generalized weakness. He was found to have significant anemia with hemoglobin of 6.5 g/dL. He has had multiple admissions for anemia, and in the last year has required over twenty blood […]
Abstract Number: 439
SHM Converge 2023
Case Presentation: We report a case of a 49-year-old Caucasian male presenting with sudden chest pain worsened by inspiration. Patient reports Birt-Hogg-Dubé Syndrome (BHDS) diagnosis via skin biopsy 5 years ago. Examination is significant for 2-4 mm flesh-colored, dome-shaped papules on the head and neck. No murmurs, chest wall tenderness, wheezing or rhonchi were appreciated. […]
Abstract Number: 440
SHM Converge 2023
Case Presentation: A 27-year-old gentleman with no significant past medical history presented to our hospital with five days of persistent fevers with night sweats, sore throat, headache, vomiting, and neck pain. Upon initial evaluation, his temperature was 38.4° Celsius, heart rate of 130 beats/min, blood pressure of 126/78 mm of Hg, respiratory rate of 18 […]
Abstract Number: 441
SHM Converge 2023
Case Presentation: A 24 year old male with a history of childhood asthma and COVID in 2021 presented to ED with worsening sore throat, fevers, tenderness of his mouth and gums, and mild lightheadedness. He was recently diagnosed with streptococcal pharyngitis and started on oral penicillin three days prior to presentation. He was on no […]
Abstract Number: 442
SHM Converge 2023
Case Presentation: A 49-year-old male presented for evaluation of an umbilical hernia. Past medical history was remarkable for alcohol misuse; the patient had ceased all alcohol consumption three years earlier. Physical exam revealed a protuberant, non-tender abdomen with a 4×4 cm reducible umbilical hernia. Pre-operative laboratory exam was remarkable for serum sodium of 137 mmol/L, […]
Abstract Number: 443
SHM Converge 2023
Case Presentation: A 74-year-old female with a history of restless leg syndrome, hypertension, GERD, presented with worsening fatigue, shortness of breath, and anasarca over the last 6 months. Labs revealed anemia (hemoglobin, 8.0 g/dL), thrombocytopenia (platelet count, 46K/μL), reticulocyte count 11.4%, undetectable serum haptoglobin, serum LDH >2700 U/L, ferritin 1223 ng/mL, negative direct Coomb’s test, […]
Abstract Number: 444
SHM Converge 2023
Case Presentation: A 73-year-old man with a past medical history of pancreatic adenosquamous carcinoma, biventricular heart failure with reduced ejection fraction (30-35%), and paroxysmal atrial fibrillation presented to the hospital with a 2-day history of bilateral lower extremity edema and 5-pound weight gain. Physical exam was notable for tachycardia, jugular venous distension, scleral icterus, and […]
Abstract Number: 445
SHM Converge 2023
Case Presentation: A 78-year-old female with a history of CAD, hypertension, and asthma presented to the ED with fatigue, abdominal pain, diarrhea, and decreased urine output for three days. She recently returned from Southern France where she had overexerted herself in the heat. She was ill-appearing. Vital signs and exam were normal. Significant labs/imaging: Na […]