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Abstract Number: 799
SHM Converge 2023
Case Presentation: A 60-year-old female with a history of hypertension, hyperlipidemia, migraines, and HSV-meningitis in 2004 presented with 3 days of progressively worsening bitemporal headache with associated neck stiffness and photophobia. The symptoms were not typical of her usual migraines. A few days prior she had an acute upper respiratory illness with productive cough of […]
Abstract Number: 800
SHM Converge 2023
Case Presentation: 65 year old woman with history of mood disorder on abilify and cogentin presented with altered sensorium. Patient was exhibiting disorderly behavior and having visual hallucinations at home. Patient had multiple emergency room visits and two hospital admissions for nausea and vomiting in the past one month where she was diagnosed with UTI […]
Abstract Number: 801
SHM Converge 2023
Case Presentation: A 65-year-old male presents to hospital with a 1-day history of confusion and fever. Past medical history is significant for heart failure requiring AICD, chronic kidney disease, type-2 diabetes mellitus, May-Thurner syndrome, and recent admission three weeks prior due to sepsis from streptococcus bacteremia requiring hemodialysis, with dialysis catheter removed before initial discharge. […]
Abstract Number: 802
SHM Converge 2023
Case Presentation: 65-year-old female with a past medical history of hypertension and colonic diverticulosis presented to emergency department with progressively worsening dyspnea for two months. This was associated with orthopnoea and wet cough. Before presentation, she completed a course of Levofloxacin and steroids in an outpatient clinic. On examination, she was hypoxic with basilar crackles […]
Abstract Number: 803
SHM Converge 2023
Case Presentation: A 41-year-old male with well-controlled stage I HIV on Biktarvy, seizure disorder, and untreated hepatitis C presented with worsening painful itchy rash for one week. The rash began perianal and spread to his trunk, extremities, face, and scalp. He reported purulent rectal drainage with painful lumps in his inguinal and cervical areas. He […]
Abstract Number: 804
SHM Converge 2023
Case Presentation: A 61-year-old female with a complex psychiatric history presented with gait instability after accidental head trauma, which was initially diagnosed as post-concussive syndrome. Over the next month, the patient began to exhibit progressively erratic behavior with angry outbursts, visual hallucinations, tangential speech, poor sleep, and decreased appetite. Initial serum electrolyte and other blood […]
Abstract Number: 805
SHM Converge 2023
Case Presentation: A 50-year-old female with history of prior tobacco use, fibromyalgia, presented to the pulmonary clinic for evaluation of pleural based lung masses seen on an outpatient CT abdomen. Her past medical history was notable for splenectomy after a motor vehicle accident in her early 20s. Other injuries at that time included a pelvic […]
Abstract Number: 806
SHM Converge 2023
Case Presentation: 47-year-old man, with history of traumatic brain injury, seizure disorder, gastroesophageal reflux disease with Barrett’s esophagus, brought in by his mother with slurred speech and unsteady gait. His vitals, labs and imaging were unremarkable, and his symptoms resolved with fluids, within hours in the ED. He was admitted to the hospital for further […]
Abstract Number: 807
SHM Converge 2023
Case Presentation: A 79-year-old man with a past medical history of hypertension and hyperlipemia presented with abdominal pain and fever for two weeks. On physical examination, the temperature was 37.4 C (99.3F), heart rate was 78 beats per minute, respiratory rate was 16 per minute, and blood pressure was 176/81. There was tenderness in the […]
Abstract Number: 808
SHM Converge 2023
Case Presentation: This is a case report of a patient with severe peripheral arterial disease (PAD) who had several finger-stick capillary blood glucose readings demonstrating hypoglycemia refractory to treatment. The patient’s lack of symptoms prompted an investigation for pseudohypoglycemia which was confirmed with simultaneous point of care (POC) and peripheral venous glucose draws which demonstrated […]