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Abstract Number: 809
SHM Converge 2023
Case Presentation: A 43-year-old male presented with a 2-day history of complete loss of vision. Past medical history included alcohol use disorder. He was initially alert but became severely agitated requiring multiple doses of benzodiazepines intravenously (IV). He was afebrile and tachycardic 121. He had a moon face, centripetal obesity with purple striae, a buffalo […]
Abstract Number: 810
SHM Converge 2023
Case Presentation: A 68-year-old patient with history of type 2 diabetes (A1c 9.5%) was admitted to the podiatry service following a partial fifth ray resection for osteomyelitis. Bone cultures grew MRSA and ID recommended 6 weeks of IV daptomycin due to an allergy to vancomycin. His post-op course was complicated by multiple days of recurrent […]
Abstract Number: 811
SHM Converge 2023
Case Presentation: 75 y/o F with metastatic anal cancer to lungs status post right lung lobectomy on leucovorin, oxaplatin and fluorouracil every 2 weeks, HTN and SLE presents with a 3-day history of weakness, sore throat, and mouth sores. Pt was in the Dominican Republic for 10 days and upon return, endorsed fatigue and sore […]
Abstract Number: 812
SHM Converge 2023
Case Presentation: A 34-year-old male with a history of opioid use disorder (OUD) was admitted after being found down secondary to heroin overdose. He was given 4 mg naloxone in the field with improvement in Glasgow Coma Score from 3 to 12. After naloxone administration, he was tachycardic, tachypneic, hypertensive, and agitated. He reported taking […]
Abstract Number: 813
SHM Converge 2023
Case Presentation: We present a case of a 64-year-old woman with metastatic neuroendocrine pancreatic carcinoma with abrupt left facial and oculomotor cranial nerve palsy as well spastic tetraplegia after one dose of Ipilimumab/Nivolumab. She had a history of sudden onset diplopia, fever and ground-level fall a few hours after her initial dose of immunotherapy. Initial […]
Abstract Number: 814
SHM Converge 2023
Case Presentation: A 34-year-old man with hypertension on chlorthalidone and recent COVID-19 infection treated with Paxlovid presented to the ED with three days of shortness of breath, dizziness, and diarrhea. On exam, he was alert, neurologically non-focal, and underweight by BMI. Initial lab work was significant for severe hyponatremia (< 100 mmol/L) and hypokalemia (2.3 […]
Abstract Number: 815
SHM Converge 2023
Case Presentation: A 48-year-old female was referred to Neuromuscular Medicine (NMM) for left-sided spasticity. She has a past medical history of low back pain, opioid addiction, and constipation. The patient in early 2022 had a right cerebral artery (RCA) aneurysm and underwent surgical clipping. She experienced a right hemispheric ischemic stroke postoperatively, which caused left […]
Abstract Number: 816
SHM Converge 2023
Case Presentation: A 58-year old male with no self-reported history presented to the hospital with hematochezia. Digital rectal exam revealed external hemorrhoids, shallow anal ulcers, a palpable internal rectal mass and frank blood. During his hospital course he required multiple blood transfusions for hemoglobin levels of 5-6 g/dL with ongoing rectal bleeding. CT and MRI […]
Abstract Number: 817
SHM Converge 2023
Case Presentation: A 72-year-old female with chronic kidney disease and recently diagnosed IgG lambda monoclonal gammopathy presented to clinic with six months of progressive weakness and failure to thrive. She reported breathlessness after several steps, a 10-kilogram weight loss, frequent falls, lightheadedness, easy bruising, and dysphagia. There was concern for light chain (AL) amyloidosis, before […]
Abstract Number: 818
SHM Converge 2023
Case Presentation: An 87-year-old man presented to the emergency room for exertional dyspnea, productive cough, and generalized weakness progressive over the past month. Four weeks prior he was hospitalized for community-acquired pneumonia and received a 10-day course of a third-generation cephalosporin with minimal improvement. He continued to have a productive cough and exertional shortness of […]