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Abstract Number: 447
SHM Converge 2023
Case Presentation: A 69-year-old male with history of iron deficiency anemia, recurrent venous thromboembolism on apixaban, splenomegaly, ulcerative colitis who presented to emergency department due to exertional shortness of breath. 6 weeks prior to admission, the dose of azathioprine was increased from 50mg daily to 100mg daily due to suboptimal 6-thioguanine nucleotide (6-TGN) level. 1 […]
Abstract Number: 448
SHM Converge 2023
Case Presentation: A 50-year-old African American female with a history of mixed connective tissue disorder with positive ANA titer, speckled pattern 1:1280, and spindle apparatus pattern 1:640, presented with worsening dyspnea, numbness, and weakness of both lower extremities. Two days prior she received the first dose of COVID-19 mRNA vaccine and later developed nausea, vomiting, diarrhea, and anorexia. In the emergency department, patient was found to have an elevated blood pressure of […]
Abstract Number: 449
SHM Converge 2023
Case Presentation: A 64-year-old male with past medical history of coronary artery disease, hypertension and weight loss of 20 pounds within 4 months presented to the hospital after he had a seizure-like activity of his upper body lasting around 10 minutes accompanied by altered mentation. Upon arrival to the emergency department, his symptoms had resolved. […]
Abstract Number: 450
SHM Converge 2023
Case Presentation: 74 year old female with past medical history of end stage renal disease on hemodialysis, hypothyroidism and atrial fibrillation on anticoagulation therapy with Apixaban presented to emergency department (ED) after an episode of near-syncope following her dialysis session. In the ED she was hypotensive and tachycardic. Electrocardiogram findings showed Atrial fibrillation(AF) with rapid […]
Abstract Number: 451
SHM Converge 2023
Case Presentation: A 57-year-old male with a history of renal transplant currently on immunosuppressive medication presents to the hospital with fevers and general malaise. Laboratory findings were significant for hypercalcemia (15.6 mg/dL) with suppressed parathyroid hormone (PTH) levels. Infectious investigation including urinalysis, chest x-ray, commuted tomography (CT) of the chest, abdomen, and pelvis, blood cultures, […]
Abstract Number: 452
SHM Converge 2023
Case Presentation: A 61-year-old male with hypertension, hyperlipidemia, and GERD presented to the ED with intermittent palpitations associated with exertional shortness of breath and near-syncopal episodes since several months. On presentation, he was in sustained Ventricular Tachycardia storm and required defibrillation 5 times despite starting on Lidocaine and Amiodarone infusions along with bolus doses of […]
Abstract Number: 453
SHM Converge 2023
Case Presentation: A 74 -year-old male with a past medical history of hypertension, hyperlipidemia, benign prostatic hyperplasia, renal cell carcinoma status post right nephrectomy, and peripheral arterial disease, presented to the Emergency Room with 20 days of progressive weakness, shortness of breath, nausea, vomiting, polyuria, polydipsia, and abdominal pain. The patient was vaccinated but not […]
Abstract Number: 454
SHM Converge 2023
Case Presentation: A 70-year-old Caucasian woman with history of hypertension, hyperlipidemia, and newly diagnosed atrial fibrillation presented with persistent exertional dyspnea, fatigue, malaise, and anorexia for the past few days. She was recently discharged for community-acquired pneumonia twice at another institution without improvement of nonproductive cough, mild proximal muscle weakness, and exertional dyspnea. She was […]
Abstract Number: 455
SHM Converge 2023
Case Presentation: A 31-year-old male with past medical history of narcolepsy, migraine, anxiety, depression, and motor tics disorder presented to the hospital complaining of headache, left sided weakness and intermittent left upper extremity paresthesia for 3 days. Physical examination was remarkable for decreased left upper extremity sensation; motor strength was 5/5 in all 4 extremities. […]
Abstract Number: 456
SHM Converge 2023
Case Presentation: A 72-year-old male with diabetes mellitus presented with two-day right eye vision loss and floaters. Vitals showed tachycardia and hypotension. Physical examination was notable for a hypopyon of the right eye and pressure ulcers on the buttocks bilaterally. Labs returned with leukocytosis, lactic acidosis, and acute kidney injury. A maxillofacial CT scan revealed […]