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Abstract Number: 819
SHM Converge 2023
Case Presentation: A 36- year-old female with asthma presented with worsening anasarca, malaise, headache, and subjective cognitive decline over three weeks. She had been to numerous hospitals and clinics for her symptoms. Despite various treatments, including Ciprofloxacin for presumed UTI, her symptoms continued to progress. A urinalysis at an outside hospital showed 4+ protein. On […]
Abstract Number: 820
SHM Converge 2023
Case Presentation: 69-year-old female with a past medical history of coronary artery disease with prior percutaneous coronary intervention of the right coronary artery and left circumflex coronary artery, hypertension, hyperlipidemia, and COPD presented to an outside hospital with acute onset dyspnea and right-sided chest pain. ECG was obtained immediately upon arrival and was notable for […]
Abstract Number: 822
SHM Converge 2023
Case Presentation: A 54-year-old- man with past medical history of Acquired immunodeficiency syndrome, recurrent Herpes simplex virus lesion, prurigo nodularis, presented with generalized weakness for one week. On physical examination, diffuse cervical, inguinal and popliteal lymphadenopathy was noted. Echocardiogram showed moderate pericardial effusion, which prompted the patient to undergo emergent pericardiocentesis in the setting of […]
Abstract Number: 823
SHM Converge 2023
Case Presentation: A 54 year-old African American female with a past medical history of hypertension and sickle cell anemia presented with acute onset of headache, blurry vision and confusion with multiple falls over ten days. On presentation, her vitals were within normal limits. She was lethargic and only able to answer simple questions. Physical examination […]
Abstract Number: 824
SHM Converge 2023
Case Presentation: A 52-year-old female with a past medical history of hypertension and type-2 diabetes mellitus presented with acute onset pain and numbness in her left arm-elbow region radiating to her left hand while working in her garden. She had a history of deep vein thrombosis in her left upper extremity (LUE) about five years […]
Abstract Number: 825
SHM Converge 2023
Case Presentation: This is a 72-year-old female patient who presents to the ED for the evaluation of loss of consciousness. The patient’s family also endorsed dark stools for the past few days. She has a medical history significant for Insulin Dependent Diabetes Mellitus, and papillary thyroid cancer. On arrival, the Patient’s BP was 126/55, Heart […]
Abstract Number: 826
SHM Converge 2023
Case Presentation: A 62-year-old female presented with a two-week history of right upper quadrant abdominal pain radiating to the back. Her pain was described as sharp and intermittent and associated with subjective fever, nausea, vomiting, headache, and dizziness. On examination, the patient was hypertensive but afebrile. Abdominal tenderness was noted in the right upper quadrant […]
Abstract Number: 827
SHM Converge 2023
Case Presentation: A 71-year-old female with metastatic thyroid cancer status-post (s/p) radioiodine ablation and total thyroidectomy on oral chemotherapy, chronic kidney disease stage IV s/p deceased donor kidney transplant in 2019 on oral immunosuppression, presented with weakness, gastrointestinal symptoms, and acute-on-chronic dysphagia. While dysphagia work-up was ongoing, patient was noted to have right wrist swelling, […]
Abstract Number: 828
SHM Converge 2023
Case Presentation: A 43-year-old male with glucose-6-phosphate dehydrogenase deficiency and human immunodeficiency virus (HIV) infection presented to the emergency department with subacute onset cough and shortness of breath. Medical history was significant for development of HIV after failed post-exposure prophylaxis with brief achievement of undetectable viral load on antiretroviral therapy (ART) followed by inability to […]
Abstract Number: 829
SHM Converge 2023
Case Presentation: A healthy 43-year-old Caucasian male who recently traveled to East Africa was presented to the emergency department with a high-grade fever (105.3F), and myalgia. He denied taking malaria chemoprophylaxis. On presentation, he was febrile, hypotensive, and tachycardic. He appeared to be ill, and toxic with no palpable organomegaly. His initial blood tests revealed […]