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Abstract Number: 851
SHM Converge 2023
Case Presentation: A 62-year-old woman with a history of diabetes mellitus, hypertension, and hypothyroidism presented with a severe headache which was posterior, waxing and waning in nature, and associated with nausea and vomiting. The headache started suddenly five days earlier and had awoken her from sleep. At that time she had presented to the emergency […]
Abstract Number: 852
SHM Converge 2023
Case Presentation: Hepatitis B is a viral infection that attacks the liver and can cause both acute and chronic disease. The WHO estimates 1.5 million new infections each year. Most people remain asymptomatic. However, some people have acute illness that lasts several weeks, which can be complicated by acute liver failure. Glucose-6-phosphate dehydrogenase (G6PD) deficiency […]
Abstract Number: 853
SHM Converge 2023
Case Presentation: A previously healthy 18-year-old male presented with a loculated pleural effusion. 10 days prior, the patient had sudden, acute, left sided anterior wall chest pain and shortness of breath. He reported night sweats, but no other symptoms. He was initially treated with doxycycline in the outpatient setting. Despite antibiotics, the symptoms worsened, and […]
Abstract Number: 854
SHM Converge 2023
Case Presentation: A previously healthy 27-year-old man presented with one week of generalized weakness and lightheadedness upon standing. He works in construction (installing fireplaces) but had been unable to work during the last week due to symptoms. On presentation, he was tachycardic with HR 120; vital signs were otherwise normal. Exam was notable for significant […]
Abstract Number: 855
SHM Converge 2023
Case Presentation: A 71 years old female with a history of hypertension presented with nausea, vomiting, and fall. She had non-bloody, non-bilious emesis after eating pork 2 days prior to admission. She worked in a kindergarten with no definitive sick contacts. She did not have abdominal pain or diarrhea but she experienced lightheadedness. She was […]
Abstract Number: 856
SHM Converge 2023
Case Presentation: A 74-year-old man presented with chronic complaints of dysphagia to solids for 20 years associated with choking, regurgitation, postprandial cough and shortness of breath. Clinical evaluation revealed tolerance to liquids with persistent globus sensation, and difficulty swallowing solids, requiring concomitant liquid intake. Video-fluoroscopic modified barium swallow did not show evidence of aspiration. Considering […]
Abstract Number: 857
SHM Converge 2023
Case Presentation: A Korean 55-year-old female with a history of leiomyoma and kidney stones presented to the emergency department with abdominal pain. Further work up also showed new onset anemia. A pelvic exam demonstrated a large distended fibroid protruding into the vagina. Pelvic MRI noted a large multilobulated complex mass, consistent with a uterus replaced […]
Abstract Number: 858
SHM Converge 2023
Case Presentation: A 78-year-old woman with medical history of atrial fibrillation, hypertension, hyperlipidemia, and osteoporosis presented with left lower extremity weakness and left thigh numbness. The patient was walking when she felt lightheaded and developed left thigh tingling followed by left leg weakness. She presented the next day unable to walk independently. On physical exam […]
Abstract Number: 859
SHM Converge 2023
Case Presentation: A 41-year-old female smoker with no known past medical history presented with gradual onset dry eyes and blurry vision that progressively worsened over the course of 3 months. She developed right eye bulging with pain and diplopia. She denied other symptoms of thyroid dysfunction. Examination showed right eye proptosis, superior eyelid retraction, mild […]
Abstract Number: 860
SHM Converge 2023
Case Presentation: A 25-year-old woman with no significant past medical history presented for a three-day history of fevers to 39.9 Celsius, frontotemporal headaches, and diffuse myalgias. She reported working outdoors for a summer camp without known insect or tick bites. Physical exam was notable for tenderness with neck flexion, nuchal rigidity, and abdominal tenderness to […]