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Abstract Number: 457
SHM Converge 2023
Case Presentation: A 50-year-old female with a history of alcohol use disorder presented to the emergency department with a one-day history of unsteady gait, decreased lower extremity sensation, and slurred speech. She reported using 20 whippits (recreational inhaled nitrous oxide) daily for the preceding 3-4 weeks. She denied any dietary restrictions. Exam revealed 3+ patellar […]
Abstract Number: 458
SHM Converge 2023
Case Presentation: A 49-year-old man with uncontrolled diabetes type 2 presented to the hospital for right foot pain of three-weeks duration. He had tachycardia to 102/min, a temperature of 101.3 F, and white blood cell (WBC) count of 26.8 x109 cells/L. An X-Ray of his right foot was consistent with osteomyelitis and necrotizing fasciitis. Two […]
Abstract Number: 459
SHM Converge 2023
Case Presentation: We present a unique case of a 37-year-old male with a recently diagnosed case of monkeypox three weeks prior and completion of Tecoviramat; who at initial presentation was thought to have an infected arteriovenous fistula (AVF) from a pox lesion likely with an abscess or necrotic process. He had a PMHx of HIV […]
Abstract Number: 460
SHM Converge 2023
Case Presentation: Acquired Hemophilia A (AHA) is a rare disease, with 1 to 2 cases per million, and occurs due to production of autoantibodies that inhibit Factor VIII, a vital step of the intrinsic coagulation cascade, resulting in the potential for lethal bleeding. Here we present a case of a 59-year-old woman with history of […]
Abstract Number: 461
SHM Converge 2023
Case Presentation: Stress cardiomyopathy, also known as takutsubo cardiomyopathy, is a syndrome that causes transient cardiac apical akinesis or hypokinesis with concurrent basal hyperkinesis. This phenomenon occurs in the absence of angiographic evidence of obstructive coronary artery disease, often induced by emotional stress, and usually reverses within a few weeks to months. A rare variant […]
Abstract Number: 462
SHM Converge 2023
Case Presentation: A 63 year old male with no past medical history was admitted with five months of bilateral upper and lower extremity weakness as well as a pruritic, erythematous rash on his face, arms, and back. This was followed by progressive dysphagia. Initial workup, including a pectoralis muscle biopsy showing necrotizing myopathy, and MRI […]
Abstract Number: 463
SHM Converge 2023
Case Presentation: A 78-year-old dialysis-dependent man with a history of end stage renal disease, hypertension and cerebrovascular accident was evaluated for diffuse abdominal pain and altered mental status for one day. The examination was pertinent for generalized weakness and altered sensorium. Laboratory tests revealed transaminitis and leukocytosis. Computed tomography (CT) of the abdomen and pelvis […]
Abstract Number: 464
SHM Converge 2023
Case Presentation: 57-year-old male, with history of recurrent idiopathic hypothermic episodes, HFrEF on carvedilol, T2DM on no medication for 3 months, and stage 4 CKD, presented to the ED for altered mentation. Vitals were unremarkable except for hypothermia (86.4°F). Patient was hypoglycemic (62 mg/dL). WBC count was low (1.26 10^3/uL). Urine WBCs were elevated (31-50/HPF). […]
Abstract Number: 465
SHM Converge 2023
Case Presentation: A 36-year-old male with a PMH of alcohol use disorder, recurrent pancreatitis, cholecystectomy, diabetes mellitus type 2, and hyperlipidemia presented to the emergency room for severe epigastric abdominal pain, nausea, and vomiting for 2 days in the setting of heavy alcohol use prior to admission. Vital signs on admission were notable for hypertension. […]
Abstract Number: 466
SHM Converge 2023
Case Presentation: A 38 yo male with PMH of alcohol abuse, motor vehicle collision a year prior to presentation, presented to the ED with back pain. Pt states that had back pain about a year ago right after the motor vehicle collision, which improved after a month. Then in the last 4 weeks, he has […]