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Abstract Number: 468
SHM Converge 2023
Case Presentation: A 51-year-old morbidly obese male without any significant past medical history presented to the hospital for evaluation of one month history of worsening dyspnea on exertion associated with orthopnea and PND. He was hemodynamically stable and physical examination revealed 2+ bilateral lower extremity pitting edema. Initial laboratory workup was significant for high-sensitivity troponin […]
Abstract Number: 469
SHM Converge 2023
Case Presentation: A 38-year-old African American female with recurrent oral-genital ulceration deemed of unclear etiology presented to the hospital with acute abdominal pain. Abdominal imaging demonstrated multiple intraabdominal venous thromboses, including hepatic venous involvement and hepatic venous outflow obstruction consistent with Budd-Chiari Syndrome (BCS). Extensive hypercoagulable workup was unremarkable. She was started on anticoagulation but […]
Abstract Number: 470
SHM Converge 2023
Case Presentation: A 79-year-old woman with a past medical history of uncontrolled hypertension, migraine, and chronic kidney disease stage 3 presented with one week of poor oral intake, nausea, vomiting, vague abdominal pain, and chronic nonproductive cough. Physical exam revealed poor skin turgor, and lungs with crackles bilaterally. Laboratory studies showed Creatinine of 5.31 mg/dl […]
Abstract Number: 471
SHM Converge 2023
Case Presentation: A 43-year-old male with human immunodeficiency virus (HIV), off antiretroviral therapy (ART) for 5 years presented to an outside hospital in July 2022 with diffuse umbilicated skin lesions. Skin scrapings for the monkeypox virus PCR were positive. No medications were prescribed. Days later, the patient was admitted to a different hospital with worsening […]
Abstract Number: 472
SHM Converge 2023
Case Presentation: A 65-year-old woman with a history of early-stage breast cancer—was treated six years prior. She was subsequently admitted multiple times over the following years for pancytopenia, which was thought to be multifactorial—due to nonalcoholic steatohepatitis and auto-immune hemolytic anemia (AIHA). Therefore, she received a supportive blood transfusion, intravenous immunoglobulins, and rituximab for suspected […]
Abstract Number: 473
SHM Converge 2023
Case Presentation: An 83-year-old male with a history of renal cell carcinoma s/p nephrectomy, chronic kidney disease, and hypertension presented to the Emergency Department with several weeks of recurring fevers to 103°F, chills, malaise, fatigue, night sweats, anorexia, and an unintentional weight loss of 4.5 kg. He denied arthralgias, myalgias, neurologic symptoms, rashes, diarrhea, or […]
Abstract Number: 474
SHM Converge 2023
Case Presentation: A 61-year-old man presented to his primary care provider’s office but could not recall reason for his visit. Over the past year, there had been numerous instances of similar forgetfulness, oftentimes upon completing routine activity without additional symptomatology. Medical history was notable for factor V Leiden, hypothyroidism, and transient ischemic attacks. Physical examination […]
Abstract Number: 475
SHM Converge 2023
Case Presentation: A 37-year-old female with no significant past medical history presented to emergency room with complaint of palpitation, diarrhea, and heat intolerance. She was five months postpartum. She also complained of unintentional weight loss of 20lb after delivery. She denied fever, chest pain, abdominal pain, or sick contact. General examination including thyroid gland was […]
Abstract Number: 476
SHM Converge 2023
Case Presentation: A 79 year old African American female with non-ischemic cardiomyopathy, EF 35-40%, hypertension, chronic kidney disease, hypothyroidism, mild pulmonary hypertension, obesity, and mixed hyperlipidemia, presented with worsening dizziness and bipedal edema for 2 weeks. Patient reported stopping diuretics and carvedilol due to persistent hypotension for several months. Patient noted unintentional weight loss of […]
Abstract Number: 477
SHM Converge 2023
Case Presentation: A 71-year-old male with a history of diabetes, hyperlipidemia, and stage II small cell bladder cancer on cycle 2 of cisplatin, etoposide, and atezolizumab that he received 1 week ago presented with neck stiffness, pain, fevers, and diffuse muscle aches to his PCP. Concerned about meningitis he was sent to the hospital. A […]