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Abstract Number: 478
SHM Converge 2023
Case Presentation: A 69-year-old male with history of metastatic prostate cancer on chemotherapy presented with fever for three days. On presentation, he was tachycardic with a heart rate of 130 beats per minute. Physical examination was significant for right upper quadrant tenderness. Initial laboratory workup revealed leukocytosis with a white blood cell count of 17000 […]
Abstract Number: 479
SHM Converge 2023
Case Presentation: A 32 year old previously healthy male presented to the emergency department with acute non-exertional chest pressure with radiation to the back and jaw three days after receiving his third COVID-19 vaccine, a Pfizer-BioNTech, and 6 months after his initial two series Astra-Zeneca COVID-19 vaccines. His chest pain was improved with leaning forward. […]
Abstract Number: 481
SHM Converge 2023
Case Presentation: A 40-year-old male with no personal or family psychiatric history; presented to the emergency department displaying flight of ideas, a tangential thought process, grandiose delusions, and insomnia for the 10 days prior to admission. His symptoms began 10 days following an uncomplicated SARS-CoV-2 infection that required no treatment. The patient was a highly […]
Abstract Number: 482
SHM Converge 2023
Case Presentation: A 44-year-old male patient with a history of vitiligo, presented with a chief complaint of lower extremity tingling and numbness sensation. Upon evaluation, the patient reported unintentional weight loss along with fatigue and frequent palpitation. A review of blood testing revealed an elevated TSH level, HbA1c, a low T4, Free T3, and vitamin […]
Abstract Number: 483
SHM Converge 2023
Case Presentation: 67-year-old gentleman with medical history significant for alcohol use presented to the Emergency Department (ED) with hallucinations and tremors. His last drink was the day prior. In the ED, he was tremulous, tachycardic, hypertensive and confused. He was admitted and placed on the alcohol withdrawal protocol with diazepam. At discharge, he was evaluated […]
Abstract Number: 484
SHM Converge 2023
Case Presentation: A 54-year-old male with no past medical history presented with chief complaint of generalized weakness, fatigue, headache, loss of appetite and intermittent fever and chills for 5 days. On arrival to the ED, his vitals were notable for temperature was 102.3F.. Labs notable for a hemoglobin 12.5 g/dL, platelets 55×109/L, sodium 128 mmol/L, […]
Abstract Number: 485
SHM Converge 2023
Case Presentation: A 63-year-old man presented with progressive dyspnea associated with new onset lower-extremity weakness, numbness, and low back pain. CXR revealed bilateral, large pleural effusions which were borderline exudative, but with negative cytology. An MRI of his spine showed concern for possible metastatic disease, but a CT of his chest, abdomen, and pelvis failed […]
Abstract Number: 486
SHM Converge 2023
Case Presentation: A 65-year-old male with a past medical history of hypersensitivity pneumonitis/bronchiolitis, coronary artery disease, hypertension and hyperlipidemia was admitted for uncontrolled pain. Myalgias and fatigue were present for a month following a tick bite and shingles. He was treated with doxycycline 100mg twice a day for 14 days and valacyclovir 1g three times […]
Abstract Number: 487
SHM Converge 2023
Case Presentation: A 61 year old male with a past medical history of hypertension, hyperlipidemia, and obstructive sleep apnea presented to the hospital with fever. He reported 1 week of fever to 103 F with associated rigors, abdominal pain, confusion, and decreased urine output. He reported a keen interest in outdoor activities such as hiking. […]
Abstract Number: 488
SHM Converge 2023
Case Presentation: The patient is a 27-year-old male with lupus anticoagulant with hypoprothrombinemia syndrome (LAHPS)/triple positive antiphospholipid syndrome (APLS) in the setting of systemic lupus erythematous (SLE) and immune thrombocytopenia (ITP) on hydroxychloroquine, mycophenolate mofetil (MMF), and prednisone for immunosuppression, who presented to the ER with worsening right upper quadrant and epigastric pain. RUQ US […]