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Abstract Number: 872
SHM Converge 2023
Case Presentation: A 15-year-old female with a past medical history of acne vulgaris on topical Dapsone and anxiety on Sertraline presented to the ER with severe shortness of breath. She was recently hospitalized for a left knee meniscal repair one month prior. She went to a theme park on the day of admission where she […]
Abstract Number: 873
SHM Converge 2023
Case Presentation: A previously healthy 4-month-old male was admitted with vomiting, diarrhea and dehydration associated with COVID-19 infection. Three days prior to admission he developed fever to 102.1, cough, and was seen in an urgent care where he tested positive for COVID-19. Forty-eight hours prior to admission non-bloody diarrhea began with multiple episodes per day. […]
Abstract Number: 874
SHM Converge 2023
Case Presentation: A 19-year-old male with a history of trauma, depression, anxiety, foster system placement, and poorly controlled type 1 diabetes mellitus (T1DM) (A1C>14) with frequent admissions for diabetic ketoacidosis (DKA) presented with presyncope and 2 weeks of severe epigastric and RUQ abdominal pain. He endorsed inconsistent insulin use and frequent dietary indiscretion in part […]
Abstract Number: 876
SHM Converge 2023
Case Presentation: A 7 year-old with hypohidrotic ectodermal dysplasia (ED) and recurrent sinusitis was admitted with diplopia, headaches, and fevers. In the preceding 2 months, he had multiple episodes of fever, nasal impetigo, and positive group A strep (GAS) throat swabs without pharyngitis. He was treated twice with azithromycin due to allergies to amoxicillin, cephalosporins, […]
Abstract Number: 877
SHM Converge 2023
Case Presentation: A previously healthy 5-year-old female was transferred to our facility for increasing respiratory distress in the setting of a COVID-19 infection with suspected secondary bacterial pneumonia. Approximately five days prior, she tested positive for COVID-19 after developing a cough. She was treated with supportive therapy until parents noticed her “breathing heavily.” At the […]
Abstract Number: 878
SHM Converge 2023
Case Presentation: A 14-year-old female with a history of hydrocephalus status-post ventriculoatrial (VA) shunt placement five years prior presented for acute lethargy characterized by difficulty waking her from sleep. Vital signs were T 36.6 C, pulse 72, respirations 20, BP 148/97, and SpO2 100% with exam notable for lethargy, spontaneous eye and limb movement, pupils […]
Abstract Number: 879
SHM Converge 2023
Case Presentation: KM is a 13-year-old woman with no past medical history who presented with 1 week of daily vomiting, epigastric abdominal pain, and body aches. On review of systems has also had fever to 100.7, decreased oral intake, shortness of breath with activity and intermittent diarrhea but no headache, sore throat, wheezing or rash. […]
Abstract Number: 880
SHM Converge 2023
Case Presentation: A 19-year-old male with history of VACTERL, end-stage kidney disease with kidney transplant 7 years prior, scoliosis with T8-L2 fusion 8 years prior, reversible posterior leukoencephalopathy syndrome (PRES), depression, and recent admission for suspected cannabinoid hyperemesis syndrome presented to the ED after a fall due to weakness, and recurrent nausea and vomiting.Physical exam […]
Abstract Number: 881
SHM Converge 2023
Case Presentation: A previously healthy, obese 15-year-old male presented to an ED in North Carolina with acute encephalopathy preceded by six days of flu-like symptoms with one day of diarrhea and cough. On presentation, he was febrile, tachycardic, tachypneic, with other vital signs normal. He was disoriented with slowed speech, inappropriate laughter, and delayed verbal […]
Abstract Number: 882
SHM Converge 2023
Case Presentation: A 14-year-old healthy male presented with throbbing, right sided abdominal pain, intermittent headache, and bilateral neck and shoulder pain in the setting of six days of fever (temperature max 103° F). He had a history of a normal endoscopy after elevated stool calprotectin that normalized without intervention. Exposure history was notable for freshwater […]