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Abstract Number: 27
SHM Converge 2023
Case Presentation: This is a 4-year-old previously healthy girl, fully immunized with the exception of COVID-19 immunizations, who was hospitalized after presenting with fevers and fatigue for one week followed by gross hematuria. At the outset of her fevers, she tested negative for COVID-19 using a home antigen test. 4 days prior to admission, she […]
Abstract Number: 28
SHM Converge 2023
Case Presentation: A 15-year-old male with HIV and inconsistent antiretroviral therapy adherence presented to an HIV clinic in Lilongwe, Malawi with weight loss, night sweats, lower extremity rash, and diarrhea. The rash on his legs had been present for 4 months and then spread to his arms. On exam, his vital signs were unremarkable. He […]
Abstract Number: 29
SHM Converge 2023
Case Presentation: A 16 year old boy with obesity presented for dehydration in the setting of three months of abdominal pain, nausea, and non-bloody, non-bilious emesis. Outpatient work-up had been unrevealing. He also endorsed cannabis use and vaping. He had lost 70 pounds during this time. New symptoms in the days prior to admission included dizziness […]
Abstract Number: 30
SHM Converge 2023
Case Presentation: A healthy five-year-old girl was admitted from Ophthalmology Clinic for evaluation of bilateral anterior uveitis, fatigue and weight loss. History was notable for a cat scratch to the right eye one month prior which had prompted the referral to Ophthalmology Clinic. Patient also reported fatigue, night sweats, intermittent headache, poor oral intake, and […]
Abstract Number: 789
SHM Converge 2023
Case Presentation: A 12-year-old girl presented to her pediatrician with 1.5 weeks of constant, non-exertional, nighttime chest pain and dyspnea. Initial chest x-ray was negative, electrocardiogram (EKG) showed sinus tachycardia and ST changes prompting urgent referral to a cardiology clinic, where repeat EKG showed persistent sinus tachycardia, diffuse ST elevations, and reciprocal PR depression consistent […]
Abstract Number: 866
SHM Converge 2023
Case Presentation: A 15 year-old male with no significant medical history presented with fever, fatigue, headache, and neck pain with stiffness. His symptoms began several days prior to presentation and progressed to inability to fully move his neck, throat and jaw pain, and cognitive slowing. In the ED he underwent evaluation for infection and meningitis. […]
Abstract Number: 868
SHM Converge 2023
Case Presentation: A 9-year-old male with congenital Horner’s syndrome presented with two weeks of nonspecific, intermittent symptoms beginning with a nonproductive cough, congestion, nausea and vomiting followed by a diffuse maculopapular erythematous rash on his back and chest with RUQ pain. Soon after, he developed a separate warm, erythematous, tender rash of the left leg […]
Abstract Number: 869
SHM Converge 2023
Case Presentation: An 11-year-old female with history of T4 paraplegia after an MVC requiring extensive intrabdominal surgical intervention, neurogenic bowel and bladder and malnutrition presented to the ED with intractable vomiting and left shoulder pain. Acute vomiting started earlier in the day while she was being straight catheterized as per routine and continued throughout the […]
Abstract Number: 870
SHM Converge 2023
Case Presentation: A 3-year-old male with past medical history of mild persistent asthma and allergic rhinitis presented with persistent hypoxia. He had a history of multiple prior hospitalizations for hypoxia, mainly in the setting of acute respiratory illness. At an outpatient cardiology visit, he was found to be hypoxic to 87%, though echocardiography was unrevealing […]
Abstract Number: 871
SHM Converge 2023
Case Presentation: A two–year-old previously healthy boy presented with the chief complaint of acute onset left-sided weakness in the setting of recent fever and upper respiratory symptoms. Admission exam was notable for left-sided facial droop, weakness of upper and lower extremities, and inability to walk. Initial CT head was notable for a right basal ganglia […]