HM2017 Abstract Number: 764

INPATIENT INTERMITTENT CONFUSION AND HYPOXIA – THINKING OUT OF THE BOX BUT FROM THE BOTTLE

Inpatient Intermittent Confusion and Hypoxia – Thinking out of the Box but From the Bottle Case Presentation: A 62-year old Caucasian female, a Psychiatrist, was brought by her friend for multiple falls and heavy alcohol [...]

By | 2018-03-15T20:50:28-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on INPATIENT INTERMITTENT CONFUSION AND HYPOXIA – THINKING OUT OF THE BOX BUT FROM THE BOTTLE

HM2017 Abstract Number: 521

A DIAGNOSTIC DILEMMA – APICAL MYOCARDIAL INFARCTION (MI)

Case Presentation: A 29 year old African American male presented with non-radiating, mid-sternal chest pain, which was relieved by sitting up. His vital signs and physical examination were unremarkable. His initial EKG showed J point elevation in [...]

By | 2018-03-15T20:50:28-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A DIAGNOSTIC DILEMMA – APICAL MYOCARDIAL INFARCTION (MI)

HM2017 Abstract Number: 526

“CAN’T SEED, CAN’T PEE, CAN’T CLIMB A TREE”: A CASE OF NEUROSARCOID ASSOCIATED MYELOPATHY

Case Presentation: A 42-year-old male with a history of T2DM, subacute bilateral LE weakness and paresthesia presented with UTI, urinary retention and anejaculation. One month prior to admission the patient was taken to the ED [...]

By | 2018-03-15T20:50:28-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on “CAN’T SEED, CAN’T PEE, CAN’T CLIMB A TREE”: A CASE OF NEUROSARCOID ASSOCIATED MYELOPATHY

HM2017 Abstract Number: 425

ITCHY EOSINOPHILIA

Case Presentation: A 64 year old male presented with a three day history of fever, hand soreness and rash.  On the day of presentation, he had just returned from the Caribbean, however denied any history [...]

By | 2018-03-15T20:50:28-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ITCHY EOSINOPHILIA

HM2017 Abstract Number: 809

IT’S A STROKE, IT’S AN ABSCESS…NO, IT’S A TUMOR! OR IS IT?

Case Presentation:  Central nervous system (CNS) systemic lupus erythematosus (SLE) is often called lupus cerebritis presenting primarily with non-specific symptoms of headaches, altered mental status, and/ or seizures. Up to 80% of SLE patients develop [...]

By | 2017-04-20T15:49:10-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on IT’S A STROKE, IT’S AN ABSCESS…NO, IT’S A TUMOR! OR IS IT?

HM2017 Abstract Number: 808

POOR FORME: “ADULT ONSET ASTHMA” WITH AN UNEXPECTED VASCULITIC TWIST

Case Presentation: A 71-year-old male presented with 4 months of fatigue, low-grade fevers, night sweats, dry cough, and a 10-pound weight loss. He also recalled developing a central ulcerating pustular lesion on his right anterior [...]

By | 2017-04-20T15:49:12-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on POOR FORME: “ADULT ONSET ASTHMA” WITH AN UNEXPECTED VASCULITIC TWIST

HM2017 Abstract Number: 807

WHEN ANA GOES MIA: ANA-NEGATIVE PRESENTATION OF SLE IN MAN WITH SEVERE AUTOIMMUNE NEUTROPENIA

Case Presentation: Here we report a case of atypical manifestation of SLE in a 53 year old man who presented with neutropenic fever. Physical findings of interest included oral ulcers, a malar rash across the [...]

By | 2017-04-20T15:49:14-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on WHEN ANA GOES MIA: ANA-NEGATIVE PRESENTATION OF SLE IN MAN WITH SEVERE AUTOIMMUNE NEUTROPENIA

HM2017 Abstract Number: 806

WHEN ANA GOES MIA: A CASE OF ANA-NEGATIVE LUPUS PRESENTING AS SEVERE AUTOIMMUNE NEUTROPENIA

Case Presentation: We report a case of atypical manifestation of SLE in a 53 year old man who presented with neutropenic fever. Physical findings of interest included oral ulcers, a malar rash across the bridge [...]

By | 2017-04-20T15:49:15-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on WHEN ANA GOES MIA: A CASE OF ANA-NEGATIVE LUPUS PRESENTING AS SEVERE AUTOIMMUNE NEUTROPENIA

HM2017 Abstract Number: 804

ARTERIAL-PORTAL FISTULA IN A TRANSPLANTED LIVER CAUSING HEMOBILIA AND PANCREATITIS AFTER PERCUTANEOUS LIVER BIOPSY

Case Presentation: A 59 year-old man with a history of hepatitis C virus infection and hepatocellular carcinoma who received an orthotopic liver transplant 8 years ago, presented with acute onset epigastric pain and melena 6 [...]

By | 2017-04-20T15:49:19-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ARTERIAL-PORTAL FISTULA IN A TRANSPLANTED LIVER CAUSING HEMOBILIA AND PANCREATITIS AFTER PERCUTANEOUS LIVER BIOPSY

HM2017 Abstract Number: 803

URINARY BLADDER IN INGUINAL HERNIA: AN UNCOMMON FINDING

Case Presentation: A 78 year old obese male with narrow angle glaucoma, BPH, hiatal hernia, abdominal hernia and right inguinal hernia presents with longstanding urinary symptoms of weak stream and incomplete emptying with increased urinary [...]

By | 2017-04-20T15:49:21-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on URINARY BLADDER IN INGUINAL HERNIA: AN UNCOMMON FINDING

HM2017 Abstract Number: 802

A CURIOUS CASE OF RECURRENT UTI

Case Presentation: A 59 year old Asian-Canadian female with a history of hypertension and hyperthyroidism, with recent travel history to China 4 months prior,  presented with a 2 month history of right sided abdominal pain [...]

By | 2017-04-25T21:18:20-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CURIOUS CASE OF RECURRENT UTI

HM2017 Abstract Number: 801

COMMON VIRUSES LEADING TO RECURRENT ENCEPHALITIS

Case Presentation: The patient is a 33 year old woman with no significant past medical history who presented with recurrent encephalitis. She initially collapsed while walking with her toddler. She was unresponsive and had seizure [...]

By | 2017-04-20T15:49:25-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on COMMON VIRUSES LEADING TO RECURRENT ENCEPHALITIS

HM2017 Abstract Number: 800

SHINGLES: AN HIV RED FLAG!

Case Presentation: A 36 year-old male came in to the ED with 2 day history of painful itchy rash on the left side of the neck and face. The patient denied any fever or chills. [...]

By | 2017-04-20T15:49:27-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SHINGLES: AN HIV RED FLAG!

HM2017 Abstract Number: 799

PITFALLS OF IMMUNE THERAPY- A CASE REPORT OF MYCOBACTERIUM KANSASII IN A PATIENT ON AZATHIOPRINE FOR GLOMERULONEPHRITIS

Case Presentation: A 64-year-old male with history of hypertension and pauci-immune glomerulonephritis presented with fatigue, cough associated with weight loss for past 2 months. Prior to the presentation, he was treated with prednisone and cyclophosphamide [...]

By | 2017-04-20T15:50:00-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PITFALLS OF IMMUNE THERAPY- A CASE REPORT OF MYCOBACTERIUM KANSASII IN A PATIENT ON AZATHIOPRINE FOR GLOMERULONEPHRITIS

HM2017 Abstract Number: 798

“IS IT SIMPLY TOO MUCH ANTIDIURETIC HORMONE?”: A CASE OF HYPONATREMIA WITH MIXED ETIOLOGY

Case Presentation: A 75 year-old male presented to the hospital with abdominal pain, nausea, vomiting, and dizziness for two weeks. He also endorsed a gradual onset of generalized weakness, and decreased oral intake over the [...]

By | 2017-04-20T15:49:29-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on “IS IT SIMPLY TOO MUCH ANTIDIURETIC HORMONE?”: A CASE OF HYPONATREMIA WITH MIXED ETIOLOGY

HM2017 Abstract Number: 797

LONG-TERM ECULIZUMAB TREATMENT CONTRIBUTES TO RECOVERY FROM END-STAGE RENAL DISEASE ASSOCIATED WITH ATYPICAL HEMOLYTIC UREMIC SYNDROME

Case Presentation: A 38-year-old Japanese man with past medical history of central retinal vein occlusion at the age of 36 years presented with one-week duration of dyspnea, precipitated by common cold-like symptoms. He denied having [...]

By | 2017-04-20T15:49:32-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on LONG-TERM ECULIZUMAB TREATMENT CONTRIBUTES TO RECOVERY FROM END-STAGE RENAL DISEASE ASSOCIATED WITH ATYPICAL HEMOLYTIC UREMIC SYNDROME

HM2017 Abstract Number: 796

FATAL EMPHYSEMATOUS MENINGITIS

Case Presentation: A 84-year-old woman with a history of Alzheimer’s disease presented to our hospital for evaluation of persistent fever. Because of swallowing dysfunction due to the advanced dementia, she had difficulty in eating and [...]

By | 2017-04-20T15:49:33-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FATAL EMPHYSEMATOUS MENINGITIS

HM2017 Abstract Number: 795

FEVER AFTER INTERNATIONAL TRAVEL

Case Presentation: CG is a previously healthy 25M who presented with one week of high-grade fevers, abdominal pain, and worsening fatigue despite outpatient evaluation and treatment with Tamiflu. Travel history was significant for visiting family [...]

By | 2017-04-20T15:49:35-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FEVER AFTER INTERNATIONAL TRAVEL

HM2017 Abstract Number: 794

PYLEPHLEBITIS: THE CLINICAL COMPLEXITIES AND CALL FOR COLLABORATION

Case Presentation: A 37-year-old Asian female with no significant medical or surgical history presented with acute diffuse abdominal pain, nausea and vomiting. Her physical exam and laboratory testing were unremarkable. She was diagnosed with viral gastroenteritis [...]

By | 2017-04-20T15:50:44-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PYLEPHLEBITIS: THE CLINICAL COMPLEXITIES AND CALL FOR COLLABORATION

HM2017 Abstract Number: 793

A FUNGATING MASS, LITERALLY: A CASE OF BASIDIOBOLOMYCOSIS OF THE COLON

Case Presentation: A 65 year-old Caucasian male presented with complaints of small amounts of hematochezia and constipation.  Colonoscopy showed a large, ulcerated partially obstructing sigmoid mass concerning for cancer 25cm proximal to the anus.  The [...]

By | 2017-04-25T23:12:40-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A FUNGATING MASS, LITERALLY: A CASE OF BASIDIOBOLOMYCOSIS OF THE COLON

HM2017 Abstract Number: 792

MICTURITION-ASSOCIATED HYPERTENSION – A DIFFERENT KIND OF HYPERTENSIVE URGENCY

Case Presentation: A 21-year-old male with a reported history of essential hypertension since the age of 16 presented with a four-day history of abdominal pain, nausea and vomiting. He was noted to have systolic blood [...]

By | 2017-04-21T00:30:59-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts, Finalist Poster|Comments Off on MICTURITION-ASSOCIATED HYPERTENSION – A DIFFERENT KIND OF HYPERTENSIVE URGENCY

HM2017 Abstract Number: 791

SKIN POPPING LEADS TO KIDNEY POPPING

Case Presentation: A 50 year-old woman with past medical history of diabetes mellitus presented complaining of a “spider bite” and abdominal pain. She later admitted to heroin abuse via “skin popping”. Significant vital signs on [...]

By | 2017-04-20T15:50:49-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SKIN POPPING LEADS TO KIDNEY POPPING

HM2017 Abstract Number: 790

THE KEY TO THE HEART IS THROUGH THE…KIDNEY? HEART FAILURE AS A PRESENTING MANIFESTATION OF GRANULOMATOSIS WITH POLYANGIITIS

Case Presentation: A 69 year-old man with no known prior medical history presented with one month of dyspnea on exertion associated with abdominal, scrotal, and bilateral leg swelling. He reported orthopnea, a dry cough, and [...]

By | 2017-04-20T15:50:51-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE KEY TO THE HEART IS THROUGH THE…KIDNEY? HEART FAILURE AS A PRESENTING MANIFESTATION OF GRANULOMATOSIS WITH POLYANGIITIS

HM2017 Abstract Number: 789

AN EASILY REVERSIBLE CASE OF NEAR-PARALYSIS

Case Presentation: A 37-year-old female with a history of uncontrolled migraine headaches and hypertension presented to the Emergency Department with upper and lower extremity muscle weakness resulting in a fall. Her symptoms were progressive over [...]

By | 2017-04-20T15:50:53-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN EASILY REVERSIBLE CASE OF NEAR-PARALYSIS

HM2017 Abstract Number: 788

PPIS: PROTON PUMP INHIBITORS OR POTENTIAL PATHWAYS TO IATROGENIC SIDE EFFECTS?

Case Presentation: A 53-year-old female presented to our hospital with diffuse, severe, and crampy abdominal pain for 1 week associated with generalized weakness and fatigue. She has a past medical history of hypertension, hyperlipidemia, type [...]

By | 2017-04-20T15:50:55-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PPIS: PROTON PUMP INHIBITORS OR POTENTIAL PATHWAYS TO IATROGENIC SIDE EFFECTS?

HM2017 Abstract Number: 787

A ROBUST AND VARIED PRESENTATION OF LICHEN PLANUS

Case Presentation: A 75-year-old man presented with nine months of progressive rash, palmoplantar keratoderma, chronic oral lesions, and weight loss (Figure). The cutaneous lesions began as erythematous patches on his hands and then spread to his [...]

By | 2017-04-20T15:50:57-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A ROBUST AND VARIED PRESENTATION OF LICHEN PLANUS

HM2017 Abstract Number: 786

ANTIBODY NEGATIVE INTERFERON-INDUCED AUTOIMMUNE HEPATITIS

Case Presentation: A 23-year-old woman presented with complaints of jaundice, nausea, and epigastric pain for ten days. She had a history of epithelioid hemangiodendothelioma (EHE) of the lungs, diagnosed six months prior to presentation. She [...]

By | 2017-04-20T15:50:59-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ANTIBODY NEGATIVE INTERFERON-INDUCED AUTOIMMUNE HEPATITIS

HM2017 Abstract Number: 785

NOT A ROUTINE CASE OF RECURRENT CELLULITIS, WELL’S SYNDROME

Case Presentation:  A 28-year-old man presents with suspected recurrent right forearm cellulitis. The patient has had four episodes of pruritic, edematous, erythematous plaques on the arms and neck over the past three months. Each episode [...]

By | 2017-04-20T15:51:01-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on NOT A ROUTINE CASE OF RECURRENT CELLULITIS, WELL’S SYNDROME

HM2017 Abstract Number: 784

WHY DO MY MUSCLES STILL ACHE? A RARE COMPLICATION OF STATIN THERAPY

Case Presentation: 80 year-old female with history of dyslipidemia on statin therapy, and diabetes presented to the clinic with a three month history of progressive weakness. She initially presented with lower extremity weakness and was [...]

By | 2017-04-20T15:51:03-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on WHY DO MY MUSCLES STILL ACHE? A RARE COMPLICATION OF STATIN THERAPY

HM2017 Abstract Number: 783

A CASE OF BILATERAL ENDOGENOUS ENDOPHTHALMITIS FROM PNEUMOCOCCAL MENINGITIS

Case Presentation: A 40-year-old female with hemoglobin SC disease presented with a 2-day history of severe headache and progressive vision loss. On initial evaluation, she was febrile to 100.8 F and tachycardic. Her exam was [...]

By | 2017-04-25T17:22:48-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF BILATERAL ENDOGENOUS ENDOPHTHALMITIS FROM PNEUMOCOCCAL MENINGITIS

HM2017 Abstract Number: 782

A CASE OF HASHIMOTO ENCEPHALOPATHY

Case Presentation: An 88-year-old woman with hypertension, osteoarthritis, type II diabetes, and no past psychiatric history presented to our hospital with three months of progressive paranoia and two weeks of confusion and hallucinations. The week [...]

By | 2017-04-25T17:25:26-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF HASHIMOTO ENCEPHALOPATHY

HM2017 Abstract Number: 781

CREUTZFELDT-JAKOB DISEASE(CJD): A RARE CAUSE OF CONFUSION

Case Presentation: A 70-year-old female with history of type II diabetes, hypertension and depression presented with confusion and rigidity. She was fully functional till two months ago. Family initially noticed behavior changes such as forget [...]

By | 2017-04-20T15:51:07-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CREUTZFELDT-JAKOB DISEASE(CJD): A RARE CAUSE OF CONFUSION

HM2017 Abstract Number: 780

ARTERIAL THROMBOEMBOLISM IN ULCERATIVE COLITIS: AN UNCOMMON PRESENTATION

Case Presentation: This is a 59 year-old woman with ulcerative colitis (UC) who initially presented with frequent episodes of bloody diarrhea and persistent abdominal pain for two months. The patient had been controlled for years [...]

By | 2017-04-20T15:51:09-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ARTERIAL THROMBOEMBOLISM IN ULCERATIVE COLITIS: AN UNCOMMON PRESENTATION

HM2017 Abstract Number: 779

AN UNEXPECTED CAUSE OF ACUTE KIDNEY INJURY

Case Presentation: A 55-year-old woman with history of hypertension presented with 1-day duration of inability to urinate despite adequate fluid intake. Patient has no known history of renal dysfunction. Review of system positive only for [...]

By | 2017-04-20T15:56:55-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNEXPECTED CAUSE OF ACUTE KIDNEY INJURY

HM2017 Abstract Number: 778

RECURRENT ANTIBODY-MEDIATED AUTOIMMUNE ENCEPHALITIS MASKED BY TCA AND BENZODIAZEPINE OVERDOSE: A CASE REPORT

Case Presentation: A 55 year-old woman with a history of antibody-mediated autoimmune encephalitis (AME) treated 1 year ago presented to the hospital with confusion and hyperactivity following intentional overdose of amitriptyline and clonazepam. 1 week [...]

By | 2017-04-20T15:56:56-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on RECURRENT ANTIBODY-MEDIATED AUTOIMMUNE ENCEPHALITIS MASKED BY TCA AND BENZODIAZEPINE OVERDOSE: A CASE REPORT

HM2017 Abstract Number: 777

ONCE UPON A BROKEN HEART: TAKOTSUBO CARDIOMYOPATHY SECONDARY TO FROVATRIPTAN

Case Presentation: A 67-year-old woman presented with acute substernal chest pain that came on suddenly 10 minutes after she had taken frovatriptan for a migraine. The pain radiated down both arms. Her medications were Frovatriptan [...]

By | 2017-04-21T00:31:42-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts, Finalist Poster|Comments Off on ONCE UPON A BROKEN HEART: TAKOTSUBO CARDIOMYOPATHY SECONDARY TO FROVATRIPTAN

HM2017 Abstract Number: 776

PERITONITIS: SUSPECT BUT VERIFY

Case Presentation: A 40-year-old immigrant from Bangladesh with a history of uveitis presented to the emergency department for evaluation of abdominal pain. He first developed fevers 10 days prior to admission, when he was visiting [...]

By | 2017-04-20T15:56:59-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PERITONITIS: SUSPECT BUT VERIFY

HM2017 Abstract Number: 775

DISSEMINATED ADENOVIRUS CAUSING TUBULOINTERSTITIAL NEPHRITIS IN A RENAL ALLOGRAFT PATIENT

Case Presentation:      A 47-year-old woman with type one diabetes and end stage renal disease received a simultaneous kidney and pancreas transplant with thymoglobulin induction and enteric drainage. Five months after transplant, she came [...]

By | 2017-04-20T15:57:02-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on DISSEMINATED ADENOVIRUS CAUSING TUBULOINTERSTITIAL NEPHRITIS IN A RENAL ALLOGRAFT PATIENT

HM2017 Abstract Number: 774

INPATIENT DIAGNOSIS OF PRIMARY MEMBRANOUS NEPHROPATHY AND CARDIAC AMYLOIDOSIS

Case Presentation: A 55 yo African American Male with DMII, HTN, CKD, Hyperlipidemia who initially presented with worsening right leg swelling and diagnosed with an unprovoked right femoral vein non-occlusive Deep Venous Thrombosis (DVT) and [...]

By | 2017-04-20T15:57:03-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on INPATIENT DIAGNOSIS OF PRIMARY MEMBRANOUS NEPHROPATHY AND CARDIAC AMYLOIDOSIS

HM2017 Abstract Number: 773

A COMMON INFECTION WITH AN UNCOMMON CAUSE

Case Presentation: A 46 year-old gentleman presents with an acute worsening of his chronic low back pain with radiation and paresthesias down his left leg. On admission, he was febrile, tachycardiac and uncomfortable appearing. He [...]

By | 2017-04-25T21:17:45-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A COMMON INFECTION WITH AN UNCOMMON CAUSE

HM2017 Abstract Number: 772

EPIPLOIC APPENDAGITIS IS FAR LESS SINISTER THAN IT SOUNDS

Case Presentation: A 50-year-old white female presented with the acute onset of right lower quadrant abdominal pain.   The patient’s temperature was 37.7° Celsius.  Physical examination was remarkable for voluntary guarding and rebound tenderness, which [...]

By | 2017-04-20T15:57:06-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on EPIPLOIC APPENDAGITIS IS FAR LESS SINISTER THAN IT SOUNDS

HM2017 Abstract Number: 771

METHAMPHETAMINE PULMONARY TOXICITY: A RARE COMPLICATION OF A COMMON DRUG OF ABUSE

Case Presentation: A 52-year-old woman presented with the subacute onset of exertional dyspnea and non-productive cough.  The patient admitted to smoking 10 cigarettes daily, and described the regular use of inhaled (smoked) methamphetamine. Physical exam [...]

By | 2017-04-20T15:57:13-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on METHAMPHETAMINE PULMONARY TOXICITY: A RARE COMPLICATION OF A COMMON DRUG OF ABUSE

HM2017 Abstract Number: 770

HYPOKALEMIC PERIODIC PARALYSIS: A RARE AND TREATABLE FORM OF ACUTE PROFOUND WEAKNESS

Case Presentation: A 43-year old man presented with the acute onset of paralysis.  The patient had helped a sibling move heavy furniture throughout the day prior to admission.  He awoke from sleep that evening unable [...]

By | 2017-04-20T15:57:14-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HYPOKALEMIC PERIODIC PARALYSIS: A RARE AND TREATABLE FORM OF ACUTE PROFOUND WEAKNESS

HM2017 Abstract Number: 769

GABAPENTIN TOXICITY PRESENTING AS CHOREOATHETOSIS

Case Presentation: A 75 year-old man presented with a four week history of worsening involuntary movements, primarily involving his arms.  The movements had initially been minimal, but by the time of presentation had become disabling. [...]

By | 2017-04-20T15:57:16-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on GABAPENTIN TOXICITY PRESENTING AS CHOREOATHETOSIS

HM2017 Abstract Number: 768

GOOD’S SYNDROME PRESENTING AS EMPYEMA THORACIS

Case Presentation: A 76-year-old female with a history of chronic sinusitis presented with fever and cough. Physical exam was remarkable for temperature of 102° F and diminished breath sounds in the left base. WBC was [...]

By | 2017-04-20T15:57:17-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on GOOD’S SYNDROME PRESENTING AS EMPYEMA THORACIS

HM2017 Abstract Number: 767

AN UNUSUAL CASE OF PERICARDITIS

Case Presentation: A 27-year-old man with a past medical history of ulcerative colitis (UC) presented to the hospital with pleuritic chest pain. It had been ongoing for 6 days with no alleviating or aggravating factors.  [...]

By | 2017-04-20T15:57:19-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNUSUAL CASE OF PERICARDITIS

HM2017 Abstract Number: 766

UROGENITAL SCHISTOSOMIASIS CAUSING BRAIN LESION

Case Presentation: A 19-year-old male with a past medical history of malaria and recent immigration to the U.S. from Somalia presented with a witnessed episode of tonic-clonic seizure. He had no history of seizure disorder, [...]

By | 2017-04-20T15:57:20-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on UROGENITAL SCHISTOSOMIASIS CAUSING BRAIN LESION

HM2017 Abstract Number: 765

A LESS ‘A’PPARENT CAUSE FOR CHEST PAIN IN A 33 YEAR-OLD MALE

Case Presentation: A 33-year-old patient with a history of ST-elevation myocardial infarction (STEMI) requiring 2 cardiac stents at the age of 30, presented with intermittent substernal chest pressure.  He denied a previous history of nicotine, [...]

By | 2017-04-25T23:16:11-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A LESS ‘A’PPARENT CAUSE FOR CHEST PAIN IN A 33 YEAR-OLD MALE

HM2017 Abstract Number: 763

DOUBLE-POSITIVE ANTI-PR3 AND ANTI-GBM ANTIBODIES IN AN OVERLAP PULMONARY-RENAL SYNDROME

Case Presentation: A 22-year-old male with no PMH or FH of autoimmune diseases and no substance use history presented with several days of worsening dyspnea, pleuritic chest pain, cough and hemoptysis. On evaluation, his vital [...]

By | 2017-04-20T15:54:31-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on DOUBLE-POSITIVE ANTI-PR3 AND ANTI-GBM ANTIBODIES IN AN OVERLAP PULMONARY-RENAL SYNDROME

HM2017 Abstract Number: 762

PSEUDOMALIGNANT GRANULOMAS IN ANCA-NEGATIVE GRANULOMATOSIS WITH POLYANGIITIS

Case Presentation: A 52-year-old female with no PMH or FH of autoimmune diseases and no substance use history presented with worsening dyspnea, dry cough and brownish nasal discharge over several weeks. On physical examination, vital [...]

By | 2017-04-20T15:54:33-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PSEUDOMALIGNANT GRANULOMAS IN ANCA-NEGATIVE GRANULOMATOSIS WITH POLYANGIITIS

HM2017 Abstract Number: 761

WHEN CANCER ISN’T THE ANSWER: NEUROSARCOIDOSIS MASQUERADING AS MALIGNANCY IN A PATIENT WITH HISTORY OF BREAST CANCER

Case Presentation: A 59-year-old woman with a history of ductal carcinoma in situ status post mastectomy presented with dizziness exacerbated by change of head position. Patient endorsed a history of intermittent dizziness in the past [...]

By | 2017-04-20T15:54:35-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on WHEN CANCER ISN’T THE ANSWER: NEUROSARCOIDOSIS MASQUERADING AS MALIGNANCY IN A PATIENT WITH HISTORY OF BREAST CANCER

HM2017 Abstract Number: 759

DON’T LUES YOUR COOL

Case Presentation: A 38-year-old man with a history of intravenous drug use presented with right-sided head swelling for three weeks. A 4 cm nodule was noted over the right temple. A new diagnosis of HIV [...]

By | 2017-04-20T15:54:40-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on DON’T LUES YOUR COOL

HM2017 Abstract Number: 758

THE SOONER THE BETTER: A CASE OF SMALL BOWEL OBSTRUCTION

Case Presentation: A 56-year-old male presented with acute crampy, diffuse abdominal pain, distension, constipation and nausea. Last year, he had similar episode that was clinically diagnosed as diverticulitis and managed conservatively. Other review of systems [...]

By | 2017-04-20T15:54:41-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE SOONER THE BETTER: A CASE OF SMALL BOWEL OBSTRUCTION

HM2017 Abstract Number: 757

A CASE OF REVERSIBLE CEREBRAL VASOCONSTRICTION SYNDROME IN A PATIENT WITH SYSTEMIC LUPUS ERYTHEMATOSUS

Case Presentation: A 41- year old female with history of hypertension was admitted to our hospital with complaints of intermittent diffuse abdominal pain, diarrhea, and generalized rash. Vital signs were normal. Physical examination was notable [...]

By | 2017-04-25T21:15:21-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF REVERSIBLE CEREBRAL VASOCONSTRICTION SYNDROME IN A PATIENT WITH SYSTEMIC LUPUS ERYTHEMATOSUS

HM2017 Abstract Number: 756

BREAKDOWN ON THE MAT: A RARE CASE OF EARLY ADULT-ONSET DERMATOMYOSITIS

Case Presentation: An 18 year-old man presented with two months of progressive weakness and dysphagia. He was previously active in high school wrestling and weightlifting but is now unable to participate in either due to [...]

By | 2017-04-20T15:54:45-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on BREAKDOWN ON THE MAT: A RARE CASE OF EARLY ADULT-ONSET DERMATOMYOSITIS

HM2017 Abstract Number: 754

VISCERAL KAPOSI SARCOMA: AN UNDER-RECOGNIZED CAUSE OF GI BLEEDING IN THE IMMUNOSUPPRESSED

Case Presentation: A 52-year-old man originally from West Africa presented with two episodes of hematemesis over one day and with intermittent diffuse abdominal pain and fatigue over one week. He is a known HIV/AIDS patient [...]

By | 2017-04-20T15:54:48-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on VISCERAL KAPOSI SARCOMA: AN UNDER-RECOGNIZED CAUSE OF GI BLEEDING IN THE IMMUNOSUPPRESSED

HM2017 Abstract Number: 753

WILD WILD WEST! TWO CASE REPORTS OF WEST NILE VIRUS ENCEPHALITIS IN A TEXAS UNIVERSITY HOSPITAL

Case Presentation: Case 1- 83 year old male with past medical history of knee surgeries and lumbar laminectomy presented with acute onset of fever, confusion and left lower extremity weakness for the past three days. Physical [...]

By | 2017-04-20T15:54:50-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on WILD WILD WEST! TWO CASE REPORTS OF WEST NILE VIRUS ENCEPHALITIS IN A TEXAS UNIVERSITY HOSPITAL

HM2017 Abstract Number: 752

PROFOUND TYPE B INSULIN RESISTANCE

Case Presentation: A 29-year-old African American man presented as a transfer from an outside hospital for uncontrolled diabetic ketoacidosis. Two months prior to admission he was diagnosed with ketosis prone type 2 diabetes mellitus. On [...]

By | 2017-04-20T15:54:52-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PROFOUND TYPE B INSULIN RESISTANCE

HM2017 Abstract Number: 751

THROMBOTIC THROMBOCYTOPENIC PURPURA AFTER AN EPISODE OF SEVERE CLOSTRIDIUM DIFFICILE COLITIS

Case Presentation: A 47-year-old woman presented with abdominal pain, diarrhea, hematochezia, and fever. Medical history consisted of a previous episode of diverticulitis and a right partial nephrectomy due to Renal Cell Carcinoma. On physical examination, [...]

By | 2017-04-20T15:54:54-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THROMBOTIC THROMBOCYTOPENIC PURPURA AFTER AN EPISODE OF SEVERE CLOSTRIDIUM DIFFICILE COLITIS

HM2017 Abstract Number: 750

A RARE CAUSE OF A COMMON PRESENTATION: CHRONIC BACK PAIN SECONDARY TO BRUCELLOSIS

Case Presentation: A 62-year-old man presented with progressive lower back pain for six months’ duration. He noticed significant weight loss, occasional sweats, and subjective fevers. No significant neurological symptoms or any other significant complaints. Patient [...]

By | 2017-04-24T10:40:50-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE CAUSE OF A COMMON PRESENTATION: CHRONIC BACK PAIN SECONDARY TO BRUCELLOSIS

HM2017 Abstract Number: 748

AN UNUSUAL CASE OF RENAL CELL CARCINOMA PRESENTING AS DIGITAL ACROMETASTASIS

Case Presentation: A 47-year-old Caucasian male presented with left ankle pain and swelling for 3 weeks. He denied history of trauma. He was treated for gout with minimal improvement. X-ray of ankle did not show [...]

By | 2017-04-20T15:58:54-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNUSUAL CASE OF RENAL CELL CARCINOMA PRESENTING AS DIGITAL ACROMETASTASIS

HM2017 Abstract Number: 747

AN UNUSUAL CASE OF MPO-ANCA GLOMERULONEPHRITIS AND MEMBRANOUS NEPHROPATHY DUE TO HYDRALAZINE

Case Presentation: A 85-year-old Caucasian female presented with nausea, vomiting and generalized weakness for three weeks. She denied any diarrhea, bloody stools or abdominal pain. Review of systems was positive for weight loss of 20 [...]

By | 2017-04-20T15:58:55-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNUSUAL CASE OF MPO-ANCA GLOMERULONEPHRITIS AND MEMBRANOUS NEPHROPATHY DUE TO HYDRALAZINE

HM2017 Abstract Number: 746

DROWSY PATIENT: METABOLIC ENCEPHALOPATHY OR THALAMIC STROKE

Case Presentation: A 52-year-old African American male with a history of Diabetes Mellitus Type 2, Hypertension, and Hyperlipidemia presented to the Emergency Department with complaints of dizziness and fluctuating level of consciousness. He was on [...]

By | 2017-04-20T15:58:57-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on DROWSY PATIENT: METABOLIC ENCEPHALOPATHY OR THALAMIC STROKE

HM2017 Abstract Number: 745

ABDOMINAL COMPARTMENT SYNDROME DUE TO SEVERE ACUTE PANCREATITIS

Case Presentation: A 55-year-old previously healthy Caucasian male was transferred from a regional hospital after one week stay for worsening ileus in the setting of gall stone related acute pancreatitis. Vital signs were remarkable for [...]

By | 2017-04-20T15:58:58-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ABDOMINAL COMPARTMENT SYNDROME DUE TO SEVERE ACUTE PANCREATITIS

HM2017 Abstract Number: 744

TWISTED HANDS WITH TWISTED EATING HABITS- A CASE OF CLASSIC CARPOPEDAL SPASM IN A BULIMIC PATIENT

Case Presentation: A 36 year-old female with history of bulimia nervosa, bipolar disorder and borderline personality disorder presented to the emergency department after she woke up with painful spasm of bilateral hands. She had been [...]

By | 2017-04-20T15:59:00-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on TWISTED HANDS WITH TWISTED EATING HABITS- A CASE OF CLASSIC CARPOPEDAL SPASM IN A BULIMIC PATIENT

HM2017 Abstract Number: 742

CHRONIC MYELOGENOUS LEUKEMIA PRESENTING AS INCIDENTAL EXTREME THROMBOCYTOSIS

Case Presentation: A 48 year-old woman presented to the emergency room with dizziness following five episodes of black stool. She had otherwise been well and denied prior episodes. Her admission labs were notable for hemoglobin [...]

By | 2017-04-20T15:59:04-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CHRONIC MYELOGENOUS LEUKEMIA PRESENTING AS INCIDENTAL EXTREME THROMBOCYTOSIS

HM2017 Abstract Number: 741

NARROW COMPLEX VENTRICULAR TACHYCARDIA

Case Presentation: A 61-year-old male with past medical history of hypertension, hyperlipidemia and coronary artery disease presented with sustained tachycardia. His history was remarkable for ST segment elevation myocardial infarction (MI) and had a stent [...]

By | 2017-04-20T15:59:06-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on NARROW COMPLEX VENTRICULAR TACHYCARDIA

HM2017 Abstract Number: 740

CYTOMEGALOVIRUS ESOPHAGITIS AND DUODENITIS IN IMMUNOCOMPETENT PATIENT

Case Presentation: A 80-year-old female with a past medical history of diabetes mellitus, hypertension and coronary artery disease status post stenting 4 years ago presented with coffee ground emesis, epigastric pain, dysphagia and melena. On [...]

By | 2017-04-20T15:59:08-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CYTOMEGALOVIRUS ESOPHAGITIS AND DUODENITIS IN IMMUNOCOMPETENT PATIENT

HM2017 Abstract Number: 738

TOO SWEET TO TREAT, LEDISPAVIR/SOFOSBUVIR INDUCED DIABETES MELLITUS IN PATIENT RECEIVING TENOFOVIR

Case Presentation: A 55 year old non obese African American male with the past medical history of HIV on tenofovir/emtricitabine/efavirenz and HCV genotype 1 infection who was being treated with ledipasvir/sofosbuvir came in with complaints [...]

By | 2017-04-20T15:59:36-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on TOO SWEET TO TREAT, LEDISPAVIR/SOFOSBUVIR INDUCED DIABETES MELLITUS IN PATIENT RECEIVING TENOFOVIR

HM2017 Abstract Number: 737

CLASSICAL HODGKIN’S LYMPHOMA PRESENTING AS ACUTE CHOLANGITIS

Case Presentation: A 54-year-old Hispanic woman presented with 5 days of subjective fevers, jaundice, nausea, vomiting, and right-sided abdominal pain. On presentation, she was febrile with borderline hypotension and tachycardia, abdominal tenderness, and laboratory values notable for [...]

By | 2017-04-20T15:59:38-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CLASSICAL HODGKIN’S LYMPHOMA PRESENTING AS ACUTE CHOLANGITIS

HM2017 Abstract Number: 736

LEMIERRE’S SYNDROME: A POTENTIALLY DEADLY SORE THROAT

Case Presentation: A healthy 25-year-old man presented with 8 days of progressively worsening sore throat, fever and neck swelling which were unresponsive to 2 outpatient courses of clarithromycin.  On presentation, he was febrile, tachycardic, hypotensive, [...]

By | 2017-04-20T15:59:40-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on LEMIERRE’S SYNDROME: A POTENTIALLY DEADLY SORE THROAT

HM2017 Abstract Number: 735

FATAL DUODENAL ULCERATION: CML ACUTE BLAST CRISIS PRESENTING AS EXTRAMEDULLARY MYELOID SARCOMA

Case Presentation: A 36-year-old African American male, with accelerated phase Philadelphia chromosome positive CML  on dasatinib, presented to a community hospital with abdominal pain, distention, and melenic stools 10 days after being discharged.  During the [...]

By | 2017-04-20T15:59:42-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FATAL DUODENAL ULCERATION: CML ACUTE BLAST CRISIS PRESENTING AS EXTRAMEDULLARY MYELOID SARCOMA

HM2017 Abstract Number: 733

DISSECTING A FATAL SLIP

Case Presentation: A 60 year-old woman with chronic mesenteric ischemia was admitted for symptomatic inferior mesenteric artery (IMA) stenosis. She underwent IMA stent placement with a postoperative course notable for abdominal pain and nausea. Two [...]

By | 2017-04-20T15:59:47-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on DISSECTING A FATAL SLIP

HM2017 Abstract Number: 732

A CONVINCING MYOCARDIAL INFARCTION MASQUERADER

Case Presentation: We present a 47 year-old male who experienced chest discomfort and a syncopal episode.  He was found to be in ventricular tachycardia and was immediately electrocardioverted.  Afterwards his symptoms resolved and he was [...]

By | 2017-04-20T15:59:49-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CONVINCING MYOCARDIAL INFARCTION MASQUERADER

HM2017 Abstract Number: 731

UNILATERAL ADRENAL HYPERPLASIA: AN UNUSUAL PRESENTATION OF PRIMARY ALDOSTERONISM AND HYPERTENSIVE EMERGENCY

Case Presentation: A 54-year-old African American woman presented with complaints of headache, blurred vision, and progressive bilateral leg swelling for the past week. This was her 4th visit to the hospital in 4 months with similar [...]

By | 2017-04-20T15:59:50-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on UNILATERAL ADRENAL HYPERPLASIA: AN UNUSUAL PRESENTATION OF PRIMARY ALDOSTERONISM AND HYPERTENSIVE EMERGENCY

HM2017 Abstract Number: 730

NOT ALWAYS BENIGN: A CASE OF END-STAGE RENAL FAILURE IN SJOGREN SYNDROME

Case Presentation: A 45-year-old woman presented to our hospital for evaluation of chronic kidney disease. Three years earlier, she had been diagnosed at an outside institution with Sjögren's syndrome after developing sicca symptoms with positive [...]

By | 2017-04-20T15:59:53-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on NOT ALWAYS BENIGN: A CASE OF END-STAGE RENAL FAILURE IN SJOGREN SYNDROME

HM2017 Abstract Number: 729

HYPONATREMIC RHABDO?!

Case Presentation: A 60 year old woman with a history of hypertension and low back pain was brought it by family after she was found unresponsive in bed.  According to the patient’s family, at baseline [...]

By | 2017-04-20T15:59:55-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HYPONATREMIC RHABDO?!

HM2017 Abstract Number: 727

A RARE PRESENTATION OF ACUTE MYELOID LEUKEMIA PRESENTING WITH RAPIDLY PROGRESSIVE LEUKEMIC ASCITES

Case Presentation: A 46 year-old healthy man presented to urgent care with 4 weeks of abdominal distension, epigastric pain and a 10lbs weight loss. CT of the abdomen and pelvis showed a soft tissue mass [...]

By | 2017-04-20T16:00:44-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE PRESENTATION OF ACUTE MYELOID LEUKEMIA PRESENTING WITH RAPIDLY PROGRESSIVE LEUKEMIC ASCITES

HM2017 Abstract Number: 725

A PECULIAR CASE OF ELEVATED PSA AND THE PANCREAS

Case Presentation: 64 year old male with history of stage 4 prostate cancer status post radiosurgery and hormonal therapy in remission for 6 months presented with 1 month of left upper quadrant and epigastric pain [...]

By | 2017-04-25T23:20:25-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A PECULIAR CASE OF ELEVATED PSA AND THE PANCREAS

HM2017 Abstract Number: 724

RECURRENT METASTATIC HEMANGIOPERICYTOMA PRESENTING AS REFRACTORY HYPOGLYCEMIA

Case Presentation: 62 year-old female with a history of intracranial hemangiopericytoma admitted to the ICU with altered mental status due to profound hypoglycemia. She was previously diagnosed six years prior with intracranial hemangiopericytoma and treated [...]

By | 2017-04-20T16:00:50-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on RECURRENT METASTATIC HEMANGIOPERICYTOMA PRESENTING AS REFRACTORY HYPOGLYCEMIA

HM2017 Abstract Number: 723

I CANNOT LIFT MY LEFT FOOT: A POSSIBLE ASSOCIATION OF MONTELUKAST AND CHURG STRAUSS IN ASTHMATIC PATIENTS

Case Presentation: A 62-year old female with history of severe persistent asthma on chronic steroid and montelukast, allergic rhinitis, and peripheral neuropathy who presented with a two- month history of worsening left foot weakness. On [...]

By | 2017-04-20T16:00:52-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on I CANNOT LIFT MY LEFT FOOT: A POSSIBLE ASSOCIATION OF MONTELUKAST AND CHURG STRAUSS IN ASTHMATIC PATIENTS

HM2017 Abstract Number: 722

STREPTOCOCCUS VIRIDANS , NOT ALWAYS A CONTAMINANT, NOT ALWAYS A COMMENSAL

Case Presentation: A 75 year-old man presented with one week of worsening altered mental status and recurrent falls. He also reported dyspnea, non-productive cough and chills of similar duration.  He had history of DM2 well [...]

By | 2017-04-20T16:00:54-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on STREPTOCOCCUS VIRIDANS , NOT ALWAYS A CONTAMINANT, NOT ALWAYS A COMMENSAL

HM2017 Abstract Number: 721

POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES) IN A CASE OF PAUCI-IMMUNE NECROTIZING AND CRESCENTIC GLOMERULONEPHRITIS (PICGN)

Case Presentation: A 59 year-old female with past medical history of Hashimoto's thyrotoxicosis was admitted because of fatigue, myalgia, acute renal injury with hematuria and proteinuria, positive p-ANCA, positive stool guaiac test, and elevated inflammatory [...]

By | 2017-04-20T16:00:55-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES) IN A CASE OF PAUCI-IMMUNE NECROTIZING AND CRESCENTIC GLOMERULONEPHRITIS (PICGN)

HM2017 Abstract Number: 720

MYXEDEMA ASCITES: A RARE COMPLICATION OF HYPOTHYROIDISM

Case Presentation: A 66-year-old man was admitted with abdominal distension, fatigue and dyspnea. Six months prior he underwent elective repair of his aortic valve with a post-operative course complicated by a recurrent right sided exudative [...]

By | 2017-04-20T16:00:57-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on MYXEDEMA ASCITES: A RARE COMPLICATION OF HYPOTHYROIDISM

HM2017 Abstract Number: 719

AN UNFORTUNATE CASE OF STATIN-INDUCED RHABDOMYOLYSIS IN A PATIENT WITH LIVER CIRRHOSIS

Case Presentation: A 55-year-old male with a history of coronary artery disease status post percutaneous intervention, tobacco abuse, hepatitis C, and liver cirrhosis presented to an outside hospital with severe fatigue and weakness. One month [...]

By | 2017-04-20T16:00:59-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNFORTUNATE CASE OF STATIN-INDUCED RHABDOMYOLYSIS IN A PATIENT WITH LIVER CIRRHOSIS

HM2017 Abstract Number: 718

THYROID STORM MIMICKING INTRA-ABDOMINAL SEPSIS IN A YOUNG FEMALE

Case Presentation: A 38 year old lady with past medical history of recurrent kidney stones presented to the emergency department with a 1 day history of lethargy, confusion, and severe right sided abdominal pain. She [...]

By | 2017-04-21T00:34:49-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts, Finalist Poster|Comments Off on THYROID STORM MIMICKING INTRA-ABDOMINAL SEPSIS IN A YOUNG FEMALE

HM2017 Abstract Number: 717

A RARE CASE OF CANDIDA TROPICALIS CAUSING NATIVE AORTIC VALVE ENDOCARDITIS IN AN IMMUNOCOMPETENT HOST

Case Presentation: A 47-year-old immunocompetent male with a medical history significant for active intravenous heroin abuse presented to the hospital with fever and respiratory distress. On admission, he was diaphoretic, febrile, and hypoxemic with an [...]

By | 2017-04-20T16:01:52-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE CASE OF CANDIDA TROPICALIS CAUSING NATIVE AORTIC VALVE ENDOCARDITIS IN AN IMMUNOCOMPETENT HOST

HM2017 Abstract Number: 715

SYMPTOMATIC BRADYCARDIA FROM CAROTID SINUS SYNDROME

Case Presentation: Our patient is a 50-year-old woman admitted to the hospitalist service with a presumptive diagnosis of syncope. The day prior to admission, she developed intermittent pre-syncopal episodes without clear inciting factors. Symptoms were [...]

By | 2017-04-20T16:01:56-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SYMPTOMATIC BRADYCARDIA FROM CAROTID SINUS SYNDROME

HM2017 Abstract Number: 714

RASH IDEAS: FEVER AND PSYCHOSIS

Case Presentation: A fifty-nine year old female presented with a nine-day history of low-grade fevers, headache, myalgia, weakness, and waxing and waning confusion.  Collateral history from family described intermittent psychotic symptoms including auditory and visual [...]

By | 2017-04-20T16:01:58-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on RASH IDEAS: FEVER AND PSYCHOSIS

HM2017 Abstract Number: 713

A TOUGH PILL TO SWALLOW: A RARE CASE OF ESOPHAGEAL LICHEN PLANUS

Case Presentation: A 51 year old woman with lichen planus presented with dysphagia to solids and liquids, excess oral secretions, and globus sensation for three days. Her history included hypothyroidism, GERD, and episodic dysphagia for [...]

By | 2017-04-20T16:01:59-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A TOUGH PILL TO SWALLOW: A RARE CASE OF ESOPHAGEAL LICHEN PLANUS

HM2017 Abstract Number: 712

A COLONIC CAUSE OF MENINGITIS

Case Presentation: Our patient is a 35 years old Mexican male with a history of HIV infection. He is compliant with anti-retroviral therapy and also has a history of alcohol abuse. He presented to the [...]

By | 2017-04-25T21:17:15-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A COLONIC CAUSE OF MENINGITIS

HM2017 Abstract Number: 711

APICAL HYPERTROPHIC CARDIOMYOPATHY – A RARE AND BENIGN VARIANT OF HYPERTROPHIC CARDIOMYOPATHY

Case Presentation:   An 87-year-old female presented to the emergency department (ED) complaining of chest PAIN (CP).  Her PMH includes hypothyroidism and rosacea. While shopping, patient developed sudden onset crushing central CP that prevented her [...]

By | 2017-04-20T16:02:03-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on APICAL HYPERTROPHIC CARDIOMYOPATHY – A RARE AND BENIGN VARIANT OF HYPERTROPHIC CARDIOMYOPATHY

HM2017 Abstract Number: 710

DEFECATE WITH A LIMPING GAIT

Case Presentation: An 84-year-old Caucasian female presented with 3 days of profuse, watery diarrhea and right knee pain. She had been hospitalized for bronchitis a few weeks ago, treated with amoxicillin-clavulanic acid and discharged. There [...]

By | 2017-04-20T16:02:05-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on DEFECATE WITH A LIMPING GAIT

HM2017 Abstract Number: 708

A CASE OF ALLOPURINOL-INDUCED DRESS SYNDROME

Case Presentation: We present the case of a 57-year-old male with gouty arthritis who presented with a diffuse body rash. The rash initially began as red spots on his face, which then became confluent and [...]

By | 2017-04-25T17:22:23-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF ALLOPURINOL-INDUCED DRESS SYNDROME

HM2017 Abstract Number: 707

THE LOST BATTLE AGAINST OPIOID ADDICTION: A CASE OF IBOGAINE USE

Case Presentation: A 26 year old man with past medical history of obstructive sleep apnea and oxycodone abuse presented to the emergency department after cardiac arrest. According to family members, the patient was seen ingesting [...]

By | 2017-04-20T16:02:41-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE LOST BATTLE AGAINST OPIOID ADDICTION: A CASE OF IBOGAINE USE

HM2017 Abstract Number: 706

COR TRIATRIATUM AND ATRIAL FIBRILLATION

Case Presentation: A 63 year-old woman with history of untreated hyperthyroidism presents to the emergency room with an outpatient abnormal ECG showing atrial fibrillation with rapid ventricular response. At the time, the patient was complaining [...]

By | 2017-04-20T16:02:44-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on COR TRIATRIATUM AND ATRIAL FIBRILLATION

HM2017 Abstract Number: 705

PULMONARY LEUKEMIC INFILTRATE; AN UNUSUAL CAUSE OF VENTILATOR DEPENDENT RESPIRATORY FAILURE

Case Presentation: A 73 year-old African-American female with history Rai Stage 3 Chronic Lymphocytic Leukemia (CLL), not on any treatment was admitted with sepsis secondary to cellulitis of right leg. On the seventh day of [...]

By | 2017-04-20T16:02:46-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PULMONARY LEUKEMIC INFILTRATE; AN UNUSUAL CAUSE OF VENTILATOR DEPENDENT RESPIRATORY FAILURE

HM2017 Abstract Number: 704

OROLINGUAL ANGIOEDEMA AFTER TISSUE PLASMINOGEN ACTIVATOR ADMINISTRATION: A CASE REPORT

Case Presentation: An 88-year-old African American male with past medical history of chronic kidney disease stage IV, hypertension, atrial fibrillation, and gout presented to Methodist Dallas Medical Center emergency room on 5/13/2015 with acute onset [...]

By | 2017-04-20T16:02:48-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on OROLINGUAL ANGIOEDEMA AFTER TISSUE PLASMINOGEN ACTIVATOR ADMINISTRATION: A CASE REPORT

HM2017 Abstract Number: 702

ENDOCARDITIS WITH STREPTOCOCCUS ZOOEPIDEMICUS: EQUINE ZOONOTIC TRANSMISSION

Case Presentation: The patient is a 61-year-old, Native American female with history of bioprosthetic mitral valve, presenting with increased dyspnea, cough, diarrhea, and fever for two weeks. Ceftriaxone and azithromycin were started for right middle [...]

By | 2017-04-20T16:02:53-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ENDOCARDITIS WITH STREPTOCOCCUS ZOOEPIDEMICUS: EQUINE ZOONOTIC TRANSMISSION

HM2017 Abstract Number: 701

BILATERAL SEPTIC PULMONARY ARTERY PSEUDOANEURYSMS (PAP): A RARE COMPLICATION OF SEPTIC ENDOCARDITIS

Case Presentation: The patient is a 29 year old woman with a history of intravenous drug abuse, admitted six weeks postpartum for MSSA bacteremia and tricuspid valve endocarditis (4 x 2.5 cm vegetation) complicated by [...]

By | 2017-04-20T16:02:55-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on BILATERAL SEPTIC PULMONARY ARTERY PSEUDOANEURYSMS (PAP): A RARE COMPLICATION OF SEPTIC ENDOCARDITIS

HM2017 Abstract Number: 700

MASTOCYTOSIS PRESENTATION WITH SKIN, BONE AND SYSTEMIC INVOLVEMENT

Case Presentation: A 70-year-old healthy active male with past medical history of Hypertension and tobacco use 1 pack per day, presented with flushing, weakness, pre-syncope, skin hives, diarrhea, shortness of breath and unintentional 20 pounds [...]

By | 2017-04-20T16:02:56-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on MASTOCYTOSIS PRESENTATION WITH SKIN, BONE AND SYSTEMIC INVOLVEMENT

HM2017 Abstract Number: 699

GUILLAIN BARRE PRESENTATION WITH ANCA POSITIVE GRANULOMATOSIS WITH POLYANGIITIS

Case Presentation: An 88 year old female with no past medical history presented to the ED with low back pain, chronic cough and one episode of pinkish sputum.  Chest CT showed bilateral nodular lesions. Serological [...]

By | 2017-04-20T16:02:58-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on GUILLAIN BARRE PRESENTATION WITH ANCA POSITIVE GRANULOMATOSIS WITH POLYANGIITIS

HM2017 Abstract Number: 698

THE WRONGLY ACCUSED: RECURRENT PNEUMONIA

Case Presentation: The patient is a 42 year old male with HIV (CD4 116, VL 33K) with poor adherence to antiretroviral therapy who presented to clinic with 3-6 months of anorexia and one week of [...]

By | 2017-04-20T16:03:49-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE WRONGLY ACCUSED: RECURRENT PNEUMONIA

HM2017 Abstract Number: 697

ROWDY RASBURICASE

Case Presentation: A 67 year old African American man with extensive stage small cell neuroendocrine lung cancer presented to the ED with one month of shortness of breath. On exam, he was in mild distress [...]

By | 2017-04-20T16:03:51-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ROWDY RASBURICASE

HM2017 Abstract Number: 696

TOO MUCH PRESSURE!

Case Presentation: A 54-year-old male was diagnosed with left renal pelvic, caliceal and ureteral transitional cell carcinoma(CA) 3 years before presentation. Patient had a history of transitional cell CA of the bladder that had extended [...]

By | 2017-04-20T16:03:54-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on TOO MUCH PRESSURE!

HM2017 Abstract Number: 695

TRYING IN VEIN: A CASE OF MALIGNANCY INDUCED THROMBOTIC MICROANGIOPATHY

Case Presentation: A 72 year old man with esophageal adenocarcinoma presented with five days of progressive exertional dyspnea and a “grabbing” sensation in his chest. He had started FOLFOX two weeks prior to presentation for [...]

By | 2017-04-20T16:03:56-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on TRYING IN VEIN: A CASE OF MALIGNANCY INDUCED THROMBOTIC MICROANGIOPATHY

HM2017 Abstract Number: 694

RECURRENT ASCITES MISTAKEN FOR SBP, AN UNUSUAL PRESENTATION OF MYCOBACTERIAL PERITONITIS

Case Presentation: A 26 year old female with a history of morbid obesity status post lap band procedure presented with fevers, bloating, nausea and vomiting for 1 month. CT Abd/Pelvis w/o contrast demonstrated marked ascites [...]

By | 2017-04-20T16:03:57-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on RECURRENT ASCITES MISTAKEN FOR SBP, AN UNUSUAL PRESENTATION OF MYCOBACTERIAL PERITONITIS

HM2017 Abstract Number: 692

MISTAKEN CASE OF MELANOMA

Case Presentation:   64-year-old presented to the emergency room complaining of dizziness and confusion for two months prior to presentation.  Patient then developed altered mental status and he was brought to the ER.  The patient denied [...]

By | 2017-04-20T16:04:01-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on MISTAKEN CASE OF MELANOMA

HM2017 Abstract Number: 691

GRANULOMATOUS INTERSTITIAL NEPHRITIS AS A PRESENTATION OF MYCOBACTERIUM CHIMAERA PROSTHETIC VALVE ENDOCARDITIS

Introduction: Granulomatous interstitial nephritis is a rare histologic diagnosis presenting in less than 1 per cent of native kidney biopsies. Most cases are attributed to sarcoidosis, tubulointerstitial nephritis and drugs such as non-steroidal anti-inflammatory drugs [...]

By | 2017-04-20T16:04:03-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on GRANULOMATOUS INTERSTITIAL NEPHRITIS AS A PRESENTATION OF MYCOBACTERIUM CHIMAERA PROSTHETIC VALVE ENDOCARDITIS

HM2017 Abstract Number: 690

A REVERSIBLE CAUSE OF COMPLETE HEART BLOCK CAUSING CHEST PAIN AND SYNCOPE

Case Presentation: A thirty-seven year old female with past medical history of hypertension presented with syncope and chest pain. The pain was non-exertional, substernal, pressure like, associated with lightheadedness, dizziness and shortness of breath occurring [...]

By | 2017-04-20T16:04:04-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A REVERSIBLE CAUSE OF COMPLETE HEART BLOCK CAUSING CHEST PAIN AND SYNCOPE

HM2017 Abstract Number: 688

IS TUBERCULOSIS IN THE EYE OF THE BEHOLDER

Case Presentation:  A 35 year-old Chinese male with a known history of Crohn’s disease was diagnosed in 2014 and treated with nine doses of infliximab. He had normalization of his colon on follow up colonoscopy, [...]

By | 2017-04-20T16:04:45-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on IS TUBERCULOSIS IN THE EYE OF THE BEHOLDER

HM2017 Abstract Number: 687

ANTIBODY-NEGATIVE RELAPSE OF GOODPASTURE SYNDROME WITH PULMONARY HEMORRHAGE

Case Presentation: A 24-year-old African-American woman presented with nausea, flank pain, and hematuria recurring over several months. Review of symptoms and past medical history were negative. She was a current smoker. Family history was noncontributory. [...]

By | 2017-04-20T16:04:47-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ANTIBODY-NEGATIVE RELAPSE OF GOODPASTURE SYNDROME WITH PULMONARY HEMORRHAGE

HM2017 Abstract Number: 686

ESPRIT DE SPORE: AN UNCOMMON CAUSE OF RESPIRATORY FAILURE

Case Presentation: A 40-year-old man with inconsistently treated HIV infection presented with a progressive cough, dyspnea, and pleuritic chest pain over a two-week period which were associated with fevers, chills, night sweats, and a 40-pound [...]

By | 2017-04-21T00:28:01-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts, Finalist Poster|Comments Off on ESPRIT DE SPORE: AN UNCOMMON CAUSE OF RESPIRATORY FAILURE

HM2017 Abstract Number: 685

NOT A CANDID DIAGNOSIS: ACUTE ESOPHAGITIS IN AN IMMUNOCOMPETENT ADULT

Case Presentation: A 29-year-old woman with a past medical history of mild intermittent asthma treated with albuterol and morbid obesity status post gastric sleeve surgery presented to the emergency department with sharp epigastric pain of [...]

By | 2017-04-20T16:04:52-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on NOT A CANDID DIAGNOSIS: ACUTE ESOPHAGITIS IN AN IMMUNOCOMPETENT ADULT

HM2017 Abstract Number: 682

LETHAL LIVER: CLOSTRIDIUM PERFRINGENS SEPSIS SECONDARY TO PYOGENIC HEPATIC ABSCESS

Case Presentation: A 37-year-old gentleman with a history of metastatic carcinoid tumor with metastases to the liver and mediastinal lymph nodes was admitted to the hospital after presenting to the ED with three days of [...]

By | 2017-04-20T16:04:58-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on LETHAL LIVER: CLOSTRIDIUM PERFRINGENS SEPSIS SECONDARY TO PYOGENIC HEPATIC ABSCESS

HM2017 Abstract Number: 681

A RARE CASE OF GIANT CELL ARTERITIS WITH IDIOPATHIC RETROPERITONEAL FIBROSIS

Case Presentation:  A 73 year old female was diagnosed with Giant Cell Arteritis (GCA), confirmed on temporal artery biopsy. She was treated with prednisone for many years but steroid therapy was recently discontinued. 8 months [...]

By | 2017-04-20T16:05:00-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE CASE OF GIANT CELL ARTERITIS WITH IDIOPATHIC RETROPERITONEAL FIBROSIS

HM2017 Abstract Number: 680

AT THE HEART OF IT ALL

Case Presentation: A 75 year-old man presented with one month of leg swelling and early satiety. He had a history of coronary artery disease and atrial fibrillation (managed with amiodarone for the past 2 years). He [...]

By | 2017-04-20T16:05:02-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AT THE HEART OF IT ALL

HM2017 Abstract Number: 679

ABSOLUTE CD4 CELL COUNT IS NOT ALWAYS ABSOLUTE

Case Presentation: A 53-year-old man with HIV/AIDS on HAART was admitted with nausea, vomiting, diarrhea, and a right facial droop of three days duration. Six months prior to admission he had an absolute CD4 cell [...]

By | 2017-04-20T16:05:04-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ABSOLUTE CD4 CELL COUNT IS NOT ALWAYS ABSOLUTE

HM2017 Abstract Number: 678

THE CASE OF CNS VASCULITIS IN THE PATIENT WITH WALDENSTROM MACROGLOBULINEMIA

Case Presentation: A 66 year-old woman with Waldenstrom macroglobulinemia (WM), hypertension, and hyperlipidemia presented with acute altered mental status. She had been diagnosed with WM by bone marrow biopsy and was treated with rituximab, then [...]

By | 2017-04-20T16:05:36-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE CASE OF CNS VASCULITIS IN THE PATIENT WITH WALDENSTROM MACROGLOBULINEMIA

HM2017 Abstract Number: 676

RECURRENT ERYTHEMA MULTIFORME MAJOR IN A PATIENT RECEIVING ACYCLOVIR SUPPRESSIVE THERAPY FOR HERPES SIMPLEX VIRUS

Case Presentation: A 43-year-old African American female with history of Herpes Simplex Virus (HSV) induced Erythema Multiforme (EM) presented to the Emergency Department after six days of evolving oral blisters, cranio-caudal rash, odynophagia, nonproductive cough, [...]

By | 2017-04-20T16:05:41-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on RECURRENT ERYTHEMA MULTIFORME MAJOR IN A PATIENT RECEIVING ACYCLOVIR SUPPRESSIVE THERAPY FOR HERPES SIMPLEX VIRUS

HM2017 Abstract Number: 675

TOXIC SHOCK SYNDROME DUE TO RESISTANT GROUP A STREPTOCOCCUS IN THE SETTING OF INFLUENZA B COINFECTION

Case Presentation: A healthy 48-year-old male presented to the emergency department with fever, joint pain, fatigue, malaise, and oliguria. One week prior he had been seen at an urgent care clinic for fevers, chills, nasal [...]

By | 2017-04-20T16:05:42-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on TOXIC SHOCK SYNDROME DUE TO RESISTANT GROUP A STREPTOCOCCUS IN THE SETTING OF INFLUENZA B COINFECTION

HM2017 Abstract Number: 674

AN UNUSUAL CAUSE OF DYSPNEA IN A 16-YEAR-OLD PRIMIGRAVID WOMAN

Case Presentation: The patient is a 16-year-old primigravid woman with past medical history of recurrent childhood UTIs and prior treatment for right pyelonephritis with hydronephrosis at 28 weeks’ gestation. At that time she had a [...]

By | 2017-04-20T16:05:45-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNUSUAL CAUSE OF DYSPNEA IN A 16-YEAR-OLD PRIMIGRAVID WOMAN

HM2017 Abstract Number: 673

AN UNCOMMON PRESENTATION OF MYXEDEMA COMA

Case Presentation: Pericardial effusion is relatively common in patients with uncontrolled hypothyroidism, but rarely, it progresses to cardiac tamponade. We describe a case of myxedema coma presenting with cardiac tamponade.   Discussion: A 63-year-old African [...]

By | 2017-04-20T16:05:47-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNCOMMON PRESENTATION OF MYXEDEMA COMA

HM2017 Abstract Number: 672

THE LIGHT CHAIN ESCAPE PHENOMENON IN MULTIPLE MYELOMA

Case Presentation: A 68-year-old Caucasian male with intact immunoglobulin multiple myeloma (IIMM), presents with a 1-day history of fevers, confusion, and weakness. This patient’s IIMM was characterized by elevated serum IgA levels (5,186 mg/dL on [...]

By | 2017-04-20T16:05:49-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE LIGHT CHAIN ESCAPE PHENOMENON IN MULTIPLE MYELOMA

HM2017 Abstract Number: 671

PARATHYROID CRISIS SECONDARY TO PARATHYROID CARCINOMA

Case Presentation: A 42-year-old Ethiopian woman presented to the emergency department complaining of an enlarging neck mass, dysphagia, anorexia, vomiting and constipation for the previous two weeks. She had no relevant past medical or family [...]

By | 2017-04-20T16:05:51-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PARATHYROID CRISIS SECONDARY TO PARATHYROID CARCINOMA

HM2017 Abstract Number: 669

SHE’S NOT CRAZY; A CASE OF ANTI-NMDA RECEPTOR ENCEPHALITIS

Case Presentation: A 36-year-old female with no clear past medical history other than possible mood disorder presented after three days of decreased level of consciousness. Associated symptoms included body aches, fever, chills, nausea, vomiting, and [...]

By | 2017-04-20T16:05:56-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SHE’S NOT CRAZY; A CASE OF ANTI-NMDA RECEPTOR ENCEPHALITIS

HM2017 Abstract Number: 668

SWEET MOVES: A CASE OF HYPERGLYCEMIA-INDUCED HEMIBALLISM

Case Presentation: An 82-year-old man with a past medical history of coronary artery disease, atrial fibrillation, heart failure with reduced ejection fraction, stroke, non insulin-dependent diabetes mellitus and chronic kidney disease stage III presented to [...]

By | 2017-04-20T16:08:20-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SWEET MOVES: A CASE OF HYPERGLYCEMIA-INDUCED HEMIBALLISM

HM2017 Abstract Number: 667

SALMONELLA SAVED HIS LIFE!

Case Presentation: A 24 year-old male presented with chest pain and a diarrheal illness. He complained of intermittent chest pains which began two weeks prior, described as retrosternal, aggravated by lying down and improving on [...]

By | 2017-04-20T16:08:23-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SALMONELLA SAVED HIS LIFE!

HM2017 Abstract Number: 666

AN ELUSIVE ENDOCRINOPATHY POSING PERILOUS PARALYSIS

Case Presentation: A 39-year-old Hispanic male presented to his primary care physician with progressive fatigue, leg weakness, and occasional falls. His past medical history was unremarkable. A clinical diagnosis of disk herniation was made and [...]

By | 2017-04-20T16:08:25-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN ELUSIVE ENDOCRINOPATHY POSING PERILOUS PARALYSIS

HM2017 Abstract Number: 665

ACUTE CALCIFIC LONGUS COLLI TENDINITIS IN A PATIENT WITH ANTI-PHOSPHOLIPID SYNDROME

Case Presentation: 42-year-old woman with a history of pulmonary embolism and Antiphospholipid syndrome on lifelong anticoagulation with warfarin presented with severe neck pain and headache for five days. Examination revealed an ill appearing woman, febrile [...]

By | 2017-04-20T16:08:28-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ACUTE CALCIFIC LONGUS COLLI TENDINITIS IN A PATIENT WITH ANTI-PHOSPHOLIPID SYNDROME

HM2017 Abstract Number: 664

A RARE CASE OF CANDIDA ALBICANS ACALCULOUS CHOLECYSTITIS IN A PATIENT BEING TREATED FOR SEVERE CLOSTRIDIUM DIFFICILE

Case Presentation: 70 year old male admitted for a complicated UTI was placed on piperacillin / tazobactam empirically and subsequently developed abdominal distension and small bowel obstruction. He was admitted to the ICU for fulminant [...]

By | 2017-04-20T16:08:30-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE CASE OF CANDIDA ALBICANS ACALCULOUS CHOLECYSTITIS IN A PATIENT BEING TREATED FOR SEVERE CLOSTRIDIUM DIFFICILE

HM2017 Abstract Number: 663

NOT JUST COTTON FEVER: SEPTIC SHOCK IN PERSON WHO INJECTS DRUGS

Case Presentation: A 58 year-old woman with end stage liver disease due to hepatitis C virus (HCV), human immunodeficiency virus (HIV) with intermittent adherence to anti-retroviral regimen and who injects heroin presented to the emergency [...]

By | 2017-04-20T16:08:32-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on NOT JUST COTTON FEVER: SEPTIC SHOCK IN PERSON WHO INJECTS DRUGS

HM2017 Abstract Number: 662

THAT’S NO BUG BITE! A CURIOUS CASE OF VASCULITIS

Case Presentation: A 22-year-old female presented to the hospital with worsening pain and weakness in her left lower extremity. The patient reported non-healing ulcerations along her left leg and foot for the past month that [...]

By | 2017-04-20T16:08:34-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THAT’S NO BUG BITE! A CURIOUS CASE OF VASCULITIS

HM2017 Abstract Number: 660

ACUTE CORONARY SYNDROME IN A HEMOPHILIA PATIENT: A CLINICAL CHALLENGE

Case Presentation: A 68 year old male with a history of severe hemophilia (factor VIII <1%) and hypertension presented with symptoms of nausea, vomiting, severe dyspnea, diaphoresis and substernal chest pain for several days prior [...]

By | 2017-04-20T16:08:38-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ACUTE CORONARY SYNDROME IN A HEMOPHILIA PATIENT: A CLINICAL CHALLENGE

HM2017 Abstract Number: 659

INTERNAL JUGULAR VEIN THROMBOPHLEBITIS: CATHETER-RELATED OR A RARE CASE OF LEMIERRE’S SYNDROME COMPLICATED BY IMMUNOGLOBLUIN G DEFICIENCY

Case Presentation: A 66-year-old Caucasian female presented with persistent fever (38.7 degrees Celsius) and non-productive cough with onset 4 weeks prior, and despite 2 courses of antibiotics, she developed right-sided neck swelling and pain about [...]

By | 2017-04-20T16:08:41-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on INTERNAL JUGULAR VEIN THROMBOPHLEBITIS: CATHETER-RELATED OR A RARE CASE OF LEMIERRE’S SYNDROME COMPLICATED BY IMMUNOGLOBLUIN G DEFICIENCY

HM2017 Abstract Number: 658

INTRACTABLE DIARRHEA DUE TO THYROID CANCER

Case Presentation:  A 67-year-old female with a history of hypothyroidism, type II diabetes and hypertension presented with acute on chronic diarrhea.  She reported a 9-month history of profuse watery stools, up to 15 times per [...]

By | 2017-04-20T16:09:16-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on INTRACTABLE DIARRHEA DUE TO THYROID CANCER

HM2017 Abstract Number: 657

WHOOSH! (THERE IT IS)

Case Presentation: A 72-year-old woman presented with sudden onset shortness of breath at rest without associated symptoms. She had a history of hypothyroidism, atrial fibrillation, and multiple myeloma converting to acute lymphocytic lymphoma currently treated [...]

By | 2017-04-20T16:09:18-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on WHOOSH! (THERE IT IS)

HM2017 Abstract Number: 656

A RARE CAUSE OF A COMMON COMPLAINT: NECK PAIN DUE TO ACUTE CALCIFIC LONGUS COLLI TENDINITIS

Case Presentation: A 55-year-old woman presented with 7 days of progressively worsening posterior neck pain, a low grade fever, odynophagia and hoarseness of her voice. Her past medical history includes diabetes mellitus, hypertension and osteoarthritis. [...]

By | 2017-04-20T16:09:20-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE CAUSE OF A COMMON COMPLAINT: NECK PAIN DUE TO ACUTE CALCIFIC LONGUS COLLI TENDINITIS

HM2017 Abstract Number: 655

SOTALOL INDUCED DIFFUSE ALVEOLAR HEMORRHAGE

Case Presentation: A 68 year old White female with atrial fibrillation presented with worsening dyspnea and cough. She was previously followed for similar symptoms and a computed tomography (CT) scan of the chest done in [...]

By | 2017-04-20T16:09:21-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SOTALOL INDUCED DIFFUSE ALVEOLAR HEMORRHAGE

HM2017 Abstract Number: 654

PERILOUS BUT NOT PERMANENT: AN ADULT WITH ACUTE DISSEMINATED ENCEPHALOMYELITIS (ADEM)

Case Presentation: A 46-year-old female was brought to the emergency department by her husband after being found unresponsive at home. The patient had been experiencing intermittent fever episodes and dry cough for two weeks. She [...]

By | 2017-04-20T16:09:24-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PERILOUS BUT NOT PERMANENT: AN ADULT WITH ACUTE DISSEMINATED ENCEPHALOMYELITIS (ADEM)

HM2017 Abstract Number: 653

AN UNUSUAL CASE OF NEURO BEHCET’S DISEASE (NBD) WITH BOTH PARENCHYMAL AND NON- PARENCHYMAL MANIFESTATIONS

Case Presentation: A 25-year-old man presented with 2 days of left arm weakness and unsteadiness. Four years prior, he presented with three separate episodes of oral and scrotal ulcers. Two years later he developed pericarditis. [...]

By | 2017-04-20T16:09:25-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNUSUAL CASE OF NEURO BEHCET’S DISEASE (NBD) WITH BOTH PARENCHYMAL AND NON- PARENCHYMAL MANIFESTATIONS

HM2017 Abstract Number: 650

ICE, ICE BABY

Case Presentation: 60 y/o African American male with h/o chronic esophageal strictures s/p multiple esophageal dilations presented to the ER with complaints of weakness and dizziness. He met criteria for sepsis with possible source as [...]

By | 2017-04-20T16:09:32-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ICE, ICE BABY

HM2017 Abstract Number: 649

EMERGING IMMUNOTHERAPEUTIC AGENTS AND THEIR UNDESIRED SIDE EFFECTS

Case Presentation: This is a 76-year-old woman, former heavy smoker with history of Hashimoto’s thyroiditis and breast cancer in remission. She was diagnosed with dermatomyositis in 2015 when she developed a heliotrope rash. As part [...]

By | 2017-04-20T16:09:33-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on EMERGING IMMUNOTHERAPEUTIC AGENTS AND THEIR UNDESIRED SIDE EFFECTS

HM2017 Abstract Number: 648

BULLOUS DISEASE OF DIABETES

Case Presentation: An 87 year old female with past medical history of Insulin dependent diabetes mellitus type II presented post fall with desquamative blistering lesions over lower extremities bilaterally. She noticed the lesions two days [...]

By | 2017-04-20T16:10:51-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on BULLOUS DISEASE OF DIABETES

HM2017 Abstract Number: 647

PSEUDOACHALASIA- A UNIQUE PRESENTATION OF DIFFUSE B-CELL LYMPHOMA

Case Presentation: A 76-year old male with a medical history of coronary artery disease, hypertension, and hyperlipidemia presented with worsening dysphagia and reflux over the past three months. He was diagnosed with type 2 achalasia [...]

By | 2017-04-20T16:10:53-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PSEUDOACHALASIA- A UNIQUE PRESENTATION OF DIFFUSE B-CELL LYMPHOMA

HM2017 Abstract Number: 646

HEREDITARY HEMORRHAGIC TELANGIECTASIA: BRAIN ABSCESS AS A COMPLICATION OF PULMONARY AVM

Case Presentation: 54 yo White Male with PMH of hereditary hemorrhagic telangiectasia (HHT) presented with right-sided focal neurological deficits, word finding difficulties, confusion and headache.  He was treated for a brain abscess with surgical resection [...]

By | 2017-04-21T00:29:18-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts, Finalist Poster|Comments Off on HEREDITARY HEMORRHAGIC TELANGIECTASIA: BRAIN ABSCESS AS A COMPLICATION OF PULMONARY AVM

HM2017 Abstract Number: 645

THE CASE OF THE MISTAKEN ETIOLOGY: GASTROPARESIS IN THE SETTING OF EHLERS DANLOS SYNDROME

Ehlers-Danlos syndrome (EDS) is a group of relatively rare genetic disorders of connective tissue with EDS hypermobility type 3 being by far the most common. This disease has many complications, some of which may be [...]

By | 2017-04-20T16:10:57-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE CASE OF THE MISTAKEN ETIOLOGY: GASTROPARESIS IN THE SETTING OF EHLERS DANLOS SYNDROME

HM2017 Abstract Number: 644

THE DIAGNOSIS IS NOT ALWAYS SKIN DEEP

Anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitides are systemic autoimmune diseases affecting small blood vessels.  The clinical signs and symptoms of ANCA vasculitis are nonspecific and may include multisystem manifestations.  As a result, many conditions mimic ANCA-associated [...]

By | 2017-04-20T16:10:59-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE DIAGNOSIS IS NOT ALWAYS SKIN DEEP

HM2017 Abstract Number: 643

FEVER AND LYMPHADENOPATHY IN A RETURNING TRAVELER: AN UNUSUAL PRESENTATION OF A RARE DISEASE

Case Presentation: A 19-year old Caucasian female with a history of atopic dermatitis and mild asthma developed an erythematous maculopapular rash on her bilateral palms and wrists, right-sided tender cervical lymphadenopathy, and nightly fevers and [...]

By | 2017-04-20T16:11:01-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FEVER AND LYMPHADENOPATHY IN A RETURNING TRAVELER: AN UNUSUAL PRESENTATION OF A RARE DISEASE

HM2017 Abstract Number: 642

ITS NOT ALWAYS A STONE OR CANCER !

Case Presentation: A 24 year old caucasian male with no significant past medical history was admitted with right flank pain and hematuria of 5 days duration. The pain was stabbing in chararcter, non-radiating with no [...]

By | 2017-04-20T16:11:04-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ITS NOT ALWAYS A STONE OR CANCER !

HM2017 Abstract Number: 641

THE “FORGOTTEN DISEASE”

Case Presentation: A 32-year-old man with no significant past medical history presented with one day of respiratory distress and fever, sore throat, left neck pain and cough for 3 days. He appeared acutely ill, febrile, tachycardic [...]

By | 2017-04-21T00:33:32-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts, Finalist Poster|Comments Off on THE “FORGOTTEN DISEASE”

HM2017 Abstract Number: 640

A MYSTERIOUS HEADACHE !

Case Presentation: A 69-year-old right-handed Asian male was referred to our hospital for evaluation of chronic headache of 4 months duration. On examination, he was afebrile with stable vitals and did not have any focal [...]

By | 2017-04-25T23:18:33-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A MYSTERIOUS HEADACHE !

HM2017 Abstract Number: 639

HASSLES ON THE WAY UP THE LADDER OF IMMUNITY !

Case Presentation:   A 47-year-old woman with history of immunoglobulin G (IgG) deficiency presented with severe headache, fever, vomiting, neck pain and photophobia. On the day prior to admission, she received first dose of Intravenous [...]

By | 2017-04-20T16:11:09-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HASSLES ON THE WAY UP THE LADDER OF IMMUNITY !

HM2017 Abstract Number: 637

TREATMENT OF IPILIMUMAB-INDUCED DIARRHEA IN MELANOMA PATIENT WITH HUMIRA

Case Presentation: A 79-year-old male patient with a history significant for metastatic melanoma to the right axillary lymph node and recurrent diarrhea secondary to ipilimumab-induced colitis is admitted for uncontrolled diarrhea with rectal bleeding.  He [...]

By | 2017-04-20T16:11:44-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on TREATMENT OF IPILIMUMAB-INDUCED DIARRHEA IN MELANOMA PATIENT WITH HUMIRA

HM2017 Abstract Number: 636

ISOLATED INTESTINAL TYPE ANGIOEDEMA DUE TO ACE-INHIBITOR THERAPY

Case Presentation: A 42-year-old African American woman with a history of hypertension, morbid obesity, and obstructive sleep apnea presented to the emergency department with a 12-hour history of left-sided abdominal pain, nausea and vomiting. At [...]

By | 2017-04-21T00:29:54-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts, Finalist Poster|Comments Off on ISOLATED INTESTINAL TYPE ANGIOEDEMA DUE TO ACE-INHIBITOR THERAPY

HM2017 Abstract Number: 635

QUEEN OF THE CASTLE

Case Presentation: A sixty-two year old woman presented with altered mental status, acute right-sided weakness, hypoglycemia, and acute-on-chronic kidney disease. Physical exam was also significant for lower extremity edema. A head CT demonstrated left parietal [...]

By | 2017-04-20T16:11:49-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on QUEEN OF THE CASTLE

HM2017 Abstract Number: 634

POPPERS NOT ONLY MAKE YOU HIGH: A RARE CASE OF AMYL NITRATE-INDUCED HYPOXIA

Case Presentation: A 55 year-old male with occasional cocaine use and no significant medical history presented with slurred speech for one day. Initial vital signs showed BP 122/73, HR 64, RR 18, Tm 97.2, SaO2 [...]

By | 2017-04-20T16:11:51-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on POPPERS NOT ONLY MAKE YOU HIGH: A RARE CASE OF AMYL NITRATE-INDUCED HYPOXIA

HM2017 Abstract Number: 632

ANAEROBIC INFRINGEMENT: A CASE OF A CLOSTRIDIUM PERFRINGENS EMPYEMA

Case Presentation: An 88-year-old man presented with progressively worsening shortness of breath and fever. He has a history of Stage IV squamous cell carcinoma of the lung, status post external beam and stereotactic body radiation [...]

By | 2017-04-20T16:11:54-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ANAEROBIC INFRINGEMENT: A CASE OF A CLOSTRIDIUM PERFRINGENS EMPYEMA

HM2017 Abstract Number: 630

RELAPSING FEVER-A NEAR MISS

Case Presentation: Spirochetemia—the presence of spirochetes in the blood commonly arises from infections caused by Borrelia, Leptospira, or Treponema genera. Infections with Borrelia or Leptospiral genera require a higher index of suspicion as the symptoms [...]

By | 2017-04-20T16:11:56-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on RELAPSING FEVER-A NEAR MISS

HM2017 Abstract Number: 629

YOU ARE NEVER TOO OLD: A RARE CASE OF LATE ONSET SYSTEMIC LUPUS ERYTHEMATOSUS

Case Presentation: A 66 year old Hispanic Female with hypertension, diabetes, and autoimmune hemolytic anemia (AIHA) was admitted with thrombocytopenia and acute kidney injury (AKI). Initial workup was negative for immune thrombocytopenia purpura (ITP) and [...]

By | 2017-04-20T16:11:58-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on YOU ARE NEVER TOO OLD: A RARE CASE OF LATE ONSET SYSTEMIC LUPUS ERYTHEMATOSUS

HM2017 Abstract Number: 625

A TALE OF TWO OPPORTUNISTIC INFECTIONS

Case Presentation: A 60-year-old African American male with a history of recently diagnosed focal segmental glomerulosclerosis on prednisone 60 mg daily, HTN, and diabetes mellitus type II, complicated by steroid-induced hyperglycemia, presented with one week [...]

By | 2017-04-20T16:12:32-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A TALE OF TWO OPPORTUNISTIC INFECTIONS

HM2017 Abstract Number: 624

FAINT… FALL… FLU? – SYNCOPE AS AN UNUSUAL PRESENTATION OF INFLUENZA INFECTION

Case Presentation: Case 1 is a 55 year-old healthy man who was brought to the ER after co-workers witnessed him slump down while seated and lose consciousness for 30 seconds. The patient recalled feeling “uneasy” [...]

By | 2017-04-20T16:12:34-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FAINT… FALL… FLU? – SYNCOPE AS AN UNUSUAL PRESENTATION OF INFLUENZA INFECTION

HM2017 Abstract Number: 623

PRIMARY EFFUSION LYMPHOMA: A MASS-LESS DISEASE WITH MASSIVE EFFECTS

Case Presentation: A 44 year-old man with history of anemia and HIV on antiretroviral therapy (ART) with CD4 359 presented with a 3-month history of progressive bilateral lower extremity swelling, increasing abdominal girth, and scrotal [...]

By | 2017-04-20T16:12:36-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PRIMARY EFFUSION LYMPHOMA: A MASS-LESS DISEASE WITH MASSIVE EFFECTS

HM2017 Abstract Number: 622

A 59 YEAR OLD MAN WITH ABDOMINAL PAIN, WEIGHT LOSS, AND EOSINOPHILIA

Case Presentation: A 59-year-old male with a remote history of traumatic left hemidiaphragmatic injury presented to the hospital with acute onset substernal chest pain, nausea, diarrhea, and diaphoresis while eating a hamburger. He reported a [...]

By | 2017-04-25T17:19:57-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A 59 YEAR OLD MAN WITH ABDOMINAL PAIN, WEIGHT LOSS, AND EOSINOPHILIA

HM2017 Abstract Number: 621

A CASE OF JEJUNAL PERFORATION: A DIAGNOSTIC CHALLENGE FOR HOSPITALISTS

Case Presentation: A 71 year old man with history of multiple sclerosis and gout (on Methylprednisolone) presented with weakness. Patient was diagnosed with a UTI on a recent hospital admission for fever and weakness. He [...]

By | 2017-04-25T17:26:21-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF JEJUNAL PERFORATION: A DIAGNOSTIC CHALLENGE FOR HOSPITALISTS

HM2017 Abstract Number: 619

AN UNUSUAL DERMATOLOGICAL DISEASE IN A PATIENT WITH DIABETIC KETOACIDOSIS

Case Presentation: A 49-year-old man with type 2 diabetes was admitted to our hospital because of impaired consciousness. The patient was fatigued for 10 days and had visited his primary care physician who administered an [...]

By | 2017-04-20T16:12:43-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNUSUAL DERMATOLOGICAL DISEASE IN A PATIENT WITH DIABETIC KETOACIDOSIS

HM2017 Abstract Number: 618

CHARACTERISTIC PALMOPLANTAR EXANTHEMA: NOT YET A DISEASE OF THE PAST

Case Presentation: A 51-year-old man with type 2 diabetes presented with icterus and generalized, non-pruritic, well-circumscribed, red, papular eruptions, including on his palms and soles. He had no fever, malaise, or arthralgia and no recent/current medication [...]

By | 2017-04-20T16:12:45-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CHARACTERISTIC PALMOPLANTAR EXANTHEMA: NOT YET A DISEASE OF THE PAST

HM2017 Abstract Number: 617

BILATERAL PNEUMOTHORAX DUE TO UNEXPECTED CAUSE

Case Presentation: A 51-year-old male with a past medical history of alpha-1 antitrypsin deficiency with severe emphysema status post bilateral lung transplantation presented to the pulmonary transplant clinic for follow up. On evaluation, he was [...]

By | 2017-04-20T16:13:24-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on BILATERAL PNEUMOTHORAX DUE TO UNEXPECTED CAUSE

HM2017 Abstract Number: 616

TOOTH TO LUNG: A FUSOBACTERIUM’S JOURNEY

Case Presentation: We report a 32 year old previously healthy Caucasian male who presented with fever and a sore throat. At presentation he was noted to be febrile, but examination of his throat and neck [...]

By | 2017-04-20T16:13:27-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on TOOTH TO LUNG: A FUSOBACTERIUM’S JOURNEY

HM2017 Abstract Number: 615

SUCCESSFUL MANAGEMENT OF LIFE-THREATENING ALKALOSIS WITH A PH OF 7.93

Case Presentation: We report a 58 year old Caucasian male who presented with abdominal pain, fever and intractable vomiting. Past history was significant for laparoscopic cholecystectomy three weeks earlier complicated by post-operative bile leak that [...]

By | 2017-04-20T16:13:28-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SUCCESSFUL MANAGEMENT OF LIFE-THREATENING ALKALOSIS WITH A PH OF 7.93

HM2017 Abstract Number: 614

A RARE CAUSE OF HYPOXIA TRIGGERED BY AGING

Case Presentation: An 89-year-old woman with hypertension, dementia, and vertebral fracture was admitted to another hospital because of hip pain after fall. Since she was also found to have oxygen desaturation, the patient was referred [...]

By | 2017-04-20T16:13:30-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE CAUSE OF HYPOXIA TRIGGERED BY AGING

HM2017 Abstract Number: 613

TO TPA OR NOT TPA?…THE THERAPEUTIC DILEMMA OF SYSTEMIC THROMBOLYSIS IN SUBMASSIVE PULMONARY EMBOLISM

Case Presentation: Our patient is a 24-year-old male with a family history of Antithrombin III (ATIII) deficiency and cerebral aneurysm. He was transferred to our hospital for management of syncope in the setting of a [...]

By | 2017-04-20T16:13:32-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on TO TPA OR NOT TPA?…THE THERAPEUTIC DILEMMA OF SYSTEMIC THROMBOLYSIS IN SUBMASSIVE PULMONARY EMBOLISM

HM2017 Abstract Number: 612

NOT JUST B12: A CASE OF SUBACUTE DEGENERATION OF THE DORSAL SPINE DUE TO ISOSPORA BELLI INFECTION

Case Presentation: Our patient is a 37-year-old gentleman with history of colonic Burkitt’s Lymphoma, in remission since 2010, eosinophilic colitis (on a prolonged steroid taper), CMV colitis, and common variable immunodeficiency, who presented with acute [...]

By | 2017-04-20T16:13:34-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on NOT JUST B12: A CASE OF SUBACUTE DEGENERATION OF THE DORSAL SPINE DUE TO ISOSPORA BELLI INFECTION

HM2017 Abstract Number: 611

MENINGITIS FROM THE BELT

Case Presentation: We describe a typical presentation of meningococcus meningitis, diagnosed by blood culture. A Congolese man who had recently arrived in New Mexico after living in a Tanzanian refugee camp presented with a 2-day [...]

By | 2017-04-20T16:13:37-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on MENINGITIS FROM THE BELT

HM2017 Abstract Number: 610

INFLAMMATORY POLYARTHRITIS AND PANNICULITIS AS A RARE SEQUELA OF PANCREATIC DISORDER

Case Presentation: Inflammatory polyarthritis and panniculitis are rare sequela of pancreatic disorders. This condition has been termed Polyarthritis, Panniculitis and Pancreatitis (PPP) and occurs in less than 5% of patients with underlying pancreatic disease.  A 64 [...]

By | 2017-04-20T16:13:39-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on INFLAMMATORY POLYARTHRITIS AND PANNICULITIS AS A RARE SEQUELA OF PANCREATIC DISORDER

HM2017 Abstract Number: 609

A RARE CASE OF MOYAMOYA DISEASE IN A PATIENT WITH CHRONIC HEADACHES

Case Presentation: We present a rare case of MoyamoyaDisease (MMD) in a 44-year-old Caucasian female with a medical history of severe recurrent headaches. She presented with an excruciating headache and was found to have right-sided [...]

By | 2017-04-20T16:13:41-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE CASE OF MOYAMOYA DISEASE IN A PATIENT WITH CHRONIC HEADACHES

HM2017 Abstract Number: 607

ATYPICAL PRESENTATION OF CRYPTOCOCCUS MENINGITIS IN A HIV-NEGATIVE IMMUNOSUPPRESSED PATIENT, A CASE REPORT

Case Presentation: A 56 year-old man with a history of immunosuppressive therapy with prednisone and tacrolimus for a cadaveric kidney transplant presented with 1 month of personality change and lethargy. He was also noted to [...]

By | 2017-04-20T16:14:05-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ATYPICAL PRESENTATION OF CRYPTOCOCCUS MENINGITIS IN A HIV-NEGATIVE IMMUNOSUPPRESSED PATIENT, A CASE REPORT

HM2017 Abstract Number: 605

FROM GASTROENTERITIS TO BILATERAL THALAMIC HEMORRHAGE: A CASE OF WERNICKE ENCEPHALOPATHY IN A NON-ALCOHOLIC PATIENT

Case Presentation: A 48 year-old male with a past medical history of morbid obesity, hypertension, and poorly nutritious diet consisting strictly of “pizza and chips” who presented after he was found unresponsive and incontinent of [...]

By | 2018-04-08T12:50:55-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FROM GASTROENTERITIS TO BILATERAL THALAMIC HEMORRHAGE: A CASE OF WERNICKE ENCEPHALOPATHY IN A NON-ALCOHOLIC PATIENT

HM2017 Abstract Number: 604

AN UNUSUAL PLACE TO FIND SHIGELLA

Case Presentation: A 41 year old African American man history presented with 8 months of diarrhea with tenesmus. He had no past medical history and took no home medications. He also complained of cough and [...]

By | 2017-04-20T16:14:11-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNUSUAL PLACE TO FIND SHIGELLA

HM2017 Abstract Number: 603

AUTOIMMUNE ADDISON’S DISEASE WITH HEREDITARY HEMOCHROMATOSIS

Case Presentation: A 28 year old man presented to the ED with hypotension and tachycardia. Laboratory evaluation showed hyponatremia, hyperkalemia, hematocrit of 47.4, cortisol level<0.5, ACTH elevated at 886, TSH 11.91, Free T4 1.0 and [...]

By | 2017-04-21T00:26:52-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AUTOIMMUNE ADDISON’S DISEASE WITH HEREDITARY HEMOCHROMATOSIS

HM2017 Abstract Number: 602

A CASE OF CHICKENPOX PNEUMONIA

Case Presentation: A 52 year old African American male presented to the ED complaining of dyspnea that started 1 day prior. He denied having a fever, cough, or sick contacts. On presentation the patient appeared [...]

By | 2017-04-25T17:24:34-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF CHICKENPOX PNEUMONIA

HM2017 Abstract Number: 601

A SIMPLE SKIN RASH TURNS OUT TO BE A METASTATIC BREAST CANCER, WITH NO VISCERAL DISEASE

Case Presentation: 85‑year‑old female with history of infiltrating lobular carcinoma of the left breast, initially diagnosed in 2005, status post left modified radical mastectomy, adjuvant radiation and adjuvant endocrine therapy with arimidex for 5 years that [...]

By | 2017-04-20T16:14:16-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A SIMPLE SKIN RASH TURNS OUT TO BE A METASTATIC BREAST CANCER, WITH NO VISCERAL DISEASE

HM2017 Abstract Number: 600

BRAIN INFLAMED

Case Presentation: A 62-year-old woman with a known seizure disorder was found seizing at home. She was started on anticonvulsants, given broad-spectrum antibiotics, and required intubation. Her past medical history included asthma, hypothyroidism and a [...]

By | 2017-04-20T16:14:18-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on BRAIN INFLAMED

HM2017 Abstract Number: 599

LEPTOMENINGEAL METASTASIS OF PROSTATE CANCER: A NUMBINGLY RARE PRESENTATION

Case Presentation: A 67 year old male presented to our service with right jaw pain and facial numbness. He had a past medical history that included prostatic adenocarcinoma with known bony metastases throughout his appendicular [...]

By | 2017-04-20T16:14:19-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on LEPTOMENINGEAL METASTASIS OF PROSTATE CANCER: A NUMBINGLY RARE PRESENTATION

HM2017 Abstract Number: 597

FULMINANT LEVAMISOLE INDUCED VASCULITIS WITH DEVASTATING OUTCOMES

Case Presentation: A 61-year-old African-American male with a history of hepatitis C virus, syphilis and substance abuse history presented with a 1-day history of painful, blue discoloration of toes, ears, and nose associated with exquisitely [...]

By | 2017-04-20T16:14:46-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FULMINANT LEVAMISOLE INDUCED VASCULITIS WITH DEVASTATING OUTCOMES

HM2017 Abstract Number: 595

CARDIAC MASS; AN EXTREMELY RARE PRESENTATION OF RENAL CELL CARCINOMA RECURRENCE AFTER NEPHRECTOMY

Case Presentation: A 73 year old male patient was referred to our facility for further evaluation of abnormal cardiac imaging. Patient has no prior history of coronary artery disease, has history of stage I (pT1bN0M0) [...]

By | 2017-04-20T16:14:50-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CARDIAC MASS; AN EXTREMELY RARE PRESENTATION OF RENAL CELL CARCINOMA RECURRENCE AFTER NEPHRECTOMY

HM2017 Abstract Number: 594

HEADACHE AND ULCERATIVE CLOITIS; WHAT IS THE LINK?

Case Presentation: A 62 year-old Caucasian male, with a 10-year history of ulcerative colitis (UC), presented to ER with acute onset of throbbing frontal headache for 1 day with associated photophobia and severe right eye [...]

By | 2017-04-20T16:14:52-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HEADACHE AND ULCERATIVE CLOITIS; WHAT IS THE LINK?

HM2017 Abstract Number: 593

POLY ARTERITIS NODOSA (PAN) PRESENTING AS ACUTE NECROTIZING PANCREATITIS

Case Presentation: A 65-year-old woman with history of hypertension and diabetes mellitus presented to ER with 3-day worsening abdominal pain that she was experiencing for about 4 months. Pain was sharp, mainly in periumbilical region [...]

By | 2017-04-20T16:14:54-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on POLY ARTERITIS NODOSA (PAN) PRESENTING AS ACUTE NECROTIZING PANCREATITIS

HM2017 Abstract Number: 592

LYME DISEASE SHOULD NOT ALWAYS BE THE ONE TO BLAME

Case Presentation: A 29-year-old male patient with no past medical history was admitted initially with bilateral lower extremities (LE) weakness and right side facial paralysis. Before the onset of the symptoms, he reported that he [...]

By | 2017-04-20T16:14:56-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on LYME DISEASE SHOULD NOT ALWAYS BE THE ONE TO BLAME

HM2017 Abstract Number: 591

THYROTOXIC PERIODIC PARALYSIS AS AN INITIAL PRESENTATION OF THYROTOXICOSIS

Case Presentation: A 19-year-old Caucasian man, with no past medical history presented to ER with acute onset generalized muscle weakness, more pronounced in both legs, which started upon awakening in the morning. He reported 40 [...]

By | 2017-04-20T16:14:58-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THYROTOXIC PERIODIC PARALYSIS AS AN INITIAL PRESENTATION OF THYROTOXICOSIS

HM2017 Abstract Number: 590

THE PAINFUL TALE OF AN ANOMALOUS CORONARY ARTERY

Case Presentation: A 40 year old female presents with intermittent mid-sternal squeezing chest pain, radiating to the left arm since 2 days. She denied any positional change in symptoms or family history of coronary artery [...]

By | 2017-04-20T16:15:00-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE PAINFUL TALE OF AN ANOMALOUS CORONARY ARTERY

HM2017 Abstract Number: 589

MENINGOENCEPHALITIS WITH UNCONTROLLED HYPERTENSION: A RED HERRING IN DIAGNOSING POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME

Case Presentation: An 80 year old lady presented with fever and confusion since 4 days. She denied any recent trauma, infection, dehydration, medication change, or nutrient deficiency. Her medical history was only significant for anxiety, [...]

By | 2017-04-20T16:15:02-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on MENINGOENCEPHALITIS WITH UNCONTROLLED HYPERTENSION: A RED HERRING IN DIAGNOSING POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME

HM2017 Abstract Number: 588

FLANK PAIN IN A YOUNG FEMALE – IT WASN’T PYELONEPHRITIS

Case Presentation: A 21-year-old female with a past medical history significant for low-grade glioma suspicious for diffuse astrocytoma (WHO grade II) status-post partial resection and hemicraniectomy presented with left flank pain for two days. The [...]

By | 2017-04-20T16:15:04-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FLANK PAIN IN A YOUNG FEMALE – IT WASN’T PYELONEPHRITIS

HM2017 Abstract Number: 587

HIT THAT WOULDN’T FIT

Case Presentation: A 61-year-old healthy male presented with one-hour of chest pain and exertional dyspnea. He had no surgical history, exposure to heparin, or family history of thrombophilic disease.  Upon presentation, BP was 96/68, HR [...]

By | 2017-04-20T16:15:25-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HIT THAT WOULDN’T FIT

HM2017 Abstract Number: 585

AN UNFORTUNATELY DELAYED DIAGNOSIS OF CUTANEOUS CROHN’S DISEASE

Case Presentation: A 56 year-old woman with well-controlled peri-rectal Crohn’s disease on infliximab presented to the hospital for management of a 2.5 year history of painful, draining vulvar dermatitis that had been biopsied twice and [...]

By | 2017-04-20T16:15:29-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNFORTUNATELY DELAYED DIAGNOSIS OF CUTANEOUS CROHN’S DISEASE

HM2017 Abstract Number: 584

SYNCOPE AND A BUGGING LEFT BUNDLE BRANCH BLOCK

Case Presentation:  A 72 year old female presented to the ED after an episode of syncope. She denied chest pain or palpitations prior to or after the event. The History was positive for generalized malaise [...]

By | 2017-04-20T16:15:31-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SYNCOPE AND A BUGGING LEFT BUNDLE BRANCH BLOCK

HM2017 Abstract Number: 583

DON’T MISS THIS DIAGNOSIS:A CASE OF ACIDOSIS AND CALCINOSIS

Don’t Miss This Diagnosis: A Case of Acidosis and CalcinosisLesa-Marie McKinley, MBBS, Joy-Ann Tabanor, MBBS and Hyun Bae, MD Department of Medicine, Englewood Hospital and Medical Center, Englewood NJ  Introduction:Hypokalemia is an electrolyte abnormality commonly [...]

By | 2017-04-20T16:15:33-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on DON’T MISS THIS DIAGNOSIS:A CASE OF ACIDOSIS AND CALCINOSIS

HM2017 Abstract Number: 582

FURRY VISION

Case Presentation: A 44 year-old woman presented with 10 days of acute onset decreased vision.  She reported “floaters” and bright flashes in her eyes, left worse than right. Her eyes felt “tired,” but not painful [...]

By | 2017-04-20T16:15:34-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FURRY VISION

HM2017 Abstract Number: 580

PITUITARY GONE AWRY

Case Presentation: Our patient was a 58 year old male with a history of metastatic melanoma on nivolumab and ipilimumab who was directly admitted from clinic to the medicine service for increased lethargy and flu-like [...]

By | 2017-04-20T16:15:38-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PITUITARY GONE AWRY

HM2017 Abstract Number: 579

EVASIVE YET RAPIDLY PROGRESSIVE KILLER: CARDIAC ANGIOSARCOMA

Case Presentation: A 46-year-old male without significant past medical history presented with progressive dyspnea, syncope, and epigastric pain. An electrocardiogram displayed sinus tachycardia without signs of ischemia. A chest radiograph demonstrated a widened mediastinum. A [...]

By | 2017-04-20T16:15:40-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on EVASIVE YET RAPIDLY PROGRESSIVE KILLER: CARDIAC ANGIOSARCOMA

HM2017 Abstract Number: 577

I’VE GOT GAS! ACUTE COLITIS IN A PATIENT WITH GROUP A STREPTOCOCCUS BACTEREMIA

Case Presentation: A previously healthy 19-year-old woman presented to the emergency department with one week of abdominal pain, bloody diarrhea, and fever. Two weeks prior, she reported a non-specific flu-like illness. On admission, she was [...]

By | 2017-04-20T16:16:30-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on I’VE GOT GAS! ACUTE COLITIS IN A PATIENT WITH GROUP A STREPTOCOCCUS BACTEREMIA

HM2017 Abstract Number: 576

A SUBTLE PSYCHOSIS

Case Presentation: A 42 year old male with no significant medical history was brought by family to the emergency department for evaluation of confusion, dizziness, slurred speech, difficulty with cognition, and symptoms of an upper [...]

By | 2017-04-20T16:16:33-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A SUBTLE PSYCHOSIS

HM2017 Abstract Number: 573

ACUTE CORONARY SYNDROME IN A PATIENT WITH SYSTEMIC MASTOCYTOSIS: A RARE CASE OF KOUNIS SYNDROME

Case Presentation: A 57 year old female with history of systemic mastocytosis, hypertension and dyslipidemia presented to the emergency department with complaints of intermittent sub-sternal chest pain for 7 days. On presentation, vital signs were [...]

By | 2017-04-20T16:16:36-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ACUTE CORONARY SYNDROME IN A PATIENT WITH SYSTEMIC MASTOCYTOSIS: A RARE CASE OF KOUNIS SYNDROME

HM2017 Abstract Number: 572

THE HUNT FOR SIGHT

Case Presentation: A 45 year-old Hispanic-female was admitted from ophthalmology clinic to the internal medicine ward for 3 week history of left-sided blurry vision, diplopia, opthalmoplegia, ptosis, peri-orbital pain, occipital headaches, impaired V1 and V2 [...]

By | 2017-04-20T16:16:38-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE HUNT FOR SIGHT

HM2017 Abstract Number: 571

TB OR NOT TB? WHEN ONE DISEASE MASQUERADES AS ANOTHER – A NEW DIAGNOSIS OF MICROSCOPIC POLYANGIITIS

Case Presentation: A 69-year-old Peruvian female with a remote history of endometrial cancer initially presented to her primary care physician with one week of subjective fevers, night sweats, bilateral ear pain and sore throat. She [...]

By | 2017-04-20T16:16:41-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on TB OR NOT TB? WHEN ONE DISEASE MASQUERADES AS ANOTHER – A NEW DIAGNOSIS OF MICROSCOPIC POLYANGIITIS

HM2017 Abstract Number: 570

TRIGEMINOCARDIAC REFLEX AS THE PRESENTATION OF MAXILLARY SINUS ADENOCARCINOMA

Case Presentation: A 54-year-old male with history of cocaine and marijuana abuse presented to the emergency room (ER) with a few-hour history of dizziness and abdominal pain. He also reported a two-month history of intermittent [...]

By | 2017-04-20T16:16:43-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on TRIGEMINOCARDIAC REFLEX AS THE PRESENTATION OF MAXILLARY SINUS ADENOCARCINOMA

HM2017 Abstract Number: 569

HIV-ASSOCIATED NEPHROPATHY DESPITE UNDETECTABLE VIRAL LOAD

Case Presentation: A 65-year-old black woman with history of longstanding controlled HIV on highly active antiretroviral therapy (HAART) and chronic Hepatitis C co-infection, presented with a 2-day history of worsening lower back pain. She was [...]

By | 2017-04-20T16:16:45-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HIV-ASSOCIATED NEPHROPATHY DESPITE UNDETECTABLE VIRAL LOAD

HM2017 Abstract Number: 568

AN OVERLOOKED COMPLICATION OF LEGIONNAIRE’S DISEASE

Case Presentation: A 58-year-old man with history of heavy tobacco use, presented to the emergency department with intermittent watery nonbloody diarrhea for 4 days, associated with worsening confusion and decreased urine output. He denied recent [...]

By | 2017-04-20T16:16:47-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN OVERLOOKED COMPLICATION OF LEGIONNAIRE’S DISEASE

HM2017 Abstract Number: 567

SARCOIDOSIS PRESENTING AS AN ISOLATED RECURRENT MASSIVE PERICARDIAL EFFUSION: A RARE AND CURIOUS CASE

Case Presentation: A 46 year-old woman presented with one week of palpitations and dyspnea on exertion. Her medical history was remarkable for a pericardial effusion of unknown etiology two months prior, treated with pericardiocentesis in [...]

By | 2017-04-20T16:16:49-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SARCOIDOSIS PRESENTING AS AN ISOLATED RECURRENT MASSIVE PERICARDIAL EFFUSION: A RARE AND CURIOUS CASE

HM2017 Abstract Number: 566

INTO THE DEEP WHITE MATTER: A CASE OF 5-FU LEUKOENCEPHALOPATHY

Case Presentation: A 49 year old man with HIV (on HAART therapy), end-stage renal disease, and anal cancer presented with altered mental status, having just begun chemotherapy with mitomycin and a continuous infusion of 5-fluorouracil. [...]

By | 2017-04-20T16:17:22-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on INTO THE DEEP WHITE MATTER: A CASE OF 5-FU LEUKOENCEPHALOPATHY

HM2017 Abstract Number: 565

AN UNUSUAL CASE OF COMPLETE ATRIOVENTRICULAR BLOCK IN A PATIENT WITH SEVERE HYPOTHYROIDISM

Case Presentation: A 67-year-old man with history of Hashimoto thyroiditis was attending a routine clinic appointment and was found to have a resting heart rate of 40 beats per min and was referred to the [...]

By | 2017-04-20T16:17:23-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNUSUAL CASE OF COMPLETE ATRIOVENTRICULAR BLOCK IN A PATIENT WITH SEVERE HYPOTHYROIDISM

HM2017 Abstract Number: 563

A PAIN IN THE CALF – DIABETIC MYONECROSIS

Case Presentation: A 51-year-old African-American female was admitted to the hospital with 3 days of bilateral calf pain, described as a severe cramping pain that started in the left medial calf. The patient first noticed [...]

By | 2017-04-25T23:19:55-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A PAIN IN THE CALF – DIABETIC MYONECROSIS

HM2017 Abstract Number: 562

I SMELL A RAT: AN UNRECOGNIZED CAUSE OF FEVER, LEUKOCYTOSIS, AND TRANSAMINITIS

Case Presentation: An 80-year-old man with psoriasis on ustekinumab and type 2 diabetes mellitus (A1c 5.9) presented with seven days of fever. Two weeks prior to presentation, he underwent epidural steroid injection to the cervical [...]

By | 2017-04-20T16:17:29-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on I SMELL A RAT: AN UNRECOGNIZED CAUSE OF FEVER, LEUKOCYTOSIS, AND TRANSAMINITIS

HM2017 Abstract Number: 561

NIVOLUMAB-INDUCED MYASTHENIA GRAVIS

Case Presentation: A 75-year-old man with bladder transitional cell carcinoma complicated by lung and renal metastases presented with one week of progressive shortness of breath at rest. His dyspnea worsened when reclining and improved with increased [...]

By | 2017-04-20T16:17:31-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on NIVOLUMAB-INDUCED MYASTHENIA GRAVIS

HM2017 Abstract Number: 560

MAY-THURNER SYNDROME: STOP AND CONSIDER IN LEFT LOWER EXTREMITY DEEP VENOUS THROMBOSIS

Case Presentation: A 20 year-old G1P1 female with no significant history presents with acute left lower abdominal and thigh pain.  She has had no recent surgeries or immobility and has never been on oral contraceptives.  [...]

By | 2017-04-20T16:17:33-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on MAY-THURNER SYNDROME: STOP AND CONSIDER IN LEFT LOWER EXTREMITY DEEP VENOUS THROMBOSIS

HM2017 Abstract Number: 559

NOT SO CRYPTOGENIC: AN UNUSUAL CASE OF ANTISYNTHETASE SYNDROME AND CIRRHOSIS

Case Presentation: This is a 79-year-old female with a history of stage 3 chronic kidney disease and Sjogren’s syndrome who presented with a two month history of worsening malaise and arthralgia, and a two day [...]

By | 2017-04-20T16:17:35-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on NOT SO CRYPTOGENIC: AN UNUSUAL CASE OF ANTISYNTHETASE SYNDROME AND CIRRHOSIS

HM2017 Abstract Number: 557

A RARE CASE OF SIMULTANEOUSLY OCCURRING PULMONARY FUNGAL INFECTIONS

Case Presentation: Our patient was a 56 year-old immunocompromised male with a history of active CML (Chronic Myelocytic Leukemia) on active chemotherapy who was undergoing treatment with doxycycline and fluconazole for actinomycosis and coccidioidomycosis diagnosed [...]

By | 2017-04-20T16:17:39-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE CASE OF SIMULTANEOUSLY OCCURRING PULMONARY FUNGAL INFECTIONS

HM2017 Abstract Number: 556

THE CASE OF TPN PRECIPITATED NMLS IN ADVANCED STAGE PARKINSON’S DISEASE

Case Presentation: Our patient was a 71 year-old male admitted for acute respiratory failure secondary to aspiration pneumonia in the setting of advanced Parkinson’s disease (PD) requiring endotracheal intubation. After multiple failed attempts to extubate [...]

By | 2017-04-20T16:21:31-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE CASE OF TPN PRECIPITATED NMLS IN ADVANCED STAGE PARKINSON’S DISEASE

HM2017 Abstract Number: 555

VENOUS THROMBOEMBOLISM PROVOKED BY A LARGE BLADDER DIVERTICULUM

Case Presentation: A 95-year-old man presented with progressive right lower extremity swelling. He reports a chronic history of overflow incontinence. Laboratory evaluation revealed a normal coagulation profile, creatinine of 1.5 milligrams per deciliter. A venous [...]

By | 2017-04-20T16:21:33-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on VENOUS THROMBOEMBOLISM PROVOKED BY A LARGE BLADDER DIVERTICULUM

HM2017 Abstract Number: 554

PSYCHOSIS, A SOLE MANIFESTATION OF PRIMARY ADRENAL INSUFFICIENCY

Case Presentation: We present a rare manifestation of adrenal insufficiency with initial symptoms limited to psychosis. A 51 y.o male, with hypothyroidism, but no prior psychiatric history presented with acute behavioral changes. Approximately 14 days [...]

By | 2017-04-20T16:21:35-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PSYCHOSIS, A SOLE MANIFESTATION OF PRIMARY ADRENAL INSUFFICIENCY

HM2017 Abstract Number: 553

A HIDDEN KILLER: COMPLETE DISSECTION OF THE ASCENDING AND DESCENDING AORTA INDUCED BY GRAM NEGATIVE AORTITIS

Case Presentation: Our patient is a 62-year-old Eastern European female with no significant past medical history who was brought to the emergency department after a sustaining a syncopal episode. At the time of exam, she [...]

By | 2017-04-25T23:15:02-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A HIDDEN KILLER: COMPLETE DISSECTION OF THE ASCENDING AND DESCENDING AORTA INDUCED BY GRAM NEGATIVE AORTITIS

HM2017 Abstract Number: 552

AN UNUSUAL CASE OF ANEMIA

Case Presentation: A 66-year-old male with history of type 1 Von Willebrand disease, colonic polyps, and gastric ulcer from naproxen use due to osteoarthritis presented with a 3-week history of lethargy and fatigue with walking [...]

By | 2017-04-20T16:21:39-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNUSUAL CASE OF ANEMIA

HM2017 Abstract Number: 550

A CASE OF LIVER ABSCESSES IN A YOUNG SINGAPOREAN MAN WITH APPENDICITIS

Case Presentation: A 26 year-old Singaporean man with no past medical history presented with two weeks of fevers and abdominal pain. Five months prior to admission, the patient traveled to Singapore.  Two weeks prior to [...]

By | 2017-04-25T17:26:49-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF LIVER ABSCESSES IN A YOUNG SINGAPOREAN MAN WITH APPENDICITIS

HM2017 Abstract Number: 549

THYROID STORM: CLOTTY WITH A CHANCE OF CHEST PAIN

Case Presentation: A 38-year-old man with untreated hyperthyroidism presented with two-week history of progressively worsening weakness and dyspnea along with a six-month history of unintentional 38 pound weight loss, diarrhea, and palpitations.  Exam was notable [...]

By | 2017-04-21T10:18:55-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THYROID STORM: CLOTTY WITH A CHANCE OF CHEST PAIN

HM2017 Abstract Number: 547

RANDOM ACCESS MEMORIES: A RARE CASE OF AUTOIMMUNE LIMBIC ENCEPHALITIS

Case Presentation: A 35 year-old female with a past medical history significant for type 2 diabetes mellitus, polycystic ovarian syndrome and migraine headache presented with alteration of mental status for 2 weeks. Patient endorsed progressive, [...]

By | 2017-04-20T16:21:49-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on RANDOM ACCESS MEMORIES: A RARE CASE OF AUTOIMMUNE LIMBIC ENCEPHALITIS

HM2017 Abstract Number: 546

ATYPICAL CASE OF ECZEMA HERPETICUM IN A PATIENT WITH ATOPIC DERMATITIS

Case Presentation: A 22-year-old man with asthma and atopic dermatitis presented with a pustular rash on his face and neck.  The rash began the day of presentation and was not painful or pruritic.   Lesions spread [...]

By | 2017-04-20T16:22:40-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ATYPICAL CASE OF ECZEMA HERPETICUM IN A PATIENT WITH ATOPIC DERMATITIS

HM2017 Abstract Number: 545

ALUMINUM: THE FORGOTTEN ION

Case Presentation: A 54 year old female with history of SLE, ESRD on hemodialysis, CAD and aortic valve replacement, was admitted for confusion that started the morning of admission. CT head, basic labs and urine [...]

By | 2017-04-21T00:25:23-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts, Finalist Poster|Comments Off on ALUMINUM: THE FORGOTTEN ION

HM2017 Abstract Number: 544

HISTORY KEY TO CLARIFYING SIGNIFICANCE OF INCIDENTAL FINDINGS

Case Presentation: A 37-year-old woman with history of ulcerative colitis and focal nodular hyperplasia (FNH) of the liver presented with right upper quadrant (RUQ) abdominal pain. An extensive workup including endoscopic retrograde cholangiopancreatography (ERCP) eventually [...]

By | 2017-04-20T16:22:44-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HISTORY KEY TO CLARIFYING SIGNIFICANCE OF INCIDENTAL FINDINGS

HM2017 Abstract Number: 543

HYPERLEUKOCYTOSIS IN APL: AN UNCOMMON AND DANGEROUS PRESENTATION

Case Presentation: A previously-healthy 72-year-old woman presented with two weeks of progressive fatigue. Laboratory testing revealed a white blood cell (WBC) count of 140x109/L, hemoglobin 8g/dL, platelets 30x109/L. Peripheral blood smear showed greater than 90% [...]

By | 2017-04-20T16:22:46-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HYPERLEUKOCYTOSIS IN APL: AN UNCOMMON AND DANGEROUS PRESENTATION

HM2017 Abstract Number: 542

A SECOND LOOK AT STREP SANGUINIS AND THE COLON

Case Presentation: An 88 year old man with a history of severe aortic stenosis with transcatheter aortic valve replacement and unprovoked pulmonary embolism (on lifetime warfarin) presented with four days of lethargy and weakness. He [...]

By | 2017-04-20T16:22:48-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A SECOND LOOK AT STREP SANGUINIS AND THE COLON

HM2017 Abstract Number: 541

CARDIOEMBOLIC STROKE… WHAT LIES BENEATH?

Case Presentation: This is a case of a 67-year-old male with history of strokes in 2012 & 2014 with residual right (R) sided upper and lower extremity weakness, blindness, and hearing loss, Coronary Artery Disease [...]

By | 2017-04-20T16:22:51-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CARDIOEMBOLIC STROKE… WHAT LIES BENEATH?

HM2017 Abstract Number: 540

THERE’S MORE TO FACTOR IN WITH A SPONTANEOUS BLEED IN THE ELDERLY: ACQUIRED HEMOPHILIA A

Case Presentation: A 94-year-old Female with chronic kidney disease (stage 4), recurrent urinary tract infections (UTIs), and hypertension presented with a 3 day history of worsening general weakness, left thigh soreness, and a left thigh [...]

By | 2017-04-20T16:22:53-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THERE’S MORE TO FACTOR IN WITH A SPONTANEOUS BLEED IN THE ELDERLY: ACQUIRED HEMOPHILIA A

HM2017 Abstract Number: 539

GOT VENTRICULAR TACHYCARDIA? LET’S NOT BE RASH: MEXILETINE-INDUCED DRESS SYNDROME

Case Presentation: 84 yo M with a history of CAD with HFrEF presented for a routine BiV AICD upgrade whose course was complicated by VT storm requiring amiodarone and lidocaine before conversion back to his [...]

By | 2017-04-20T16:22:56-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on GOT VENTRICULAR TACHYCARDIA? LET’S NOT BE RASH: MEXILETINE-INDUCED DRESS SYNDROME

HM2017 Abstract Number: 538

IATROGENIC HEMOPTYSIS: RETAINED CARDIAC LEAD COMPLICATION AND REVIEW OF THE LITERATURE

Case Presentation: A 40-year-old male with a past medical history significant for right sided infective endocarditis and permanent pacemaker, status post removal due to infection, presented with complaints of fevers, chills, and hemoptysis for about [...]

By | 2017-04-20T16:22:59-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on IATROGENIC HEMOPTYSIS: RETAINED CARDIAC LEAD COMPLICATION AND REVIEW OF THE LITERATURE

HM2017 Abstract Number: 537

DOUBLE TROUBLE: A CASE OF CONCOMITANT OPPORTUNISTIC INFECTIONS

Case Presentation: Pneumonia in an immunocompromised individual has a broad differential; the initial work-up and selection of antimicrobials can be challenging. We present a case of concomitant pulmonary nocardiosis and Pneumocystis jirovecii pneumonia (PJP). A [...]

By | 2017-04-20T16:23:01-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on DOUBLE TROUBLE: A CASE OF CONCOMITANT OPPORTUNISTIC INFECTIONS

HM2017 Abstract Number: 536

AN UNCOMMON CAUSE OF SYNCOPE: GET THE GIST?

Case Presentation: Syncope has many varied etiologies, ranging from cardiogenic to neurologic phenomena. We present a case of a gastrointestinal (GI) tumor causing anemia and subsequent syncope in a patient with no clinical evidence of [...]

By | 2017-04-20T16:24:24-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNCOMMON CAUSE OF SYNCOPE: GET THE GIST?

HM2017 Abstract Number: 535

AN UNEXPECTED MAC ATTACK!

Case Presentation:  A 32-year-old man with human immunodeficiency virus (HIV) presented with a painful and swollen right ankle. The patient had been well until 6 weeks ago when he developed a sprain followed by worsening [...]

By | 2017-04-20T16:24:27-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNEXPECTED MAC ATTACK!

HM2017 Abstract Number: 531

ALL THAT GLITTERS IN THE GALLBLADDER ARE NOT GALLSTONES!

Case Presentation: A 21-year-old male with no significant medical history presented with complaints of diplopia of three-week duration which resolved after treatment with steroids. After the initial encounter, patient presented with one week history of [...]

By | 2017-04-20T16:24:37-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ALL THAT GLITTERS IN THE GALLBLADDER ARE NOT GALLSTONES!

HM2017 Abstract Number: 530

ANCHORS AWAY! FEVERS IN AN IMMUNOSUPPRESSED TPN DEPENDENT PATIENT

Case Presentation: 46 yo African American woman with MCTD on plaquenil and prednisone with ILD, PAH, chronic pseudoobstruction, gastroparesis and chronic malnutrition requiring TPN who originally presented at her local hospital with intractable nausea, vomiting [...]

By | 2017-04-20T16:24:40-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ANCHORS AWAY! FEVERS IN AN IMMUNOSUPPRESSED TPN DEPENDENT PATIENT

HM2017 Abstract Number: 529

INSULIN INFUSION FOR SEVERE HYPERTRIGLYCERIDEMIA-INDUCED PANCREATITIS

Case Presentation: A 45-year-old woman with type 2 diabetes mellitus (DM) and dyslipidemia presented with a 2-day history of nausea, vomiting, and epigastric pain. Two years earlier, she had an episode of pancreatitis secondary to [...]

By | 2017-04-20T16:24:42-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on INSULIN INFUSION FOR SEVERE HYPERTRIGLYCERIDEMIA-INDUCED PANCREATITIS

HM2017 Abstract Number: 528

SPONTANEOUS BACTERIAL PERITONITIS CAUSED BY LISTERIA MONOCYTOGENES

Case Presentation: This is a 65-year-old man with cryptogenic cirrhosis who was transferred to a tertiary care hospital for liver transplant evaluation. His course prior to transfer was complicated by decompensated cirrhosis leading to ascites [...]

By | 2017-04-20T16:24:44-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SPONTANEOUS BACTERIAL PERITONITIS CAUSED BY LISTERIA MONOCYTOGENES

HM2017 Abstract Number: 527

CUTANEOUS METASTATIC CROHNS DISEASE: A RARE DIAGNOSIS AND TREATMENT CHALLENGE

Case Presentation: A 58 year-old Caucasian female presented with a history of painful lesions of the gluteal, perineal, and vulvar areas. These lesions had been progressive with worsening drainage and scar formation over the last decade. [...]

By | 2017-04-20T16:24:46-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CUTANEOUS METASTATIC CROHNS DISEASE: A RARE DIAGNOSIS AND TREATMENT CHALLENGE

HM2017 Abstract Number: 525

WHAT LIES BENEATH: HODGKIN’S LYMPHOMA MIMICKING RECURRENT CRYPTOGENIC ORGANIZING PNEUMONIA

Case Presentation: A 25-year-old Hispanic female presented to our hospital with a 2-day history of abdominal pain which began abruptly and was associated with fevers, chills as well as intermittent nonproductive cough which had been [...]

By | 2017-04-20T16:25:20-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on WHAT LIES BENEATH: HODGKIN’S LYMPHOMA MIMICKING RECURRENT CRYPTOGENIC ORGANIZING PNEUMONIA

HM2017 Abstract Number: 524

CATATONIA, A PSYCHIATRIC CAUSE OF ENCEPHALOPATHY

Case Presentation: A 73 year-old woman presented with lethargy and decreased responsiveness for one day.  She did not respond to her name or noxious stimuli and did not follow commands.  She would spontaneously repeat the [...]

By | 2017-04-20T16:25:22-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CATATONIA, A PSYCHIATRIC CAUSE OF ENCEPHALOPATHY

HM2017 Abstract Number: 523

ORMONDS DISEASE

Case Presentation: A 32 year old male with recently diagnosed hypertension was admitted for worsening abdominal pain and 20 lbs of unintentional weight loss over 4 months. He reported intermittent abdominal pain for a year associated with constipation, [...]

By | 2017-04-20T16:25:24-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ORMONDS DISEASE

HM2017 Abstract Number: 520

MANAGEMENT OF SUSTAINED VENTRICULAR TACHYCARDIA IN THE SETTING OF ACUTE CORONARY SYNDROME

Case Presentation: A 52 y/o male presented to the ED with worsening chest pain, palpitations and lightheadedness for one week. His past medical history is significant for hyperlipidemia and type 2 diabetes mellitus. His physical [...]

By | 2017-04-20T16:25:27-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on MANAGEMENT OF SUSTAINED VENTRICULAR TACHYCARDIA IN THE SETTING OF ACUTE CORONARY SYNDROME

HM2017 Abstract Number: 519

EWWW-ING! ITS DIFFUSE B CELL LYMPHOMA! AN ATYPICAL PRESENTATION OF DIFFUSE B-CELL LYMPHOMA

Case Presentation: 31-year-old male with history of polysubstance abuse and intravenous drug use presented with 8 months of chronic pain in his back, and 3 weeks of pain in his right hip rendering patient non [...]

By | 2017-04-20T16:25:29-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on EWWW-ING! ITS DIFFUSE B CELL LYMPHOMA! AN ATYPICAL PRESENTATION OF DIFFUSE B-CELL LYMPHOMA

HM2017 Abstract Number: 517

AN UNWELCOMED INVASION OF THE HEART: A CASE OF AMYLOID CARDIOMYOPATHY

Case Presentation: 81 y/o African-American woman with PMH of NICM with LVEF of 35-40% and CKD stage 3 presented to ED with complaints of cough, increased lower extremity swelling, and progressive DOE. She endorsed noncompliance [...]

By | 2017-04-20T16:25:33-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNWELCOMED INVASION OF THE HEART: A CASE OF AMYLOID CARDIOMYOPATHY

HM2017 Abstract Number: 515

IN THE DIFFERENTIAL DIAGNOSIS OF POST-TRANSPLANT LYMPHOPROLIFERATIVE DISEASE: A GREAT IMITATOR

Case Presentation: A 45 year old female with history of psoriatic arthritis and renal transplant from a living unrelated donor (performed in the Philippines in 2014) presented with symptoms of fever, fatigue, weakness, tremors, epigastric [...]

By | 2017-04-20T16:25:37-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on IN THE DIFFERENTIAL DIAGNOSIS OF POST-TRANSPLANT LYMPHOPROLIFERATIVE DISEASE: A GREAT IMITATOR

HM2017 Abstract Number: 514

A SHOCK TO THE HEART: A RARE CASE OF CORONARY ARTERY EMBOLISM

Case Presentation: A 68-year-old man with a history of atrial flutter and recurrent gastrointestinal (GI) bleeds (GIBs) with no clear etiology identified presented for planned direct current synchronized cardioversion.  Patient had failed multiple rate and [...]

By | 2017-04-20T16:26:10-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A SHOCK TO THE HEART: A RARE CASE OF CORONARY ARTERY EMBOLISM

HM2017 Abstract Number: 513

IDENTIFICATION OF A NOVEL SCN-5A GENE MUTATION ASSOCIATED WITH LEFT VENTRICULAR NONCOMPACTION CARDIOMYOPATHY

Case Presentation: This is a case of a 30 year-old female presented in acute heart failure secondary to left ventricular noncompaction cardiomyopathy (LVNC) found to have a novel sodium channel mutation. Patient with no significant [...]

By | 2017-04-20T16:26:12-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on IDENTIFICATION OF A NOVEL SCN-5A GENE MUTATION ASSOCIATED WITH LEFT VENTRICULAR NONCOMPACTION CARDIOMYOPATHY

HM2017 Abstract Number: 512

PULMONARY EMPYEMA WITH THORACIC COMPRESSION RESULTING FROM DIRECT INVASION OF XANTHOGRANULOMATOUS PYELONEPHRITIS

Case Presentation: Xanthogranulomatous Pyelonephritis (XGP) is an uncommon sequelae of chronic renal inflammation whose process may invade local structures.  We present a rare case of an invasive Xanthogranulomatous Pyelonephritis (XGP) extending into the thoracic cavity [...]

By | 2017-04-20T16:26:15-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PULMONARY EMPYEMA WITH THORACIC COMPRESSION RESULTING FROM DIRECT INVASION OF XANTHOGRANULOMATOUS PYELONEPHRITIS

HM2017 Abstract Number: 511

COMPLETE HEART BLOCK ASSOCIATED WITH PROGRESSIVE RELAPSING POLYCHONDRITIS

Case Presentation: We describe a patient with relapsing polychondritis (RPC) who developed a complete heart block, mitral valve insufficiency and aortic root dilation. A 72-year-old man with a history of RPC presented with fatigue, lightheadedness [...]

By | 2017-04-20T16:26:18-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on COMPLETE HEART BLOCK ASSOCIATED WITH PROGRESSIVE RELAPSING POLYCHONDRITIS

HM2017 Abstract Number: 510

SECONDARY SYPHILLIS PRESENTING AS NEPHROTIC SYNDROME WITH ABDOMINAL ASCITES

Case Presentation: We describe a rare case of a nephrotic syndrome (NS) as a complication of secondary syphilis (SS), which resolved with appropriate treatment of the infection. This is a 54 year-old male with no [...]

By | 2017-04-20T16:26:20-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SECONDARY SYPHILLIS PRESENTING AS NEPHROTIC SYNDROME WITH ABDOMINAL ASCITES

HM2017 Abstract Number: 509

SMELLS LIKE ALGA: A UNIQUE PRESENTATION OF PROTOTHECA IN AN IMMUNOCOMPROMISED HOST

Case Presentation: A 72-year-old Indian male with follicular lymphoma treated with chemotherapy and immunotherapy presented to our center with a four day history of right-sided facial droop, dysphagia and hoarseness. The patient had a one-year [...]

By | 2017-04-20T16:26:23-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SMELLS LIKE ALGA: A UNIQUE PRESENTATION OF PROTOTHECA IN AN IMMUNOCOMPROMISED HOST

HM2017 Abstract Number: 507

BRUCELLOSIS: NACHO AVERAGE INFECTION

Case Presentation: An 80 y/o Hispanic man with past medical history significant for COPD, ascending aortic aneurysm s/p graft repair 10/06, and recent biventricular pacemaker implantation 4/16 due to third-degree heart block presented with dyspnea, [...]

By | 2017-04-20T16:26:27-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on BRUCELLOSIS: NACHO AVERAGE INFECTION

HM2017 Abstract Number: 506

DOG HEALS ALL WOUNDS?

Case Presentation: 64 year old male with history of PTSD, COPD, GERD, prostate cancer status post prostatectomy, hyperlipidemia and right total knee replacement presented after developing severe pain in his knees. Pain was associated with [...]

By | 2017-04-20T16:26:29-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on DOG HEALS ALL WOUNDS?

HM2017 Abstract Number: 505

CHRONIC PULMONARY ASPERGILLOSIS IN A PATIENT WITH COPD AND RECURRENT PNEUMONIA

Case Presentation: A 58 year-old male with chronic obstructive pulmonary disease (COPD) and two recent admissions to an outside hospital for pneumonia presented with fever, chills, and a productive cough of three months duration. On [...]

By | 2017-04-20T16:26:31-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CHRONIC PULMONARY ASPERGILLOSIS IN A PATIENT WITH COPD AND RECURRENT PNEUMONIA

HM2017 Abstract Number: 504

THERE’S MORE THAN MEETS THE EYE!

Case Presentation: A 42 year-old man with a history of methamphetamine use, hypertension and uncontrolled type 2 diabetes (Hgb A1C 13.5%) presented with a dental abscess and hyperglycemia (>400) without DKA. Three teeth were extracted; [...]

By | 2017-04-21T00:34:09-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts, Finalist Poster|Comments Off on THERE’S MORE THAN MEETS THE EYE!

HM2017 Abstract Number: 503

ABERRANT RENAL ARTERY-NOT A SILENT BYSTANDER!

Case Presentation: A 25-year-old female presented with a 2-day history of right-sided abdominal pain, nausea and vomiting. She had multiple emergency department visits for lower back pain for the last 3 years. CT scan of [...]

By | 2017-04-20T16:27:17-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ABERRANT RENAL ARTERY-NOT A SILENT BYSTANDER!

HM2017 Abstract Number: 502

A CASE OF ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) FROM PULMONARY NOCARDIA OTITIDISCAVIARUM

Case Presentation: A 55 year old male with past medical history significant for congestive heart failure, severe persistent asthma and eosinophilic pneumonia on chronic prednisone and status post bronchial thermoplasty presented with fever, cough, shortness [...]

By | 2017-04-25T17:21:55-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF ACUTE RESPIRATORY DISTRESS SYNDROME (ARDS) FROM PULMONARY NOCARDIA OTITIDISCAVIARUM

HM2017 Abstract Number: 501

DYSPNEA: COULD THIS RASH BE THE CULPRIT?

Case Presentation: A 70-year-old gentleman with past medical history significant for chronic hypoxic and hypercapneic respiratory failure from chronic obstructive pulmonary disease (FEV1 of 0.76 liters, 22% of predicted), hyperlipidemia, and hypertension presented with worsening exertional shortness of [...]

By | 2017-04-20T16:27:22-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on DYSPNEA: COULD THIS RASH BE THE CULPRIT?

HM2017 Abstract Number: 500

A HIDDEN CASE OF HISTOPLASMOSIS

Case Presentation: A 62 year-old female with a history of asthma and rheumatoid arthritis on abatacept presented to the hospital with ten days of fevers to 102 and abdominal pain. She reported daily fevers occurring [...]

By | 2017-04-25T23:14:34-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A HIDDEN CASE OF HISTOPLASMOSIS

HM2017 Abstract Number: 499

THROMBOTIC THROMBOCYTOPENIC PURPURA (TTP), A RECURRENT AND GRAVE COMPLICATION OF ADULT-ONSET STILL’S DISEASE (AOSD)

Case Presentation: A 77-year-old African-American male with Adult-onset Still’s disease (AOSD) was admitted at the hospital for severe thrombocytopenia. The patient had been diagnosed with AOSD four years before this hospital admission. His AOSD was [...]

By | 2017-04-20T16:27:26-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THROMBOTIC THROMBOCYTOPENIC PURPURA (TTP), A RECURRENT AND GRAVE COMPLICATION OF ADULT-ONSET STILL’S DISEASE (AOSD)

HM2017 Abstract Number: 498

FLUCONAZOLE INDUCED STEVEN JOHNSON SYNDROME- A RARE CASE REPORT

Case Presentation:      A 30  year old African American  female with history of Systemic Lupus Erythematosus  and secondary Lupus nephritis presented with painful erythematous blisters on her hands and feet along with dysphagia and [...]

By | 2017-04-20T16:27:28-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FLUCONAZOLE INDUCED STEVEN JOHNSON SYNDROME- A RARE CASE REPORT

HM2017 Abstract Number: 497

ANGRY SARCOID IN A PATIENT TREATED FOR A MUTATED JAK

Case Presentation: A 75 year old Caucasian woman, previously diagnosed ET and atrial fibrillation, presented to emergency room with acute on chronic shortness of breath. Her dyspnea was earlier attributed to chronic bronchitis in the [...]

By | 2017-04-20T16:27:31-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ANGRY SARCOID IN A PATIENT TREATED FOR A MUTATED JAK

HM2017 Abstract Number: 496

RECURRENT METATARSAL FRACTURES IN POSTMENOPAUSAL WOMAN WITH LOW SERUM ALKALINE PHOSPHATASE (ALP): A RARE DIAGNOSIS NOT TO MISS

Case Presentation: 53-year-old postmenopausal Caucasian female presented with low-trauma, recurrent metatarsal fractures. She reports her first metatarsal fracture at age 21, and since then had at least 8 more metatarsal fractures over her lifetime. On [...]

By | 2017-04-20T16:27:33-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on RECURRENT METATARSAL FRACTURES IN POSTMENOPAUSAL WOMAN WITH LOW SERUM ALKALINE PHOSPHATASE (ALP): A RARE DIAGNOSIS NOT TO MISS

HM2017 Abstract Number: 495

FORGET ME NOT: AN UNUSUAL CASE OF LEMIERRE’S SYNDROME DUE TO STREPTOCOCCUS MILLERI

Case Presentation: A healthy 37 year old female presented with sore throat, swollen neck glands, and high fevers for 3 days. The patient was first evaluated in the emergency department. A monospot and rapid strep [...]

By | 2017-04-20T16:27:36-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FORGET ME NOT: AN UNUSUAL CASE OF LEMIERRE’S SYNDROME DUE TO STREPTOCOCCUS MILLERI

HM2017 Abstract Number: 494

A MOST RARE RENAL MASS

Case Presentation: An 18 year-old Hispanic female presented to a tertiary care center with six days of left-sided flank pain and gross hematuria. Upon further questioning, she additionally endorsed  two to three months of generalized [...]

By | 2017-04-25T23:17:33-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A MOST RARE RENAL MASS

HM2017 Abstract Number: 493

AN IMPRESSIVE CASE OF T ALTERNANS

Case Presentation: Electrocardiograms (ECG’s) hold a strong diagnostic value in medicine. They are of particular usefulness when that can be extended to the prognostic arena. In a few cases, it offers particularly important information in [...]

By | 2017-04-20T16:28:11-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN IMPRESSIVE CASE OF T ALTERNANS

HM2017 Abstract Number: 492

LITHIUM-INDUCED DRESS SYNDROME: A RARE ENTITY

Case Presentation: A 31-year old woman with a history of bipolar disorder presented to the hospital with generalized coarse tremors of the extremities for 2 weeks duration following initiation of lithium for hypomanic episode. Initial [...]

By | 2017-04-20T16:28:14-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on LITHIUM-INDUCED DRESS SYNDROME: A RARE ENTITY

HM2017 Abstract Number: 491

NOT JUST ANOTHER CASE OF MUSCLE PAIN: AN UNUSUAL PRESENTATION OF PYOMYOSITIS

Case Presentation: A 76-year-old woman with history of non-small cell lung cancer status post chemoradiation five years ago presented with acute onset of diffuse muscle weakness and swelling in bilateral forearms and legs, with a [...]

By | 2017-04-20T16:28:15-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on NOT JUST ANOTHER CASE OF MUSCLE PAIN: AN UNUSUAL PRESENTATION OF PYOMYOSITIS

HM2017 Abstract Number: 490

HOT RHYTHMS: TRANSIENT BRUGADA PATTERN IN FEBRILE MENINGOENCEPHALITIS

Case Presentation: A 30-year-old previously healthy man presented with one week of fatigue, malaise, and confusion, complaining of dull neck pain. In the ED he became acutely agitated and combative, eventually requiring sedation and intubation [...]

By | 2017-04-20T16:28:18-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HOT RHYTHMS: TRANSIENT BRUGADA PATTERN IN FEBRILE MENINGOENCEPHALITIS

HM2017 Abstract Number: 489

GRAVES’ DISEASE PRESENTING AS ACUTE HIGH OUTPUT HEART FAILURE AND AUTOIMMUNE PANCYTOPENIA

Case Presentation: A 33-year-old-female presented with progressive exertional dyspnea and bilateral lower extremity edema for 1 week associated with orthopnea, palpitation & fatigue. She also had 3 kilograms of weight loss in 2 months with [...]

By | 2017-04-20T16:28:20-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on GRAVES’ DISEASE PRESENTING AS ACUTE HIGH OUTPUT HEART FAILURE AND AUTOIMMUNE PANCYTOPENIA

HM2017 Abstract Number: 488

PUZZLING HYPERCALCEMIA, AN ELECTRONIC HEALTH RECORDS-RELATED ERROR AND LATE MEDICATION RECONCILIATION

Case Presentation: A 58- year-old female presented with vomiting, dizziness, and a blood pressure of 80/60 mmHg. Laboratory: serum creatinine 3.1 mg/dl (baseline 1 mg/dl), BUN 34 mg/dl (baseline 10 mg/dl), corrected calcium 12.3 mg/dl, [...]

By | 2017-04-20T16:28:22-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PUZZLING HYPERCALCEMIA, AN ELECTRONIC HEALTH RECORDS-RELATED ERROR AND LATE MEDICATION RECONCILIATION

HM2017 Abstract Number: 487

BREAKING THE MOULD: A CASE OF PULMONARY MUCORMYCOSIS TREATED WITH ISAVUCONAZOLE

Case Presentation: The patient is a 62-year-old Bangladeshi male with Non-alcoholic Steatohepatitis (NASH) related cirrhosis, sarcoidosis, and poorly controlled type II diabetes who presented with one week of chest pain and five days of cough. [...]

By | 2017-04-20T16:28:24-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on BREAKING THE MOULD: A CASE OF PULMONARY MUCORMYCOSIS TREATED WITH ISAVUCONAZOLE

HM2017 Abstract Number: 486

HASHIMOTO’S ENCEPHALOPATHY: A RARE CAUSE OF ALTERED MENTAL STATUS

Case Presentation: A 60-year old female with past medical history significant for diabetes, hypertension, and hypothyroidism presented with acute onset confusion progressing over the course of 5 hours. On exam, patient’s vitals were significant for [...]

By | 2017-04-20T16:28:25-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HASHIMOTO’S ENCEPHALOPATHY: A RARE CAUSE OF ALTERED MENTAL STATUS

HM2017 Abstract Number: 485

THE CHANGING LANDSCAPE IN THE TREATMENT OF EMPHYSEMATOUS GASTRITIS

Case Presentation: A 68-year-old male with neurogenic bladder requiring self-catheterization, atrial fibrillation on coumadin, and osteoarthritis on chronic ibuprofen presented with lower extremity weakness after a fall. He was found to have a supratherapeutic INR [...]

By | 2017-04-20T16:28:28-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE CHANGING LANDSCAPE IN THE TREATMENT OF EMPHYSEMATOUS GASTRITIS

HM2017 Abstract Number: 484

DAZED AND CONFUSED – SEARCHING FOR THE CAUSE OF ENCEPHALITIS

Case Presentation: A 55 year-old male with a history of anxiety presented with bilateral limb tremor associated with transient loss-of-consciousness. The seizure was attributed to benzodiazepine withdrawal and he was discharged on levetiracetam. He subsequently [...]

By | 2017-04-20T16:28:49-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on DAZED AND CONFUSED – SEARCHING FOR THE CAUSE OF ENCEPHALITIS

HM2017 Abstract Number: 483

A CASE OF CARDIAC TAMPONADE AND SYSTEMIC SCLEROSIS

Case Presentation: A 47-year-old woman with a history of alcohol abuse presented to the emergency department with one week of altered mental status. Review of systems was significant for involuntarily 100 lbs. weight loss over [...]

By | 2017-04-25T17:23:12-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF CARDIAC TAMPONADE AND SYSTEMIC SCLEROSIS

HM2017 Abstract Number: 482

PYODERMA GANGRENOSUM MASQUERADING AS NECROTIZING FASCIITIS: STEPPING AWAY FROM COGNITIVE SHORTCUTS

Case Presentation: A 28-year old healthy female was admitted seven days post-operatively following Cesarean section for abdominal wound complications. On admission, she was septic; her scar was tender and erythematous with surrounding purple discoloration. Within [...]

By | 2017-04-20T16:28:54-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PYODERMA GANGRENOSUM MASQUERADING AS NECROTIZING FASCIITIS: STEPPING AWAY FROM COGNITIVE SHORTCUTS

HM2017 Abstract Number: 480

IT’S AS EASY AS ABCD: APATHY, BRADYCARDIA, CROHN’S, AND THE THREE D’S

Case Presentation: A 53-year-old man presented with diarrhea and an unintentional 30 lb weight loss over four months. He had also been experiencing intermittent abdominal pain for which he adopted a diet limited to soft [...]

By | 2017-04-20T16:28:58-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on IT’S AS EASY AS ABCD: APATHY, BRADYCARDIA, CROHN’S, AND THE THREE D’S

HM2017 Abstract Number: 479

NOT YOUR SIMPLE BILIARY CYST: CHOLANGIOCARCINOMA ARISING IN A CHOLEDOCHAL CYST

Case Presentation: A 23 year old Caucasian female with no significant past medical history presented to clinic for evaluation of a recently diagnosed liver mass. The patient had previously been seen in the Neurosurgery clinic [...]

By | 2017-04-20T16:28:59-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on NOT YOUR SIMPLE BILIARY CYST: CHOLANGIOCARCINOMA ARISING IN A CHOLEDOCHAL CYST

HM2017 Abstract Number: 478

NON SECRETORY PLASMA CELL MYELOMA

Case Presentation: A 85 year old female was presented with worsening lower back pain following a fall two weeks prior to admission. Past medical history included hypertension, diastolic heart failure, obesity and anemia. Physical exam [...]

By | 2017-04-20T16:29:01-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on NON SECRETORY PLASMA CELL MYELOMA

HM2017 Abstract Number: 477

UNCOMMON PRESENTATION OF A COMMON HEMATOLOGIC CONDITION: SICKLE CELL DISEASE

Case Presentation: 31-year-old homeless male, Jehovah’s Witness, with a history of sickle cell disease (admitted 1 month prior for pain crisis), presented with 2 days of lower back and lower extremity pain. His presenting BUN [...]

By | 2017-04-20T16:29:03-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on UNCOMMON PRESENTATION OF A COMMON HEMATOLOGIC CONDITION: SICKLE CELL DISEASE

HM2017 Abstract Number: 475

AN UNUSUAL CASE OF SYNCOPE AFTER A FLIGHT

Case Presentation: A 56-year old woman with history of ESRD on hemodialysis presented with loss of consciousness. She had an AV fistula placed in her left forearm 5 days prior to presentation. She started feeling [...]

By | 2017-04-20T16:29:07-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNUSUAL CASE OF SYNCOPE AFTER A FLIGHT

HM2017 Abstract Number: 474

A YEARLONG FEVER OF UNKNOWN ORIGIN

Case Presentation: A 29 year-old male with no past medical or surgical history presented with one year of fevers, a 30 pound weight loss, and fatigue.  He had been evaluated by his primary care doctor [...]

By | 2017-04-20T16:29:34-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A YEARLONG FEVER OF UNKNOWN ORIGIN

HM2017 Abstract Number: 472

A RARE CASE OF LACTOBACILLUS PERITONITIS IN CIRRHOSIS

Case Presentation: A 73-year-old male with a history of alcoholic cirrhosis on ciprofloxacin for spontaneous bacterial peritonitis (SBP) prophylaxis presented to the emergency department with one week of abdominal pain and nausea. On admission he [...]

By | 2017-04-20T16:29:36-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE CASE OF LACTOBACILLUS PERITONITIS IN CIRRHOSIS

HM2017 Abstract Number: 471

PAROXYSMAL HYPERTENSION INDUCED BY AN INSULINOMA

Case Presentation: A 65-year-old woman was admitted to our hospital because of episodes of altered mental status and high blood pressure. Forty days prior to admission, the patient was taken to the emergency department with [...]

By | 2017-04-20T16:29:38-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PAROXYSMAL HYPERTENSION INDUCED BY AN INSULINOMA

HM2017 Abstract Number: 470

A CASE OF CARDIAC TAMPONADE IN A LUPUS PATIENT

Cardiac involvement in systemic lupus erythematosus (SLE) is very common. Despite the relative frequency of pericarditis and pericardial effusions which occur in more than 50% of SLE patients, cardiac tamponade is rare and is seen [...]

By | 2017-04-25T17:23:39-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF CARDIAC TAMPONADE IN A LUPUS PATIENT

HM2017 Abstract Number: 469

ACUTE PNEUMOPERICARDIUM AFTER AN UNEVENTFUL DUAL PACEMAKER INSERTION

Pneumopericardium is a medical condition in which air is present within the pericardial space.  This condition has been recognized most commonly in preterm neonates. In adults, pneumopericardium may occur spontaneously or in conjunction with hemopericardium [...]

By | 2017-04-20T16:29:42-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ACUTE PNEUMOPERICARDIUM AFTER AN UNEVENTFUL DUAL PACEMAKER INSERTION

HM2017 Abstract Number: 467

STILL’S A MYSTERY: A DIAGNOSIS OF EXCLUSION

Case Presentation: A 45-year-old Hispanic female presented with four weeks of high-grade fever and polyarthralgias, and one week of sore throat and night sweats. She visited an urgent care center and laboratory evaluation revealed white [...]

By | 2017-04-20T16:29:47-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on STILL’S A MYSTERY: A DIAGNOSIS OF EXCLUSION

HM2017 Abstract Number: 466

ANOMALOUS ORIGIN OF LEFT CORONARY ARTERY FROM THE PULMONARY ARTERY IN AN ADULT WITH NEUROFIBROMATOSIS

Case Presentation: We report here a case of a 33 year old African American female with a history of neurofibromatosis, who presented for an elective cardiac catheterization after having an abnormal stress test showing an [...]

By | 2017-04-20T16:29:48-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ANOMALOUS ORIGIN OF LEFT CORONARY ARTERY FROM THE PULMONARY ARTERY IN AN ADULT WITH NEUROFIBROMATOSIS

HM2017 Abstract Number: 465

WHEN HEMODIALYSIS BECOMES PART OF THE PROBLEM: A CASE OF CALCIPHYLAXIS

Case Presentation: A 68 year-old female with history of diabetes mellitus, chronic kidney disease, morbid obesity, and pulmonary embolism on Warfarin presented with shortness of breath and anasarca. Initial labs showed acute kidney injury (Creatinine [...]

By | 2017-04-20T16:29:50-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on WHEN HEMODIALYSIS BECOMES PART OF THE PROBLEM: A CASE OF CALCIPHYLAXIS

HM2017 Abstract Number: 464

ACUTE MANAGEMENT OF LIFE THREATENING FLECAINIDE TOXICITY WITH INTRAVENOUS THERAPY

Case Presentation: A 19-year-old female with a history of Atrial Septal Defect (ASD) repaired in 2015 was placed on Flecainide 50mg bid for atrial tachycardia.  After 4 months of uneventful therapy, she presented with nausea, [...]

By | 2017-04-20T16:29:52-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ACUTE MANAGEMENT OF LIFE THREATENING FLECAINIDE TOXICITY WITH INTRAVENOUS THERAPY

HM2017 Abstract Number: 463

ERYTHEMATOUS RASH AS AN INITIAL CLINICAL PRESENTATION OF HEPARIN-INDUCED THROMBOCYTOPENIA

Case Presentation: A 59-year-old woman with history of chronic kidney disease stage 4 was admitted to the hospital for further management of shortness of breath. She complained of worsening leg swelling and progressive orthopnea. Diagnostic [...]

By | 2017-04-20T16:30:23-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ERYTHEMATOUS RASH AS AN INITIAL CLINICAL PRESENTATION OF HEPARIN-INDUCED THROMBOCYTOPENIA

HM2017 Abstract Number: 462

ORTHOSTATIC HYPOTENSION AS A RARE PRESENTATION OF HYPERVISCOSITY SYNDROME

Case Presentation: A 61-year-old man presented to the emergency department with one-month history of intermittent lightheadedness and dizziness. His symptoms were worse when standing from sitting position. He denied vomiting, diarrhea, and his appetite was [...]

By | 2017-04-20T16:30:25-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ORTHOSTATIC HYPOTENSION AS A RARE PRESENTATION OF HYPERVISCOSITY SYNDROME

HM2017 Abstract Number: 461

A NOT SO INNOCENT RUN OF NON-SUSTAINED VENTRICULAR TACHYCARDIA!

Case Presentation: A 70-year-old man with a remote history of ischemic cardiomyopathy presented to the hospital with worsening shortness of breath. His review of systems was remarkable for orthopnea. His past medical history was significant [...]

By | 2017-04-25T23:18:59-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A NOT SO INNOCENT RUN OF NON-SUSTAINED VENTRICULAR TACHYCARDIA!

HM2017 Abstract Number: 460

IN THE EYE OF THE BEHOLDER: B-CELL LYMPHOMA MASQUERADING AS ORBITAL CELLULITIS

Case Presentation: 60 year old African American man with history of HTN, HLD, and mitral valve regurgitation presented to the ER complaining of 2.5 weeks of progressively worsening right eye pain and swelling. He originally [...]

By | 2017-04-20T16:30:29-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on IN THE EYE OF THE BEHOLDER: B-CELL LYMPHOMA MASQUERADING AS ORBITAL CELLULITIS

HM2017 Abstract Number: 459

CENTRAL NERVOUS SYSTEM MYELOMATOSIS PRESENTING AS ISOLATED DYSPHAGIA

Case Presentation: A 55 year-old man presented with a subacute history of difficulty swallowing.  The patient was being treated with ezotuzumab and lenalidomide for Stage II IgG kappa light chain multiple myeloma. He had recently [...]

By | 2017-04-20T16:30:31-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CENTRAL NERVOUS SYSTEM MYELOMATOSIS PRESENTING AS ISOLATED DYSPHAGIA

HM2017 Abstract Number: 458

RETIFORM PURPURA: CLASSIC PRESENTATION, DIFFICULT DIAGNOSIS

Case Presentation: Case of a 63-year-old female with medical conditions of hypertension, chronic obstructive pulmonary disease, diabetes mellitus type 2, and pulmonary embolism (2013) presented to our clinics with progressively worsening purpuric lesions since 1 [...]

By | 2017-04-20T16:30:33-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on RETIFORM PURPURA: CLASSIC PRESENTATION, DIFFICULT DIAGNOSIS

HM2017 Abstract Number: 457

ACUTE PSYCHOSIS IN A MULTIPLE SCLEROSIS PATIENT

Case Presentation: A 49 year old female with a history of Depression and Multiple sclerosis (MS) presented with acute psychosis in the setting of recent polysubstance abuse.  The patient endorsed both visual and auditory hallucinations; [...]

By | 2017-04-20T16:30:35-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ACUTE PSYCHOSIS IN A MULTIPLE SCLEROSIS PATIENT

HM2017 Abstract Number: 456

A RARE DISEASE MASKED BY A COMMON ETIOLOGY: CASTLEMAN’S DISEASE DISGUISED AS MONONUCLEOSIS

Case Presentation: A 50-year-old male presented to the hospital with fevers, night sweats, and painful lymphadenopathy for one week. Abdominal computed tomography (CT) revealed marked splenomegaly and iliac lymphadenopathy. Labs showed platelets 67, hemoglobin 11.1, [...]

By | 2017-04-20T16:30:37-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE DISEASE MASKED BY A COMMON ETIOLOGY: CASTLEMAN’S DISEASE DISGUISED AS MONONUCLEOSIS

HM2017 Abstract Number: 455

CLENBUTEROL TOXICITY IN A POLYSUBSTANCE USER

Case Presentation: Clenbuterol Toxicity in a Polysubstance User Discussion: Ingestion of legal and illegal recreational substances is a common cause for hospitalization. A physician must not only be familiar with common medication intoxications and withdrawal [...]

By | 2017-04-20T16:30:39-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CLENBUTEROL TOXICITY IN A POLYSUBSTANCE USER

HM2017 Abstract Number: 454

A DIFFERENT TAKE ON CHOLECYSTITIS: LET’S GO BACK TO THE ANATOMY LAB

Case Presentation: Acute cholecystitis is a very common disease, suspected by the patient’s history and physical examination, confirmed by ultrasonographic imaging, and supported by lab findings suggestive of obstructive jaundice. Our patient had an atypical [...]

By | 2017-04-25T22:59:57-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A DIFFERENT TAKE ON CHOLECYSTITIS: LET’S GO BACK TO THE ANATOMY LAB

HM2017 Abstract Number: 453

A WICKED TUMOR: SINONASAL TERATOCARCINOSARCOMA

Case Presentation: A 53-year-old African-American male presented to his primary care physician with two months of nasal congestion and recurrent epistaxis. There was no significant past medical or family history. Saline nasal spray and a [...]

By | 2017-04-20T16:31:18-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A WICKED TUMOR: SINONASAL TERATOCARCINOSARCOMA

HM2017 Abstract Number: 452

CAN’T BREATH! CAN’T PEE! AN UNIQUE CASE OF PNEUMONIC AND SEPTICEMIC TULAREMIA PRESENTING AS ACUTE ON CHRONIC RENAL FAILURE. ROGER THAT!

Case Presentation: 65 y/o M with a history of Diabetes and Coronary Artery disease, but in his usual state of health presented with a five day history of malaise, productive cough, shortness of breath, fever, [...]

By | 2017-04-20T16:31:20-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CAN’T BREATH! CAN’T PEE! AN UNIQUE CASE OF PNEUMONIC AND SEPTICEMIC TULAREMIA PRESENTING AS ACUTE ON CHRONIC RENAL FAILURE. ROGER THAT!

HM2017 Abstract Number: 451

VERTIGO AND HYPERVISCOSITY: SPINNING INTO A NEW DIAGNOSIS OF MULTIPLE MYELOMA

Case Presentation: 84 year old previously healthy female with history of hypertension, Diabetes and chronic kidney disease stage 2 presented to the ER with dizziness. She reported light headedness with frequent room spinning while ambulating. [...]

By | 2017-04-20T16:31:22-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on VERTIGO AND HYPERVISCOSITY: SPINNING INTO A NEW DIAGNOSIS OF MULTIPLE MYELOMA

HM2017 Abstract Number: 450

RHABDOMYOLYSIS AND PANCYTOPENIA SECONDARY TO AN UNEXPECTED INTERACTION BETWEEN LEDIPASVIR/SOFOSBUVIR, ATORVASTATIN AND COLCHICINE

Case Presentation: A 65-year-old woman with hepatitis C-induced liver cirrhosis status-post liver transplantation, coronary artery disease and gout, presents with one week of progressive fatigue, weakness, and severe pain in her right leg and left [...]

By | 2017-04-20T16:31:24-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on RHABDOMYOLYSIS AND PANCYTOPENIA SECONDARY TO AN UNEXPECTED INTERACTION BETWEEN LEDIPASVIR/SOFOSBUVIR, ATORVASTATIN AND COLCHICINE

HM2017 Abstract Number: 449

THE MAZE IN THE CASTLE: THE CHALLENGING DIAGNOSIS OF A RARE CAUSE OF DIFFUSE LYMPHADENOPATHY IN A PATIENT WITH HIV/AIDS

Case Presentation: A 49 year old man with AIDS on anti-retroviral therapy (CD4 count 113) presented to the hospital with dizziness, abdominal pain, and generalized fatigue and malaise. He developed fever as high as 39.9 [...]

By | 2017-04-20T16:31:27-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE MAZE IN THE CASTLE: THE CHALLENGING DIAGNOSIS OF A RARE CAUSE OF DIFFUSE LYMPHADENOPATHY IN A PATIENT WITH HIV/AIDS

HM2017 Abstract Number: 448

STANDING UP TO ORTHODEOXIA – THE CASE OF A POSITION-MEDIATED SHUNT

Case Presentation: An 82 year-old presented with acute onset hypoxia after a laparoscopic subtotal gastrectomy for stage I gastric adenocarcinoma. Upon extubation, she had positional episodes of desaturation to 79% when sitting up, with other [...]

By | 2017-04-20T16:31:29-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on STANDING UP TO ORTHODEOXIA – THE CASE OF A POSITION-MEDIATED SHUNT

HM2017 Abstract Number: 447

VANCOMYCIN-INDUCED THROMBOCYTOPENIA

Case Presentation: A 67-year-old male was hospitalized for right lower extremity skin abscess with cellulitis complicated by methicillin sensitive Staphylococcus Aureusbacteremia. The patient received piperacillin/tazobactam (pip/taz) and vancomycin over the first 5 days of hospitalization [...]

By | 2017-04-20T16:31:31-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on VANCOMYCIN-INDUCED THROMBOCYTOPENIA

HM2017 Abstract Number: 446

A CASE OF COLD FEET

Case Presentation: An otherwise healthy, 48-year-old man from Maine presented with URI symptoms and five days of “inability to warm his feet” after a recent kayaking trip. He was afebrile and nontoxic. On exam he [...]

By | 2017-04-25T17:25:01-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF COLD FEET

HM2017 Abstract Number: 445

FINDING A ZEBRA: A CASE STUDY IN THROAT SWELLING

Case Presentation: A 51–year–old female, with no significant past medical history, presented to the emergency room with dyspnea and swelling of the throat. The patient first began to experience shortness of breath two months prior [...]

By | 2017-04-20T16:31:34-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FINDING A ZEBRA: A CASE STUDY IN THROAT SWELLING

HM2017 Abstract Number: 444

FULMINANT LIVER FAILURE CAUSED BY DUAL IMMUNOTHERAPY FOR MALIGNANT MELANOMA

Case Presentation: A 70 year old male with metastatic malignant melanoma on immunotherapy with nivolumab and ipilimumab was sent to the hospital by his oncologist for abdominal pain and elevated liver enzymes.  His labs were [...]

By | 2017-04-20T16:31:37-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FULMINANT LIVER FAILURE CAUSED BY DUAL IMMUNOTHERAPY FOR MALIGNANT MELANOMA

HM2017 Abstract Number: 443

HEMOLYSIS AND RENAL FAILURE, A CASE OF “ATYPICAL” HEMOLYTIC UREMIC SYNDROME,

Case Presentation: A 30 yo female without significant medical history presented to hospital complaining of facial swelling and dyspnea on exertion of 3 days duration. She described increasing fatigue, nausea and throat discomfort but denied [...]

By | 2017-04-20T16:32:02-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HEMOLYSIS AND RENAL FAILURE, A CASE OF “ATYPICAL” HEMOLYTIC UREMIC SYNDROME,

HM2017 Abstract Number: 442

WHEN IS THE DUKE CRITERIA NOT ENOUGH?

Case Presentation: A 54 year-old-woman presented with one week of progressive fatigue, shortness of breath, and productive cough.  Physical exam revealed fever of 101.6⁰ F, poor oral dentition, bilateral pulmonary crackles and left lower quadrant [...]

By | 2017-04-20T16:32:05-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on WHEN IS THE DUKE CRITERIA NOT ENOUGH?

HM2017 Abstract Number: 441

A CASE OF REFRACTORY HYPOGLYCEMIA IN A YOUNG NON-DIABETIC WOMAN

Case Presentation: A 34-year-old female with history of Systemic Lupus Erythematosus and gastroparesis status post Roux-en-Y gastric bypass (RYGB) surgery, was admitted for intractable nausea and vomiting. CT scan of abdomen and pelvis showed large [...]

By | 2017-04-25T17:29:48-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF REFRACTORY HYPOGLYCEMIA IN A YOUNG NON-DIABETIC WOMAN

HM2017 Abstract Number: 439

DELIRIUM WITH CATATONIC FEATURES IN THE SETTING OF A URINARY TRACT INFECTION

Case Presentation: A 68 year old woman with a past history notable for recurrent urinary tract infections presents with one day of confusion, odd postures, mutism, and subjective fever. In the Emergency Department, she was [...]

By | 2017-04-20T16:32:10-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on DELIRIUM WITH CATATONIC FEATURES IN THE SETTING OF A URINARY TRACT INFECTION

HM2017 Abstract Number: 438

BRUGADA THREE IN ONE

Case Presentation: A 24 year old male presented for cardiology evaluation after a syncopal episode. At the time of the event, he experienced dizziness and was witnessed to fall and hit his head. Neurological assessment [...]

By | 2017-04-20T16:32:12-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on BRUGADA THREE IN ONE

HM2017 Abstract Number: 437

CLINICAL EQUIPOISE IN PE MANAGEMENT: CALL A PERT!

Case Presentation: A 48-year-old woman with recently diagnosed interstitial lung disease (ILD) presented with several weeks of progressive dyspnea on exertion and new bilateral lower extremity swelling. She was mildly tachycardic (110/min), normotensive (110/80), and [...]

By | 2017-04-20T16:32:15-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CLINICAL EQUIPOISE IN PE MANAGEMENT: CALL A PERT!

HM2017 Abstract Number: 436

AN UNEXPECTED ETIOLOGY OF BILATERAL LOWER EXTREMITY EDEMA

Case Presentation: A 65-year-old Caucasian male with history of recurrent pulmonary embolism on chronic warfarin and hypertension was transferred from a nursing home to the hospital for shortness of breath and cough for two days. He was initially treated [...]

By | 2017-04-20T16:32:17-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNEXPECTED ETIOLOGY OF BILATERAL LOWER EXTREMITY EDEMA

HM2017 Abstract Number: 435

AN UNUSUAL CASE OF ALTERED MENTAL STATUS

Case Presentation: An 84 year-old man with a history of diet-controlled diabetes, atrial fibrillation, and MGUS was admitted for back pain and 30 pounds of unintentional weightloss over 3 months.  His wife also reported that [...]

By | 2017-04-20T16:32:18-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN UNUSUAL CASE OF ALTERED MENTAL STATUS

HM2017 Abstract Number: 434

LEGIONELLA PNEUMONIA MASQUERADING AS PELVIC INFLAMMATORY DISEASE

Case Presentation: A 36-year-old healthy women presented with high fever, headache, and “not feeling well” two weeks after she had termination of pregnancy by dilatation and curettage procedure. She had minimal vaginal bleeding and denied [...]

By | 2017-04-20T16:32:21-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on LEGIONELLA PNEUMONIA MASQUERADING AS PELVIC INFLAMMATORY DISEASE

HM2017 Abstract Number: 433

A RARE PRESENTATION OF EXTRA GONADAL CHORIOCARCINOMA

Case Presentation: A 41 year old male with no known past medical history presented to the Emergency Department with progressive shortness of breath, dyspnea on exertion and hemoptysis of one month duration, associated with constant [...]

By | 2017-04-20T16:32:53-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE PRESENTATION OF EXTRA GONADAL CHORIOCARCINOMA

HM2017 Abstract Number: 432

NEUROLEPTIC MALIGNANT SYNDROME LIKE SYMPTOMS IN A YOUNG HEALTHY FEMALE: COULD IT BE PARANEOPLASTIC ENCEPHALITIS?

Case Presentation: A 26 year old female with no past medicalor psychiatric history presented to our hospital by her friends after they reported complaining that she had been behaving impulsive and manic during the preceding [...]

By | 2017-04-20T16:32:55-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on NEUROLEPTIC MALIGNANT SYNDROME LIKE SYMPTOMS IN A YOUNG HEALTHY FEMALE: COULD IT BE PARANEOPLASTIC ENCEPHALITIS?

HM2017 Abstract Number: 431

FEVER OF UNKNOWN ORIGIN: SHOULD BREAST IMPLANTS BECOME A HEALTH WARNING?

Case Presentation: A healthy 50 year-old high school teacher with a past surgical history significant for elective bilateral breast augmentation presented to clinic for a 2-month history of dry cough unresponsive to steroids. She reported [...]

By | 2017-04-21T00:28:25-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts, Finalist Poster|Comments Off on FEVER OF UNKNOWN ORIGIN: SHOULD BREAST IMPLANTS BECOME A HEALTH WARNING?

HM2017 Abstract Number: 430

A RARE CASE OF ACUTE INFECTIOUS PURPURA FULMINANS CAUSED BY ESCHERICHIA COLI

Case Presentation: An ADL-independent 75-year-old woman with a history of diabetes who was receiving insulin therapy visited our emergency department owing to fever and chills, which had started 3 days before the visit. At that [...]

By | 2017-04-20T16:32:58-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE CASE OF ACUTE INFECTIOUS PURPURA FULMINANS CAUSED BY ESCHERICHIA COLI

HM2017 Abstract Number: 429

A CASE OF POST-OPERATIVE DEEP VEIN THROMBOSIS IN A HYPERCOAGULABLE PATIENT ON APIXABAN

Case Presentation: Hypercoagulable disorders pose an increased lifetime risk of developing venous thromboembolic events (VTE). It is established that patients with these disorders usually need lifelong anticoagulation once they have more than one thromboembolic event. [...]

By | 2017-04-25T17:28:16-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF POST-OPERATIVE DEEP VEIN THROMBOSIS IN A HYPERCOAGULABLE PATIENT ON APIXABAN

HM2017 Abstract Number: 428

TIS THE SEASON OF COUGHING, SNEEZING, AND TRACHEAL MASSES

Case Presentation: Introduction:Tracheal tumors commonly arise as metastasis from neighboring thyroid, esophageal, laryngeal or lung tumors. Primary tracheal tumors are extremely rare with an incidence of 1 in 1,000,000 persons per year. Often presenting with [...]

By | 2017-04-20T16:33:02-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on TIS THE SEASON OF COUGHING, SNEEZING, AND TRACHEAL MASSES

HM2017 Abstract Number: 427

FLOOD SYNDROME: NOT YOUR AVERAGE PARACENTESIS

Case Presentation: A 55-year-old female with Child-Pugh1 Grade C cirrhosis and an umbilical hernia presented with 5 days of fluid leakage from her hernia site. Four months prior to presentation, she had developed tense ascites [...]

By | 2017-04-20T16:33:04-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FLOOD SYNDROME: NOT YOUR AVERAGE PARACENTESIS

HM2017 Abstract Number: 426

ALBUTEROL-INDUCED LACTIC ACIDOSIS IN THE TREATMENT OF OBSTRUCTIVE PULMONARY DISEASE

Case Presentation: A 22 year-old woman presented with sudden-onset shortness of breath and five days of progressively worsening rhinorrhea and cough.  She was tachycardic and tachypneic, with diffuse inspiratory and expiratory wheezes bilaterally. Oxygen saturation [...]

By | 2017-04-20T16:33:05-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ALBUTEROL-INDUCED LACTIC ACIDOSIS IN THE TREATMENT OF OBSTRUCTIVE PULMONARY DISEASE

HM2017 Abstract Number: 424

STAPHYLOCOCCUS LUGDENENSIS: AN UNDERAPPRECIATED CAUSE OF RAPIDLY PROGRESSIVE NATIVE VALVE ENDOCARDITIS

Case Presentation: A 77 year old male with history of HTN, HLD, MR presented with two weeks of cervical neck pain, chills, neck stiffness, and malaise. Blood cultures drawn on admission grew a coagulase-negative Staphylococcus, [...]

By | 2017-04-20T16:33:09-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on STAPHYLOCOCCUS LUGDENENSIS: AN UNDERAPPRECIATED CAUSE OF RAPIDLY PROGRESSIVE NATIVE VALVE ENDOCARDITIS

HM2017 Abstract Number: 423

MACROPHAGE ACTIVATION SYNDROME: A NEARLY FATAL CASE PRESENTATION, AND REVIEW OF DIAGNOSIS AND TREATMENT GUIDELINES

Case Presentation:       A 33 year-old Hispanic male without significant history presented with an unremitting fever for 5 days, associated with myalgais, fatigue, night sweats, and a rash. Upon admission, he was tachycardic, [...]

By | 2017-04-20T16:33:44-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on MACROPHAGE ACTIVATION SYNDROME: A NEARLY FATAL CASE PRESENTATION, AND REVIEW OF DIAGNOSIS AND TREATMENT GUIDELINES

HM2017 Abstract Number: 422

APICAL VARIANT OF HYPERTROPHIC CARDIOMYOPATHY AS A RARE CAUSE OF CHEST PAIN

Case Presentation: This is a 53-year-old Caucasian female with a history of hypertension, recent stroke, and obesity, who presented with chest pain. She had intermittent chest discomfort as a child and was told she had [...]

By | 2017-04-20T16:33:46-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on APICAL VARIANT OF HYPERTROPHIC CARDIOMYOPATHY AS A RARE CAUSE OF CHEST PAIN

HM2017 Abstract Number: 421

HEART FAILURE AND ACUTE CORONARY SYNDROME IN A YOUNG PATIENT: LATE COMPLICATIONS OF KAWASAKI DISEASE

Case Presentation: A 38-year-old male presented to the hospital with fatigue and progressive exertional dyspnea. He had a childhood history of Kawasaki disease (KD) with no treatment or subsequent follow up. Physical exam revealed marked [...]

By | 2017-04-20T16:33:48-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HEART FAILURE AND ACUTE CORONARY SYNDROME IN A YOUNG PATIENT: LATE COMPLICATIONS OF KAWASAKI DISEASE

HM2017 Abstract Number: 420

A BRAIN-WRACKING CASE OF ENCEPHALITIS

Case Presentation: Mr. L, a 37-year-old Native American man with alcohol abuse disorder presented to the emergency room with sub-acute development over two days of ataxia, bilateral lower extremity paralysis and loss of sensation below [...]

By | 2017-04-25T17:20:49-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A BRAIN-WRACKING CASE OF ENCEPHALITIS

HM2017 Abstract Number: 419

NOT ALL WHO WANDER ARE LOST – THE CURIOUS CASE OF AN INSULINOMA

Case Presentation: A 44-year-old male presented to the emergency department with a 2 hour history of altered mental status. His wife reports that when he awoke, he was confused and acting inappropriately. After no improvement [...]

By | 2017-04-20T16:33:53-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on NOT ALL WHO WANDER ARE LOST – THE CURIOUS CASE OF AN INSULINOMA

HM2017 Abstract Number: 418

A CASE OF PREVENTABLE LEMIERRE’S SYNDROME

Case Presentation: This is a 21 year old male with no significant past medical history presenting with shortness of breath and fever.  Five days prior to presentation, he noted sore throat, fevers, and heart burn [...]

By | 2017-04-25T17:28:49-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF PREVENTABLE LEMIERRE’S SYNDROME

HM2017 Abstract Number: 417

THE BACTEREMIC COLD

Case Presentation: A 26-year-old woman with no PMH presented to the emergency department (ED) with persistent fever for six days. Patient had dry cough and low grade fevers with one spike to 40oC. After four [...]

By | 2017-04-20T16:33:57-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE BACTEREMIC COLD

HM2017 Abstract Number: 416

SPICING UP THE DIFFERENTIAL FOR DIFFUSE ALVEOLAR HEMORRHAGE

SPICING UP THE DIFFERENTIAL FOR DIFFUSE ALVEOLAR HEMORRHAGECase Presentation: A 29-year-old man with history of hypertension presented to a referring facility with subjective fever, cough, and hemoptysis. One month earlier, he had been hospitalized for [...]

By | 2017-04-20T16:33:59-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SPICING UP THE DIFFERENTIAL FOR DIFFUSE ALVEOLAR HEMORRHAGE

HM2017 Abstract Number: 412

THE IMPORTANCE OF THE INTERVIEW: MASSIVE KRUKENBERG TUMORS PRESENTING AS ATRIAL FIBRILLATION

Case Presentation: A 67 year old female with no past medical history presented to our emergency department for new onset shortness of breath, chest pain, and palpitations for 90 minutes. Of note, she reported 8 [...]

By | 2017-04-20T16:35:05-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on THE IMPORTANCE OF THE INTERVIEW: MASSIVE KRUKENBERG TUMORS PRESENTING AS ATRIAL FIBRILLATION

HM2017 Abstract Number: 411

CONSIDERING A TUMMY TUCK? READ THIS FIRST. A CASE OF EUGLYCEMIC DKA

Case Presentation: A 49 year-old woman with type 2 diabetes presented with emesis and inability to tolerate oral intake. Her symptoms had developed three days earlier, following an elective abdominoplasty and incarcerated hernia repair. Her [...]

By | 2017-04-20T16:35:07-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CONSIDERING A TUMMY TUCK? READ THIS FIRST. A CASE OF EUGLYCEMIC DKA

HM2017 Abstract Number: 410

ACRODERMATITIS ENTEROPATHICA (AE): AN UNDER-RECOGNIZED ENTITY TO CONSIDER IN ALCOHOLICS

Case Presentation: A 39 year old male with a history of alcohol abuse and recurrent methicillin resistant Staphylococcus aureus bacteremia was referred for tertiary evaluation of recurrent bacteremia and diffuse eczematous eruption. He reported chronic [...]

By | 2017-04-21T00:24:41-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts, Finalist Poster|Comments Off on ACRODERMATITIS ENTEROPATHICA (AE): AN UNDER-RECOGNIZED ENTITY TO CONSIDER IN ALCOHOLICS

HM2017 Abstract Number: 409

RECOGNIZE MURINE TYPHUS AS A MEDICAL CHAMELEON

Case Presentation: This is a previously healthy 41-year-old man who presented with fevers, headache, and neck stiffness for 5 days. He also reported photophobia, anorexia, insomnia, nausea but no vomiting. He denied any recent travel [...]

By | 2017-04-20T16:35:11-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on RECOGNIZE MURINE TYPHUS AS A MEDICAL CHAMELEON

HM2017 Abstract Number: 408

36 YEAR OLD FEMALE WITH HYPERCALCEMIA SECONDARY TO IMMUNE RECONSTITUTION INFLAMMATORY SYNDROME

Case Presentation: A 36 year-old African-American female with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) was admitted to a community hospital with hypercalcemia and acute kidney injury (AKI). She recently was diagnosed with HIV/AIDs with diffuse [...]

By | 2017-04-25T17:18:45-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on 36 YEAR OLD FEMALE WITH HYPERCALCEMIA SECONDARY TO IMMUNE RECONSTITUTION INFLAMMATORY SYNDROME

HM2017 Abstract Number: 407

TB CONSIDERED: A CASE OF TUBERCULOUS SACROILIITIS

Case Presentation: A 70 year old female with recently diagnosed right sacroiliitis presented with worsening right hip pain. Five months prior to admission, patient was hospitalized at an outside hospital for right hip pain and [...]

By | 2017-04-20T16:35:16-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on TB CONSIDERED: A CASE OF TUBERCULOUS SACROILIITIS

HM2017 Abstract Number: 406

UNUSUAL LOWER EXTREMITY EDEMA

Case Presentation: A 24 year old female with uncontrolled Type 1 Diabetes Mellitus was admitted with bilateral lower extremity swelling and abdominal fullness. Three weeks prior she visited the emergency department, was found to have [...]

By | 2017-04-20T16:35:18-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on UNUSUAL LOWER EXTREMITY EDEMA

HM2017 Abstract Number: 405

A CRYPTOGENIC FEVER

Case Presentation: A 33 year-old female without significant medical history was admitted as a transfer from an outside hospital for daily fevers and generalized weakness for the preceding two weeks associated with neck pain. Had [...]

By | 2017-04-21T00:23:05-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts, Finalist Poster|Comments Off on A CRYPTOGENIC FEVER

HM2017 Abstract Number: 404

HEAD OF A LION, HEAD OF A GOAT, TAIL OF A SNAKE: A NEWLY DESCRIBED ETIOLOGY OF SPINAL DISCITIS & OSTEOMYELITIS

Case Presentation: A 75 y/o woman with SLE on 10mg daily prednisone and hydroxychloroquine was hospitalized due to hyponatremia and 6 month history of chronic, intermittent lower back pain acutely worsening several days prior to [...]

By | 2017-04-20T16:35:23-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HEAD OF A LION, HEAD OF A GOAT, TAIL OF A SNAKE: A NEWLY DESCRIBED ETIOLOGY OF SPINAL DISCITIS & OSTEOMYELITIS

HM2017 Abstract Number: 403

STEWART- TREVES SYNDROME OF THE LOWER EXTREMITY

Case Presentation: Presenting to our institution was a 81 year old female patient with a past medical history of cervical cancer in 2008,who had undergone both radiation and chemotherapy with resulting chronic edema of bilateral [...]

By | 2017-04-20T16:35:47-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on STEWART- TREVES SYNDROME OF THE LOWER EXTREMITY

HM2017 Abstract Number: 400

INFECTIOUS VASCULITIS AS THE INITIAL PRESENTATION OF NATIVE-VALVE STREPTOCOCCUS BOVIS ENDOCARDITIS

Case Presentation: A 45-year-old-man with no prior medical history presented to the emergency department with a symmetric lower extremity rash and recurrent fevers. The rash started two weeks prior as discrete mildly pruritic red lesions [...]

By | 2017-04-20T16:35:53-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on INFECTIOUS VASCULITIS AS THE INITIAL PRESENTATION OF NATIVE-VALVE STREPTOCOCCUS BOVIS ENDOCARDITIS

HM2017 Abstract Number: 399

A CASE OF RECREATIONAL INHALANT USE LEADING TO AN UNEXPECTED FATAL OUTCOME IN A HEALTHY PATIENT

Case Presentation: A 26-year-old man with a past medical history of depression and chronic pain presented to the hospital with severe shortness of breath, chest pain, diffuse numbness, nausea, and vomiting. Questioning revealed the symptoms [...]

By | 2017-04-25T17:29:16-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF RECREATIONAL INHALANT USE LEADING TO AN UNEXPECTED FATAL OUTCOME IN A HEALTHY PATIENT

HM2017 Abstract Number: 398

OCCAM’S RAZOR OR HICKAM DICTUM: HYPERTHYROIDISM AND PULMONARY HYPERTENSION IN A PATIENT TAKING WEIGHT LOSS SUPPLEMENTATION

Case Presentation: 52-year-old female with past medical history of intentional 60-pound weight loss over 8 months using a weight loss supplementation system, presented to the emergency department with new onset palpitations, dizziness and shortness of [...]

By | 2017-04-20T16:35:58-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on OCCAM’S RAZOR OR HICKAM DICTUM: HYPERTHYROIDISM AND PULMONARY HYPERTENSION IN A PATIENT TAKING WEIGHT LOSS SUPPLEMENTATION

HM2017 Abstract Number: 396

CHIEF COMPLAINT: “I’M DEAD”

Case Presentation: The patient is an 82-year-old female with multiple medical problems including stroke who presents with change in mental status. The patient is normally alert and oriented x3 but 3 days ago, she noted [...]

By | 2017-04-20T16:36:01-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on CHIEF COMPLAINT: “I’M DEAD”

HM2017 Abstract Number: 394

PERSISTENT TACHYCARDIA AS THE PRESENTING SYMPTOM OF METASTATIC BURKITT’S LYMPHOMA IN AN IMMUNOCOMPETENT TWENTY YEAR OLD FEMALE

Case Presentation: A 20-year-old female presented to the emergency department with weakness and fatigue. She reported new onset midsternal chest pain that began approximately twelve hours prior to admission. She had noticed episodes of palpitations [...]

By | 2017-04-20T16:36:06-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on PERSISTENT TACHYCARDIA AS THE PRESENTING SYMPTOM OF METASTATIC BURKITT’S LYMPHOMA IN AN IMMUNOCOMPETENT TWENTY YEAR OLD FEMALE

HM2017 Abstract Number: 393

SUBACUTE PARAPLEGIA IN A YOUNG MALE

Case Presentation: A 26 year old previously healthy male presented with complaints of right leg weakness and urinary retention.  Three weeks prior, he experienced back pain in the setting of a lifting injury at work [...]

By | 2017-04-20T16:36:31-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on SUBACUTE PARAPLEGIA IN A YOUNG MALE

HM2017 Abstract Number: 392

ACUTE ONSET OF ATAXIA IN A YOUNG FEMALE

Case Presentation: The patient is a 34 y.o. female with a past medical history significant only for morbid obesity. She had a gastric sleeve placed 3 months ago, in order to promote weight loss. Two [...]

By | 2017-04-20T16:36:33-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ACUTE ONSET OF ATAXIA IN A YOUNG FEMALE

HM2017 Abstract Number: 391

A DRUG INTERACTION INVOLVING RED YEAST RICE

Case Presentation: A 66 year old man presents with progressive weakness and diffuse myalgias. He has been on antibiotic treatment for an infected iliac artery stent which was removed on recent hospitalization. He was discharged [...]

By | 2017-04-25T23:00:37-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A DRUG INTERACTION INVOLVING RED YEAST RICE

HM2017 Abstract Number: 390

SGLT2 INHIBITOR INDUCED EUGLYCEMIC DIABETIC KETOACIDOSIS IN TYPE 1 DIABETES

Case Presentation: A 34-year-old woman with a history of type 1 diabetes mellitus (T1DM) with baseline HbA1c of 9.1%, cerebral palsy and chronic constipation was admitted to intensive care unit with intractable vomiting, diarrhea and [...]

By | 2017-04-21T00:32:36-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts, Finalist Poster|Comments Off on SGLT2 INHIBITOR INDUCED EUGLYCEMIC DIABETIC KETOACIDOSIS IN TYPE 1 DIABETES

HM2017 Abstract Number: 389

ARDS AS A CONSEQUENCE OF FAT EMBOLISM SYNDROME FROM A TIBIAL FRACTURE

Case Presentation: A 62-year-old woman with a medical history significant for seizure disorder presented with a right tibia fracture following a mechanical fall. She underwent open reduction and internal fixation of the right tibia and [...]

By | 2017-04-20T16:36:39-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ARDS AS A CONSEQUENCE OF FAT EMBOLISM SYNDROME FROM A TIBIAL FRACTURE

HM2017 Abstract Number: 387

A HEPATIC ABSCESS THAT WASN’T

Case Presentation: 47 year old female with a past medical history of hypertension presented to the emergency room with two days of right upper quadrant pain and a fever to 102F. For several months prior, [...]

By | 2017-04-25T23:14:08-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A HEPATIC ABSCESS THAT WASN’T

HM2017 Abstract Number: 386

A RARE CASE OF COLITIS

Case Presentation: A 23-year-old female with a history of acne presented with abdominal pain and bloody diarrhea for 1 day. The pain was crampy in nature and located in her lower abdomen, without radiation or [...]

By | 2017-04-20T16:36:45-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE CASE OF COLITIS

HM2017 Abstract Number: 384

FUNGEMIA INDUCED RHABDOMYOLYSIS – AN OPPORTUNITY FOR EARLY DIAGNOSIS AND INTERVENTION

Case Presentation: 34-year-old lady with IgG deficiency, pseudotumor cerebri post VP shunt, malnutrition, recently started on jejunostomy nutrition presented with fever and chills for 1 week. Associated symptoms were frontal headache and generalized muscle pain. Labs were [...]

By | 2017-04-20T16:36:50-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FUNGEMIA INDUCED RHABDOMYOLYSIS – AN OPPORTUNITY FOR EARLY DIAGNOSIS AND INTERVENTION

HM2017 Abstract Number: 383

REVERSIBLE DEMENTIA: ELDERLY MALE WITH ANTI-VOLTAGE-GATED POTASSIUM CHANNEL COMPLEX LIMBIC ENCEPHALITIS

Case Presentation: An 81 year-old man presented to hospital with five days of short-term memory loss and irritability. He was noted to remember 0 out of 3 objects on delayed recall and was only oriented [...]

By | 2017-04-20T16:37:14-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on REVERSIBLE DEMENTIA: ELDERLY MALE WITH ANTI-VOLTAGE-GATED POTASSIUM CHANNEL COMPLEX LIMBIC ENCEPHALITIS

HM2017 Abstract Number: 382

MULTI-ORGAN FAILURE WITH A SLOW BEATING HEART: ATYPICAL PRESENTATION OF FULMINANT LYMPHOCYTIC MYOCARDITIS WITH COMPLETE HEART BLOCK

Case Presentation: A 29-year-old previously healthy male presented to an outside hospital emergency department with two days of flu-like symptoms including fever, chills, nausea, vomiting, abdominal pain, and recurrent episodes of syncope. On arrival, physical [...]

By | 2017-04-20T16:37:15-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on MULTI-ORGAN FAILURE WITH A SLOW BEATING HEART: ATYPICAL PRESENTATION OF FULMINANT LYMPHOCYTIC MYOCARDITIS WITH COMPLETE HEART BLOCK

HM2017 Abstract Number: 381

A CLOT FROM A SLOW BEATING HEART: COMPLETE HEART BLOCK AND STROKE DUE TO NONCOMPACTION CARDIOMYOPATHY

Case Presentation: A 45-year-old previously healthy male with a known history of polysubstance use (tobacco, ethanol, and cocaine) presented to the emergency department with sudden onset left-sided facial droop, hemiparesis, hemisensory loss, and dysarthria. The [...]

By | 2017-04-25T21:16:44-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CLOT FROM A SLOW BEATING HEART: COMPLETE HEART BLOCK AND STROKE DUE TO NONCOMPACTION CARDIOMYOPATHY

HM2017 Abstract Number: 380

A RARE CASE OF SALMONELLA FASCIITIS

Case Presentation: 54-year-old male with history of atrial fibrillation (afib) and hypertension presents for diabetic ketoacidosis (DKA), with newly diagnosed diabetes, septic shock and back pain. He reports left hip and lower back pain since experiencing [...]

By | 2017-04-20T16:37:19-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE CASE OF SALMONELLA FASCIITIS

HM2017 Abstract Number: 379

A CASE OF A SPONTANEOUS BLEED

Case Presentation: 69-year-old male with history of cirrhosis from nonalcoholic steatohepatitis, coronary artery disease, hypertension, and diabetes presents to hospital for abdominal pain and weakness. Before the onset of symptoms earlier in the day, he [...]

By | 2017-04-25T17:21:16-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A CASE OF A SPONTANEOUS BLEED

HM2017 Abstract Number: 378

FRUCTOSAMINE: AN UNCOMMON ANSWER TO A COMMON PROBLEM

Case Presentation: 59-year-old male with history of hypertension, insulin dependent diabetes mellitus type two, alcohol abuse, and depression/anxiety presented to the Intensive Care Unit by emergency medical service after being found down by his neighbors [...]

By | 2017-04-20T16:37:23-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on FRUCTOSAMINE: AN UNCOMMON ANSWER TO A COMMON PROBLEM

HM2017 Abstract Number: 377

AN ACUTE PRESENTATION OF DISTAL INTESTINAL OBSTRUCTIVE SYNDROME (DIOS)

Case Presentation: A 31 year old male with cystic fibrosis presents to the ER complaining of episodic, sharp, and diffuse abdominal pain associated with nausea, vomiting, and obstipation for 3 days. On physical examination, the [...]

By | 2017-04-20T16:37:25-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on AN ACUTE PRESENTATION OF DISTAL INTESTINAL OBSTRUCTIVE SYNDROME (DIOS)

HM2017 Abstract Number: 376

RENAL VEIN AND THE MEMBRANE (INSANE IN THE VEIN!)

Case Presentation: A 39-year-old Mexican man with a history of rheumatoid arthritis and diabetes presented with 5 days of abdominal pain. Pain was peri-umbilical without radiation. He had not taken any prescription medications for more [...]

By | 2017-04-20T16:37:26-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on RENAL VEIN AND THE MEMBRANE (INSANE IN THE VEIN!)

HM2017 Abstract Number: 375

HEMATEMESIS OR HEMOPTYSIS: A MASQUERADING CASE OF PULMONARY EMBOLISM

Case Presentation: A 65-year-old female, Spanish speaking, Jehovah’s Witness, with a past medical history of insulin-dependent diabetes, PUD 2/2 H pylori treated but not tested for cure, and osteoarthritis who presents with hematemesis of one-day [...]

By | 2017-04-20T16:37:28-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HEMATEMESIS OR HEMOPTYSIS: A MASQUERADING CASE OF PULMONARY EMBOLISM

HM2017 Abstract Number: 374

A RARE FISTULATING CARDIAC ANOMALY WITH ATRIAL FIBRILLATION AND HEART FAILURE

Case Presentation: A 63-year-old female with no PMH or FH of heart disease presented to the ER with dyspnea and pressure-like central chest pain. She reported a 3-week history of cough, sore throat and rhinorrhea. [...]

By | 2017-04-20T16:37:30-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on A RARE FISTULATING CARDIAC ANOMALY WITH ATRIAL FIBRILLATION AND HEART FAILURE

HM2017 Abstract Number: 373

A UNIQUE CASE OF INFILTRATIVE HEPATOCELLULAR CARCINOMA WITH HYPERCALCEMIA AND URIC ACID NEPHROPATHY

Case Presentation: A 64-year-old obese male with history of atrial fibrillation, congestive heart failure (CHF) and alcohol use presented with subacute worsening of lower extremity edema, fatigue, and exercise tolerance. Five months prior to presentation, [...]

By | 2017-04-21T00:24:09-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts, Finalist Poster|Comments Off on A UNIQUE CASE OF INFILTRATIVE HEPATOCELLULAR CARCINOMA WITH HYPERCALCEMIA AND URIC ACID NEPHROPATHY