HM2016 Abstract Number: 512

A Case of the Unseen: Klebsiella Pneumonia Pyogenic Liver Abscess with Pneumonia and Septic Endophthalmitis in a Non-Asian U.S. Resident

Case Presentation: A 53 year old Russian man with no significant past medical history initially presented to an ophthalmology clinic with two days of progressively worsening, near-total left visual field loss associated with a one-week [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on A Case of the Unseen: Klebsiella Pneumonia Pyogenic Liver Abscess with Pneumonia and Septic Endophthalmitis in a Non-Asian U.S. Resident

HM2016 Abstract Number: 534

‘abstinent and Intoxicated’. a Rare Case of Auto-Brewery Syndrome

Case Presentation: A 25-year-old man was found unresponsive at his home and brought to the hospital for further evaluation. In the emergency department, his Glasgow coma scale was 6, for which he was intubated and [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on ‘abstinent and Intoxicated’. a Rare Case of Auto-Brewery Syndrome

HM2016 Abstract Number: 663

A Super-Antigen-Mediated Mimic of Acute Appendicitis

Case Presentation: A 23 year-old man with schizophrenia presented to the emergency department complaining of nausea, vomiting, headache, and subjective fever, followed by acute onset of right lower quadrant abdominal pain. His medications included chlorpromazine [...]

By | 2017-04-17T12:10:00-04:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on A Super-Antigen-Mediated Mimic of Acute Appendicitis

HM2016 Abstract Number: 618

The Smoking Woman

Case Presentation: A 27 year-old woman who is approximately 10 weeks pregnant presents with 8 week history of dry cough, shortness of breath, and mediastinal pain, worsened dramatically in the last 3 days. She was [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on The Smoking Woman

HM2016 Abstract Number: 596

The Tip of the Iceberg: A Rare Cause of Acute Liver Failure

Case Presentation: A 53 year-old man with a history of sickle cell trait and stroke presented with subacute, progressively worsening generalized abdominal pain and distension. He had recently been diagnosed with cirrhosis due to autoimmune [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on The Tip of the Iceberg: A Rare Cause of Acute Liver Failure

HM2016 Abstract Number: 572

Lactic Acidosis in Asthma

Case Presentation: A 38 year-old female with history of asthma presented to the emergency department (ED) with symptoms of progressive dyspnea, wheezing, and dry cough, consistent with asthma exacerbation. In the ED, she was treated [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on Lactic Acidosis in Asthma

HM2016 Abstract Number: 551

When It’s Not an Allergic Reaction: An Unusual Case of Ecthyema Gangrenosum Associated with Proteus Bacteremia

Case Presentation: A 51-year-old woman with multiple medical co-morbidities including morbid obesity with body mass index of 84, hepatitis C cirrhosis, urinary retention requiring chronic indwelling foley catheter and bilateral non-obstructing renal calculi presented from [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on When It’s Not an Allergic Reaction: An Unusual Case of Ecthyema Gangrenosum Associated with Proteus Bacteremia

HM2016 Abstract Number: 442

Crossfit Catastrophe: Chest Pain in a Healthy Young Woman

Case Presentation: A 48-year-old physically active woman presented with acute-onset, severe, retrosternal chest pain radiating to her arms and back. The pain started during an intensive CrossFit workout, in which she ran up nineteen flights [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on Crossfit Catastrophe: Chest Pain in a Healthy Young Woman

HM2016 Abstract Number: 435

Bulls-Eye Marks the Spot: Lyme Carditis Presenting As Rash and Presyncope

Case Presentation: An otherwise healthy 58 year-old female presented to the emergency department (ED) from her primary care physician’s (PCP) office with new onset bradycardia, heart block, and a progressive rash. Two weeks prior at [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on Bulls-Eye Marks the Spot: Lyme Carditis Presenting As Rash and Presyncope

HM2016 Abstract Number: 409

Angina of Abdominal Origin

Case Presentation: Exercise-induced chest pain is a hallmark of coronary artery ischemia. When unusual ischemic symptoms predominate however, they point to rare extrathoracic vascular compression syndromes. A 28-year-old Caucasian man reported worsened daily left-sided chest and [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on Angina of Abdominal Origin

HM2016 Abstract Number: 911

The Youngest Reported Case of Eosinophilic Cholangitis

Case Presentation: A 6-year-old African American male with no past medical history presented with nine days of fever, mild neck pain, nausea, emesis, fatigue, and decreased oral intake. Parents had documented a maximum temperature of [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Clinical Vignettes Abstracts, Finalist, Pediatric|Comments Off on The Youngest Reported Case of Eosinophilic Cholangitis

HM2016 Abstract Number: 903

More Than Just the “Terrible Twos”: A Case of Resistant Hsv Encephalitis

Case Presentation: A two-year-old boy presented with several weeks of increasing irritability and developmental regression. His parents reported that he often displayed aggressive behavior and screamed inconsolably. They also noticed gait instability and vocabulary loss. [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Clinical Vignettes Abstracts, Finalist, Pediatric|Comments Off on More Than Just the “Terrible Twos”: A Case of Resistant Hsv Encephalitis

HM2016 Abstract Number: 898

Uncoiling a Problematic Tickle in the Throat

Case Presentation: This is a 7-year-old previously healthy girl who underwent tonsillectomy for recurrent tonsillitis two years prior to admission. Seven months postoperatively she was found to have a large pseudoaneurysm arising from the superior [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Clinical Vignettes Abstracts, Finalist, Pediatric|Comments Off on Uncoiling a Problematic Tickle in the Throat

HM2016 Abstract Number: 875

The Mysterious Dance: A Rare Case of Delayed Onset Diabetic Striatopathy

Case Presentation: A 77 year old black female presented to our emergency department due to worsening involuntary movements of her left arm and leg for the past two weeks. The movements were choreiform and hemiballistic [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on The Mysterious Dance: A Rare Case of Delayed Onset Diabetic Striatopathy

HM2016 Abstract Number: 851

Putting the Pee in Pregnancy: A Case of Gestational Diabetes Insipidus You Don’t Want to Miss

Case Presentation: A 44 year old female at 38 weeks of gestation (G3P1) was admitted after spontaneous rupture of membranes. She had an uneventful pregnancy, except for mild polyuria noted two weeks prior. Gestational diabetes [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on Putting the Pee in Pregnancy: A Case of Gestational Diabetes Insipidus You Don’t Want to Miss

HM2016 Abstract Number: 818

Lower Extremity Necrotizing Fasciitis: An Unusual Presentation of Perforated Sigmoid Diverticulitis

Case Presentation:    A 72y/o female with PMH of sigmoid diverticulitis, myasthenia gravis on chronic prednisone, presented with 3-4days of progressively worsening pain and swelling of the left buttock and leg. Physical exam was significant [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on Lower Extremity Necrotizing Fasciitis: An Unusual Presentation of Perforated Sigmoid Diverticulitis

HM2016 Abstract Number: 797

Unmasking the Teratoma

Case Presentation: Our patient is a 19 year old female with no known medical history. She was studying engineering at a competitive university when she presented with seizures and altered mental status. History obtained from [...]

By | 2017-04-20T13:47:31-04:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts, Finalist|Comments Off on Unmasking the Teratoma