Clinical Vignette Abstracts — Adult

/Tag:Clinical Vignette Abstracts — Adult

‘Double Hit’ Anemia in a Patient with Hiv

Case Presentation: A 59-year-old woman with HIV (CD4 1064 cells/mm3), chronic HCV, hypertension and peripheral vascular disease presented with progressive dyspnea on exertion over the past month. Her medication regimen was stable and included Lamivudine/zidovudine, [...]

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“Crossfit: Not Just Forging Elite Fitness”

Case Presentation: A 29 year old male with a history of Crigler–Najjar syndrome and working out with CrossFit, a high intensity core strength and conditioning exercise program, presented with two days of bilateral arm swelling.  [...]

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“Deadly” Rash of Fusariosis

Case Presentation: A 67-year-old male with acute myelogenous leukemia (AML) with chronic neutropenia presented with acute onset of fevers accompanied by rapidly progressing violaceous lesions with a central eschar within a period of 48-72 hours. [...]

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“Dinner with a Side of Digoxin”

Case Presentation: 58 year old female with no significant past medical history presents to the emergency room with slow heart rate. Patient initially presented to primary care physician with malaise, nausea, and vomiting.  She reported [...]

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“Heart” to Stomach the Headaches

Case Presentation: 39 year old man with a PMH of testicular seminoma s/p orchiectomy presents with intermittent, sharp, left-sided abdominal pain in the subcostal region with radiation to the left flank and back of 2 [...]

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“Ring Around the Heart”: A Case of Metastatic Primary Gastric Signet Ring Cell Carcinoma Presenting As Cardiac Tamponade

Case Presentation: 55-year-old Hispanic female with no significant past medical history who was in her usual state of health presented with complaints of multiple syncopal episodes that were preceded by nausea and vomiting for three [...]

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“Wheezing from the Gut! Gerd: A Forgotten Diagnosis”

Case Presentation: A 58-year-old woman with PMH significant for asthma, COPD, history of breast cancer s/p mastectomy on Tamoxifen, OSA, RA and a recent admission 3 weeks ago for asthma exacerbation; presented to the Emergency [...]

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2, 2, 82? A Late Presentation of Meckel’s Diverticulum

Case Presentation: An 82 year old female with history of perforated appendicitis with open appendectomy at age 15, presented with 3 years of episodic abdominal pain and distention associated with nausea and vomiting. Prior episodes [...]

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23-Year-Old with Lymphadenopathy and “B Symptoms”

Case Presentation: A 23-year-old previously healthy African-American female presented with one month history of progressive symptoms: first fever, night sweats, sore throat, malaise and body aches; then poor oral intake, severe fatigue, lower abdominal pain [...]

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A “Tear”-Ible Culprit

Case Presentation: A 42-year-old man with a history of severe hypertension, chronic kidney disease (stage 3), obesity, and smoking presented with one day of acute onset abdominal pain. The pain awoke him from sleep at 4 AM, starting in [...]

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A “Pain in the Neck” Diagnosis: Retropharyngeal Calcific Tendonitis with Bacteremia

Case Presentation: A 54-year-old male with type 2 diabetes mellitus presented to the emergency department with occipital headache, neck pain, fevers, and dysuria for three days. He was diagnosed with a urinary tract infection and [...]

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A 49-Year-Old Man with Weakness, Dysphagia, and Recurrent Syncope

Case Presentation: A 49-year-old previously healthy gentleman presented with progressive weakness, dysphagia and recurrent syncope. Six months ago, he developed dysphagia to solids and watery diarrhea; endoscopic evaluation failed to reveal a cause. He had [...]

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A B-Symptoms Charade

Case Presentation: A 55-year-old man with hepatitis C was admitted for fevers, night sweats, weight loss, and a swollen inguinal lymph node. He first noticed pain in his right groin one month ago, like someone was burning him [...]

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A Bloody Mess: Distal Splenorenal Shunt for the Management of Variceal Bleeding Unamenable to Tips

Case Presentation: A 56 year-old Kenyan woman presented with massive hematemesis, hypotension, and altered mental status. Exam noted ascites with hepatosplenomegaly. Emergent esophagogastroduodenoscopy (EGD) revealed bleeding esophageal varices that were banded at that time. Subsequent [...]

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A Breathtaking Defect

Case Presentation:  A 63 year-old female presented with a fall and presyncope. A year ago, the patient had transient dysarthria with progressive confusion, cognitive decline, and several falls. The patient denied recent headache, SOB, palpitations, [...]

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