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Meetings Archive For SHM Converge 2023..

Abstract Number: 24
GOOD GOURD! AN UNEXPECTED CAUSE OF SHOCK
SHM Converge 2023
Case Presentation: A 47-year-old male with history of hypertension presented to urgent care with one day of vomiting and bloody diarrhea. Onset of symptoms occurred 30 minutes after consuming raw juice he made at home from a lauki bottle gourd. At urgent care he was pale, ill-appearing, and hypotensive with a blood pressure of 80/36 […]
Abstract Number: 25
KAPOSI SARCOMA OF THE RECTUM IN ABSENCE OF CUTANEOUS MANIFESTATION
SHM Converge 2023
Case Presentation: A 31-year-old man with past medical history of secondary syphilis and HIV/AIDS (CD4 47) intermittently on ART presented with worsening rectal pain and recurrent rectal abscesses. He endorsed rectal pruritis, nausea, weight loss, and lower extremity pain. He denied fevers, night sweats, abdominal pain, or diarrhea. Last year, he had a prior rectal […]
Abstract Number: 26
SPONTANEOUS SPINAL EPIDURAL HEMATOMA. A RARE ENTITY.
SHM Converge 2023
Case Presentation: Spontaneous spinal epidural hematoma (SSEH) is a hematoma that happens without an insult. Although a rare entity, it can result in spinal cord compression. Etiologies include anticoagulant therapies, coagulopathies, blood dyscrasias, pregnancy, and vascular malformations (1). We present a case of SSEH in the setting of heparin and clopidogrel use during a vascular […]
Abstract Number: 27
COVID-19 ASSOCIATED COLD AGGLUTININ HEMOLYTIC ANEMIA IN A PEDIATRIC PATIENT
SHM Converge 2023
Case Presentation: This is a 4-year-old previously healthy girl, fully immunized with the exception of COVID-19 immunizations, who was hospitalized after presenting with fevers and fatigue for one week followed by gross hematuria. At the outset of her fevers, she tested negative for COVID-19 using a home antigen test. 4 days prior to admission, she […]
Abstract Number: 28
MAKING THE DIAGNOSIS THE NEW FASHIONED WAY
SHM Converge 2023
Case Presentation: A 15-year-old male with HIV and inconsistent antiretroviral therapy adherence presented to an HIV clinic in Lilongwe, Malawi with weight loss, night sweats, lower extremity rash, and diarrhea. The rash on his legs had been present for 4 months and then spread to his arms. On exam, his vital signs were unremarkable. He […]
Abstract Number: 29
AN ELDERLY ZEBRA IN TEENAGER’S CLOTHING: WERNICKE’S ENCEPHALOPATHY
SHM Converge 2023
Case Presentation: A 16 year old boy with obesity presented for dehydration in the setting of three months of abdominal pain, nausea, and non-bloody, non-bilious emesis. Outpatient work-up had been unrevealing. He also endorsed cannabis use and vaping. He had lost 70 pounds during this time. New symptoms in the days prior to admission included dizziness […]
Abstract Number: 30
WEATHERING STORMS: WHEN THROMBOSIS BEGETS THROMBOSIS
SHM Converge 2023
Case Presentation: A healthy five-year-old girl was admitted from Ophthalmology Clinic for evaluation of bilateral anterior uveitis, fatigue and weight loss. History was notable for a cat scratch to the right eye one month prior which had prompted the referral to Ophthalmology Clinic. Patient also reported fatigue, night sweats, intermittent headache, poor oral intake, and […]
Abstract Number: 31
FIRST THINGS FIRST: “ASK THEM THREE”
SHM Converge 2023
Background: Effectively communicating information to a patient is the driving force for a successful physician-patient relationship. Patient outcomes depend on successful communication. As efficiency metrics and clinical productivity remain top priorities for most health systems, time spent with each patient gets affected hindering effective patient-physician communication. This in turn affects the HCAHPS (Hospital Consumer Assessment […]
Abstract Number: 32
CLINICAL VIGNETTE BOOT CAMPS: TRAINING HOSPITALISTS TO FLEX SCHOLARLY MUSCLES
SHM Converge 2023
Background: There are few hospitalist-specific training supports for writing clinical vignettes and case reports. This can limit participation in academic scholarship and opportunities to share informative cases encountered in everyday practice. Efforts to build hospitalists’ scholarly writing capacity—particularly for junior faculty—must effectively counter modifiable barriers including perceived lack of knowledge and ability. Purpose: Our Division […]
Abstract Number: 33
DEVELOPMENT AND IMPLEMENTATION OF A HOSPITAL MEDICINE PA POST-GRADUATE PROGRAM
SHM Converge 2023
Background: Advanced Practice Providers (APP) are an expanding workforce within hospital medicine. Training and onboarding APPs is essential for developing a confident and competent workforce. However, onboarding options for APP training in hospital-based medicine have been limited due to the breadth and complexity of knowledge required to practice. Purpose: To develop an inpatient hospital medicine […]