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Meetings Archive For Hospital Medicine 2006, May 3-5, Washington, D.C...

Abstract Number: 124
A Case of Severe Diarrhea and Polyarticular Arthritis
Hospital Medicine 2006, May 3-5, Washington, D.C.
Clostridium difficile is a well‐known cause of pseudomembranous colitis but is seldom thought of in the differential diagnosis of reactive arthritis. Here, we present a case to highlight this uncommon entity. Case Presentation: A 40 year old male was treated with clindamycin for a dental abscess six weeks prior to admission. He then developed profuse […]
Abstract Number: 125
Sometime It's More than Pneumonia
Hospital Medicine 2006, May 3-5, Washington, D.C.
Case Presentation: A 50‐year‐old African American woman presented with a 3‐week history of cough and worsening shortness of breath. Her past medical history included hypertension, depression, and smoking. The patient also claimed she had been admitted to the hospital 2 years prior for presumed pneumonia and COPD that eventually required short‐term mechanical respiratory ventilation. The […]
Abstract Number: 126
A Case of Acute Anemia and Fever
Hospital Medicine 2006, May 3-5, Washington, D.C.
Case Presentation: A 73 year old male with history of indolent marginal cell lymphoma and splenectomy admitted to an outside hospital with generalized malaise and jaundice. History included DM, HTN, prior enterococcal endocarditis and streptococcal meningitis. He was transferred for a hematocrit drop from 32 to 17 without a bleeding source. On presentation, he was […]
Abstract Number: 127
Emphysematous Pyelonephritis with an Unusual Causative Organism
Hospital Medicine 2006, May 3-5, Washington, D.C.
Case Presentation: An 81year old man with renal cell carcinoma (RCC) underwent left renal artery embolization. 3 weeks after the procedure he presented with left sided back pain, hiccups and confusion. On exam T = 96.5° F, P = 129, BP = 102/62, RR = 24. He had left CVA tenderness, pedal edema and cool extremities. Labs were notable for a WBC count […]
Abstract Number: 128
Mesalamine Induced Pericardial Tamponade in Crohn's Disease
Hospital Medicine 2006, May 3-5, Washington, D.C.
Case Presentation: 50‐year‐old white female with a past medical history significant for Crohn's disease was started on mesalamine two weeks earlier. She presented to her primary care physician with the chief complaint of chest pain. Her pain was mostly left‐sided, worsening with deep inspiration and associated with shortness of breath. She was afebrile with stable […]
Abstract Number: 129
Liver Failure Secondary to Vitamin A Toxicity
Hospital Medicine 2006, May 3-5, Washington, D.C.
Case Presentation: Vitamin A is a widely used supplement. However, it has underappreciated potential for serious toxicities, including liver failure. Discussion: 60 year old caucasian man presented with marked decline in functional status, refractory ascites and chronic hyponatremia. Past medical history revealed excessive intake of vitamin A, approximately 500, 000 IU daily, for treatment of […]