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Meetings Archive For Hospital Medicine 2009, May 14-17, Chicago, Ill...

Abstract Number: 149
It May Look Like Malignancy … But the Truth Lies in the Tissue!
Hospital Medicine 2009, May 14-17, Chicago, Ill.
Case Presentation: A 51‐year‐old woman with a medical history of congestive heart failure, hepatitis B, and hypothyroidism was transferred from an outside hospital for a workup of an abdominal mass. The patient had presented several months ago to her parent facility complaining of abdominal pain and swelling. A workup performed at the referring facility revealed [...]
Abstract Number: 150
Chest Pain … Add Another Life‐Threatening Condition!
Hospital Medicine 2009, May 14-17, Chicago, Ill.
Case Presentation: Chest pain is the second most common reason for visiting an emergency department in the United States. Ruling out medical emergencies is crucial. We are presenting a case of chest pain due to an unthought‐of life‐threatening condition…This is a 66‐year‐old man with a medical history of diabetes mel‐litus, coronary artery disease, and hypertension. [...]
Abstract Number: 151
Sulfonamides and Tick Bites: A Dangerous Combination
Hospital Medicine 2009, May 14-17, Chicago, Ill.
Case Presentation: A 22‐year‐old previously healthy woman presented in May 2008 describing fever, fatigue, diarrhea, and dysuria for 1 week. She recalled a tick bite 3 weeks prior to her illness. She was prescribed trimethoprim‐sulfamethoxazole for a presumed urinary tract infection as an outpatient. Her symptoms failed to improve, and she was admitted and diagnosed [...]
Abstract Number: 152
Influenza Encephalitis: An Uncommon Presentation of a Common Disease
Hospital Medicine 2009, May 14-17, Chicago, Ill.
Case Presentation: This is a case of an 8‐year‐old girl who presented with a 2‐day history of abdominal pain, vomiting, and fever. She subsequently developed cough, lethargy, and “sniffing” paroxysms consisting of arm and leg extension, downward eye deviation, and an abnormal breathing pattern that looked like sniffing. Each episode lasted approximately 10 seconds. Her [...]
Abstract Number: 153
A Case of Algid Malaria
Hospital Medicine 2009, May 14-17, Chicago, Ill.
Case Presentation: A 49‐year‐old African American woman presented to the emergency room (ER) with a 3‐day history of high‐grade fevers, chills, and generalized muscie aches after returning from a 3‐week trip to Nigeria without malaria prophylaxis. On admission her temperature was 39°C, heart rate was 99 beats per minute, and blood pressure (BP) was 100/50 [...]
Abstract Number: 154
The Eye of the Storm: A Severe Case of Immune Reconstitution Inflammatory Syndrome (IRIS)
Hospital Medicine 2009, May 14-17, Chicago, Ill.
Case Presentation: A 51‐year‐old man with a new diagnosis of HIV/AIDS complicated by cryptococcemia and toxopSasma brain abscess, with a CD4 count of 17 cells/μL, presented to our hospital 2 months after his initial diagnosis with a chief complaint of dyspnea and palpitations. He was on his fifth week of antiretroviral therapy and now had [...]
Abstract Number: 155
Hickam's Dictum
Hospital Medicine 2009, May 14-17, Chicago, Ill.
Case Presentation: A 34‐year‐old woman presented with 2 days of headache, nausea, vomiting, and bilateral eye pain. The headache was describes as throbbing and radiated from the base of her skull down the back of her neck. Emesis was nonbilious and non‐bloody and precipitated by ingestion of solids and liquids. She had a fever of [...]
Abstract Number: 156
Cardiac Arrest after Percutaneous Transthoracic Needle Biopsy: A Consideration Other Than Pneumothorax
Hospital Medicine 2009, May 14-17, Chicago, Ill.
Case Presentation: A 59‐year‐old man with a medical history significant for congestive heart failure and diabetes mellitus presented with a new right upper lobe nodule (positive on PET scan), for which he underwent a CT‐guided percutaneous biopsy. Coaxial technique was used to perform the biopsy of the more peripherally located lesion using a 19‐gauge biopsy [...]
Abstract Number: 157
Young Man with Respiratory Failure
Hospital Medicine 2009, May 14-17, Chicago, Ill.
Case Presentation: A 28‐year‐old white man was transferred to our facility from an outside hospital for 1 week of fatigue and cough. He smoked half a pack a day and had a history of asthma for which he took an albuterol inhaler twice daily. He denied any fever or sick contacts. In the emergency department [...]
Abstract Number: 158
Cervical Spine Manipulation: Neck Relief and Brain Grief
Hospital Medicine 2009, May 14-17, Chicago, Ill.
Case Presentation: A 37‐year‐old woman with an unremarkable medical history was admitted with sudden onset of dizziness, aphasia, and right arm numbness and weakness. The patient's symptoms lasted approximately 45 minutes and then slowly resolved, after which she was able to call for help. A few hours before her symptoms, the patient had her usual [...]