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Meetings Archive For Hospital Medicine 2010, April 8-11, Washington, D.C...

Abstract Number: 257
Sigmoid Sinus and Jugular Venous Thrombosis Complicating Pharyngitis
Hospital Medicine 2010, April 8-11, Washington, D.C.
Case Presentation: A 27‐year‐old female day‐care worker with a history of childhood tonsillectomy noted fever, sore throat, and right ear pain for 1 week. Two days before admission she developed pain involving the right side of her neck. Although a rapid streptococcal test was negative, she was prescribed amoxicillin. The neck pain progressed, and she [...]
Abstract Number: 262
The Common Presentation Is Not Classic
Hospital Medicine 2010, April 8-11, Washington, D.C.
Case Presentation: A 20‐year‐old previously healthy man presented with 1 month of lower back pain. He noted a 30‐pound weight loss, night sweats, fatigue, and bleeding from the gums over the same time period. He noted no trauma to the back, and he did not use drugs. On presentation, he was febrile with palpable painless [...]
Abstract Number: 265
Oseltamivir Toxicity in a Hemodialysis Patient
Hospital Medicine 2010, April 8-11, Washington, D.C.
Case Presentation: Our patient is a 45‐year‐old female with a history of systemic lupus erythematosus and end‐stage renal disease requiring hemodialysis (HD) who was admitted to the hospital from her dialysis center after being found to have a temperature of 103°F. She was admitted to a hospitalist service and empirically treated for health care‐associated pneumonia [...]
Abstract Number: 266
Purple Glove Syndrome; A Case Report and Review of the Literature
Hospital Medicine 2010, April 8-11, Washington, D.C.
Case Presentation: A 69‐year‐old white female was seen by the rheumatology service at the request of the vascular service, regarding bilateral hand edema and severe pain. Two days previously, the patient had been made NPO for a vascular surgery procedure, and her home oral phenyloin had been changed to an intravenous formulation. An IV was [...]
Abstract Number: 270
Isolated Pulmonic Valve Endocarditis: Missed Opportunities
Hospital Medicine 2010, April 8-11, Washington, D.C.
Case Presentation: A 58‐year‐old man was admitted with a 5‐day history of shortness of breath, cough, and weakness. His medical history was remarkable for an 8‐month course of recurrent pneumonia and intermittent fevers He had been treated with multiple courses of antibiotics for presumed pneumonia. His symptoms continued to wax and wane and thus presented [...]
Abstract Number: 272
Weissetia confusa Bacteremia in a Liver Transplant Patient with Hepatic Artery Thrombosis
Hospital Medicine 2010, April 8-11, Washington, D.C.
Case Presentation: A 54‐year‐old man with a history of nonalcoholic steatohepatitis and hepatocellular carcinoma presented 2 months after an orthotopic liver transplant with fever and abdominal pain. Two weeks prior he had a hepatic artery thrombosis and a biliary stricture for which a hepatic artery stent and a biliary stent were placed. Laboratory workup was [...]
Abstract Number: 273
Lemon Juice and Vision Loss in an Intravenous Drug User
Hospital Medicine 2010, April 8-11, Washington, D.C.
Case Presentation: A 28‐year‐old previously healthy female with a history of intravenous drug abuse (IVDA) was referred to our hospital after 2 days of progressively worsening right monocular vision loss. Three days prior to symptom onset, she experienced fever, chills, and night sweats. She acknowledged right central vision loss with sparing of the peripheral visual [...]
Abstract Number: 274
Cutaneous Causes of Weakness
Hospital Medicine 2010, April 8-11, Washington, D.C.
Case Presentation: A48‐year‐old woman was admitted to the hospital with shortness of breath and generalized weakness. She noted 3 months of a progressive weakness, and the recent onset of progressive eyelid swelling. She also noted pleuritic chest pain, dyspnea on exertion, muscle pain in the shoulders and thighs, and overall general malaise. Her vital signs [...]
Abstract Number: 275
A Granulomatous Effusion
Hospital Medicine 2010, April 8-11, Washington, D.C.
Case Presentation: A 30‐year‐old woman presented with 1 month of progressively worsening dyspnea on exertion. Her exercise tolerance had decreased; she could barely take a few steps or even pick up her 6‐month old child. She also reported weight loss and persistent cough. She denied fevers, diarrtiea, hemoptysis, arthralgias, rash, and chest pain. She was [...]
Abstract Number: 276
Radiculopathy of Disseminated Lyme Disease Masked by Cervical Spondylosis 276
Hospital Medicine 2010, April 8-11, Washington, D.C.
Case Presentation: An 82‐year‐old man with cervical spondylosis presented to his PCP in mid‐August for acute neck pain with radiation to the hghl arm. The patient was treated for similar pain with steroid injections in the past. Prior imaging confirmed degenerative changes in the neck. The patient's last visit to his PCP was for a [...]