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Meetings Archive For Hospital Medicine 2011, May 10-13, Dallas, Texas...

Abstract Number: 303
The Catatonic Stuporous Child: A Severe Case of Anti–Nmda Receptor Encephalitis
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A former 27‐week‐gestation Hispanic male aged 2 years and 9 months with a history of grade 2 intraven‐tricular hemorrhage in the neonatal period presented with sub‐acute onset of ataxia, difficulty with hand coordination, speech deterioration, and sleep disturbance. His symptoms had begun 3 weeks prior to admission and initially manifested as right toe [...]
Abstract Number: 304
A Case of Morvan Syndrome in a 16‐Year‐Old
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: Patient is a 16‐year‐old Hispanic male who was transferred to our tertiary‐care center with hypertension that was refractory to antihypertensive medications. He reported a 1‐month history of profuse sweating, itching, and muscle fasciculations that were more pronounced with activity. Evaluation for causes of secondary hypertension including echocardiogram, electrocardiography, and ultrasound with Doppler flow [...]
Abstract Number: 305
Community‐Acquired Methicillin‐Resistant Staphylococcus Aureus Prostatic Abscess
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 50‐years‐old diabetic man presented with cough, fever, weight loss, malaise, and diffuse abdominal pain of 2 weeks’ duration. He denied dysuria, recent hospitalization, sick contacts, or visits to any long‐term care facility. On admission, he had a high‐grade fever and leu‐kocytosis. Physical exam was normal except for crackles in the left lung. [...]
Abstract Number: 306
Remembering Wernicke's; Maintaining a High Suspicion for Thiamine Deficiency
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 62‐year‐old African American man with a questionable history of heavy alcohol use was admitted to the urology service for incision and drainage of a scrotal abscess. At the time of incision and drainage, he received D5‐half normal saline, 1 dose of morphine 2 mg intranveously, and empiric antibiotic coverage with vanco‐mycin and Zosyn. [...]
Abstract Number: 307
Intradermal Malignant Melanoma: The Great Enigma
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 31‐year‐old woman who was 8 weeks pregnant presented to her obstetrician for an initial prenatal examination. On physical exam, a firm, fixated 4 × 5 cm mass was palpated in the midline of the neck. The patient revealed that she became aware of the mass 8 months prior, but that it had only [...]
Abstract Number: 308
Anaplasmosis: A Case Report and Literature Review
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: We describe a 79‐year‐old man with a history of hypertension and benign prostatic hypertrophy who presented with 5 days of fevers to 103°F and myalgias. The patient also complained of a dry cough for 3 days. Further questioning revealed that 2 weeks prior, he had skinned a deer with his bare hands. On [...]
Abstract Number: 309
Recognizing the Obvious: Elevated INR in Patients with Polycythemia
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 67‐year‐old man with polycythemia vera was admitted for management of elevated hematocrit (Hct). The patient denied chest pain, headache, paresthesias, easy bruisability, epistaxis, or melena. He reported red eyes and generalized pruritis. He had a history of coronary artery disease status post coronary artery bypass graft and peptic ulcer disease status post [...]
Abstract Number: 310
In the Blood: A Case of Too Much Inhibition
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 79‐year‐old man with a history notable for hyperlipidemia and stage I prostate cancer presented to his physician with fatigue and easy bruising for 3 weeks after returning from a recent 2‐month trip to Europe. He had first noticed extensive bruising on his arms and legs while in the shower. He denied any [...]
Abstract Number: 311
A Rare Cause of Neonatal Seizures
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: An 8‐day‐old girl born full term, normal spontaneous vaginal delivery, with transient tachypnea of the newborn requiring a 5‐day stay in the neonatal intensive care unit, presented to her private medical doctor for decreased feeding and was noted to have thrush and generalized tonic–clonic seizures, so she was sent to the emergency department, [...]
Abstract Number: 312
Another Cause of Pneumonitis and Ards
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: An 84‐year‐old cattle farmer presented to the emergency room with a 5‐day history of dry cough, progressive shortness of breathb and temperature to 39.4°C. Past medical history included coronary artery disease and atrial fibrillation. Amiodarone, pravastatin, warfarinb and isosorbide mononitrate were prescribed medications prior to hospital admission. His initial blood pressure was 81/49 mm [...]