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Meetings Archive For Hospital Medicine 2011, May 10-13, Dallas, Texas...
Abstract Number: 314
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 58‐year‐old woman presented to the emergency room for evaluation of a progressive pruritic rash. She initially noticed the eruption 72 hours after receiving intravenous iron sucrose for the first time. Past medical history was significant for end‐stage renal disease, hypertension, and alcoholism. Medications prior to admission included atenolol, hydrocodone‐acetaminophen, sodium bicarbonate, diphenhy‐dramine, [...]
Abstract Number: 315
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 45‐year‐old woman with a history of chronic migraines and diabetes was brought to the emergency room for decreased responsiveness with hypoxic respiratory failure. She had been treated for migraines at an outside facility the day prior and had not recovered from sedative medications. Other medications prior to admission included amitriptyline, and butalbital‐acetaminophen‐caffeine. [...]
Abstract Number: 316
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 79‐year‐old man with a medical history of gout presented with fever of 103°F, chills, palpitations, left lower‐extremity pain, swelling, and redness. Patient denied any trauma to his limb. Physical exam was unremarkable except for tachycardia, edema, induration, and intense erythema of the left lower leg with a sharply demarcated raised border, and [...]
Abstract Number: 317
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: The patient was a 28‐year‐old man with history of bipolar disorder with psychotic features, polysubstance abuse, and hyperlipidemia. He had been chronically institutionalized in a psychiatric hospital for 7 years prior this presentation. He presented back to the institution after a recent pass outside the hospital with unsteady gait. He had dilated pupils [...]
Abstract Number: 318
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: An 83‐year‐old woman with a history of invasive ductal breast cancer in remission status post lumpectomy and radiation presented with complaints of generalized weakness. Her vital signs were stable, and exam was remarkable for 31 pitting edema below the knees bilaterally. A laboratory evaluation revealed blood urea nitrogen of 55 mg/dL and creatinine of [...]
Abstract Number: 319
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 60‐year old woman with type 2 diabetes mellitus presented with a 1‐week history of worsening left eye pain, redness, and gradual vision loss following a recent outside hospitalization. She also complained of a 2‐week history of low‐grade fevers, decreased appetite, and unintentional weight loss without abdominal pain, nausea, or vomiting. While at [...]
Abstract Number: 320
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 64‐year‐old woman presented with 12 hours of fevers and confusion. She had gone to her primary care doctor 1 day earlier with complaints of dysuria. She was diagnosed with a urinary tract infection and given a prescription for trimethoprim/sulfamethoxazole. After receiving her first dose, she developed nausea and vomiting, fevers, and confusion. [...]
Abstract Number: 321
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 63‐year‐old woman with history of bariatric surgery, gastroparesis, daily emesis, on parenteral nutrition, aortic insufficiency, and mitral regurgitation (presumed secondary to past use of anorectic drugs) was admitted with fever, lethargy, orthostatic hypotension, tachycardia, and an old left lower sternal border III/VI systolic murmur. She refused placement of central venous and Foley [...]
Abstract Number: 322
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 68‐year‐old African American man with a medical history of gastric carcinoma status post resection and history of left‐sided spontaneous pneumothorax was admitted to the hospital with gross hematuria for 1 day. He reported a 20‐pound weight loss over the preceding 3 months. Physical examination revealed a left upper quadrant surgical scar. Rest [...]
Abstract Number: 323
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 39‐year‐old pharmacy technician was referred by her local physician for continued outpatient evaluation of bruising, epistaxis, and diarrhea. These conditions had been present for 3 months. She had been on disability leave in the setting of multiple medical conditions, including (by report) spontaneous episodes of unresponsiveness. INR, noted to be elevated in [...]