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

Abstract Number: 431
A Confusing Case of Confusion
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 19‐year‐old African American man was “not acting right,” so he was brought to the emergency room (ER) by his mother. Last year, he was treated for syphilis and diagnosed with HIV but did not seek further medical care. His review of systems only noted a recent upper respiratory tract infection. A head […]
Abstract Number: 432
What's Your Gut Feeling? An Unusual Cause of Intractable Diarrhea
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 63‐year‐old white woman with a medical history of hypothyroidism, hypertension, hypercholesterolemia, and recent deep vein thrombosis on Coumadin presented to the emergency department with dehydration because of intractable diarrhea and intermittent emesis. She had a 6‐month history of daily greenish watery diarrhea with abdominal cramps. She also lost about 100 pounds. Her […]
Abstract Number: 433
It's Not a Horse or Even a Zebra! a Rare Cause of a Common Condition
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 40‐year‐old G9P8 Yemeni woman with hypertension and diabetes mellitus at 32 weeks of pregnancy presented to the emergency room with 11 days of left otalgia and facial droop. She also had intermittent tinnitus and gradual hearing loss over the last several years. On presentation she was hypertensive at 150/89 and otherwise had […]
Abstract Number: 434
Hydralazine‐Induced Anca‐Associated Microscopic Polyangiitis
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 70‐year‐old man presented to the emergency department with a recent 15‐pound weight loss over 2 months and hearing loss in this right ear. Medical history was significant for hypertension and coronary artery disease. Medications included aspirin, simvastatin, lisinopril, and hydralazine (100 mg twice daily). Initial evaluation was notable for bilateral episcleritis, acute renal […]
Abstract Number: 435
Axial Gouty Arthropathy Causing Cord Compression
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Case Presentation: A 50‐year‐old man with a history of hypertension and gout presented with 2 weeks of bilateral lower‐extremity weakness and generalized fatigue. He was diagnosed 10 years ago with gout, initially controlled with antihyperuricemic drugs, but he recently became polyarticular and refractory to treatment. Medications included febuxostat, colchicine, amlodipine, and nonsteroidal anti‐inflammatories. Physical examination […]
Abstract Number: 1000
Plenary: Financial Impact of Presenting Lab Cost Data to Providers at the Time of Order Entry: A Randomized Controlled Clinical Trial
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Background: Hospital care consumes a large percentage of U.S. health care costs, yet providers practicing in the hospital are often unaware of the actual costs of the diagnostic tests they order. We hypothesized that displaying the actual cost of the diagnostic test at the time of order entry would enhance provider awareness that their orders […]
Abstract Number: 1001
Oral: Clinical Outcomes Among Non–Mechanically Ventilated Patients with Acute Lung Injury
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Background: Acute lung injury (ALI) is a common cause of respiratory failure among hospitalized patients. Large studies have been limited to patients requiring mechanical ventilation, and little is known about non–mechanically ventilated adults with ALI. We sought to compare the clinical outcomes of non–mechanically ventilated patients with those of those requiring mechanical ventilation (MV) on […]
Abstract Number: 1002
The Derivation of the Lung Injury Severity Score (Liss): A Prognostic Index for In‐Hospital Mortality in Acute Lung Injury
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Background: Acute lung injury (ALI) is a frequently fatal cause of respiratory failure among hospitalized patients, and a practical and easily obtainable prognostic index at the time of ALI diagnosis is needed for risk prediction. The utility of current prognostic indexes is limited, as they cannot be generated on presentation, and they contain components not […]
Abstract Number: 1003
Evaluation of an Electronic Discharge Summary for Timeliness and Quality Compared with Dictation
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Background: The Center for Medicaid and Medicare Services requires that a discharge summary be completed only within 30 days of discharge. This rule is inadequate to ensure safe care transitions, as outpatient physicians must receive more timely information regarding a patient's hospital course. We describe the implementation of an electronic discharge summary (EDCS) and report […]
Abstract Number: 1004
Understanding Unsuccessful Procedures on a Hospitalist Procedure Service
Hospital Medicine 2011, May 10-13, Dallas, Texas.
Background: Ultrasonography (US) has improved the yield of bedside invasive procedures over the last decade; however, unsuccessful procedures still occur. As benchmarks for the yield of procedures using US are limited, we aimed to quantify and review unsuccessful procedures done by the hospitalist procedure service (HPS) at the University of California, San Francisco, in its […]