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Meetings Archive For Hospital Medicine 2020, Virtual Competition..

Abstract Number: 1243
PHEOCHROMOCYTOMA RESULTING IN CATECHOLAMINE-INDUCED CARDIOMYOPATHY AND HYPERTENSIVE EMERGENCY
Hospital Medicine 2020, Virtual Competition
Case Presentation: 52-year-old female without significant history presented with 3 days of fever, sweating, and epigastric pain. BP 190/100 with heart rate of 86. Afebrile. Exam remarkable for mild abdominal tenderness. Laboratory testing demonstrated WBCs 27.3, lactate 4.8, troponin T 0.69, and NT pro-BNP 20,800. EKG showed sinus rhythm with nonspecific T wave changes. Negative […]
Abstract Number: 1244
DAPTOMYCIN-INDUCED HEMOLYSIS: A RARE OCCURRENCE OF ANEMIA
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 35-year-old male with past-medical-history significant for cerebral palsy and ventriculoperitoneal shunt for ventriculomegaly was admitted with fever. Patient had completed a course of levofloxacin before admission. Patient was started on azithromycin and meropenem, for possible aspiration pneumonia, because of penicillin allergy. He continued to be febrile with elevated leukocytes despite antibiotics. Considering […]
Abstract Number: 1245
WHEN IS IT MORE THAN HICCUPS? UNDERSTANDING THE DIAGNOSIS AND TREATMENT OF SUPERIOR MESENTERIC SYNDROME.
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 83-year-old male with a history of hypertension and coronary artery disease presented to the ED with complaints of persistent hiccups for 1-week duration associated with drooling, decreased appetite, inability to lie flat, and significant weight loss over several months. He was hemodynamically stable and afebrile but noted to have diffuse abdominal tenderness […]
Abstract Number: 1246
‘ISOLATED HISTOPLASMA MENINGITIS’. IT IS NOT ALWAYS IMMUNODEFECIENCY
Hospital Medicine 2020, Virtual Competition
Case Presentation: 39-year-old male with history of previously treated TB meningitis 15 years ago, chronic hydrocephalus who received endoscopic third ventriculostomy few months ago, presented again with headaches and was found to have hydrocephalus. Patient received Ventriculoperitoneal shunt placement and CSF was obtained after the procedure. CSF studies showed (216-WBCs lymphocytic predominant fluid 81 %), […]
Abstract Number: 1247
A TRAVELER’S TALE: DENGUE FEVER IN A TRAVELER
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 43-year-old male with no past medical history presented to the emergency room (ER) with fever, headache and generalized body pains for 3 days. He recently returned to the USA 5 days ago after a three week trip to Northern India to visit his extended family. His vitals signs and physical exam was […]
Abstract Number: 1248
RENAL INFARCTION DUE TO SPONTANEOUS RENAL ARTERY DISSECTION: A RARE CAUSE OF FLANK PAIN
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 45 year-old male with a history of nephrolithiasis and hypertension presented with acute onset of right-sided flank pain and hematuria. He presented to an outside hospital and underwent workup for suspected nephrolithiasis. Urinalysis was negative for pyuria or leukocyte esterase. Non-contrast CT scan of his abdomen and pelvis was performed and was […]
Abstract Number: 1249
CEREBRAL AMYLOID ANGIOPATHY-RELATED INFLAMMATION: A RARE AND REVERSIBLE ETIOLOGY OF ENCEPHALOPATHY
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69 year old male presented with one week history of worsening delusional behavior and encephalopathy. His medical history included hepatitis C (in remission), hypertension, hyperlipidemia, and polysubstance abuse (cocaine, alcohol). Initial CT head revealed a hypodensity involving right temporal, parietal, and occipital lobes suggestive of acute infarction. Subsequent MRI brain revealed T2 […]
Abstract Number: 1250
A SHEEP IN WOLF’S CLOTHING: A BENIGN LYMPHOMA MIMICKER IN DIFFUSE LYMPHADENOPATHY
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 57 year-old man presented with new-onset shortness of breath and fatigue. He was admitted for symptomatic anemia which improved after receiving a unit of red blood cells. He endorsed mild fatigue and night sweats but no fevers. Further questioning revealed recent unintentional weight loss of 40 pounds and an outpatient anemia workup […]
Abstract Number: 1251
GOODPASTURE SYNDROME MASQUERADING AS RECURRENT PNEUMONIAS
Hospital Medicine 2020, Virtual Competition
Case Presentation: Goodpasture’s disease is an autoimmune condition characterized by pulmonary hemorrhage, glomerulonephritis and production of anti-GBM (glomerular basement membrane) antibodies. Anti-GBM disease approximately accounts for 15 percent of all cases of crescentic glomerulonephritis. We report a young female patient diagnosed with Goodpasture’s disease who initially presented with recurrent pneumonias.A 19 year old female patient […]
Abstract Number: 1252
A NON-SPECIFIC BRONCHOALVEOLAR LAVAGE FINDING MAY HELP TREAT AN INCREASINGLY COMMON ETIOLOGY OF ACUTE LUNG INJURY
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 24-year-old male presented to the hospital with abdominal pain, vomiting, and fevers for one week, followed by dyspnea and cough. He denied animal exposure or recent travel, but admitted to vaping daily and using marijuana occasionally. On admission, vital signs were as follows: temperature 101 F, BP 107/64 mmHg, heart rate 109 […]