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Search Results for CK
Abstract Number: F24
SHM Converge 2022
Case Presentation: A four-year-old previously healthy, vaccinated female presented with severe, acute-onset ataxia. She was in her usual state of health until the day prior to presentation, when she was picked up from school and reported feeling like she was going to fall. She continued to develop progressive unsteadiness and experienced several falls throughout the […]
Abstract Number: F38
SHM Converge 2022
Case Presentation: A Caucasian male in his early 60s with metastatic pancreatic cancer presented to the urgent care with complaints of neck pain. He recently underwent kyphoplasty at the level of T3-T4 two weeks prior. He noticed a growing lump in his neck that grew over the last two days and associated with excruciating pain. […]
Abstract Number: G12
SHM Converge 2022
Background: Provider-level practice variation is common and may impact clinical outcomes, such as length of stay and imaging ordering. However, it is unclear which provider characteristics lead to variations in practice. Using individual performance data from a provider-level dashboard, we aimed to evaluate variability in clinical performance and predictors of high or low performance. Methods: […]
Abstract Number: G45
SHM Converge 2022
Case Presentation: A 68-year-old male presented to the hospital with declining mental status. His chronic medical conditions included stage IV renal cell carcinoma on nivolumab maintenance therapy, type II diabetes mellitus, chronic kidney disease, hypothyroidism on levothyroxine 150 mcg, and long-term opioid therapy for malignancy pain. He had a one-week duration of upper abdominal pain […]
Abstract Number: I19
SHM Converge 2022
Background: Feedback in clinical training is essential to reinforce positive behaviors and to provide areas for improvement. Numeric ratings from student performance evaluations are helpful but are not sufficient to guide the learner in areas where they excel and where they may need additional development. Narrative written feedback both reinforces verbal feedback and provides support […]
Abstract Number: I24
SHM Converge 2022
Case Presentation: A 14-year-old previously healthy female presented to the Emergency Department with 3 days of fluctuating mental status and gait difficulty. Parents noted one episode of urinary incontinence and endorsed avoidance of right sided gaze. Ten months prior to these symptoms, the patient was diagnosed with COVID-19 complicated by anosmia and dysgeusia. Since her […]
Abstract Number: I41
SHM Converge 2022
Case Presentation: A 33-year-old woman with sickle cell SC disease (HbSC) was admitted to the hospital for respiratory support after testing positive for COVID-19. Four days prior to presentation, the patient developed subjective fever, cough, shortness of breath, substernal non-radiating chest pain, thigh and back pain. Her medical history included prior vaso-occlusive episodes, though no […]
Abstract Number: J31
SHM Converge 2022
Case Presentation: A 48-year-old man with a past medical history of congenital solitary right kidney, chronic idiopathic pancreatitis, pancreatectomy and islet cell transplant, splenectomy, and alcohol use disorder presented with fever, chills, and night sweats. He was bitten by a dog three days prior to presentation. Shortly after arrival, he developed septic shock with lactic […]
Abstract Number: K14
SHM Converge 2022
Background: Telemetry overuse contributes to excess healthcare costs, unnecessary workup of incidentalomas, and alarm fatigue. To curb overuse, guidelines such as the 2017 AHA/ACC continuous ECG monitoring practice standards have outlined appropriate telemetry use standards. The aim of this study was to perform a rapid “plan-do-study-act” (PDSA) cycle and assess whether a nursing (RN)-driven checklist […]
Abstract Number: K39
SHM Converge 2022
Case Presentation: A 77-year-old male with chronic kidney disease and mitral valve prolapse with a history of Lyme disease and West Nile Virus presented with fevers, night sweats, chills, and fatigue for 3 weeks. The patient had been visiting family in Texas for one month but gradually started to notice his symptoms. A few weeks […]