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Search Results for ED
Abstract Number: K19
SHM Converge 2022
Background: The United States incarcerates more people than any other country (1) and there are gross inequities in who is incarcerated. Native Americans are more than twice as likely to be incarcerated as White Americans (2); Black Americans are incarcerated at a rates five times higher (3). People with lower incomes face higher incarceration rates, […]
Abstract Number: K21
SHM Converge 2022
Background: Plastic waste contaminates all planetary ecosystems, impacting human and animal health. The United States is the largest generator of plastic waste in the world, and the healthcare industry produces a disproportionate amount due to a reliance on single-use products. The COVID-19 pandemic has seemingly led to a global increase in plastic waste, partially correlated […]
Abstract Number: K33
SHM Converge 2022
Case Presentation: A 35-year-old man with a history HIV/AIDS with a CD4 count 60 and recently treated secondary syphilis presented for acute worsening of chronic rash after restarting Biktarvy. Exam found eruptive, generalized exanthem characterized by oval-shaped, pink, scaly plaques and papules with prominent flexural involvement. The initial differential diagnosis included disseminated bacterial or fungal […]
Abstract Number: K37
SHM Converge 2022
Case Presentation: An 80-year-old female with past medical history significant for atrial fibrillation on apixaban, coronary artery disease, heart failure with preserved ejection fraction, Grave’s disease s/p thyroidectomy on vitamin D, calcium and levothyroxine supplements, and diabetes mellitus presented with 1 week of malodorous urine and 3 weeks of auditory and visual hallucinations. She reported […]
Abstract Number: K40
SHM Converge 2022
Case Presentation: A 64-year-old woman with a history of right kidney transplant and Crohn’s disease in remission presented to the emergency department with five days of severe abdominal pain. Her pain was accompanied by nausea, vomiting, and chills. Physical examination was notable for an abdomen that was distended and diffusely tender to palpation, but not […]
Abstract Number: L11
SHM Converge 2022
Background: As hospitals focus on central venous catheter associated bloodstream infections (CVC-BSI), the impact of peripheral venous catheter (PVC) associated bloodstream infections (PVC-BSI) may be underappreciated. There are conflicting recommendations on how to manage PVCs, including when to replace them (1)(2)(3), and inconsistencies in nursing practice in following PVC management guidelines (4). There are an […]
Abstract Number: L17
SHM Converge 2022
Background: Considerable resources are expended by academic divisions of hospital medicine (HM) to recruit and retain physicians that will be successful. Despite the high stakes for the institution and candidate, there is a lack of data to guide these decisions. Suppositions regarding what attributes contribute to success predominate. We evaluated the relationship between factors known […]
Abstract Number: L19
SHM Converge 2022
Background: The Accreditation Council for Graduate Medical Education (ACGME) established a core competency that requires residents to demonstrate respect and responsiveness to diverse patient populations (1). While the importance of diversity, equity, and inclusion (DEI) in graduate medical education (GME) is recognized, establishing an effective curriculum to address these issues is challenging. In pre-survey data […]
Abstract Number: L23
SHM Converge 2022
Background: Diabetic Ketoacidosis (DK)A at our center has historically been managed in the intensive care unit (ICU) utilizing low-dose insulin infusion. According to the American Diabetes Association (ADA) and a 2016 Cochrane review, cases of mild to moderate DKA can be safely managed on general medical floors utilizing subcutaneous short-acting insulin. Prior studies have demonstrated […]
Abstract Number: L27
SHM Converge 2022
Case Presentation: 74 y/o F w/ a PMH of Chronic Myelocytic Leukemia on nilotinib who presented with progressive weakness and anuria for the week prior to admission. On presentation, patient was hypotensive with SBP in the 80s. Physical exam was notable for 3/5 strength on all four extremities, however no focal deficits. Lab data was […]