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Search Results for ED
Abstract Number: N34
SHM Converge 2022
Case Presentation: A 33-year-old male with a past medical history of obesity, NIDDM2, OSA and HTN presented for an outpatient echocardiogram as part of routine surgical clearance for a bariatric surgery procedure. During the echocardiogram, the patient was injected with a sulfur hexafluoride lipid microsphere contrast agent (Lumason®) for better visualization of his anatomy. Within […]
Abstract Number: N42
SHM Converge 2022
Case Presentation: A 30-year-old woman with sickle cell trait and recent history of preeclampsia, pregnancy loss, and deep vein thrombosis presented to the emergency room with right upper quadrant pain. The pain was new, rated ten on a ten-point severity scale, and non-radiating. She also endorsed progressively worsening cough over several months and new, right-sided […]
Abstract Number: O19
SHM Converge 2022
Background: Evidence-Based and Informed Clinical Practice is identified by the ACGME as a core clinical milestone (PBLI1). The Evidence Based Medicine (EBM) curriculum in the University of Wisconsin (UW) Internal Medicine Residency Program previously focused on didactics, journal clubs, and independent study. The COVID-19 pandemic interrupted these traditional EBM teaching methods, prompting us to re-evaluate […]
Abstract Number: O28
SHM Converge 2022
Case Presentation: A 52-year-old unvaccinated male with past medical history of asthma and uncontrolled obstructive sleep apnea presented to the ED ten days after receiving a diagnosis of COVID-19 with worsening dyspnea. He endorsed a cough, fever, chills, and non-bloody diarrhea, and denied chest pain, leg edema, and anosmia. His initial vitals were remarkable for an oxygen saturation of 65%. A CBC demonstrated leukopenia […]
Abstract Number: O29
SHM Converge 2022
Case Presentation: A 61 yo female with a medical history significant for chronic pancreatitis, hypertension, brain aneurysm, and cerebrovascular accident presented to the ED for shortness of breath. She was previously admitted to an outside hospital with shortness of breath secondary to ACE-I induced angioedema, during which period she was emergently intubated due to diffuse […]
Abstract Number: O31
SHM Converge 2022
Case Presentation: 46 year-old-female with past medical history of hypertension, Factor VII(FVII) deficiency, morbid obesity, thoracic spine stenosis presented with bilateral lower extremity weakness. Computed Tomography (CT) myelogram showed severe canal stenosis with spinal cord compression at Thoracic(T)10-11 and T11-12 levels and the spine team was planning surgery. Pre-operative labs showed prothrombin time(PT) of 21.2 […]
Abstract Number: O39
SHM Converge 2022
Case Presentation: A 57-year-old female presented with a three-month history of confusion and weight loss secondary to decreased oral intake, with three weeks of new onset paranoia. Family reported she exhibited disorganized behavior and hallucinations, associated with urinary incontinence, unsteadiness, dysphagia, and odynophagia. Medical history was negative for psychiatric illness or STI. Her family history […]
Abstract Number: O42
SHM Converge 2022
Case Presentation: An 80 year old woman with a history of disseminated tuberculosis (positive TB cultures in knee wound and pulmonary cavitary lesion in 2021) presented to the emergency room for edema and erythema of her right third DIP joint. Over the past 3 weeks, she had waxing and waning orientation, reduced energy, and reduced […]
Oral Presentations
Abstract Number: OP6
SHM Converge 2022
Background: Residents are uniquely positioned to learn from and contribute to informatics. As key electronic health record (EHR) users, they offer practical solutions and feedback. Resident informatics engagement promotes EHR proficiency and accelerates implementation of best practices and quality improvement. Understanding how clinical data are structured creates a foundation for future scientific inquiry using clinical […]
Oral Presentations
Abstract Number: OP7
SHM Converge 2022
Background: The HCAHPS survey is used nationally by health systems as a standard to measure the patient experience and identify opportunities for improvement. Historically, process improvement initiatives based on the survey are implemented retroactively, attempting to prevent negative experiences for future patients. However, given the increasing complexity of patient care, proactively addressing the identified concerns […]