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Search Results for ICI
Abstract Number: N16
SHM Converge 2022
Background: While hospitals are primarily designed to provide acute care, a subset of patients have prolonged lengths of stay beyond medical necessity for months on general medicine wards[1]. These cases often occur in vulnerable patient populations, including those with mental health and substance use disorders[2], impaired decision-making capacity[3, 4], and housing insecurity[3]. However, few studies […]
Abstract Number: N22
SHM Converge 2022
Background: Time spent on electronic medical record (EMR) documentation is one of the top dissatisfiers for providers. With burnout at an all-time high, reducing provider burden while maintaining high quality care is essential to moving healthcare forward in a sustainable way. “While electronic documentation provides a number of benefits as compared to paper-based documentation, including […]
Abstract Number: N23
SHM Converge 2022
Background: Career exploration and professional identity formation (PIF) are critical in undergraduate medical education (UME). With its focus on management of acutely ill, hospitalized patients, Hospital Medicine (HM) is an opportune environment for pre-clinical students to gain valuable, diverse clinical experiences. While widely utilized in UME, shadowing on HM direct-care services (HM-DCS) (i.e., those without […]
Abstract Number: N33
SHM Converge 2022
Case Presentation: A 54-year-old woman with stage IV endometrial stromal sarcoma s/p TAH, BSO, and ileocolic resection for bowel involvement, presented with acute onset of altered mental status on the evening of receiving her day 3 of cycle 3 ifosfamide infusion. On presentation, patient was tachycardic to HR 110s, afebrile, and otherwise with stable vital […]
Abstract Number: N35
SHM Converge 2022
Case Presentation: 34-year-old female with no significant past medical history presented with blurry vision, weakness and dehydration after fasting for 7 weeks during which she lost about 20 pounds. On physical examination, patient was hypertensive, tachycardic, and malnourished with a BMI of 21. She was noted to have vertical and horizontal nystagmus bilaterally as well […]
Abstract Number: O13
SHM Converge 2022
Background: Non-beneficial treatment can be defined as medical interventions that are ineffective in achieving the desired goals or are “a disservice to patients who are subjected to ongoing and likely uncomfortable conditions with no benefit”. At times, critically ill patients are declined Intensive Care Unit (ICU) admission due to perceived lack of benefit from medical […]
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: 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: O43
SHM Converge 2022
Case Presentation: A 63-year-old female with history of end-stage renal disease, atrial fibrillation (AFib), cirrhosis, and Parkinson’s disease was admitted to the hospital after an unwitnessed fall with persistent encephalopathy and altered mental status. Upon admission the patient was found to have wide QRS complexes with an Atrial fibrillation, clinical findings of heart failure, and […]
Abstract Number: O45
SHM Converge 2022
Case Presentation: A 51-year-old male with a history of IBS presented with three weeks of non-bloody diarrhea and five days of worsening arthritis. It first appeared in his right wrist but subsequently affected his fingers, wrists, elbows, ankles, and knees bilaterally. The patient denied any recent travel or antibiotic use. On exam, the most affected […]