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Meeting
Search Results for UTI
Abstract Number: H24
SHM Converge 2022
Case Presentation: A 2 year old male with expressive language delay presented with worsening ability to bear weight. The child progressed from refusing to ambulate to refusing to stand over the course of 1.5 weeks. There was parental concern for leg pain which did not improve with ibuprofen. He had mildly decreased appetite the preceding […]
Abstract Number: J21
SHM Converge 2022
Background: In the US, a small number of patients with complex medical and psychosocial needs disproportionately consume healthcare resources. At our institution, the HOME Program provides dedicated Individualized Care Plans (ICPs) and care coordination for patients with a range of chronic illness. Among such illnesses, Type 1 Diabetes Mellitus accounts for a large portion of […]
Abstract Number: J24
SHM Converge 2022
Case Presentation: MG is an 18 year old male with quadriplegia from c-spine injury and chronic respiratory failure with trach/vent dependence who presented with 2-3 weeks of intermittent fevers, chills, malaise, abdominal pain, nausea, emesis, diarrhea, and anorexia. Initial evaluation revealed leukocytosis, thrombocytosis, and mild anemia. Urinalysis was significant for moderate leukocyte esterase, nitrites, pyuria, […]
Abstract Number: K16
SHM Converge 2022
Background: Emergency room crowding has been proven to lead to poor outcomes (e.g., mortality) and has worsened during the COVID-19 pandemic. Novel clinics that work collaboratively with emergency departments (ED) to transfer lower acuity patients to receive care in ambulatory settings rather than the ED have emerged. Our innovative ED Surge program cares for these […]
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: L10
SHM Converge 2022
Background: Clostridioides difficile infection (CDI) is a leading healthcare-associated infection causing debilitating diarrhea, life-threatening complications, 20,500 deaths and healthcare costs of up to $5.4 billion annually in the US. The main driver of CDI costs is hospitalizations, and patients with higher CDI recurrence rates have more hospitalizations and emergency department visits and longer hospital stays. […]
Abstract Number: L14
SHM Converge 2022
Background: Physical therapy (PT) in the inpatient setting is a limited and valuable resource. Inappropriate PT consultation is costly and can lead to delays in care. Overutilization of inpatient PT services is an increasingly recognized problem. Patients with minimal or no functional limitations frequently receive PT evaluation, diverting resources and delaying care for the patients […]
Abstract Number: N17
SHM Converge 2022
Background: Tebipenem pivoxil hydrobromide (TBP-PI-HBr) is an orally bioavailable prodrug that is rapidly converted in plasma to the carbapenem, tebipenem. Tebipenem has in vitro activity against select multidrug-resistant Gram-negative pathogens, including fluoroquinolone-resistant and extended-spectrum ß-lactamase (ESBL)-producing Enterobacterales. TBP-PI-HBr is being developed in the United States as the first oral carbapenem for treatment of cUTI and […]
Abstract Number: N28
SHM Converge 2022
Case Presentation: TS is a 58 year-old male with a past medical history of prediabetes, pulmonary embolism, and stage II colon cancer treated via hemicolectomy in 2016 who presented to the hospital with dyspnea and altered mental status. On exam, he was febrile to 38.6 degrees Celsius. His abdomen was distended and diffusely tender to […]
Abstract Number: N48
SHM Converge 2022
Case Presentation: This is a case of a 65-year-old man with a history of prostate cancer who presented with a 3-day history of fatigue and shortness of breath. Initial diagnostic work-up revealed a hemoglobin of 7.8 g/dL (10.1 g/dL the day prior), normal platelets, and an indirect hyperbilirubinemia. Lactate dehydrogenase was elevated, haptoglobin was undetectable […]