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Abstract Number: 178
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospitalization of the patient with advanced cancer can be a pivotal moment and opportunity to explore patient goals of care in order to deliver high value, patient-centered care that emphasizes quality of life. Part of this discussion should define patient preferences regarding code status as it is known that prognosis is extremely poor and […]
Abstract Number: 190
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Medical patients with comorbid psychiatric illness comprise 20-40% of general medicine inpatient admissions. These patients often have multiple providers involved in their care which can lead to poor communication, longer lengths of stay, and increased resource utilization. Despite substantial need, no standard model of care exists for this patient population. At our academic medical […]
Abstract Number: 216
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Prognostication of survival in advanced cancer patients has been challenging and contributes to poor illness understanding. Prognostic disagreement occurs even amongst providers and is a less studied phenomenon. We introduced the Surprise Question (SQ), “Would I be surprised if this patient died in the next 1 year, 6 months, and 1 month?”, at multidisciplinary […]
Abstract Number: 279
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Reducing LOS promotes value, and when aligned with patient preferences, can improve care. Patients referred for palliative care (PC) generally have longer length of stay (LOS) due to their serious illness, multiple complex management issues, and the fact that long LOS is a reason for engaging a specialty PC team. The aim of this […]
Abstract Number: 321
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: 42 year old male with history of alcoholism and chronic tophaceous gout on allopurinol, presented with acute left elbow pain and swelling. Exam showed synovitis of left wrist and elbow, distal interphalangeal joint (DIJ) and right knee and tophi on left DIJ. Arthrocentesis of left elbow revealed purulent fluid with leukocytosis (5000,000/mm3) and […]
Abstract Number: 418
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: This is a 21 year old male with no significant past medical history presenting with shortness of breath and fever. Five days prior to presentation, he noted sore throat, fevers, and heart burn so he presented to an acute care clinic. He had a positive rapid strep screen, so he was given azithromycin […]
Abstract Number: 573
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 57 year old female with history of systemic mastocytosis, hypertension and dyslipidemia presented to the emergency department with complaints of intermittent sub-sternal chest pain for 7 days. On presentation, vital signs were normal. Electrocardiogram (EKG) was done which revealed ST segment elevation in the anterior leads. Patient’s serum troponin I and CK-MB […]
Abstract Number: 617
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 51-year-old male with a past medical history of alpha-1 antitrypsin deficiency with severe emphysema status post bilateral lung transplantation presented to the pulmonary transplant clinic for follow up. On evaluation, he was found to have declining FEV1 and FVC levels. A chest x-ray was performed to evaluate underlying abnormalities and revealed bilateral […]
Abstract Number: 668
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: An 82-year-old man with a past medical history of coronary artery disease, atrial fibrillation, heart failure with reduced ejection fraction, stroke, non insulin-dependent diabetes mellitus and chronic kidney disease stage III presented to the hospital with uncontrollable movements of his right-side upper and lower extremities. His symptoms began spontaneously two weeks earlier and […]
Abstract Number: 683
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 67 year old female presented to an outside facility with four months of intermittent abdominal pain and alternating episodes of diarrhea and constipation. CT scan of the abdomen and pelvis showed a large lobulated mesenteric mass closely adherent to adjacent bowel and encasing the SMA and SMV. A CT-guided core needle biopsy […]