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Abstract Number: 387
CALL THAT DASH! ACUTE NONRHEUMATIC STREPTOCOCCAL MYOCARDITIS MIMICKING STEMI
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 50 year old male with no past medical history presented with severe chest pain that progressively worsened over 2 days. His chest pain was described as left sided, non-radiating, and constant. He reported sore throat, headaches, and subjective fevers for the past 5 days. The patient also reported multiple family members received [...]
Abstract Number: 388
MASSES NOT AS THEY APPEAR: NOCARDIA MASQUERADING AS MALIGNANCY IN AN IMMUNOCOMPETENT INDIVIDUAL
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 61-year-old male with a known history of alcohol and tobacco abuse was admitted with 3 months history of headache, confusion, unsteady balance and unintentional weight loss. Laboratory tests included normal chemistry panel, complete blood count and negative hepatitis and HIV serology. Brain imaging showed 3 lesions in the right cerebral convexity with surrounding [...]
Abstract Number: 389
DOC, I CANNOT HEAR! A RARE CAUSE OF SUDDEN HEARING LOSS IN A YOUNG WOMAN.
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 27-year-old African American woman with no medical history presented with one day of sudden onset bilateral hearing loss and tinnitus. Review of systems was positive for red eyes, blurred vision, photophobia and gait imbalance. This constellation of symptoms was preceded by a viral upper respiratory infection. She denied excessive noise exposure, head trauma [...]
Abstract Number: 390
SYPHILITIC HEPATITIS: AN UNCOMMON AND OVERLOOKED MENIFESTATION OF SECONDARY SYPHILIS
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: An otherwise healthy 31 years old Brazilian male presented to the hospital with two months history of constitutional symptoms, diffuse pruritic rash on torso and extremities, and diffuse lymphadenopathy. He lived with his wife and daughter, and most recent travel to Brazil was three months ago. His father has diabetes and mother died [...]
Abstract Number: 391
Should Fentanyl in a Newborn’s Urine Always Lead to a Visit by Social Services?
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: This is the case of an ex-41 2/7 week baby girl, born to a 28 year old G4P0 now 1 mother via cesarean section for arrest of descent. Early in pregnancy, the mother endorsed occasional marijuana use and had one urine toxicology screen positive for marijuana. Subsequent urine drug screens were all negative, [...]
Abstract Number: 392
What to Expect When You’re Expecting….a Baby with Tetrasomy 18
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: This is the case of a 39-year old, G3P1001 woman with fetal aneuploidy identified on prenatal screening. Her pregnancy was conceived via anonymous sperm donor, whom had been used for two previous healthy and uncomplicated pregnancies. The mother underwent non-invasive prenatal testing (NIPT) at 10 weeks gestation, which was reported as positive for [...]
Abstract Number: 393
‘IT HURTS DOWN THERE!’: A CASE OF ‘URTICARIA MULTIFORME’
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A previously healthy 5 year-old boy presented to the emergency room with a “red and swollen penis”. No history of trauma or inciting event. The day prior, he complained of suprapubic pain and had 4 episodes of NBNB emesis. No fevers and otherwise negative ROS. Labs in the ED were significant for a [...]
Abstract Number: 394
MY BRAIN HURTS – A BOWHUNTER’S STORY
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 5 year old boy presented with a 6 month history of headache (“my brain hurts”), vertigo, nausea and vomiting. No neurologic deficits noted on exam. MRI brain showed acute posterior circulation stroke involving the left cerebellar hemisphere and corpora medullaris. MRA head and neck were normal. Extensive work up evaluating for coagulopathic, [...]
Abstract Number: 395
‘GANG’ING UP ON THE SKIN: AN 11-MONTH-OLD WITH ULCERATIVE SKIN LESIONS
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A previously healthy 11-month-old female was admitted to the hospital with new onset of skin lesions. One month prior to admission, her parents noticed “bumps on her bottom.” They initially thought the bumps were secondary to insect bites, and took her to a local urgent care, where she was prescribed topical antibiotic ointment. [...]
Abstract Number: 396
PUFF LADDY: A FIVE-YEAR-OLD-BOY WITH FOREHEAD SWELLING
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A previously healthy five-year-old boy presented with forehead swelling in the setting of a recent sinus infection. His initial symptoms were fever and nasal congestion for which he was prescribed a 10-day course of cefdinir, completed three days prior to admission. After finishing the antibiotic, he developed unsteady gait, photophobia, headache, vomiting, and [...]
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