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Abstract Number: 494
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 68-year-old man presented with dyspnea, wheezing and productive cough. He was hypoxemic and a chest radiograph revealed a left lower lobe infiltrate and he was admitted with a Chronic Obstructive Pulmonary Disease exacerbation and pneumonia. His troponin was mildly elevated and he was started on a heparin infusion. The intravenous line infusing […]
Abstract Number: 552
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Teriflunomide is a pyrimidine synthesis inhibitor used in management of Relapsing Remitting Multiple Sclerosis (RRMS). Leflunomide is the active agent which has been used in rheumatoid arthritis. Chronic diarrhea has been associated with both of these. However, there is no evidence in literature to suggest clostridium difficile (C.Diff) diarrhea associated with these agents. […]
Abstract Number: 648
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 52-year-old female with history of Stage IIIA triple negative right sided breast cancer, seizure disorder, and s/p lumpectomy presents with ataxia, confusion, and dyskinesia over the past 2 weeks. The patient is chronically on phenytoin, ondansetron, paroxetine, and potassium supplements. She has been on phenytoin since her last seizure three years ago. She […]
Abstract Number: 669
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: The patient is a 29-year-old female with the history of acute pancreatitis and gastric bypass surgery, who initially presented with lower extremity swelling in the setting of hypoalbuminemia and protein-calorie malnutrition. She was started on high calorie/protein diet and was discharged on furosemide. Three weeks after discharge, she noticed peri-oral rash, which extended […]
Abstract Number: 778
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 74-year-old African-American woman presented to our Emergency Department with hemoptysis and severe respiratory distress. Two weeks prior to presentation, she was admitted with persistent cough and blood streaked sputum of 1-month duration and was treated with antibiotics for a presumptive diagnosis of pnemonia after a negative bronchoscopy and bronchoalveolar lavage (BAL). Her […]
Abstract Number: 817
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 55-year-old woman with intravenous polysubstance abuse presented with a 1-week history of back pain, fever, and cough with blood-tinged sputum. Vital sign on admission showed tachycardia and hypotension but she responded well to fluid resuscitation. A pansystolic murmur grade 2 was noted. There was diffuse midline and paraspinal tenderness over the back. […]