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Search Results for ENT
Abstract Number: 621
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 93-year-old African-American male with history of CVA, HTN, and dementia presented with a right femoral neck fracture after a same level fall. Vital signs on admission were unremarkable. Physical examination revealed a cachectic male at his baseline mental status. He was admitted and underwent uncomplicated right hemiarthroplasty. On post-operative days 3-5, patient […]
Abstract Number: 634
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Twenty three year old female presented with complaints of severe headache and dizziness since past 2 weeks. Her past medical history was significant for SLE, heart failure with reduced ejection fraction and lupus pericarditis. CT head showed possible left cerebellar stroke of indeterminate age and hence was admitted for the stroke workup. Few […]
Abstract Number: 664
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A previously healthy 20-year-old male presented with sudden onset urinary retention. He reported mild headaches, fevers, fatigue later followed by acute urinary retention associated with lower abdominal and back pain. Last void was over 24 hours ago. Vitals were stable except for a temperature of 39.9°C. No cervical neck stiffness, meningeal irritation or […]
Abstract Number: 666
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 45 year old African American male with sarcoidosis (2009 lung biopsy) was brought by EMS after an out of hospital ventricular fibrillation cardiac arrest. With ACLS, ROSC was attained after 20minutes. He had no family history of sudden death or heart disease. He did not engage in any toxic habits. Exam showed […]
Abstract Number: 673
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: An 82 year-old woman with history of stage five chronic kidney disease (CKD) presented with new onset of altered mental status, upper extremity tremors and slurred speech. Four days prior to presentation patient was diagnosed with urinary tract infection due to multidrug-resistant Pseudomonas aeruginosa, and was started on cefepime. On the day of […]
Abstract Number: 683
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Atypical (complement-mediated) Hemolytic-Uremic Syndrome is a rare but life threatening thrombotic microangiopathy that affects patients of all ages. About 33-40% of patients sustain end-stage renal disease, stroke, myocardial infarction or have mortality during the first presentation of this syndrome. We present a case of a 32-year-old previously healthy male who presented to the […]
Abstract Number: 690
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 71-year-old female presented to an emergency department with progressive weakness and dyspnea with dry cough for 2 weeks; she was afebrile but hypoxic, requiring 2 liters oxygen by nasal cannula. Physical examination was remarkable for diminished right lung sounds. Labs were unremarkable except for elevated C-reactive protein (194.6 mg/L). Chest x-ray revealed a dense […]
Abstract Number: 697
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 61 year old woman presented to the hospital with dyspnea and chest pain. She had been gaining weight, and experiencing night sweats and lower extremity swelling for several months. She had a 30 pack year smoking history. Physical examination revealed fingernail clubbing, 1+ pitting edema, and a blood pressure of 220/97—despite taking […]
Abstract Number: 700
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 70 year-old woman with hyperthyroidism, hypertension and diabetes presented with subacute progressive altered mental status and frequent falls. History obtained from family revealed a previously independently functioning woman until 4 months prior, when she began to demonstrate symptoms of forgetfulness and micrographia. Symptoms progressed rapidly requiring an inpatient psychiatric admission, a month […]
Abstract Number: 704
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 21-year-old otherwise healthy female army recruit undergoing basic training was admitted to an outside hospital with severe abdominal pain, nausea, and vomiting. An abdominal CT was unremarkable. Laboratory results revealed hyponatremia (Na 117mmol/L) and polycythemia (Hgb 17mg/dL). Patient then developed severe chest pain associated with tachycardia, hypertension and a mild troponin elevation. […]