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Search Results for ICU
Abstract Number: 313
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Intensive Care Unit (ICU) beds are limited, so effective triage is important for resource utilization. However, inappropriate triage of critically ill patients to non ICU settings can lead to poor patient outcomes, as early unexpected ICU transfers are associated with increased mortality. Purpose: We sought to describe the effectiveness of Hospital Medicine (HM), Emergency […]
Abstract Number: 376
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 60-year-old African American man with diabetes presented with progressive dyspnea on exertion and swelling of lower extremities for 3 months. He reported a decline in his previously unlimited exercise tolerance to 1 block and paroxysmal nocturnal dyspnea, with no chest pain or palpitations. He denied any toxic habits and his family history […]
Abstract Number: 453
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 35-year-old Caucasian gentleman who was diagnosed with alpha-1 antitrypsin deficiency (PiZZ) 2 years ago. Two weeks prior to the hospitalization, he noticed skin nodules on both sides of the abdominal wall and in the upper thighs. He also noticed a lesion that looked like a boil on his right shin, started draining and […]
Abstract Number: 515
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 80 year old male with no significant cardiac history presented with worsening dyspnea (NYHA I to NYHA III) over a period of 3 months with episodic dizziness. He underwent Holter monitoring, which showed 7% episodes of monomorphic non-sustained VT coinciding with symptoms. Echocardiogram showed preserved left and right ventricular systolic function. Stress testing […]
Abstract Number: 522
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 78 year old Asian female with a history of diabetes mellitus type II, hypertension, and recently diagnosed colon cancer presented with severe left ear pain and vesicular rash associated with left sided hearing loss and left facial paralysis. She endorsed decreased taste sensation as well as poor appetite resulting in twenty pounds of […]
Abstract Number: 561
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 27-year-old man with no known medical history was brought in by his family for progressive personality change and worsening insomnia. Three months prior to presentation, the patient had begun skipping coursework for his PhD program, and was noted to have new outbursts of unprovoked anger and impulsivity. On presentation, he was oddly […]
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: 647
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 19 year-old man presented with two days of non-radiating left testicular pain. He denied associated symptoms or trauma. His past medical and surgical histories were unremarkable. He denied sexual activity and denied use of drugs or alcohol. Family history was negative for rheumatologic conditions and malignancy. Vital signs were normal. He had […]
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: 739
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 19-year old female with history of atopic dermatitis and herpes simplex virus (HSV) labialis presented with a 3 day complaint of facial rash. The rash was preceded by two days of sore throat, fever, and body aches. She was initially evaluated at an urgent care clinic where she was prescribed cephalexin for […]