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Search Results for ICU
Abstract Number: 744
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 60-year-old man with no comorbidities presented with multiple episodes of substernal chest pressure and reduced exercise tolerance. Cardiac catheterization was notable for severe systolic dysfunction with left ventricular dilatation without coronary disease. Echocardiography was significant for an ejection fraction (EF) of 20% with global hypokinesis and extensive left ventricular (LV) trabeculations consistentwith […]
Abstract Number: 781
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 24-year-old female with a history of IV drug abuse and MRSA tricuspid native valve endocarditis was treated for lobar pneumonia 4 months prior to readmission for non-bloody cough and pleuritic chest pain. Recurrence of lobar pneumonia was suspected but workup instead revealed Mycobacterium abscessus bacteremia. She denies any fevers, chills, nausea, vomiting, […]
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. […]
Abstract Number: 821
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 63-year-old woman with no significant medical history presented to the ED with three days of fever, confusion, and lethargy. She was responsive to physical but not verbal stimuli. Vital signs included temperature of 38.8C, heart rate of 110 BPM, blood pressure of 107/52 mmHg, with SpO2 of 94% on room air. Her […]
Abstract Number: 826
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Loperamide is an over-the counter anti-motility opioid agonist considered to be specific to the intestinal µ receptor, safe for non-prescription use, and to have low abuse potential. However, several cases of fatal cardiac arrhythmias have been reported.1 38-year-old male without prior cardiovascular history, presented to a rural hospital with pre-syncope and lightheadedness. He […]