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Search Results for PE
Abstract Number: 696
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: We present a case of a 50-year-old male with a history of developmental disability and hypothyroidism who presented from a nursing home with fatigue and cough for three days. The patient was found to have a left upper lobe consolidation on chest x-ray consistent with pneumonia. Labs revealed neutrophilic leukocytosis. He was started […]
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: 703
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 63-year old woman presented with progressive, severe bilateral hearing loss over the course of two months with complete loss of hearing over the week prior to presentation. She had associated imbalance and mild generalized fatigue. She had not received medical care for many years prior to this admission. She denied head trauma, […]
Abstract Number: 721
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 56-year-old man with history of hypertension on amlodipine, hydralazine, losartan, spironolactone, and torsemide, uncontrolled insulin dependent type 2 diabetes mellitus, chronic kidney disease (CKD) stage IIIb, and chronic lymphocytic leukemia (CLL) with extreme leukocytosis of 268,600/uL on admission presented to the hospital for progressive shortness of breath and was found to be […]
Abstract Number: 725
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Acute esophageal necrosis (AEN) is a rare condition which presents as acute-onset gastrointestinal bleeding. AEN is associated with vasculitis, coronary artery disease, malignancy, and other conditions which impair maintenance of the esophageal protective barrier. Complications of AEN include esophageal rupture, perforation, stricture formation, and mediastinitis. A 64-year-old Caucasian female with an extensive past […]
Abstract Number: 726
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Human Herpes Virus 6 (HHV-6) is a member of the herpesviridae family. HHV-6 is the causative agent in roseola infantum, a usually mild and self-limiting childhood exanthem. HHV-6 is also associated with a variety of syndromes in recipients of hematopoietic stem cell transplantation (HSCT), including hepatitis, encephalitis, and bone marrow suppression. However, HHV-6 […]
Abstract Number: 728
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 37 year-old female with history of menorrhagia on oral contraceptives (OCP) for 2 months, presented with abrupt onset of right lower quadrant abdominal pain (RLQ) for 1 day. Pain was 10/10, constant, sharp, with radiation to right flank, without alleviating factors. Pain was associated with nausea and multiple episodes of vomiting. She […]
Abstract Number: 737
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 46-year-old female presented for evaluation of two days of nausea and vomiting. She also described swelling in her legs and decreased urination over that time. Exam revealed blood pressure of 150/100 (baseline blood pressure 90/50), pitting lower extremity edema, taut skin of both hands, and bibasilar crackles. Labs revealed creatinine of 3.2 […]
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 […]
Abstract Number: 740
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 44 year old African American man presented to the hospital for evaluation and treatment following generalized tonic-clonic seizures. He denied recent and remote travel, fever, chills, sick contacts, constitutional symptoms, and felt relatively well at time of interview. He was on maintenance immunosuppression with prednisone 20 mg daily for sarcoidosis. MRI demonstrated […]