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Search Results for PE
Abstract Number: 742
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 62 YO woman with PMHx significant for type 2 DM, HTN, CAD with a previous MI, and OSA was recovering as expected from elective decompressive laminectomy. On POD 4 she developed nausea, confusion, and lethargy. The hospitalist service was consulted, prompting a metabolic work-up that suggested anion gap metabolic acidosis. There were […]
Abstract Number: 753
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Case 1: A 25-year-old female was transferred to our hospital with fever and systemic inflammation refractory to prednisolone treatment. Two weeks prior to the transfer, she was admitted to another hospital on account of fever, thrombocytopenia, elevated alkaline phosphatase level and hepatonephromegaly on CT scan. No peripheral edema, pleural effusion, ascites or lymphadenopathy […]
Abstract Number: 754
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 49-year old man with no significant medical history presented with dyspnea and presyncope. He presented similarly six weeks prior and was diagnosed with constrictive pericarditis thought to be of a viral etiology. He had reported an eighteen-kilogram weight loss, intermittent fevers, and night sweats, but, given clinical improvement, was discharged on ibuprofen […]
Abstract Number: 757
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 44-year-old Nigerian woman with no medical history and recent travel to Mexico presents with cough for 4 weeks, fever, and malaise. She initially presented to urgent care with respiratory complaints, was diagnosed with pneumonia and given azithromycin. Her symptoms did not improve and she went to the ED. Vitals were notable for […]
Abstract Number: 760
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 54-year-old male with a history of Roux-en-Y gastric bypass surgery 12 years prior presented to the ED after labs showed a new pancytopenia from eight months prior. He reported fatigue but denied fevers, weight loss, dyspnea, bleeding, or recent infections. Medical history was notable for myocarditis 20 years ago and cholecystectomy 1 […]
Abstract Number: 764
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 22-year-old Hispanic male presented with a 4 day history of rectal and abdominal pain. He denied any previous medical history. He also noted three months of productive cough, pyrexia, chills, night sweats, fatigue, and weight loss. Physical examination revealed right lower quadrant tenderness accompanied by abdominal rigidity and involuntary guarding. The patient declined digital rectal examination. […]
Abstract Number: 768
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 43-year-old woman with controlled hypothyroidism presented to her primary care physician for evaluation of one-month of progressive fatigue, dizziness, and “disconnected” feeling. She noted decreased appetite leading to a twenty-pound weight loss. Following a benign physical examination, lab work demonstrated a striking macrocytic anemia with hemoglobin at 5.7 g/dL and mean corpuscular […]
Abstract Number: 777
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 59-year-old African-American female presented to our hospital with fatigue, exertional dyspnea and dark cola colored urine for two weeks. She was diagnosed with RRMS in 2009 and had been taking IFN-β since then with good response and no complications. Family history was significant for colon cancer in her mother, but no hematologic […]
Abstract Number: 784
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 61 year-old-female presented to an outside institution with worsening exertional dyspnea, chest pressure, and fatigue. Echocardiogram revealed a large pericardial effusion bordering on tamponade which was drained with great improvement of symptoms. CT Chest/Abdomen/Pelvis revealed perirenal soft tissue invasion, which was biopsied. Patient was then referred to our institution for further management; […]
Abstract Number: 785
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 59 year old man presented to the ER with shortness of breath, non-productive cough and fever of 103○F. He was also being followed for an enlarging left tricep mass that has grown significantly in size for the past 2 months, currently at 11cm in diameter. CBC now revealed a WBC count of […]