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Abstract Number: 339
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Currently, once-daily nebulized bronchodilator therapy is unavailable for patients with chronic obstructive pulmonary disease (COPD). Prior studies demonstrated that once-daily revefenacin (REV) doses of 88 and 175 µg produced significant bronchodilation in COPD patients. We report the pooled results of two replicate phase 3 efficacy trials. Methods: In these double-blind, placebo-controlled, parallel-group, 12-week trials […]
Abstract Number: 343
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Opioids are widely prescribed for cancer and non-cancer related pain in hospitalized patients. The opioid usage increased roughly three times in the past two decades. Pain is a feeling of distress evoked by sensory stimuli with/without organ damage and an associated emotional experience. Considering the subjective nature of pain, the need for medication is […]
Abstract Number: 347
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The Choosing Wisely campaign aims to engage clinicians and public in addressing overuse in healthcare. Through adoption in 20 countries and 75 organizations, clinician engagement is largely successful. However, patient and public engagement remains a challenge, and there is concern that the impact of Choosing Wisely will be dampened if this is not achieved. […]
Abstract Number: 435
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: The diagnosis of a sexually active young male who presents with fevers, night sweats, weight loss with opportunistic infections and then found to have an acquired immunodeficiency is going to be HIV except when it isn’t. We present a patient with a presumptive diagnosis of HIV but a negative comprehensive HIV laboratory testing […]
Abstract Number: 497
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 28-year-old woman with sickle cell disease and chronic pain who required inpatient care several times yearly presented with worsening nausea, emesis and uncontrolled pain to the emergency department (ED). Symptoms were typical of prior pain crises. The patient followed regularly with a hematologist undergoing monthly red blood cell exchange transfusions. In the […]
Abstract Number: 587
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 60-year-old woman with a twelve-year history of presumed gastroparesis of unclear etiology, was admitted for worsening chronic abdominal pain, nausea and vomiting with unintentional weight loss of over 80 pounds over a year. Evaluation included normal laboratory findings and abdominal imaging. Upper endoscopy showed mild mucosal erythema with normal biopsies of the stomach. […]
Abstract Number: 765
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 61-year-old man with stage 5 chronic kidney disease was admitted to the hospital with four days of new, uncontrollable muscle twitching. One week prior, he had undergone incision and drainage of a gluteal abscess and was prescribed levofloxacin. Two days later, he began to experience twitching of his face and jerking of […]