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Abstract Number: 498
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 47 year old female with a history of depression and remote Roux-en-Y gastric bypass surgery, presented for an elective laparoscopic gastrectomy due to hypertrophic pyloric stenosis causing complete gastric remnant outlet obstruction. Her home medications included duloxetine, pantoprazole and alprazolam. Vital signs on admission revealed blood pressure 147/83 mm Hg, pulse 80 […]
Abstract Number: 513
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 60-year-old previously healthy female presented with a two-week history of intermittent fever with non-pruritic rash, generalized myalgias and arthralgia, weakness, and chest pain. Her exam revealed temperature of 39.3 degrees Celsius, anterior chest tenderness to palpation, diffuse salmon-colored maculopapular rash at bilateral extensor surfaces of upper extremities, and multiple coalescing annular rash […]
Abstract Number: 550
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: We present a case of a 72 year-old independent woman on warfarin for recently-diagnosed pulmonary embolism, who was admitted to a local hospital for altered mental status. Upon presentation, a CT scan of the brain showed multiple areas of hemorrhage. The patient was transferred to our tertiary hospital for further management. An MRI […]
Abstract Number: 557
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 32 year-old female without significant medical history presented with nausea and vomiting, 1 week after being a pedestrian struck by a vehicle. The original accident caused loss of consciousness, and post-concussive syndrome headaches, but no significant injuries, fractures or internal bleeding. Upon re-admission, she was orthostatic positive. She was lethargic, with a […]
Abstract Number: 595
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 20 year old man with history of Systemic Lupus erythematous (SLE) with Lupus nephritis presented to the hospital with cough and hemoptysis for the past few days. He was found to have severe anemia (5.4 mg/dl), thrombocytopenia (52,000/mm3), elevated LDH (829), low haptoglobin (<8), hypocomplentemia (low C3 and C4), schistocytes on peripheral […]
Abstract Number: 602
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 53 yo female presented with a subacute syndrome of intermittent fevers, fatigue, heliotrope rash, weight loss, fingertip necrosis, and nodular skin lesions. Skin biopsy was positive for septal and lobular granulomatous panniculitis. Serology was positive for antinuclear antibody (ANA) and anti-ribonucleoprotein (RNP), negative for other vasculitis and rheumatologic autoantibodies. She was diagnosed […]
Abstract Number: 643
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 56-year-old male with history of alcohol abuse presented to the Emergency Room complaining of worsening abdominal pain for 2 weeks. Patient stated that he drinks half a pint of whiskey every day, and that the last drink was the day before presenting to the Emergency Room. He also reported that he had […]
Abstract Number: 672
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 21M with a PMHx of juvenile rheumatoid arthritis on chronic prednisone and Ilaris presented with fevers and diarrhea. He was seen by his rheumatologist on morning of presentation for his monthly Ilaris injection, who sent him in when he was found to be hypotensive and febrile in the office. Patient endorsed a […]
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: 750
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 58 year old man with history of Enterococcus faecalis endocarditis and mechanical aortic valve replacement on oral anticoagulation presented to the emergency department with epigastric and right upper quadrant abdominal pain, melena, hematochezia, and hematemesis of one weeks’ duration. Physical exam revealed jaundice and abdominal tenderness in the right upper quadrant and […]