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Abstract Number: 481
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 25 year-old man presented with agitation and altered mental status. He was placed in physical restraints and given Ativan due to severe agitation. He was found to be tachycardic, with dilated pupils, erythematous arms, and dry skin. Upon further questioning, the patient endorsed blurred vision, dry mouth, and difficulty urinating. A foley […]
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: 542
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: We report a case of a 44 year old female with a history of hepatitis C and alcoholic cirrhosis, abstinent from alcohol for about two years, who presented from a nursing facility with few weeks of confusion and bilateral lower extremity weakness and imbalance. Her family reported that she was oriented, communicative and […]
Abstract Number: 563
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 29-year-old Asian male with a one-year history of recurrent generalized muscle weakness presented to the emergency department with whole body paralysis. The patient’s symptoms began abruptly that morning, when he was unable to stand and exit a train due to lower extremity weakness, which generalized over the course of one hour. He […]
Abstract Number: 627
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 33 year old male with systemic lupus erythematosus (SLE) complicated by recurrent diffuse alveolar hemorrhage (DAH) presented with ataxia, lethargy, cough, and dyspnea. He had been recently exposed to high intensity immunosuppression for his DAH as it was thought to be secondary to SLE. However, it was later diagnosed as herpes simplex […]
Abstract Number: 706
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 68 year-old woman with a past medical history of paroxysmal atrial fibrillation, recurrent Clostridium difficile infection and intra-abdominal abscess for which she was treated with ceftriaxone and metronidazole for six weeks, presented to the emergency department with slurred speech and ataxia. CT head showed no acute hemorrhage, infarction or other intracranial disease […]
Abstract Number: 718
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: IntroductionMost cases of mushroom ingestion are benign with fatalities being rare. Symptoms range from acute gastro-enteritis to psychotropic manifestations that are usually self-limiting. Our case highlights a unique case of mushroom poisoning fatality The Case 72 y.o F Korean visitor to NE USA presented with acute onset of emesis, diarrhea, abdominal pain and […]
Abstract Number: 776
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 61 year-old female presented with nausea, vomiting, and upper abdominal pain 18 hours after ingesting local wild mushrooms. Initially, her physical exam was benign, including a normal abdominal exam. Her laboratory results were unremarkable and vital signs were stable; however, she was unable to tolerate oral intake, and was thus admitted for […]
Abstract Number: 858
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Case: A 72-year-old immunocompromised male with history of skin squamous cell carcinoma on oral chemotherapy, cardiac transplant on immunosupressants, chronic kidney disease was admitted to hospital with pneumonia presentation. He was started on renal adjusted dose of Cefepime and Azithromycin. Patient had improvement in his pneumonia symptoms and had normal mentation until day […]