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Search Results for CK
Abstract Number: 579
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 23-year-old male with past medical history of anxiety disorder presented with nausea and multiple episodes of vomiting for 2 days. He also had generalized abdominal pain that was cramp-like in nature. There was no abdominal distention, however the patient reported constipation. He passed flatus during this episode. Noteworthy was the patient’s 10 […]
Abstract Number: 582
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 71-year-old woman with poorly differentiated squamous cell carcinoma (SCCA) of the left cheek with recent initiation of nivolumab therapy presented to the Emergency Department with five days of bilateral thigh pain, generalized weakness, and dyspnea. The exam was remarkable for tachycardia, hypotension, tachypnea as well as neck and proximal muscle strength weakness. […]
Abstract Number: 584
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Anaplasmosis phagocytophilum is a rare, emerging tick borne illness transmitted by the Ixodes Scapularis tick endemic to the North Central and Northeastern United States. With an incidence of 6.1 cases per million in 2010, patients often present with nonspecific symptoms such as fever, leukopenia, thrombocytopenia, and transamintis. Cases outside of endemic areas are […]
Abstract Number: 586
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 49-year-old man with history of alcohol abuse presented with a 3-month history of progressive weakness, weight loss and skin lesions. An outside dermatologist had diagnosed the patient with porphyria cutanea tarda (PTC) one month prior to admission based on characteristic skin findings on physical examination, and elevated urine and serum porphyrin levels. He […]
Abstract Number: 594
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 28-year-old female with unremarkable past medical history presented with a 3-day history of fever, diffuse abdominal pain, nausea, and vomiting. Vital signs were significant for temperature of 38.3 C and heart rate of 180 BPM. Physical exam revealed left-sided costovertebral angle tenderness. Laboratory studies were notable for total bilirubin 2.7 mg/dL, direct […]
Abstract Number: 605
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: This is a 38 year old male with a past medical history of hypertension, hyperlipidemia, bipolar disorder and alcohol abuse who was brought to the emergency room after he collapsed on the subway in May 2018. Several days prior to this episode, he reported cyclical fevers to a maximum of 102F, myalgias and […]
Abstract Number: 606
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 40-year-old male presented to the emergency department with complaints of back pain for 3 weeks. He described the pain as aching and circumferential involving the sternum, right ribs, shoulders, and back. His previous medical history was unremarkable and he never had any prior imaging studies. Plain radiographs of the spine did not […]
Abstract Number: 607
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Patient is a 71 year old female with hypertension and chronic obstructive pulmonary disease who presented after syncopal episodes and falls. She denied chest pain but did have lightheadedness and shortness of breath (SOB). She was started on transcutaneous pacing by EMS due to severe bradycardia. Admission EKG (fig 1) showed 3rd degree […]
Abstract Number: 647
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 20-year-old Guyanese female of Indian descent presented with a five-day history of fever and left upper quadrant abdominal pain, associated with abdominal distension. Physical examination was remarkable for fever of 103F, conjunctival icterus, left upper quadrant tenderness, and splenomegaly. Laboratory data revealed hemoglobin (Hb) of 6.5g/dl, mean corpuscular volume (MCV) 64.8fl, mean […]
Abstract Number: 678
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: We present a case of a 70 year old diet controlled hypertensive female, a New York State trained and licensed scuba diver, who presented to our emergency department with worsening headache after a rapid ascent from freshwater diving to approximately 60 feet. Patient was reportedly close to surfacing when she panicked and made […]