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Search Results for EPA
Abstract Number: 402
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Medication discrepancies are prevalent at various transitions of care including hospital discharge. Medication changes at hospital discharge may be misunderstood by the patient or not conveyed throughout the healthcare system. Most outpatient pharmacy medication records were created for the sole purpose of dispensing prescriptions. Pharmacists have little incentive to remove outdated medications and are […]
Abstract Number: 430
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: One of the challenges in hospital medicine is the effective and efficient evaluation of patients through the emergency department and admission. When this does not work well we see long wait times in the emergency department, patients leaving without being seen and decreased patient satisfaction. In the extreme case, we see ambulance diversion. This […]
Abstract Number: 471
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 38 year-old-male with cirrhosis from hepatitis B and C complicated by recurrent ascites, previous spontaneous bacterial peritonitis (SBP), and recurrent hepatic hydrothorax requiring transjugular intrahepatic portosystemic shunt presented with two days of increasing dyspnea at rest. He had recently been nonadherent with SBP prophylaxis and diuretics. Laboratory findings revealed leukocytosis of 17,500k/uL, […]
Abstract Number: 513
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 55-year-old obese female presented with daily high fevers, chills, night sweats, malaise, decreased appetite, and nausea for two weeks. Her past medical history is significant for laparoscopic adjustable gastric band (LAGB) surgery eight (8) years prior. On presentation, she was febrile, tachycardic with pallor and hypotensive. Cardiopulmonary and abdominal examination was normal, […]
Abstract Number: 531
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Adverse drug reactions are any injury that is a result of medication use and can be classified into two categories. Type A are reactions that are common and predictable. Type B are reactions that are rare and unpredictable. An 81-year-old woman with history of essential thrombocythemia presented with an intermittent, relapsing and remitting […]
Abstract Number: 604
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 37 year-old man with a history of alcohol abuse presented to the emergency department with a chief complaint of abdominal pain and jaundice. The patient stated that 3 days prior to presentation, he awoke with severe intermittent right upper quadrant abdominal pain associated with a yellow discoloration of his skin and sclera. […]
Abstract Number: 646
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Case 1: A 66 year old female presented in October 2017 with generalized weakness, fatigue, abdominal pain, and oliguria. The symptoms have been worsening since her abdominal endovascular aneurysm repair (EVAR). She had her EVAR done in August 2017. In the Emergency Room the patient was afebrile with a temperature of 36.4 C, […]
Abstract Number: 652
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 50-year-old woman presented with two weeks of progressively worsening abdominal pain and distention. The abdominal pain was accompanied by yellowing of her eyes and periods of confusion. She reported consuming 4 shots of vodka daily for greater than 10 years. Vital signs were normal. The patient was grossly jaundiced and exhibited scleral […]
Abstract Number: 654
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 57 years old female with insignificant past medical history presented to emergency department for right sided chest and back pain for one week that was associated with skin lesions under right breast and adjoining area on the back consistent with herpes zoster rash. She also reported epigastric pain, nausea and vomiting. She […]
Abstract Number: 693
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Significant alcohol consumption can lead to a variety of alcoholic liver diseases ranging from alcoholic fatty liver disease to alcoholic hepatitis. Here, we discuss an atypical presentation of alcoholic hepatitis in a patient initially thought to have a hematologic malignancy. Our patient was a 28-year-old Cantonese-American man presenting with one month of fevers, […]