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Search Results for LOS
Abstract Number: 273
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Prolonged intensive care unit (ICU) length of stay (LOS) has been shown to delay patients’ recovery, increase their exposure to the risk of infections, upsurge healthcare costs, and reduce care availability to other critically ill patients. ICU LOS is directly influenced by both medical and institutional factors. The aim of the project is to […]
Abstract Number: 395
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Rifaximin 550 mg tablets is a nonsystemic antibiotic indicated for reducing the risk of overt hepatic encephalopathy (HE) recurrence in adults and may be used in combination with lactulose. Practice guidelines state that rifaximin is effective as add-on therapy to lactulose for preventing overt HE recurrence. This pooled analysis evaluated the efficacy and safety […]
Abstract Number: 456
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Partnership with Regional Medical Centers is a growth strategy for Virginia Mason as well as a service to our patients in the community. It is important to maintain our capacity to provide care to all patients wanting to come to Virginia Mason. Deflections, when we turn away patients from outside transferring hospitals, are expensive […]
Abstract Number: 473
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: After suffering a left-sided middle cerebral artery stroke and subsequent right sided weakness, an 85-year-old female fell and sustained a fracture of her right intertrochanteric femur. She initially had an ORIF at an outside hospital, but this subsequently failed and the patient had continued pain. She had repeat x-ray imaging of her femur […]
Abstract Number: 476
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 40-year-old man presents with painful, progressive bilateral vision loss which began two months prior, and was described as the patient feeling as if he were “looking through a straw”. He noted excruciating eye pain, redness, and tearing. Despite work as a tree trimmer, patient denied known trauma. He endorsed a twenty-pound unintentional […]
Abstract Number: 479
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 49 year-old woman with end stage renal disease on peritoneal dialysis (PD) for the past year, presented with progressively worsening abdominal pain, fevers, and nausea. This was her second presentation as she had been treated with antibiotics for presumed culture-negative PD-catheter-associated bacterial peritonitis three weeks earlier without improvement. Admission vital signs and […]
Abstract Number: 508
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A previously healthy 12 month old presented to the emergency department with three weeks of progressively worsening generalized edema and one week of fatigue and pallor. Patient was born at term, and growth and development had been appropriate. Mother had stopped breastfeeding several weeks prior to presentation, just before patient’s first birthday. Patient’s […]
Abstract Number: 512
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 70-year-old Vietnamese gentleman without a significant past medical history was admitted to the hospital after a mechanical fall. Apart from facial pain related to the fall, the patient did not report any other symptoms. He was afebrile and hemodynamically stable. His physical examination was unremarkable. During his trauma evaluation, bilateral apical pulmonary […]
Abstract Number: 603
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A previously healthy 48 year-old Guatemalan male presented with malaise, anorexia, 20-pound weight loss. Three weeks prior, he had fever, chills, emesis and diarrhea. A thorough history revealed that the patient was having intermittent confusion with labile, tearful mood swings. Lab-work confirmed pancytopenia, hyponatremia and mild transaminitis. Abdominal ultrasound showed hepatosplenomegaly. MRI brain […]
Abstract Number: 649
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 83-year-old woman of Chinese origin with remote history of breast cancer and pulmonary fibrosis of unknown etiology presented to care with one month of fevers, night sweats, malaise, and cough. After three negative acid-fast bacillus (AFB) smears and CT chest showing chronic right apical scarring during hospital admission, she was discharged on […]