Session Type
Meeting
Search Results for MI
Abstract Number: 899
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 71-year-old male with multiple myeloma being treated with dexamethasone, elotuzumab and bortezomib, prior mediastinal plasmacytoma s/p chest radiation therapy and Crohn’s disease was admitted with high-grade fever, chills, productive cough. Labs revealed pancytopenia with neutrophil count of 1.2. Patient was started on broad-spectrum antibiotics for febrile neutropenia. IV Azithromycin was added to the […]
Abstract Number: 900
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 71-year-old male with extensive smoking history was referred to the hospital by his PCP for new-onset severe hyponatremia of 117mMol/L. He denied any active complaints and initial physical examination showed an euvolemic male. Low serum osmolality of 245mOsm/kg but high urine osmolality of 309mOsm/kg and high urine sodium of 68mEq/L were suggestive of […]
Abstract Number: 904
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 28-year-old man with Stage IV colon adenocarcinoma presented to the emergency department with nausea, vomiting, dyspnea on exertion, and generalized weakness. Two weeks ago, he experienced similar symptoms during his first cycle of fluorouracil (FU) bolus and infusion, oxaliplatin and leucovorin chemotherapy (FOLFOX). Two days ago, he was symptomatically premedicated and received […]
Abstract Number: 907
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Thiamine deficiency is a known complication of bariatric surgery presenting commonly as Wernicke encephalopathy or dry beriberi. Pure sensory ascending neuropathy as a presenting complaint, however, is rare, which we describe here in the acute setting after intragastric balloon (IGB) placement. A 48 year old obese but otherwise healthy female underwent an uncomplicated […]
Abstract Number: 910
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 71-year-old male presented to the emergency department (ED) complaining of a 3-week history of dysphagia and ~30lb weight loss. He had been transferred to the ED after a failed formal swallow evaluation, nearly three weeks after the onset of symptoms, during which he demonstrated significant aspiration even with thick liquids. In addition […]
Abstract Number: 929
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 68-year-old African-American woman with known history of refractory IgG kappa multiple myeloma presented with fever, congestion, and purulent drainage from both ears that had been progressively worsening over the past week. She initially attributed her symptoms to sinus infection and self-treated with a Neti Pot using non-sterile water. The Neti Pot was […]
Abstract Number: 930
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 57-year-old man with past medical history of hypertension and left partial nephrectomy for renal cell carcinoma presented to the emergency department with several days of fevers, diarrhea, and fatigue. On examination, the patient was lethargic and febrile to 103°F with a blood pressure of 80/50mmHg. His labs were notable for an elevated […]
Abstract Number: 1001
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: An 18 year old female with a history of cirrhosis due to autoimmune hepatitis on immunosuppressants presented with acute low back strain. On presentation, her vital sign was remarkable for heart rate of 129 bpm. Physical exam revealed splenomegaly with mild pedal edema and low back tenderness. Laboratory evaluation showed a hemoglobin of […]
Abstract Number: 1004
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 64 yr old gentleman presented to the emergency department of our hospital with abdominal pain and hematuria. Initial laboratory evaluation revealed unremarkable metabolic profile and mild anemia (Hgb -9.3 g/dl). Urinalysis was full of RBC’s with negative culture. CT abdomen revealed bilateral hydroureteronephrosis (HDUN) with a bladder mass (Fig I). Cystoscopy revealed […]
Abstract Number: 1005
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 24-year-old gentleman gentleman presented to the emergency room complaining of left precordial discomfort and syncopal event at work. His system review was negative. He acknowledged using marijuana with the last usage being the morning of presentation. His initial EKG revealed sinus bradycardia (Figure A). His preliminary blood work revealed normal chemistry, TSH. […]