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Search Results for Medicine
Abstract Number: 437
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Over the past 50 years, observation status patients have been cared for in a variety of settings: in the emergency department, on inpatient floors, and in dedicated observation units. At our medical center, inpatient teams have traditionally cared for observation patients on medical wards. Patients were often unaware of their admission status until they […]
Abstract Number: 449
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The use of maintenance fluids (MF, continuous intravenous fluid (IVF)) to prevent dehydration is common, yet highly variable in practice. Unnecessary MF can cause patient harm including fluid overload, sleep disruption (associated alarms), and increase falls risks. In 2017, Hurricane Maria destroyed Puerto Rican facilities that were critical in producing IVF, exacerbating an existing […]
Abstract Number: 609
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 49-year-old male with past medical history of anxiety, chronic diarrhea and alcohol dependency presented with blood-tinged emesis. The patient endorsed a three-week history of non-bilious, blood-streaked emesis after ingestion of both solids and liquids. He also endorsed a cough productive of blood-streaked sputum and easy bruising. He was a retired librarian. He […]
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 […]