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Search Results for TEN
Abstract Number: 445
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Increasing number of palliative care patients are cared for by hospitalists, but the value of hospitalist on end-of-life (EOL) care is scarcely reported. The study aims to evaluate the effect of hospitalist care on the intensive care utilization and medical expenditure for end-of-life hospitalizations. Methods: A three-year retrospective observational study was conducted at a […]
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: 455
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospitalized patients are complex and often receive concurrent treatment for multiple diseases. Patients presenting with shortness of breath and infiltrates on chest x-ray may be treated for pneumonia, congestive heart failure (CHF) or both. Fluid and blood pressure management may be particularly challenging for these patients. Our goal was to define the impact of […]
Abstract Number: 467
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A five-year-old boy with autism presented to the hospital with two-months of fatigue, lower extremity pain, and a petechial rash. Review of systems was notable for a two-kilogram weight loss, intermittent gingival bleeding and refusal to walk for one week. On admission he was afebrile with a heart rate of 160 beats per […]
Abstract Number: 505
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A previously healthy sixteen-year old Japanese-American female presented to her primary care provider following one week of frontal headache, dizziness, and a feeling of “floating while walking.” Exam revealed upper extremity blood pressure of 148/93 and a loud bruit across her left lower back. A renal ultrasound ruled out renal artery stenosis, but […]
Abstract Number: 597
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 76 year-old male with a history of diverticulitis, T2DM, HTN, persistent atrial fibrillation and compensated alcoholic cirrhosis presented for recurrent gastrointestinal bleeding (GIB). He initially presented to an outside hospital six months prior for shortness of breath and found to be anemic requiring 4 units of packed red blood cells (PRBCs). Since […]
Abstract Number: 671
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 64 year old man with a history of membranous nephropathy on tacrolimus and recent cerebral arteriovenous malformation (AVM) repair, with stent placement seven months prior, presented to the emergency room with one day of progressive lethargy, frontal headache, photophobia, and confusion with subjective fevers and nausea.His vitals on presentation were significant for […]
Abstract Number: 707
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 75-year-old female with past medical history of obesity (BMI 31.7 kg/m2), paroxysmal atrial fibrillation, hypertension, hypothyroidism, was admitted to the hospital for elective laparoscopic cholecystectomy. Patient tolerated the procedure without complications, however, post operatively, she was difficult to extubate due to hypercapnia of pCO2 of 100 mmHg in arterial blood gas. She was […]
Abstract Number: 771
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 63-year-old man with history of recurrent syncope and atrial fibrillation (AF) on warfarin presented to our hospital with headache. Within the last year, he had suffered several falls due to syncope, which resulted in serious injuries, including jaw fracture and subdural hematomas (SDH). He used alcohol and marijuana daily. Previous workup for […]
Abstract Number: 789
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly usually presenting in infants with high mortality. This is a one of the rare cases of ALCAPA diagnosed at 40 years of age which presented with a series of complications after repair of the anomaly.Case: A […]