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Abstract Number: 1117
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 84 year-old female with metastatic bladder cancer was admitted for a one month history of progressively worsening fatigue, bilateral ptosis, dysphagia, dyspnea, and lower extremity weakness. She was previously diagnosed with localized urothelial carcinoma in 2005 with recurrence in 2017 with pelvic metastases seen on surveillance imaging. She underwent chemotherapy, cystectomy, and [...]
Abstract Number: 1118
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 25 year old male with no past medical history was admitted for progressively worsening burning chest pain and shortness of breath associated with diaphoresis, nausea, vomiting, and left arm numbness. Initial electrocardiogram showed STEMI in the inferior and antero-lateral leads, and a troponin of 2.15. Emergent cardiac catheterization revealed a mid left [...]
Abstract Number: 1119
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 78-year-old female was referred to the ED from clinic for elevated creatinine and hyperkalemia after recent treatment of right lower extremity cellulitis with sulfamethoxazole/trimethoprim. Physical exam showed improving cellulitis and large area of ecchymosis on right wrist. The patient reports developing frequent large bruises without trauma for the previous two months. During [...]
Abstract Number: 1120
Hospital Medicine 2020, Virtual Competition
Case Presentation: 60-year-old gentleman with a history of autoimmune hemolytic anemia presented to emergency department with acute onset of severe left leg pain, edema, and cyanosis. On examination of his left leg, pulses were not palpable distal to posterior tibialis but motor functions remained intact. There were no blebs or bullae noted. He was requiring [...]
Abstract Number: 1121
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 33-year-old male presented to the emergency department (ED) after abrupt onset left anterior chest pain with associated diaphoresis, nausea, and abdominal pain one hour prior to arrival. He denied aggravating or relieving factors. Vital signs were stable and physical exam, including cardiac and respiratory exam, were unremarkable. Patient denied a history of [...]
Abstract Number: 1122
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient is a 20-year-old male without past medical history. He began to feel depressed about 3 weeks prior to admission, and his dietary intake decreased. Concomitantly, he experienced diarrhea once to twice per day. He noticed pain in both the thighs when waking up the day before the admission. The pain persisted [...]
Abstract Number: 1123
Hospital Medicine 2020, Virtual Competition
Case Presentation: Our patient is 56-year-old gentlemen with a history of non-ischemic cardiomyopathy related to prior alcohol use, hypertension and atrial fibrillation who presented to the emergency department complaining of shortness of breath, pleuritic chest pain and subjective feeling of fever and chills of 3 days’ duration. He was found to be hypotensive (86/60 mmHg) [...]
Abstract Number: 1124
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 62-year-old male from a major urban city in Northeast US with history of hypertension and type II diabetes mellitus presented with fevers and thigh pain for three days. He had no recent travel history, sick contacts, or bug bites. Physical examination was notable for injected conjunctiva. Lab work revealed leukocytosis, thrombocytopenia, acute [...]
Abstract Number: 1125
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 64 year old female with a past medical history of coronary artery disease and coronary artery bypass graft, heart failure with reduced ejection fraction, diabetes mellitus, peripheral arterial disease, hyperlipidemia and a strong smoking history presented to the emergency department with exertional dyspnea worsening over the past 1 month and substernal chest [...]
Abstract Number: 1126
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 77-year-old male with a history of coronary artery disease and hypertension presented to the emergency department with progressively worsening sore throat, difficulty speaking, and odynophagia for one day. On initial assessment, the patient was in no respiratory distress. However, with an hour of presentation, he developed respiratory distress. Examination revealed tachypnea, stridor, [...]
