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Abstract Number: 1149
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 49-year-old man with metastatic pancreatic adenocarcinoma diagnosed three months ago and not yet on therapy presented to the emergency room with symptoms of nausea, vomiting, and abdominal pain for one day. Computed tomography of the abdomen and pelvis showed splenic infarcts, bilateral renal infarcts, and increased size of hepatic metastases. On the [...]
Abstract Number: 1150
Hospital Medicine 2020, Virtual Competition
Case Presentation: 72 years old Caucasian male presented to the hospital with the complaint of generalized maculopapular rash involving the chest and bilateral upper and lower extremities with the itching for the last 12 hours. He also had been having diarrhea for the last 2 days which was loose watery in consistency and yellowish in [...]
Abstract Number: 1152
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 19 year-old obese man presented to the emergency room with 5-day history of periumbilical rash, pain and bloody purulent umbilical discharge.On presentation, the patient was febrile (38.4 C), hypotensive (98/54 mmHg), and tachycardic (111 beats/min). On exam, the periumbilical region was erythematous, indurated, and tender to palpation without rebound tenderness or guarding.Laboratory [...]
Abstract Number: 1153
Hospital Medicine 2020, Virtual Competition
Case Presentation: Gastrointestinal (GI) manifestation of chronic lymphocytic leukemia (CLL) is very rare. This usually occurs after acute blastic transformation of CLL to diffuse large B-cell lymphoma called Richter transformation (RT). We report the first case in literature of anal ulceration caused by CLL without RT.A 67-year-old female with a history of partially treated CLL [...]
Abstract Number: 1154
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 63-year-old man with asthma, chronic rhinosinusitis, and fifty-pound weight loss in the past seven months, was admitted to the hospital for left parietal and right occipital stroke. Asthma was diagnosed in childhood and was well-controlled without recent exacerbation. Patient had focal right hand weakness of 4/5 strength, petechiae on the left lateral [...]
Abstract Number: 1155
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 24 year-old woman presented to the emergency room for a sore throat and diffuse body aches, with weakness in her shoulders and hips to the point that she required assistance with ambulation over the past week. She was afebrile and normotensive at admission but initial labs were significant for a WBC of [...]
Abstract Number: 1156
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 58-year old female with history of breast cancer and uterine fibroid, presented to the ED with worsening right leg pain and swelling associated with red skin discoloration and blanching skin. There was no history of fever, dyspnea, coughs, chest pain, hemoptysis, diaphoresis, palpitations, oral contraceptives or tobacco use. She has family history [...]
Abstract Number: 1159
Hospital Medicine 2020, Virtual Competition
Case Presentation: 53-year-old man with history of alcohol abuse, cirrhosis (with preserved liver function) presented with complaints of bilateral hand tremors and hallucinations for one day. He was unable to provide history due to confusion. Computed tomography scan of the brain revealed microvascular ischemic changes and an old lacunar infarct. Patient was delirious and actively [...]
Abstract Number: 1160
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 64 year-old Caucasian man with a history of atrial-flutter and hypertension presented with nasal congestion, eye redness, headaches, and progressive hearing loss over 8 months. His longstanding partial left-sided hearing loss progressed to complete hearing loss. In addition, he developed a new right-sided hearing loss. He also complained of right-sided Bell’s Palsy, [...]
Abstract Number: 1161
Hospital Medicine 2020, Virtual Competition
Case Presentation: 56-year-old female presented to ED with a two-week history of fever, chills, headache, intermittent nausea and vomiting, mild abdominal pain. Her comorbidities included Diabetes mellitus, Morbid obesity, and Hypertension. She had mild leukocytosis on complete blood count and had physical examination significant for bilateral rhonchi in chest auscultation. She was admitted under the [...]
