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Abstract Number: 908
Hospital Medicine 2020, Virtual Competition
Case Presentation: 54-year-old male patient diabetes mellitus type II presented with pain and swelling involving small joints of bilateral hands with wrists. Synovitis involving bilateral interphalangeal, metacarpo-phalangeal were noted.Labs revealed leukocytosis to 15.7K/microL. Hemoglobin was 7.7 g/dL. Anemia work up revealed low serum iron level of 23 µg/dL, low TIBC at 167ug/dL with saturation of [...]
Abstract Number: 909
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 73-year-old male with a medical history of hypertension presented with vomiting of 5 days. Vomitus was non-bloody, non-bilious in nature and was associated with headache. The headache was sudden in onset, bifrontal, 8/10 on a numerical rating pain scale.Initial vitals were remarkable for BP of 68/54 mm Hg which improved to 94/55 [...]
Abstract Number: 910
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 65-year-old male with a past medical history significant for hypertension initially presented with episodes of double vision, fatigue and dysphagia. Physical exam was remarkable for right-sided ptosis which improved with the ice pack test. Serology was positive for anti-acetylcholine receptor antibodies. Further workup revealed a decremental response to slow (2Hz) repetitive nerve [...]
Abstract Number: 911
Hospital Medicine 2020, Virtual Competition
Case Presentation: 23-year-old female was admitted with thunderclap headaches of 2 days. She had a history of quadriplegia and autonomic dysreflexia from a remote cervical spinal cord injury and has been on midodrine for 2 years. She also reported blockage of the urinary catheter and experienced recurrent headaches when she attempted to flush the catheter. There [...]
Abstract Number: 912
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69 year-old man presented after experiencing fatigue and fever for two days. He complained of accompanying dyspnea with decreased exercise tolerance and new four-pillow orthopnea. He had a history of myocardial infarction, coronary artery disease status-post multi-vessel coronary artery bypass graft, heart failure with reduced ejection fraction with an implantable cardioverter defibrillator [...]
Abstract Number: 913
Hospital Medicine 2020, Virtual Competition
Case Presentation: A thirty-one-year-old man presented to the ED complaining of right-sided facial droop of one-day duration. He also complained of left-sided facial numbness and tingling, right lower extremity shooting pain for one week, night sweats, 50-60 pound weight loss, fatigue for a few months. He denied vision changes, headache, focal weakness elsewhere on his [...]
Abstract Number: 914
Hospital Medicine 2020, Virtual Competition
Case Presentation: Background: Patients with catheter-associated UTI may have flank pain, suprapubic or costovertebral tenderness. The purple color of urine in patients with a UTI is due to metabolic products of biochemical reactions formed by bacterial enzymes in the urine.Case Presentation: An 84-year-old man with a past medical history of metastatic prostate cancer complicated by [...]
Abstract Number: 916
Hospital Medicine 2020, Virtual Competition
Case Presentation: 41 y.o male with no past medical history presented with shortness of breath at rest. On presentation, he was febrile, tachycardic to 130’s/min and tachypneic to 32 breaths/min and saturating at 99% on room air. On auscultation, he had absent left-sided breath sounds. Chest X-ray demonstrated opacification of left hemithorax and CT chest [...]
Abstract Number: 917
Hospital Medicine 2020, Virtual Competition
Case Presentation: Hyperkalemia is common in patients with hematological malignancies due to tumor lysis syndrome (TLS). Hyperkalemia can be further complicated by presence of pseudo-hyperkalemia in these patients. Accurate potassium measurement is critical as over-correction in the setting of hyperkalemia can lead to iatrogenic hypokalemia. A 38-year-old male presented to the Emergency Department for fatigue, [...]
Abstract Number: 918
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 21 year-old male with history of untreated Hepatitis C and intravenous drug use presented with acute right-sided weakness, fevers and altered mental status. Exam was significant for word-finding difficulty, asymmetric pupils, and 4/5 right-sided upper extremity and facial weakness. Labs were remarkable for leukocytosis. Brain MRI demonstrated expansile process involving the left [...]
