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Abstract Number: 920
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 39-year-old Zimbabwean male with a past medical history of hepatic schistosomiasis complicated by cirrhosis and pancytopenia presented to the ED with 7 days of abdominal pain and generalized weakness. The patient exhibited similar symptoms 8 months prior and had taken furosemide and spironolactone ever since, with no other home medications. Physical exam [...]
Abstract Number: 921
Hospital Medicine 2020, Virtual Competition
Case Presentation: Inflammatory bowel disease (IBD) is a chronic disease affecting the gastrointestinal (GI) tract consisting of Crohn’s disease (CD) and ulcerative colitis (UC). Patients typically have GI symptoms such as abdominal pain, rectal bleeding, and weight loss. However, the extra-intestinal presentation of IBD is not an uncommon occurrence. Here, we describe a case of [...]
Abstract Number: 923
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 84-year-old male veteran with prostate cancer s/p prostatectomy in 2002 with positive margins, uncontrolled type 2 diabetes, untreated hepatitis C, 50-pack-year history, presented for admission after routine labs at his primary care physician’s office revealed prominent eosinophilia of 6,900 and hyponatremia. The patient’s main complaint was generalized pruritus and a one-month pruritic [...]
Abstract Number: 924
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 61 year old female with Chronic Obstructive Lung Disease (COPD) on inhaled steroids underwent left lower lobectomy for Stage 1 Lung Adenocarcinoma in August 2017. While recovering, her house was flooded by Hurricane Harvey, in Houston, Texas. She was directly exposed to flood waters and subsequently lived with mold in her home. [...]
Abstract Number: 925
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 58-year-old male was referred to our institution for outpatient ERCP after suffering an episode of severe hypertriglyceridemia-induced acute pancreatitis complicated by pseudocyst formation at a nearby community hospital five months prior. During that hospital admission, the patient was also diagnosed with type 2 diabetes mellitus. The outpatient ERCP was for a planned [...]
Abstract Number: 926
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 73-year-old Iraqi man with asthma and type 2 diabetes who enjoys gardening was diagnosed with seronegative rheumatoid arthritis (RA) when he presented with joint pain and swelling in both hands and wrists. He was treated with prednisone (20 mg daily) and methotrexate. One month later, he developed swelling and ulcerative papules on [...]
Abstract Number: 927
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 64-year-old man with diet-controlled type 2 diabetes mellitus and hyperlipidemia presented to an academic center with painless jaundice. He was in his usual state of health until 2 weeks prior to presentation when he noticed dark urine. He then developed jaundice 4 days before his presentation. Initial laboratory testing was notable for [...]
Abstract Number: 928
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 70 year-old woman with no known history was admitted with symptoms of urinary incontinence and generalized weakness. Workup was notable for a positive urinalysis, positive Influenza swab, and serum sodium of 142mmol/L. She was started on ceftriaxone, oseltamivir and isotonic fluids (normal saline). On hospital day (HD) 2, her sodium was 159mmol/L, [...]
Abstract Number: 929
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 45-years-old African American male with a past medical history of seizure disorder, chronic alcohol abuse, and cervical spine injury, presented to hospital after a witnessed tonic-clonic seizure episode that resolved spontaneously. Initial evaluation revealed hypotension (90/57mmHg), tachycardia (145), tachypnea (36), temperature of 39.1 degrees celsius, leukocytosis (24.2×10^3/microliter) with bandemia, and lactate of [...]
Abstract Number: 930
Hospital Medicine 2020, Virtual Competition
Case Presentation: Purulent pericarditis is rare in the post-antibiotic era. Even rarer is purulent pericarditis caused by Streptococcus Constellatus causing purulent pericarditis in an immunocompetent patient. Here we present a case of an immunocompetent patient who acquired this infection from an unknown source and deteriorated rapidly in spite of optimal medical therapy.A 68-year-old female presented [...]
