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Abstract Number: 931
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 78 year old woman with a PMH of asthma, sinusitis, CAD with stents and recent influenza presents with chest pain. Her EKG was without ST changes and troponin was 0.08 ng/mL. Other labs were significant for WBC of 10,900 cells/uL, and absolute eosinophil count 2800 cells/uL. She was diagnosed with NSTEMI and [...]
Abstract Number: 932
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69-year-old Brazilian female who moved to the US in the 1990s with history of COPD, hypertension, and depression (treated 5 years ago with Seroquel) presented to the ER with 2 weeks of cough, diarrhea, and post-tussive emesis. The patient was febrile to 103 F, BP 96/58, tachycardic to 110, and hypoxic to [...]
Abstract Number: 934
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient is a 30 year American Born, Middle Eastern male with PMH Acute Generalized Exanthematous Pustulsosis (AGEP) that comes into hospital with high fevers and diffuse pruritic rash. In January of 2019, the patient, while being treated for pharyngitis, developed a pruritic, pustular rash, after treatment with amoxicillin/clavulanic acid. He was diagnosed [...]
Abstract Number: 936
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 49-year-old man presented to the Emergency Department with a two-day history of worsening chills. He was afebrile with HR 115 beats/minute, RR 22 breaths/minute, BP 120/93 mmhg. Pertinent findings on physical exam revealed an ill appearing male with a new facial rash and a new systolic murmur. Labs were significant for WBC [...]
Abstract Number: 937
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 87-year-old man with medical history significant for hypertension, non-ischemic cardiomyopathy, paroxysmal atrial fibrillation (anticoagulated on Rivaroxaban) and ventricular tachycardia (recently started on Amiodarone) presented to the emergency room with chest pain. He reported that the pain started insidiously 2 days prior to presentation, pleuritic, sharp, retrosternal and intermittent, associated with diaphoresis and [...]
Abstract Number: 938
Hospital Medicine 2020, Virtual Competition
Case Presentation: This is a 46-year-old man with poorly controlled diabetes mellitus, hypertension, and hyperlipidemia who presented with acute worsening abdominal pain for two days, along with nausea, vomiting and anorexia. The patient had polyuria and polydipsia but denied dysuria, diarrhea, fevers or chills. He had no personal or family history of pancreatitis, gallstones, or [...]
Abstract Number: 939
Hospital Medicine 2020, Virtual Competition
Case Presentation: This case involves a 53-year-old female with a past medical history of sigmoid colon cancer treated by resection and Capecitabine, type 2 diabetes with macro/microvascular complications, and obesity class II who presented to the emergency department with a rapidly worsening and blistering painful right leg ulceration. Associated symptoms included subjective fevers and chills. [...]
Abstract Number: 940
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60-year-old man with a history of bilateral adrenalectomy for Cushing’s disease, who received hydrocortisone replacement (hydrocortisone 20 mg/day; 15 mg after breakfast and 5 mg in the afternoon) for 50 years, visited our emergency department with epigastric pain and palpitations. The symptoms manifested without any obvious cause when the patient was at [...]
Abstract Number: 942
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 51-year-old male with a past medical history of hypertension and schizophrenia maintained on amlodipine, risperidone and benztropine was transported to the ER psychiatric unit by law enforcement. He was detained after he was found wandering the streets demonstrating increased verbal and physical aggressiveness. He was known to the psychiatric unit, with previous [...]
Abstract Number: 943
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40-year-old Caucasian male presented with a recent diagnosis of stage IV metastatic duodenal adenocarcinoma. Given the metastatic disease, after duodenal stent placement, the patient started on adjuvant mFOLFOX6 chemotherapy. During the second day of the first cycle of chemotherapy, the patient suddenly experienced complete right-sided weakness, headache, confusion, and slurred speech. He [...]
