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Abstract Number: 944
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 45-year-old woman presented to Emergency Department (ED) with a 1-weeks history of a sore throat, sinus congestion and dry cough. She was diagnosed with an upper respiratory tract infection and treated with amoxicillin/clavulanic acid. After 3 doses, she developed a high-grade fever and pink confluent pruritic maculopapular rash on arms and legs [...]
Abstract Number: 946
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 70-year-old female with past medical history of cervical (C4/C5/C6) spine fusion presented with one-year history of swallowing difficulties. She noted that over the past year she has developed steadily worsening swallow ability from solids to liquids associated with frequent coughing when eating. She has also lost approximately 20 pounds due to reduced [...]
Abstract Number: 947
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 32 years of male with membranoproliferative glomerulonephritis (MPGN) on immunosuppression presented with complaints of fever, abdominal pain and diarrhea. His stool had many WBCs, C. diff was negative and CT of the abdomen revealed enterocolitis. His anaerobic blood culture bottles grew Salmonella group from the nonTyphi subtypes. Further history disclosed that he [...]
Abstract Number: 948
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29 year old female with past medical history significant for hyperemesis gravidarum requiring total parenteral nutrition (TPN) presented to the Emergency Department (ED) with chest pain. She had been having intermittent chest pain for the last 3-4 years, which she had always attributed to the scar from her infusion port. An infusion [...]
Abstract Number: 949
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 50 year old man with poorly controlled type 2 diabetes mellitus (DM) presented with flank pain, nausea, vomiting, and fever. On exam, he was febrile, tachycardic, hypotensive, and had right sided CVA tenderness. The ER performed a CT stone protocol, however, imaging demonstrated right sided emphysematous pyelonephritis (EPN). Our patient was admitted [...]
Abstract Number: 950
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 61-year-old female with past medical history of hypertension and migraine was brought disoriented to the emergency room. According to her husband, patient seemed to be forgetful after sexual intercourse on the same morning. She could not remember her medicines and was asking about their dog who passed away months ago. She denied [...]
Abstract Number: 951
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 57-year-old man with IgA vasculitis on maintenance rituximab, cyclophosphamide and prednisone presented with 2 months low-grade fevers, fatigue, 60 pounds weight loss, and bilateral visual abnormalities. Family cared for his 7 cats and new kittens while he presented to our hospital. Ophthalmological exam was notable for bilateral neuroretinitis. MRI of the brain [...]
Abstract Number: 952
Hospital Medicine 2020, Virtual Competition
Case Presentation: Thoracic Endometriosis Syndrome (TES) is a rare condition characterized by the presence of endometrial tissue inside the thoracic cavity. It consists of four distinct clinical entities: catamenial pneumothorax, catamenial hemothorax, hemoptysis, and pulmonary nodules. We report the case of a 47-year-old woman with TES presenting as spontaneous hemopneumothorax. Patient is a 47-year old [...]
Abstract Number: 953
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 58-year-old male presented to the emergency department with a twelve-hour history of sudden, painless and progressive left sided loss of vision following the consumption of tadalafil 20mg tablet for erectile dysfunction. He denied loss of consciousness, seizures, dizziness, headache, slurred speech, palpitations, tinnitus, urinary or stool incontinence, recent trauma, recent changes in [...]
Abstract Number: 954
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 48-year-old Columbian woman presented with 5 weeks of malaise, epistaxis, and hemoptysis. Physical exam was relevant for fever, conjunctival injection, hoarseness, coarse breath sounds, tachycardia, mononeuritis, trace lower extremity edema, and no stigmata of thrombotic microangiopathy (TMA). Labs were significant for a creatinine of 2.8, leukocytosis, thrombocytosis of 992×103, and microscopic hematuria. [...]
