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Search2020-05-20T12:01:36-05:00
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Abstract Number: 968
PARTIAL SMALL BOWEL OBSTRUCTION DUE TO ILEAL ENDOMETRIOSIS
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 36-year-old female presented with a month history of cramping abdominal pain, nausea and vomiting that started after an episode of diarrheal illness associated to ingestion of mangoes. Her symptoms were worse with food intake and consequently, she reported a 25-pound weight loss. Her PCP had performed a urea breath test and an [...]
Abstract Number: 970
FROM THE BOTTOM OF MY HEART…A PERICARDIAL CYST
Hospital Medicine 2020, Virtual Competition
Case Presentation: Patient was a 37 year-old gentleman with history of recently diagnosed heart failure, hypertension, non-Hodgkin’s lymphoma s/p chemotherapy and prior methamphetamine use who presented with chest pain. He reported a history of heart failure but had never had cardiac imaging. This diagnosis had been made clinically based on lower extremity edema. He had [...]
Abstract Number: 971
A COMPETENT IMMUNE SYSTEM AND AN INVASIVE FUNGUS
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 25-year-old previously healthy male presented with two weeks of right arm and leg weakness, paresthesia, difficulty walking, and low-grade fever. Head CT revealed two masses in the superior left cerebral hemisphere. Head MRI showed two intensely enhancing masses measuring 2.6 x 2.7 cm and 1.6 x 1.7 cm with marked surrounding edema [...]
Abstract Number: 972
A CURIOUS CASE OF TAMPONADE
Hospital Medicine 2020, Virtual Competition
Case Presentation: 77 year old male with history of complete heart block with permanent pacemaker placement and recent diagnosis of nonvalvular atrial fibrillation on apixaban presented to emergency room with chief complaint of abdominal pain and dyspnea on exertion. The complete blood count, electrolyte panel, and serum creatinine were unremarkable. The initial troponin was elevated [...]
Abstract Number: 973
THE BLIND SPOT
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 19-year-old woman with a history of polysubstance abuse and recent e-cigarette/vaping product use associated lung injury (EVALI) presented to the Emergency Room (ER) at a rural medical center with Acute Respiratory Failure and Altered Mental Status (AMS). Pt was 3 months post-partum. Past medical history included chronic migraine headaches and Grave’s disease. [...]
Abstract Number: 975
LYME DISEASE TRIGGERED HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 43 year old female with no significant past medical history presented to the emergency department after developing subjective fevers, myalgias, arthralgias, and malaise one week after a hiking trip in northern Minnesota. She had a fever of 39.2℃ and splenomegaly with no rash. Pertinent labs showed a hemoglobin of 12.1 g/dL (11.6-15.0 [...]
Abstract Number: 976
SPONTANEOUS CSF RHINORRHEA LEADING TO STREPTOCOCCUS SALIVARIUS MENINGITIS
Hospital Medicine 2020, Virtual Competition
Case Presentation: 62-year-old female with a past medical history of diabetes mellitus and breast cancer in remission presented to the emergency department (ED) with complaints of intermittent frontal headache for 2-3 weeks progressing to 1 day of fever, altered mentation, aphasia, and vomiting. In the ED, patient was afebrile with stable vital signs. Initial labs [...]
Abstract Number: 977
ACUTE INHALATION INJURY SECONDARY TO VAPING CANNABIDIOL OIL
Hospital Medicine 2020, Virtual Competition
Case Presentation: Here-in, we presented a 27-year-old female who initially presented to an outside hospital with complaints of extreme fatigue, fevers, and diffuse myalgia in the setting of cough, shortness of breath and sharp lower abdominal and back pain. Upon thorough questioning, she admitted to using vaporized Cannabidiol oil for the past 3-4 weeks to [...]
Abstract Number: 978
BILATERAL INTRACRANIAL SUBDURAL HEMATOMA (BISH) AFTER SPINAL ANESTHESIA DUE TO A COMPLICATED CESAREAN SECTION
Hospital Medicine 2020, Virtual Competition
Case Presentation: Intracranial subdural hematoma (ISH) is a rare and fatal complication of spinal anesthesia (SA); therefore a high index of suspicion for ISH should be considered when a case of suspected postdural puncture headache (PDPH) does not improve with conservative management. A 36-year-old female presented to the emergency room complaining of worsening headache of [...]
Abstract Number: 979
LEFT VENTRICULAR PSEUDOANEURYSM – A RARE BUT LIFE-THREATENING COMPLICATION OF ACUTE MYOCARDIAL INFARCTION
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 77-year-old caucasian man with a known history of hypertension, hyperlipidemia and tobacco abuse initially presented to the hospital with chest pain for five days. He was diagnosed with an anterior wall ST elevation myocardial infarction (STEMI). He underwent cardiac catheterization with drug-eluting stent placement to the left anterior descending coronary artery. Subsequent [...]
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