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Abstract Number: 991
Hospital Medicine 2020, Virtual Competition
Case Presentation: 22-year-old Caucasian male who presented to our Texas hospital with dyspnea. His symptoms started two days prior with fever to 103°F, vomiting, and a cough with white sputum. The patient worked as a bartender and endorsed daily tetrahydrocannabinol (THC) vaper use. Upon admission, he exhibited tachycardia (137 bpm), tachypnea (30 bpm), hypoxemia (O2 [...]
Abstract Number: 993
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 51-year-old Caucasian male presented for evaluation of worsening lower extremity muscle weakness and associated myalgias. He received a diagnosis of NAM after three months of progressive proximal, symmetric upper and lower extremity weakness with myalgias, and an initial creatinine kinase (CK) of 13,875 IU/L. He had been on Atorvastatin 40 mg for [...]
Abstract Number: 994
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 50-year-old gentleman was admitted to the hospital medicine service for workup and evaluation of 3 days of epigastric abdominal pain. His history was significant for two recent admissions for episodes of acute pancreatitis within the preceding 2 months and alcohol use disorder (4 weeks sober) without cirrhosis. Physical exam was remarkable for [...]
Abstract Number: 995
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 71-year-old man presented with 2 months of progressive diffuse weakness and myalgias to the point of not being able to ambulate without a cane. He noticed lumps on his left forearm during that time, which improved spontaneously. He also endorsed photophobia, right eye swelling, and pain worsened by extraocular movement. He had [...]
Abstract Number: 996
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 50-year-old man without significant medical history presented with two months of purpura over his lower extremities and abdomen, ankle pain, and two days of severe abdominal pain associated with vomiting and melena. His symptoms started following a respiratory infection. On presentation, he was afebrile with normal vital signs. Physical exam was notable [...]
Abstract Number: 997
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 56-year-old woman with a history of gastric bypass surgery six years prior, vitamin B12 deficiency, latent TB, and recent bilateral granulomatous panuveitis of unclear etiology one year prior (treated empirically with TMP/SMX for possible toxoplasmosis) presented to the hospital with falls at home. On further history, she endorsed four months of gradually [...]
Abstract Number: 998
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 54 year old man with no known past medical history who presented with complaints of shortness of breath and a new axillary mass for the last three weeks. He previously moved from Kenya 6 years prior with no recent travel. As his mass grew, he began to experience increasing fatigue and shortness [...]
Abstract Number: 999
Hospital Medicine 2020, Virtual Competition
Case Presentation: 81 year-old man with a history of atrial fibrillation on Warfarin and bioprosthetic aortic and mitral valves presented with dark urine and shortness of breath. He described progressive shortness of breath and reduced exercise tolerance, unable to walk upstairs to his apartment. His urine had become “the color of eggplant”. On exam, he [...]
Abstract Number: 1000
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 34-year old male with a history of acquired immunodeficiency syndrome (CD4 count 268 cells/µL, viral load 31 copies/mL) and Kaposi’s sarcoma presented with two days of diarrhea, abdominal pain, and a new rash on his hands. He had unprotected sexual intercourse with a new partner a few days prior to admission. On [...]
Abstract Number: 1001
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 50-year-old female was admitted with shortness of breath, cough and fevers. Her past medical history was significant for breast cancer undergoing active neoadjuvant chemotherapy with doxorubicin and cyclophosphamide. She was hypoxic requiring 2L of oxygen via nasal cannula and febrile to 39.0°C. Labs revealed a WBC of 12.0 x 109/L (4.5-11.0 x [...]
