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Abstract Number: 1049
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 58-year-old male presented to the hospital with several days of fatigue and shortness of breath. His vitals were initially stable, and labs showed a hemoglobin of 4.2 (normal 13.5—17.5), white blood cell count WBC 20.1 (4.5—11.0), and platelet count 43 (160—420), BNP 617 (0—900 pg/ml). He received one unit of packed red [...]
Abstract Number: 1051
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 43-year-old African-American female with a history of multiple sclerosis complicated by paraplegia, neurogenic bladder, and seizures presented to the hospital with a syncopal episode and was found to have a hemoglobin of 2.9 (12.0 to 16.0 gm/dL) with red blood cell count RBC 0.96 (4.00 – 5.20×10^6/uL), lactate dehydrogenase 639 (
Abstract Number: 1052
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40 year old female with a medical history of pancreatitis and gastroesophageal reflux initially presented with cough and viral cold symptoms. She was initially febrile to 102 F, with labs significant for WBC 3,900 (normal 4,500-11,000 WBC/uL), hemoglobin 9.1 (12.0-15.5 g/dL), and platelet count 35,000 (150,000-450,000 /uL). She quickly deteriorated with new [...]
Abstract Number: 1053
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 54-year old male with dementia and chronic kidney disease presented to the emergency room with bilateral lower extremity swelling and blistering in lower legs and calves for several weeks duration. His initial vitals were within normal limits. Examination revealed multiple tense fluid filled bullae in medial lower leg to the foot on [...]
Abstract Number: 1054
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27-year-old homeless African American man with Brugada syndrome, post automatic implantable cardioverter-defibrillator (AICD), initially presented to the hospital for acute onset of chest pain and cough for three days. Initial vitals were unremarkable; exam showed normal heart and lung sounds. EKG showed normal sinus rhythm with no signs of ischemia. AICD interrogated [...]
Abstract Number: 1055
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27-year-old female with a history of PTSD, anxiety, and tobacco use initially presented to the emergency department with the worst headache of her life. Labs were significant for white blood cell count of 18.8 (normal 4.3 – 10.8 x 109 cells/L), troponin of 2.91 (
Abstract Number: 1056
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 58-year-old man presented with acute onset of chest pain, vertigo, and ataxia, described as “falling to the right as objects moved to the left.” History included coronary artery disease requiring multiple stents and remote cerebrovascular accident with residual left upper extremity weakness. Exam was notable for vertical nystagmus. EKG showed left atrial [...]
Abstract Number: 1057
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 23-year-old woman from Vietnam with no known past medical history presented to her primary care physician due to an abdominal mass. She first noticed the mass one month prior to presentation. It was associated with abdominal bloating and worsening sharp abdominal pain as well as a five-pound weight loss and decreased appetite. [...]
Abstract Number: 1058
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 73-year-old male presented to the ER with right-sided facial droop for 2 days. He had a recent history of multiple insect bites and had noticed a bull’s eye rash about 4 weeks back. He did not have any GI or GU symptoms. No history of recent surgery or trauma. His diet was [...]
Abstract Number: 1059
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 68 year old female patient presented to the emergency department after being found down at her house. On exam she was found to be confused and disoriented. Lab work showed severe pancytopenia, and elevated bilirubin with no associated elevation of LFTs. She was transfused with 2 units of packed red blood cells [...]
