Distinguished Abstract
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Abstract Number: 1060
Hospital Medicine 2020, Virtual Competition
Case Presentation: 48-year-old female with past medical history of cirrhosis secondary to HBV (on entecavir) and EtOH, decompensated by hepatic encephalopathy and ascites, coronary artery disease s/p stenting to LAD in 2009 presented to the hospital with abdominal pain and distension for a 1-week duration. She stated that the pain radiated to her back and [...]
Abstract Number: 1061
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 61-year-old woman with no pertinent past medical history presented to the hospital with two months of progressive numbness that began with her left foot and hands and eventually extended to her forearms. She developed clumsiness in her hands, gait unsteadiness, and had a 20-pound weight loss. A CT scan of the chest [...]
Abstract Number: 1062
Hospital Medicine 2020, Virtual Competition
Case Presentation: We present the case of a 58 -year-old opioid naïve man admitted for elective knee arthroplasty received parenteral hydromorphone and enteral oxycodone for analgesia. On post-operative day one, he developed abdominal pain. Abdominal X-ray showed stool burden suggesting constipation (OIC) prompting management with laxatives; he was given 12 mg parenteral methylnaltrexone. Overnight he [...]
Abstract Number: 1063
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 82-year-old male was admitted for generalized weakness lasting several weeks. Past medical history consisted of dilated cardiomyopathy status-post AICD, remote history of large B-cell lymphoma, chronic headache and dizziness for years with worsening over the last several months. Patient’s presentation was notable for low grade fever and hypotension. Physical exam showed a [...]
Abstract Number: 1064
Hospital Medicine 2020, Virtual Competition
Case Presentation: Case 1: 30 year old woman with uncontrolled T1DM, CKD, recurrent VTE, HTN, recurrent C.Diff, developed leg pain, fever and leukocytosis. Imaging, extensive rheumatology work up and biopsy revealed diabetic myonecrosis, also noted MDRO UTI and C diff colitis treated with ertapenem, ceftriaxone and oral vancomycin. Persistent high grade fever and leukocytosis called [...]
Abstract Number: 1065
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 54-year-old female presented with painful swelling in the left lower extremity. She had a similar complaint over 30 years ago when she was on oral contraceptives and was eventually diagnosed with a deep venous thrombosis(DVT) in the left leg. Vitals showed an oral temperature of 36.7degree celsius , heart rate of 76, [...]
Abstract Number: 1067
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 24 year old Hispanic male with history of ESRD due to presumed medullary cystic disease who underwent DDKT x2 first in 2/2011 complicated by acute vascular rejection with loss of transplant, then again in 11/2011 which was complicated by antibody mediated rejection in 2015 that was treated with plasmapheresis developed a subacute [...]
Abstract Number: 1068
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 33-year-old man presented with acute progressively worsening diplopia for two days duration. He also developed dysarthria, difficulty swallowing, generalized muscle weakness, and shortness of breath which prompted him to seek medical attention. He was bradycardic, but otherwise afebrile and normotensive. On exam, he was diaphoretic while taking shallow breaths. Neurological exam was [...]
Abstract Number: 1071
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29 year old female presents with one week of sudden onset double vision. She reports accompanying dark spots in her vision, photosensitivity, and some unsteadiness with walking. The patient’s friend noted that her eyes were “crossed” the morning of admission. Past medical history is significant for alcohol abuse and anxiety with a [...]
Abstract Number: 1072
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 62 year old female with a history of vitiligo, remote bilateral silicone breast implantation, and latent tuberculosis presented with 3 months of B-symptoms, weight loss, and polyarthalgias attributed to a new diagnosis of rheumatoid arthritis. Physical exam was significant for diffuse tender lymphadenopathy most notably at the supraclavicular nodes and a fixed [...]
