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Abstract Number: 1073
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69-year-old man with a history of chronic obstructive pulmonary disease was admitted with fevers and altered mental status (AMS). He reported 6 months of fevers, with confusion and shortness of breath. He denied cough and sputum production, but endorsed a 20lb unintentional weight loss. He had no history of immunosuppression, imprisonment, or [...]
Abstract Number: 1074
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 25-year-old woman with history of childhood asthma presented with 1 week of fever, dry cough and chest discomfort. She also had non-bloody diarrhea, nausea and vomiting. On review, she admitted vaping THC and CBD products for the past 9 months. She was afebrile with HR 115 bpm, BP 130/61 mmHg, RR 18/min [...]
Abstract Number: 1075
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 82 yo F with history of HTN, HLD, anemia, and atrial fibrillation presented to the ED with right-sided weakness and aphasia. She was subsequently found to have an acute left MCA stroke, which was treated with thrombectomy. She was not on anti-coagulation for her atrial fibrillation due to history of GI bleed [...]
Abstract Number: 1076
Hospital Medicine 2020, Virtual Competition
Case Presentation: We present the case of a 65-year-old male with no previous smoking or supplemental oxygen history who presented to the emergency department after routine clinic visit that was ultimately found to have cryptogenic organizing pneumonia from Influenza type B. Past medical history was insignificant except for recent hospital admission the week prior that [...]
Abstract Number: 1077
Hospital Medicine 2020, Virtual Competition
Case Presentation: We present the case of a 62-year-old Caucasian female with angioedema suspected to be secondary to Olmesartan use, which was relieved with tranexamic acid. Of note, this was the third time she had presented to the hospital with angioedema symptoms within in the past 6 months. Before this period, she states she had [...]
Abstract Number: 1078
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 54 y/o lady with a past medical history of HCV cirrhosis s/p Harvoni treated 5 years ago, IVDU now on methadone who presented to the ER with a lower extremity rash that started two days ago. They were multiple tender nonblanching, red to purple petechial and purpuric lesions on the bilateral lower [...]
Abstract Number: 1079
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 28-year-old female with a known history of seropositive rheumatoid arthritis presents with a non-healing ulcer on her right ankle. She received local wound care and antibiotics for three months prior to this admission. She also complained of increasing pain and stiffness in the small joints of hands and feet as well as [...]
Abstract Number: 1080
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 63-year-old female with past medical history significant for myasthenia gravis managed with azathioprine (AZA) presented with recurrent fevers, shortness of breath, malaise and night sweats for one week after attending a funeral in Pennsylvania. She denied any sick contacts, hiking, animal exposure, tick bites, or rashes. She was seen outpatient and her [...]
Abstract Number: 1081
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 59-year-old female with a history of type 2 diabetes, hypertension, dyslipidemia, bipolar disorder, and daily alcohol use, presented with acute onset epigastric abdominal pain radiating to the back, nausea and vomiting. Physical examination was notable only for epigastric tenderness. Pertinent labs include neutrophilic leukocytosis, elevated lipase (2353 units/L) and lactic acidosis (2.4 [...]
Abstract Number: 1082
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 44-year-old African-American male with past medical history of hypertension, asthma and obesity, presented to the emergency room with acute onset, constant, severe lower abdominal pain of two days duration which was throbbing and aching in quality without any radiation. He also endorsed nausea & loose stools. Of note, his hypertension was newly [...]
