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Abstract Number: 1083
DEJERINE-ROUSSY SYNDROME: A CAUSE FOR CENTRAL PAIN
Hospital Medicine 2020, Virtual Competition
Case Presentation: Dejerine-Roussy syndrome is a rare condition usually caused by ischemic or hemorrhagic strokes involving the thalamus. Patients develop dysesthesia or allodynia, weeks to months after the initial stroke. We present a case of central thalamic pain in a patient who presented with a middle cerebral artery (MCA) infarct with thalamic involvement. A 77 [...]
Abstract Number: 1084
WHEN HEURISTICS FAIL; UNRAVELING A CONVOLUTED CASE OF SEEMINGLY UNRELATED SYMPTOMS
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 61-year-old female with history notable for Crohn´s disease in remission presents with dysphagia associated with an unintentional 16kg weight loss over six weeks. Review of symptoms is notable for chronic diarrhea which stopped 3 days prior to admission and acute dysuria and polyuria. She is afebrile and hemodynamically stable. Initial laboratory studies [...]
Abstract Number: 1085
PNEUMONIA IN A LOBSTER-HUNTING, LANDSCAPING 27-YEAR-OLD MALE
Hospital Medicine 2020, Virtual Competition
Case Presentation: Exogenous lipoid pneumonia (ELP) is an unusual respiratory disease caused by inflammation from a foreign body reaction to inhaled lipid particles. Here we present a case of this illness in the absence of a history of vaping, and we show how diagnosis can be delayed while searching for more common respiratory disorders. Discussion: [...]
Abstract Number: 1086
ACUTE EOSINOPHILIC PNEUMONIA: A RARE COMPLICATION OF DAPTOMYCIN THERAPY
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 56-year-old male with history of spinal epidural abscess being treated with IV daptomycin, presented to the emergency department with a fever of 104° F. The patient had a history of recurrent epidural abscesses, requiring multiple surgical washouts, following past lumbar diskectomy subsequent to lumbar radiculopathy. Previous cultures were positive for two strains [...]
Abstract Number: 1087
PERITONEAL TUBERCULOSIS – AN UNCOMMON CASE MIMICKING OVARIAN CANCER WITH METASTASIS
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 35-year female presented to the ED with complaints of worsening abdominal pain and distension without nausea, vomiting or diarrhea. The abdominal pain was diffuse in nature without radiation. She had fatigue, chills, intermittent fevers, and 10 pounds of weight loss over a month. The review of systems was otherwise negative. She was [...]
Abstract Number: 1088
CENTRAL CORD SYNDROME, AN UNCOMMON PRESENTATION
Hospital Medicine 2020, Virtual Competition
Case Presentation: A sixty-five-year-old man presented to the hospital with coffee ground emesis and generalized abdominal pain. He was hemodynamically stable, and imaging showed a small bowel obstruction with ileitis. He underwent laparoscopic omental band lysis and improved without further episodes of bleeding. On post-operative day two, the patient was to be discharged home and [...]
Abstract Number: 1090
A RARE CASE OF INFECTIVE ENDOCARDITIS CAUSED BY PANTOEA AGGLOMERANS, A PLANT PATHOGEN
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 30-year-old male with past medical history of seizure disorder, hepatitis C, depression and intravenous drug abuse presented with fever, progressive generalized myalgia and cough of three days duration. He also endorsed migratory polyarthralgia and a recent dental surgery. He denied any intravenous drug use in the past three years. Physical exam was [...]
Abstract Number: 1091
A RARE CASE OF IDIOPATHIC GRANULOMATOUS APPENDICITIS IN A HEALTHY YOUNG MALE
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27-year-old male with no significant medical history presented with a 3-day history of peri-umbilical pain localized to the right iliac fossa. Pain was sharp in nature, constant and aggravated by movement. No bowel or urinary symptoms and no previous abdominal surgeries. No history of inflammatory bowel disease or sarcoidosis. Upon admission, had [...]
Abstract Number: 1092
ERYTHEMA MULTIFORME AND DRESS-A RARE CASE REPORTWITH OVERLAPPING FEATURES
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 90-year female with a recent onset of vancomycin induced hypersensitivity reaction presents to the ED with sepsis and generalized disseminated rash. She recently underwent a surgery that was complicated with pseudomonas infection and was treated with vancomycin and Zosyn. However, she developed a pruritic, erythematous macular rash on her abdomen and vancomycin [...]
Abstract Number: 1093
THE CATCHER IN THE SIGNS. OBVIOUS BUT MISSED DIAGNOSTIC CLUES OF CUSHING’S SYNDROME.
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29-year-old Japanese man who attended to an orthopedist in an outside hospital with multiple fractures of rib bones and a compression fracture of vertebral bones was referred to our hospital for further investigation for the tentative diagnosis of rheumatoid arthritis worried about increased serum level of matrix metalloproteinase-3. In advance of the [...]
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