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Abstract Number: 1094
CASE OF MISTAKEN IDENTITY: CEREBRAL CRYPTOCOCCOMA IN AN IMMUNOCOMPETENT PATIENT
Hospital Medicine 2020, Virtual Competition
Case Presentation: 50 y.o African American male with a history of schizophrenia presented for headache, blurred vision and acute onset aphasia. On exam, patient was alert, but unable to follow commands. He was noted to have poor dentition. Lab studies revealed WBC count of 4.1 with 47% neutrophils. BMP and liver function studies were unremarkable. [...]
Abstract Number: 1095
MYOPATHY: A MULTIFACETED CAUSE OF ACUTE RENAL FAILURE
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 58-year-old woman presented with 10 hours of left lower extremity pain and decreased urine output. The patient had a history of total thyroidectomy decades prior and had been prescribed levothyroxine. It was stopped two months prior to admission for low TSH.She had 2+ edema bilaterally.Labs returned with a creatinine of 6.8 mg/dL, [...]
Abstract Number: 1096
REMITTING SERONEGATIVE SYMMETRICAL SYNOVITIS WITH PITTING EDEMA SYNDROME AFTER LONG-TERM DIPEPETIDYL PEPTIDASE-4 INHIBITOR USE
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 73-year-old male patient was admitted to our hospital for fever, edema, and painful extremities. He has long-standing type 2 diabetes mellitus of 23 years. Four months before the present hospitalization, despite the body temperature of 37°C, he noticed edema, painful bilateral dorsum of the hands and feet, and poor physical condition. One [...]
Abstract Number: 1097
KLEBSIELLA PNEUMONIAE AND THE CHAMBER(BLADDER DIVERTICULUM) OF SECRETS
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 82-year-old woman with a history of bladder diverticulum, neurogenic bladder, and atrial fibrillation was admitted to the intensive care unit because of an altered mental status. For 10 years, she had experienced recurrent urinary tract infections (UTIs) following total hysterectomy. She had no history of alcohol abuse or liver disease. On examination, [...]
Abstract Number: 1098
IMPORTANCE OF THE OPEN MIND: ENDOCARDITIS PRESENTING AS RECURRENT “CRYPTOGENIC” STROKES
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 42-year-old woman was admitted for recurrent multifocal cerebral infarction. She had five episodes of consecutive strokes involving different vascular territories over 8 months resulting in expressive aphasia, visual deficits, and extremity weakness. All laboratory and urine studies, including autoimmune and hypercoaguable workup were unremarkable. Treponema and HIV serologies were negative. Initial cerebral [...]
Abstract Number: 1099
INVASIVE TESTING MAY BE INDICATED EARLIER IN IMMUNOCOMPROMISED PATIENTS
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 49 year-old man with history of renal transplant due to focal segmental glomerulosclerosis on mycophenolate and prednisone presented with chest tightness, shortness of breath, and productive cough with white sputum for several weeks. He was admitted one month prior with similar complaints and diagnosed with multi-lobar pneumonia. On admission, vital signs were [...]
Abstract Number: 1100
CLARKSON DISEASE: A RARE DISEASE TO BE AWARE OF
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 68-year-old Chinese man was admitted for giddiness, lethargy and lower limb oedema for 1 day. He had no significant past medical history. Clinical examination revealed that he was dehydrated and hypotensive, with a systolic blood pressure of 70 mmHg. Examination of his cardiovascular, respiratory and abdominal systems was unremarkable. Blood investigations were [...]
Abstract Number: 1101
A FORGOTTEN SIDE EFFECT OF HYDRALAZINE
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 61-year-old African American male with DMII and HTN, presented with intermittent muscle twitching, abdominal pain and fatigue of 2 weeks duration. Physical exam was notable for subtle myoclonic jerks and mild pitting edema of bilateral lower extremities. Lab work showed hemoglobin of 6.6 g/dl, potassium of 5.8 mEq/L and creatinine of 12.2 [...]
Abstract Number: 1102
AN EXCEPTIONAL CASE OF ERTAPENEM-INDUCED ENCEPHALOPATHY AND WEAKNESS IN A PATIENT WITH METASTATIC CHOLANGIOCARCINOMA
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 63-year-old male presented with altered mental status of one day duration. The patient’s history was significant for CAD, CKD Stage 3, and a recent whipple procedure for cholangiocarcinoma complicated by abdominal abscess requiring percutaneous drainage and prolonged course of ertapenem (renally dosed). He was admitted to the hospital with encephalopathy after having [...]
Abstract Number: 1103
MORE THAN A KISSING DISEASE
Hospital Medicine 2020, Virtual Competition
Case Presentation: 32-year-old previously healthy man presented with a week of fatigue and five days of low-grade fevers. He reported mild left abdominal pain worsened with inspiration. He denied a sore throat and other upper respiratory symptoms. He recently travelled to northern Wisconsin where he obtained multiple mosquito bites. He had been in contact with [...]
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