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Abstract Number: 1104
Hospital Medicine 2020, Virtual Competition
Case Presentation: Boerhaave’s syndrome, or effort rupture of the esophagus, is a rare and potentially life-threatening surgical emergency occurring in about 3.1/1,000,000 people per year1. We present a case of Boerhaave’s syndrome associated with cannabinoid hyperemesis syndrome (CHS). Discussion: A 21-year-old male with a history of daily marijuana use for the last 5 years presented [...]
Abstract Number: 1105
Hospital Medicine 2020, Virtual Competition
Case Presentation: An elderly man was diagnosed with clear cell renal cell carcinoma in 1987, and treated with left nephrectomy, though developed multi-organ metastatic disease in 2015. After he did not tolerate initial treatment with sunitinib, he received 15 cycles of NKTR-214 and nivolumab as part of a phase I/II study. Three months after his [...]
Abstract Number: 1107
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 72 year old woman with a history of recurrent, metastatic breast cancer complicated by pembrolizumab-related immune-mediated colitis presented to our hospital with sudden onset dizziness and shortness of breath. Four weeks prior to presentation, she suffered a colitis flare and was treated with a rapid 40 mg prednisone taper along with dapsone [...]
Abstract Number: 1108
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60-year-old woman with a history of diabetes, hypertension, and sleep apnea presented to the hospital with acute onset shortness of breath. Several months prior, she had undergone dental extraction that was complicated by poor wound healing. Unusually, the surgeon noted pus from the site of extraction but when further analyzed, it was [...]
Abstract Number: 1110
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69-year-old woman presented for an elective multi-level lumbar laminotomy for the treatment of chronic back pain secondary to spinal canal stenosis. Her medical history included hypertension and hypercholesterolemia. She reported a history of depression, which was well controlled on paroxetine. She denied using drugs, stated she quit tobacco decades prior, and reported [...]
Abstract Number: 1111
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 67 year old male with a past medical history of recurrent pericarditis, hypertension, psoriatic arthritis, and gout presented with diffuse chest pain. Patient stated that the pain was substernal, 10/10, sharp in nature, and non-radiating. Pain was aggravated by exertion and alleviated with rest, nitroglycerin and morphine. Pain was associated with shortness [...]
Abstract Number: 1112
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 34 year old Caucasian male with a past medical history of untreated Crohn’s disease for 7 years, treatment naïve Hepatitis C, and intravenous drug abuse presented with a month history of gradually worsening bilateral eye pain and drainage. Physical exam revealed severe injection with drainage from conjunctiva and sclera of both eyes. [...]
Abstract Number: 1113
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 53 year old male with history of decompensated non-alcoholic steatohepatitis cirrhosis (with ascites and esophageal varices), chronic kidney disease stage 3, type 2 diabetes mellitus, colon adenocarcinoma (TNM stage: T3N1) s/p FOLFOX (folinic acid, fluorouracil, and oxaliplatin) and right hemicolectomy 3 years ago was admitted from the liver clinic for acute kidney [...]
Abstract Number: 1114
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 25-year-old female with a history of End Stage Renal Disease (ESRD) due to Focal Segmental Glomerulosclerosis (FSGS) status post cadaveric kidney transplant one year ago presented with acute rejection of the transplanted kidney, likely due to medication non-compliance. Renal biopsy demonstrated that the kidney was no longer salvageable, and she was started [...]
Abstract Number: 1115
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 34 year-old woman presented with 5 days of progressively worsening, throbbing left groin pain that radiated down her left thigh and was severe enough to limit ambulation. She denied injury to the area, fevers, chills, a history of arthritis or other autoimmune conditions, and intravenous drug use. Her past medical history was [...]
