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Abstract Number: 1124
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 62-year-old male from a major urban city in Northeast US with history of hypertension and type II diabetes mellitus presented with fevers and thigh pain for three days. He had no recent travel history, sick contacts, or bug bites. Physical examination was notable for injected conjunctiva. Lab work revealed leukocytosis, thrombocytopenia, acute […]
Abstract Number: 1125
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 64 year old female with a past medical history of coronary artery disease and coronary artery bypass graft, heart failure with reduced ejection fraction, diabetes mellitus, peripheral arterial disease, hyperlipidemia and a strong smoking history presented to the emergency department with exertional dyspnea worsening over the past 1 month and substernal chest […]
Abstract Number: 1126
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 77-year-old male with a history of coronary artery disease and hypertension presented to the emergency department with progressively worsening sore throat, difficulty speaking, and odynophagia for one day. On initial assessment, the patient was in no respiratory distress. However, with an hour of presentation, he developed respiratory distress. Examination revealed tachypnea, stridor, […]
Abstract Number: 1138
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 22-year-old female with a past medical history of cholecystectomy and bipolar disorder presented with left upper quadrant spastic abdominal pain 9/10 in intensity, radiating to the epigastrium for the last 5 days, along with intermittent nausea, vomiting, and diarrhea. The patient described her bowel movements as a green ribbon-like consistency with no […]
Abstract Number: 1147
Hospital Medicine 2020, Virtual Competition
Case Presentation: An undomiciled 48-year-old man with HIV presented with fever, chills, rigors, and bilateral leg swelling with pain for 1 week. He had developed worsening painful weeping ulceration most prominently over his right leg below the knee after exposure to water during a series of thunderstorms over the week prior. Physical examination revealed fever, […]
Abstract Number: 1161
Hospital Medicine 2020, Virtual Competition
Case Presentation: 56-year-old female presented to ED with a two-week history of fever, chills, headache, intermittent nausea and vomiting, mild abdominal pain. Her comorbidities included Diabetes mellitus, Morbid obesity, and Hypertension. She had mild leukocytosis on complete blood count and had physical examination significant for bilateral rhonchi in chest auscultation. She was admitted under the […]
Abstract Number: 1166
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 48-year-old female with an unremarkable past medical history presented with intermittent, dull, substernal chest pain for several hours, associated with diaphoresis and bilateral arm paresthesia, worse with exertion. Patient’s symptoms improved with sublingual nitroglycerin in the Emergency Department. EKG showed subtle ST-segment elevations inferiorly. Troponin was initially negative at 0.01, trended to […]
Abstract Number: 1170
Hospital Medicine 2020, Virtual Competition
Case Presentation: Our patient is a 13 year old female with a 3-year history of celiac disease who presented to an outside facility with three days of fever, myalgias and RUQ pain. She had no stool changes, nausea or vomiting. Initial lab work was notable for a lipase of 1100, bilirubin of 4.9, AST of […]
Abstract Number: 1174
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 12-year-old boy presents with 8 days of chest pain. He describes the pain as sudden onset, stabbing, located over his left chest with radiation to his right chest and left flank. The pain initially lasts between 5 to 10 minutes, but has been increasing in duration to span the entire day. The […]
Abstract Number: 1189
Hospital Medicine 2020, Virtual Competition
Case Presentation: A previously healthy 8-month-old infant presented with poor weight gain, edema, and hypotonia. Vital signs were notable for heart rate 126, blood pressure 58/32, respiratory rate 32, and temperature 36.1C. Mucous membranes were dry with capillary refill of 3-4 seconds and edema of all extremities. He had decreased muscle tone, minimal spontaneous movement, […]