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Search2020-05-20T12:01:36-05:00
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Search Results for Alcohol Use Disorder
Abstract Number: 211
IMPROVING EVIDENCE-BASED THIAMINE PRESCRIBING FOR ALCOHOL USE DISORDER USING ELECTRONIC DECISION SUPPORT IN A LARGE URBAN ACADEMIC MEDICAL CENTER
Hospital Medicine 2020, Virtual Competition
Background: Up to 12% of hospitalized patients require high dose parenteral thiamine treatment to prevent Wernicke’s Encephalopathy, a devastating and easily preventable neurologic disorder that can lead to death. Despite the fact that it is as simple and relatively inexpensive therapy with no known side effects, high dose thiamine continues to be underutilized. Attempts to […]
Abstract Number: 211
You Can Teach an Old Stroke New Tricks
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 82‐year‐old woman came to the emergency department with pleuritic chest pain, cough, and fever. On arrival, she was found to have aphasia and right‐sided hemiparesis. Her family noted that she was normal just hours before. CT scan and MRI of her brain demonstrated only chronic ischemic changes consistent with her previous lacunar […]
Abstract Number: 402
Renal Failure: Another Potential Risk of Ppi Therapy
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 64‐year‐old man with coronary artery disease, type 2 diabetes, and stage 3 chronic kidney disease (baseline creatinine, 1.7) was admitted for worsening renal failure noted routinely (creatinine 6.2, BUN 70). His only symptoms were malaise and lethargy. He denied urinary changes, new medications, or exposures. Chronic medications were omeprazole, allopurinol, amlodipine, lisinopril, […]
Abstract Number: 402
USING AN INPATIENT EMR ORDER SET TO INCREASE MEDICATION ASSISTED THERAPY PRESCRIPTIONS FOR ADULTS WITH ALCOHOL USE DISORDER
Hospital Medicine 2020, Virtual Competition
Background: New Mexico has the highest number of alcohol-related deaths in the country, a title held since 1981. Nationally 1 in 10 deaths in working-aged adults are alcohol-associated whereas in New Mexico the ratio is 1 in 6 deaths. About 130,000 New Mexicans report alcohol dependence or abuse within the past year, but only 3% […]
Abstract Number: 432
Gemcitabine‐Induced Thrombotic Microangiopathy (Tma) in Pancreatic Cancer
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 71‐year‐old woman with a medical history significant for hypercholesterolemia and COPD presented to the hospital with dyspnea and bilateral lower‐extremity edema for a few days. She was recently diagnosed with stage I pancreatic cancer treated with resection and had completed 4 cycles of gemcitabine. Medications on admission included simvastatin, albuterol, and fluticasone/salmeterol […]
Abstract Number: 432
IMPLEMENTATION OF THE PAWSS PROTOCOL TO SCREEN FOR PATIENTS AT RISK FOR COMPLICATED ALCOHOL WITHDRAWAL
Hospital Medicine 2020, Virtual Competition
Background: Prevalence of alcohol use disorder (AUD) on inpatient medicine wards exceeds 40%. Only 50% of these patients develop alcohol withdrawal, of whom only 5-20% develop complicated alcohol withdrawal syndromes (AWS) that warrant treatment and monitoring. Overutilization of the Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar) scale is well-reported in the literature. CIWA-Ar […]
Abstract Number: 1071
A CROSS-EYED CASE OF DOUBLE VISION
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29 year old female presents with one week of sudden onset double vision. She reports accompanying dark spots in her vision, photosensitivity, and some unsteadiness with walking. The patient’s friend noted that her eyes were “crossed” the morning of admission. Past medical history is significant for alcohol abuse and anxiety with a […]
Abstract Number: 1071
THERE WILL BE BLOOD: THE DILEMMA OF TREATING PAROXYSMAL NOCTURNAL HEMOGLOBINURIA IN THE PRESENCE OF NEW DRUG-ELUTING STENTS
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 58-year-old Caucasian woman with HIV on HAART, hyperthyroidism with radioiodine ablation, Hepatitis B and C, past IV drug use, former smoker, HTN, and HLD, initially presented with chest pain and was found to have NSTEMI. She underwent cardiac catheterization, which revealed 90% stenosis of mid-LAD and had a drug-eluting stent (DES) placed. […]
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  • All Time

  • Cellulitis or DVT: Do Any Clinical Features Help to Differentiate
  • A Newborn with Bilateral Shoulder Dimples: Case Report and a Review of Literature
  • “Weight Loss or Brain Loss?”: Long Term Use of Phentermine Possibly Increases Risk for Ischemic Stroke
  • Bc Powder Causing Intracerebral Bleed: Pitfalls of Overlooking Dosage of Seemingly Innocuous Otc Formulations
  • A Case of Jamaican Stone
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