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Search2020-05-20T12:01:36-05:00
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Search Results for Amyloidosis
Abstract Number: 643
REFRACTORY ORTHOSTATIC HYPOTENSION, WEAKNESS, & PARASTHESIAS IN A VIETNAM VETERAN EXPOSED TO AGENT ORANGE
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 68 year­-old man with prior Agent Orange exposure in Vietnam presents with 6 months of progressive orthostatic hypotension (OH), syncope, 60 lb weight loss, and lower extremity weakness, parasthesias, and allodynia.Prior workup found mildly elevated troponin and BNP, but a normal stress test. Midodrine had no improvement in OH, and BP on […]
Abstract Number: 648
A SMALL AMOUNT OF APPLE IN THE STOMACH
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 82 year old Caucasian male with history of long standing well controlled diabetes mellitus type 2 since 2010, gastroparesis, and GERD presented to the ED with 2 episodes of “dark, tarry” stools for 1 day onset with resolution. On review of systems, the patient endorsed 32 pound weight loss over 6 months, […]
Abstract Number: 684
IN THE JUNGLE OF DIFFERENTIALS, THE CONGO RED STAINS THE PATH TO A SOLUTION
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 64 year-old woman with no significant past medical history presented with nausea, vomiting, 50 lb. weight loss and generalized weakness for the past 6 months. Her primary care physician had prescribed treatment for possible reflux; symptoms did not improve. Three months prior, the patient was admitted to a community hospital where CT […]
Abstract Number: 794
SYSTEMIC AA AMYLOIDOSIS PRESENTING WITH GASTROINTESTINAL BLEEDING – A CASE REPORT WITH DIAGNOSTIC CHALLENGES
Hospital Medicine 2020, Virtual Competition
Case Presentation: Patient is a 76 year-old male with a significant background of ischemic heart disease with reduced ejection fraction, pyloric and duodenal ulcers, and chronic kidney disease attributed to chronic glomerulonephritis (not biopsy-proven). He presented with hematemesis and melena. Esophagogastroduodenoscopy revealed multiple gastric ulcers that were negative for Helicobacter pylori. Histology from the gastric […]
Abstract Number: 826
AMYLOIDOMA: A RARE CASE OF AMYLOIDOSIS PRESENTING AS A LOCALIZED TUMORLIKE ANTERIOR MEDIASTINAL MASS
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 65 year-old man with a past medical history of CAD s/p CABG, ischemic cardiomyopathy with EF 35%, bicuspid aortic valve stenosis s/p aortic valve replacement, and asbestosis presented to the ER for evaluation of anterior neck swelling, dyspnea on exertion, dysphagia, and a 30 lb unintentional weight loss over 5 months. On […]
Abstract Number: 841
WHERE DO BROKEN HEARTS GO? MANAGING UNCERTAINTY IN ADVANCED TRANSTHYRETIN-ASSOCIATED CARDIAC AMYLOIDOSIS
Hospital Medicine 2020, Virtual Competition
Case Presentation: WF, an 88-year-old man with advanced, wild-type transthyretin-associated (ATTR) cardiac amyloidosis (on tafamidis) complicated by distal conduction disease and heart failure with preserved ejection fraction, presented with syncope and was admitted to the cardiac critical care unit for symptomatic, bradycardic atrial fibrillation. A continuous dopamine infusion was started with resolution of symptoms and […]
Abstract Number: 1146
AMYLOIDOSIS, WHERE ALL ROADS LEAD TO ONE
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 53-year-old woman with a history of irritable bowel syndrome-diarrhea (IBS-D), chronic pain syndrome and years of nonspecific symptoms including chronic diarrhea and neuropathy, presented with bilateral lower extremity edema. Multiple outpatient visits and studies demonstrated nonspecific autoimmune condition with questionable monoclonal gammopathy of undetermined significance (MGUS) as well as a presumed diagnosis […]
Abstract Number: 1242
ADDERALL INDUCED ISCHEMIC COLITIS
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 33-year-old female with a history of attention deficit hyperactivity disorder (ADHD) controlled by Adderall (10 mg QAM and 20 mg QHS), two miscarriages, and depression controlled by Bupropion and Fluoxetine, presented to the hospital with complaints of crampy abdominal pain followed by bloody diarrhea. On further history, she reported a fever of […]
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