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Meeting
Search Results for Anemia
Abstract Number: 846
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60-year-old female with hypertension and hyperlipidemia presented with 8 days of generalized weakness, fatigue, and myalgia. She reported headaches and shortness of breath but denied fever, chills or hematochezia. Vitals were stable and physical exam was unremarkable except for splenomegaly, scleral icterus, and mucosal pallor. Hemoglobin was 4.0 on admission, down from […]
Abstract Number: 892
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60-year-old male with history of diabetes mellitus, right foot osteomyelitis, psoriasis, and multiple medication allergies (including vancomycin, levofloxacin, daptomycin, ertapenem, ampicillin-sulbactam, and infliximab) presented to the hospital with complaint of jaundice, abdominal pain, and vomiting. He had been diagnosed one week prior with methicillin sensitive Staphylococcus aureus septic arthritis and was being […]
Abstract Number: 921
Hospital Medicine 2020, Virtual Competition
Case Presentation: Inflammatory bowel disease (IBD) is a chronic disease affecting the gastrointestinal (GI) tract consisting of Crohn’s disease (CD) and ulcerative colitis (UC). Patients typically have GI symptoms such as abdominal pain, rectal bleeding, and weight loss. However, the extra-intestinal presentation of IBD is not an uncommon occurrence. Here, we describe a case of […]
Abstract Number: 987
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 20 year old woman with a history of astrocytoma of thoracic and lumbar spine status post resection with subsequent neurogenic bladder and bowel presented with acute encephalopathy following a viral illness. Initial workup showed acute kidney injury (creatinine 2.21 mg/dL), normal hemoglobin (12 g/dL), new thrombocytopenia (platelet 60 K/uL), and urinalysis suggestive […]
Abstract Number: 999
Hospital Medicine 2020, Virtual Competition
Case Presentation: 81 year-old man with a history of atrial fibrillation on Warfarin and bioprosthetic aortic and mitral valves presented with dark urine and shortness of breath. He described progressive shortness of breath and reduced exercise tolerance, unable to walk upstairs to his apartment. His urine had become “the color of eggplant”. On exam, he […]
Abstract Number: 1007
Hospital Medicine 2020, Virtual Competition
Case Presentation: 43-year-old patient with Down syndrome, intellectual disability and unrepaired atrioventricular canal defect with Eisenmenger syndrome presented with coffee ground emesis and worsening respiratory status. Home medications included metoprolol and folic acid. Patient lived in a foster home and an accurate history was not available. On examination BP was 88/60 mm hg, HR was […]
Abstract Number: 1059
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 68 year old female patient presented to the emergency department after being found down at her house. On exam she was found to be confused and disoriented. Lab work showed severe pancytopenia, and elevated bilirubin with no associated elevation of LFTs. She was transfused with 2 units of packed red blood cells […]
Abstract Number: 1081
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 59-year-old female with a history of type 2 diabetes, hypertension, dyslipidemia, bipolar disorder, and daily alcohol use, presented with acute onset epigastric abdominal pain radiating to the back, nausea and vomiting. Physical examination was notable only for epigastric tenderness. Pertinent labs include neutrophilic leukocytosis, elevated lipase (2353 units/L) and lactic acidosis (2.4 […]
Abstract Number: 1120
Hospital Medicine 2020, Virtual Competition
Case Presentation: 60-year-old gentleman with a history of autoimmune hemolytic anemia presented to emergency department with acute onset of severe left leg pain, edema, and cyanosis. On examination of his left leg, pulses were not palpable distal to posterior tibialis but motor functions remained intact. There were no blebs or bullae noted. He was requiring […]
Abstract Number: 1171
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 17yo female with sickle cell disease (SCD; HbSS genotype) presented with pain crisis and acute chest syndrome. She was treated with appropriate antibiotics (ceftriaxone/cefdinir and azithromycin). During the first few days of her hospitalization, she required 2 pRBC transfusions for down trending hemoglobin (Hb) and low reticulocyte count. On hospital day 11, […]