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Search Results for Autoimmune
Abstract Number: 521
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 35-year-old black male presented to the emergency department (ED) with acute onset diffuse abdominal pain, along with nausea and vomiting. Review of systems was positive for polyuria and polydipsia. The examination was unremarkable apart from a sizeable fungating lesion of the left lower extremity by the ankle measuring 12 x 8 cm. […]
Abstract Number: 537
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 18-year-old woman admitted to the hospital due to a new-onset tonic seizure lasting five minutes. She had recent history of flu-like illness a few weeks earlier. A review of systems revealed auditory and visual hallucinations. On physical examination, she was drowsy and disorientated to time only, but was following commands. Neurological examination […]
Abstract Number: 589
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 74-year-old male with a past medical history of Stage III CKD and paroxysmal atrial fibrillation was initially taken to his PCP by his wife for changes in his mental status, trouble remembering things and following directions while driving. As his outpatient workup was ongoing, he also developed a fever with chills and […]
Abstract Number: 617
Hospital Medicine 2020, Virtual Competition
Case Presentation: We report a case of subacute progressive cerebellar ataxia in a 56-year-old male with significant smoking history and COPD, presenting 3 weeks after the start of dizziness and gait ataxia. The patient had associated dysmetria and balance issues, which progressively worsened prompting admission to an outside hospital. There, a CT head was found […]
Abstract Number: 702
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40 year old previously healthy female was incidentally found to have elevated transaminases on routine lab work. She was sent to our hospital for further evaluation. On admission, she complained of fatigue, right sided abdominal discomfort, and jaundice of a few weeks. She denied taking prescription medications but reported taking a supplement […]
Abstract Number: 724
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 39-year-old male with no known history presented with complaints of back pain and shortness of breath for four days. Work up initially revealed pyelonephritis. The patient was treated with Amoxicillin-Clavunate. After a month, patient was re-evaluated for increased shortness of breath, fatigue, abdominal pain, diffuse arthralgia, and a new rash. The shortness […]
Abstract Number: 732
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 62-year-old man with type 2 diabetes was hospitalized with a two-week history of fatigue, sore throat, diarrhea, and 18-pound weight loss. In the ED, he was hypotensive and tachycardic, which improved with IV fluids. Physical exam was significant for bilateral posterior cervical lymphadenopathy and splenomegaly. Labs showed leukocytosis (25.8K) with 18.2% lymphocytic […]
Abstract Number: 762
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 76 year old male with past medical history of hypertension, hepatitis C, and unprovoked pulmonary embolism presented to an outside hospital with multiple complaints. He first noticed fatigue over weeks and then developed fevers for one week. He also endorsed several days of pain and swelling of bilateral lower extremities and severe […]
Abstract Number: 770
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 44-year-old man previously healthy except sleep apnea syndrome presented with low grade fever and feeling of residual urine, but he returned home because of no evidences of urinary tract infection and incontinence. On the next day, he returned to ER with abdominal bloating and admitted, because abdominal CT showed paralytic ileus without […]
Abstract Number: 779
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 61-year-old woman with past medical history of coronary artery disease, hypertension, hyperlipidemia, and a 46 pack-year history of smoking presented with gradually worsening shortness of breath and cough with white sputum production.The patient had multiple admissions in the last three months with similar presentation. In the first visit, CT chest showed bilateral […]