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Search2020-05-20T12:01:36-05:00
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Abstract Number: 518
National Quality of Care and Outcomes for In‐Hospital Ischemic Stroke: Severe Strokes, Frequent Comorbidities, and Room for Improvement
Hospital Medicine 2020, Virtual Competition
Background: In‐hospital strokes have distinctive risk factors compared with community‐onset strokes. Analysis of in‐hospital stroke quality of care and outcomes has never been performed at the national level. Methods: We conducted a retrospective cohort study of the American Heart Association's Get With The Guidelines (GWTG) Stroke Database from January 2006 to April 2012, using data […]
Abstract Number: 518
REOPENING A COLD CASE
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 59-year-old woman presented with acute worsening of chronic abdominal pain and nausea. Her past medical history included a stable type-B aortic dissection. Over the previous year, she had multiple hospitalizations for postprandial abdominal pain associated with nausea and vomiting. The pain had been increasing in severity and had led to a 10-pound […]
Abstract Number: 686
Cefepime: A Covert Culprit of Confusion?
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 82‐year‐old woman with chronic kidney disease was admitted to the hospital with a one day history of confusion, fever, and acute on chronic renal failure. She was empirically treated with vancomycin, cefepime, and fluids with rapid improvement. By hospital day 2 she was fully oriented and back to her baseline. Blood cultures […]
Abstract Number: 686
CHEST PAIN AFTER TRANSARTERIAL CHEMOEMBOLIZATION: DISSECTING AN UNDESCRIBED COMPLICATION
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 71-year-old-male with history of HTN, tobacco abuse, and Hepatitis C cirrhosis complicated by hepatocellular carcinoma (HCC), was admitted following transarterial chemoembolization (TACE) for HCC. TACE of a 3.2cm left hepatic lobe mass was performed. Access was obtained via the right common femoral artery. No immediate complications were noted, and the patient was […]
Abstract Number: 984
A SUBACUTE PRESENTATION OF SPONTANEOUS CORONARY ARTERY DISSECTION
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 39-year-old woman presented with 15 minutes of sharp, substernal chest pain four days after an uncomplicated vaginal delivery. Blood pressure was 158/84 mmHg, and the rest of the vitals were within normal limits. Labs and physical exam did not meet diagnostic criteria for preeclampsia. EKG and serial troponins were normal. CT scan […]
Abstract Number: 984
AMIODARONE: FRIEND OR FOE
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 73 year old woman with known ischemic cardiomyopathy with reduced ejection fraction and atrial fibrillation on Amiodarone presented with decompensated heart failure. Work up revealed Thyroid Stimulating Hormone (TSH) 0.0008 UIU/ML, Free Thyroxine (T4) >8 NG/DL, Total Triiodothyronine (T3) 144 NG/DL and Free T3 7.4 PG/ML. She had minimal symptoms consistent with […]
Abstract Number: 1004
AN INTRACTABLE COUGH NOT FOR THE FAINT OF HEART
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40-year-old woman with a history of asthma presented with progressive shortness of breath and acute onset chest pain. Following a severe asthma exacerbation, she reported increasing dyspnea on exertion that slowly worsened over the subsequent 2 weeks, which she attributed to her asthma. On the day of presentation, she reported mild, asthma […]
Abstract Number: 1004
An Unusual Case of Dyspnea in a Young Male
Hospital Medicine 2020, Virtual Competition
Case Presentation: This is a 26‐year‐old white male who presented to the emergency department with chest pain for 4 days. He described the pain as dull, achy, and located over the left chest. The pain was 6/10 in severity, nonradiating, and associated with mild dyspnea and productive cough. He denied fever or chills. He also […]
Abstract Number: 1034
CHRONIC RECURRENT PRIAPISM: A HIGH FLOW STATE SECONDARY TO A TRAUMATIC ARTERIOVENOUS FISTULA OF THE CORPUS CAVERNOSUM
Hospital Medicine 2020, Virtual Competition
Case Presentation: 37-year-old Hispanic male presented with an episode of painful priapism with history of a car accident in 2005 which resulted in spinal injury. Since then, he has had more than 20 recurrent episodes of priapism. He reported having multiple phenylephrine injections, aspirations and two shunt procedures performed in the past without improvement in […]
Abstract Number: 1034
SPONTANEOUS RENAL ARTERY DISSECTION PRESENTING AS RENAL COLIC
Hospital Medicine 2020, Virtual Competition
Case Presentation: Spontaneous renal artery dissection (SRAD) is a rare disorder that has been reported to occur in middle-aged men. It often presents similar to nephrolithiasis, making it’s presentation non-specific and easily missed. Including SRAD in the differential for renal colic type-pain is important to decrease morbidity and improve the chance of renal recovery. Discussion: […]
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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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