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Meeting
Search Results for Liver
Abstract Number: 613
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 70-year-old female with a history of lobular carcinoma of the breast, status-post mastectomy followed by adjuvant radio-chemotherapy in remission for 4 years admitted with a complaint of right upper quadrant pain and jaundice. Examination was positive for icteric sclera and ascites. Her hemoglobin was 8.8 gm/dL; mean corpuscular volume of 90.5 fL; […]
Abstract Number: 625
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 53-year-old woman with a history of metabolic syndrome and necrotizing pancreatitis presented with new onset ascites. Her story began nine months earlier, when she developed abdominal pain. CT at that time revealed pancreatitis and cholelithiasis without biliary dilation. Lab values were notable for: lipase 55000, total bilirubin (TBIL) 5.3, AST 660, ALT […]
Abstract Number: 828
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 21-year-old healthy Hispanic male presented to the hospital for evaluation of fever and sore throat for 4 weeks. He had no significant past medical history and he was not on any medications. His vital signs were within normal limits. Physical exam revealed icterus and no hepatosplenomegaly. The remainder of the physical exam […]
Abstract Number: 856
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 22-year-old female with a history of biopsy-proven eosinophilic esophagitis, gastroparesis, multiple food allergies, and intermittent amenorrhea presented to the emergency room with weakness and lightheadedness. In the past month she experienced a 15lb weight loss, early satiety, and increasing fatigue. She was being followed outpatient by a gastroenterologist for several months of […]
Abstract Number: 867
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 65-year-old male presented to the emergency department with a 5-week history of epigastric pain, nausea, constipation and weight loss. Past medical history was significant for combined liver and kidney transplant 3 years prior due to hepatitis C cirrhosis and hepatorenal syndrome. Chronic immunosuppression consisted of mycophenolate mofetil, tacrolimus and prednisone. Laboratory studies […]
Abstract Number: 871
Hospital Medicine 2020, Virtual Competition
Case Presentation: Mr. A is a 53-year-old male who presented with a painful thigh. The patient was released from prison one week prior and had been living under a bridge next to a creek ever since. On the day of admission, Mr. A decided to bathed himself in the creek. As he was wading through […]
Abstract Number: 882
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 63 year-old woman with a history of liver transplant presented to a rural hospital for evaluation of rigors, nausea and vomiting. Her post-transplant course had been complicated by HCV recurrence treated successfully with interferon and ribavirin; cirrhosis, and refractory gastric variceal bleeding for which she received a transjugular intrahepatic portosystemic shunt (TIPS) […]
Abstract Number: 981
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40-year-old female with adult-onset Still’s disease (AoSD) refractory to methylprednisolone and who had been recently started on anakinra 2 months prior to hospitalization was admitted with 2 weeks of fatigue, nausea, diffuse pruritis, jaundice, and intermittent fevers and rash. Exam was notable for jaundice and salmon-colored rashes on her trunk and back. […]
Abstract Number: 1017
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 74-year-old gentleman presented with right upper quadrant pain, nausea, fever, and chills for one-week duration. Initial workup showed simple hepatic cyst and subsequently was discharged with oral antibiotics. The patient returned a week later for persistent right upper quadrant pain and high-grade fevers. No prior history of jaundice, weight loss, intravenous drug […]
Abstract Number: 1052
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40 year old female with a medical history of pancreatitis and gastroesophageal reflux initially presented with cough and viral cold symptoms. She was initially febrile to 102 F, with labs significant for WBC 3,900 (normal 4,500-11,000 WBC/uL), hemoglobin 9.1 (12.0-15.5 g/dL), and platelet count 35,000 (150,000-450,000 /uL). She quickly deteriorated with new […]