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Search2020-05-20T12:01:36-05:00
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Search Results for Metastatic
Abstract Number: 492
METASTATIC COCCIDIOIDES OSTEOMYELITIS IN PATIENT WITH UNCONTROLLED DIABETES
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 82-year-old, Samoan male with history of poorly controlled diabetes, hypertension, COPD, and pulmonary coccidioidomycosis on fluconazole therapy (400 mg/day) was referred to the hospital by his primary doctor for treatment of a left ankle ulcer and cellulitis that had not responded to ten days of outpatient amoxicillin-clavulanate therapy. He had no constitutional […]
Abstract Number: 492
METASTATIC COCCIDIOIDES OSTEOMYELITIS IN PATIENT WITH UNCONTROLLED DIABETES
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 82-year-old, Samoan male with history of poorly controlled diabetes, hypertension, COPD, and pulmonary coccidioidomycosis on fluconazole therapy (400 mg/day) was referred to the hospital by his primary doctor for treatment of a left ankle ulcer and cellulitis that had not responded to ten days of outpatient amoxicillin-clavulanate therapy. He had no constitutional […]
Abstract Number: 613
Chron’s No Longer: The Importance of Biopsies
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 36‐year‐old male with a history of possible Crohn’s disease presented with five days of severe epigastric pain, vomiting, diarrhea, hematochezia, and subjective fevers. He was afebrile, but had a mild leukocytosis of 16.4k with normal differential, positive fecal occult blood test, and significant upper abdominal tenderness. The patient reported similar intermittent episodes […]
Abstract Number: 613
METASTATIC BREAST CANCER PRESENTING AS ACUTE LIVER INJURY: DIAGNOSTIC DILEMMA IN THE SETTING OF SUSPECTED HEMOCHROMATOSIS.
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: 676
MELANOMA ON STEROIDS: A CASE OF EXOGENOUS TESTOSTERONE ACCELERATING TUMORIGENESIS?
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 31 yo male bodybuilder with a history (> 10 yrs) of testosterone and aromatase inhibitor (AI) use presented to the ED after a focal seizure. He reported recent difficulty with fine motor function, unintentional weight loss, and growth of multiple painless nodules over the past 3 to 6 months.Physical exam revealed inguinal […]
Abstract Number: 676
When You Hear Hooves, Count the Horses
Hospital Medicine 2020, Virtual Competition
Case Presentation: LB is a 51 year‐old man who presented for fever and shortness of breath for one week. Associated symptoms included fatigue, weakness, chills, and night sweats. There is no weight loss or hemoptysis. Symptoms worsened with exertion and improved with supplemental oxygen. Past medical history was significant for a remote history of IV […]
Abstract Number: 847
A 72-Year Old Man with Refractory Thrombocytosis and Pleural Effusion After Splenectomy
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 72 year old man underwent elective splenectomy for symptomatic splenomegaly at an outside hospital and developed postoperative splenic bed hemorrhage requiring percutaneous drainage. Pathology revealed extramedullary hematopoiesis and bone marrow biopsy showed evidence ofJAK-2 positive primary myelofibrosis. He was readmitted with hypoxic respiratory failure and transferred to our hospital for further care. […]
Abstract Number: 847
A RARE CASE OF SPONTANEOUS TUMOR LYSIS SYNDROME IN METASTATIC MELANOMA WITH ASSOCIATED METASTATIC LIVER DISEASE
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 61-year-old male presented with complaint of left arm swelling with left axillary lump, which had been worsening for two months. He reported of having a dark-colored left forearm skin lesion which he reportedly removed by himself 15 years ago without seeking medical care. Computed Tomography of chest revealed too numerous to count […]
Abstract Number: 870
A UNIQUE PRESENTATION OF METASTATIC TESTICULAR CANCER IN A YOUNG MALE
Hospital Medicine 2020, Virtual Competition
Case Presentation: Patient is a 29 year old male with no significant past medical history who presented for evaluation of worsening shortness of breath and headaches over one month. He had also lost 15 pounds and was experiencing night sweats and significant fatigue. He required ICU admission for hypoxic respiratory failure. CT chest showed multiple […]
Abstract Number: 870
Cold Pott with Negative Ppd
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 37-year-old woman was admitted for a 3-month history of right lower quadrant and low back pain. She has a past medical history of systemic lupus erythematosus (SLE) with class IV lupus nephritis treated with induction cyclophosophamide and prednisone, currently maintained on hydroxychloroquine and mycophenolate. She recently traveled to Brazil for work. She […]
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  • This Month

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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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