Session Type
Meeting
Search Results for Pancreatitis
Abstract Number: 880
Hospital Medicine 2020, Virtual Competition
Case Presentation: Pancreaticopleural fistula is a rare and serious complication of acute and chronic pancreatitis. This phenomenon develops due to a leak from an incompletely formed or disrupted pseudocyst, though it can also result from direct pancreatic duct leak. Although few case reports identify pancreaticopleural fistula causing recurrent pleural effusion and empyema, we describe the […]
Abstract Number: 929
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 45-years-old African American male with a past medical history of seizure disorder, chronic alcohol abuse, and cervical spine injury, presented to hospital after a witnessed tonic-clonic seizure episode that resolved spontaneously. Initial evaluation revealed hypotension (90/57mmHg), tachycardia (145), tachypnea (36), temperature of 39.1 degrees celsius, leukocytosis (24.2×10^3/microliter) with bandemia, and lactate of […]
Abstract Number: 938
Hospital Medicine 2020, Virtual Competition
Case Presentation: This is a 46-year-old man with poorly controlled diabetes mellitus, hypertension, and hyperlipidemia who presented with acute worsening abdominal pain for two days, along with nausea, vomiting and anorexia. The patient had polyuria and polydipsia but denied dysuria, diarrhea, fevers or chills. He had no personal or family history of pancreatitis, gallstones, or […]
Abstract Number: 994
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 50-year-old gentleman was admitted to the hospital medicine service for workup and evaluation of 3 days of epigastric abdominal pain. His history was significant for two recent admissions for episodes of acute pancreatitis within the preceding 2 months and alcohol use disorder (4 weeks sober) without cirrhosis. Physical exam was remarkable for […]
Abstract Number: 1021
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 51-year-old female presenting with increasing epigastric pain radiating to her back, nausea, and vomiting for five days. Her past medical history is relevant for coronary artery disease and CABG, type 2 diabetes, hypertension, prior tobacco use, and mood disorder. She had visited her primary care doctor the day prior to presentation with […]
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: 1170
Hospital Medicine 2020, Virtual Competition
Case Presentation: Our patient is a 13 year old female with a 3-year history of celiac disease who presented to an outside facility with three days of fever, myalgias and RUQ pain. She had no stool changes, nausea or vomiting. Initial lab work was notable for a lipase of 1100, bilirubin of 4.9, AST of […]
Abstract Number: 1182
Hospital Medicine 2020, Virtual Competition
Case Presentation: A previously healthy 8 year old male presented to the emergency department (ED) with a one day history of diffuse abdominal pain, nausea, non-bloody and non-bilious vomiting, and fever up to 39˚C. Appendix ultrasound was normal. Urinalysis was significant for protein, ketones, and bilirubin. Influenza A/B PCR was negative. He improved with intravenous […]