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Search2020-05-20T12:01:36-05:00
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Search Results for Pulmonary Embolism
Abstract Number: 115
Hospitalist Experiences, Practice, Opinions, and Knowledge Related to Peripherally Inserted Central Catheters: A Michigan Survey
Hospital Medicine 2020, Virtual Competition
Background: Peripherally inserted central catheters (PICCs) are commonly inserted/ordered by hospitalists for venous access, long‐term therapies, and infusion of total parenteral nutrition, Despite these salient roles, little is known about PICC use in hospitalized patients. To understand hospitalist practice related to PICC, a Web‐based survey of a convenience sample of hospitalists in 4 health care […]
Abstract Number: 115
HOSPITALIST WORKLOAD AND DIAGNOSTIC YIELD OF CT ANGIOGRAPHY
Hospital Medicine 2020, Virtual Competition
Background: The Choosing Wisely campaign discourages CT imaging in low-risk patients with suspected pulmonary embolism (PE) (e.g., low clinical probability and negative d-dimer). Few studies have investigated patient, provider, or operational characteristics associated with overuse of CT imaging. One possible approach to this research question is to examine variability in diagnostic yield (i.e., the percentage […]
Abstract Number: 170
Improving Appropriateness of Physical Therapy Consultation Through Education and Interdisciplinary Collaboration
Hospital Medicine 2020, Virtual Competition
Background: Physical and occupational therapy (PT/OT) services are a limited resource in the inpatient setting. PT/OT consults ordered by resident physicians on patients who do not need them take time and resources away from patients more deserving of skilled rehab services. Purpose: Our objective was to understand utilization of PT/OT services on our medical floors, […]
Abstract Number: 170
USE OF PULMONARY EMBOLISM RULE-OUT CRITERIA AND AGE-ADJUSTED D-DIMER FOR PATIENTS WITH SUSPECTED PULMONARY EMBOLISM
Hospital Medicine 2020, Virtual Competition
Background: Pulmonary embolism (PE), refers to obstruction of the pulmonary artery or one of its branches by material (thrombus, tumor, air or fat) that originated elsewhere in the body.Wells criteria must be part of the clinical assessment for PE. With these criteria, we can classify patients as high probability (>6 pts), moderate (2 to 6 […]
Abstract Number: 214
A Sinister Synergy: Heparin‐Induced Thrombocytopenia and Bilateral Adrenal Hemorrhage
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 57‐year‐old woman who had undergone an elective total knee replacement 9 days earlier presented to the ED with 1 day of progressive, diffuse abdominal pain, nausea, and fevers. Her postoperative course had been notable only for a supratherapeutic INR of 6.2 in the setting of routine DVT prophylaxis with warfarin, for which […]
Abstract Number: 214
TEMPORAL TRENDS IN DVT AND PE HOSPITALIZATIONS: PERSPECTIVES FROM A NATIONAL DATABASE
Hospital Medicine 2020, Virtual Competition
Background: Until the advent of novel oral anticoagulants (NOACs), Warfarin was the only oral agent available for the treatment of deep venous thrombosis (DVT) and Pulmonary embolism (PE). Bridging with parenteral anticoagulation until warfarin reaches a full therapeutic level often results in prolonged hospitalization. Rivaroxaban, Dabigatran, Apixaban, Edoxaban were approved by the FDA for DVT […]
Abstract Number: 540
Ldh Never Lies
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 64‐year‐old Japanese man was admitted because of the low‐grade fever and progressive shortness of breath on exertion for two months. He also developed visual disturbance one month prior to admission and ocular steroid therapy has been instituted based on the diagnosis of uveitis. About a year ago, he had right lower leg […]
Abstract Number: 540
THE MIGRATING THREAT: RIGHT ATRIAL THROMBUS IN TRANSIT DISCOVERED WITH BEDSIDE ULTRASOUND
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 62-year-old male with past medical history of type 2 diabetes mellitus, coronary and peripheral arterial disease, heart failure with reduced ejection fraction, history of peripheral arterial embolism, history of stroke, vascular dementia and hypertension who presented with sudden onset of shortness of breath associated with cough and chest pain for one day. […]
Abstract Number: 758
Skin Deep: Investigations Beyond the Diaper Rash
Hospital Medicine 2020, Virtual Competition
Case Presentation: AR is a 3-week-old full term, previously healthy girl, who presented to the Emergency Department (ED) with a rash involving the perianal skin and gluteal crease. The rash began at 1 week of life. The primary care provider (PCP) presumed it was a typical diaper dermatitis, and prescribed oral amoxicillin and mupirocin ointment. […]
Abstract Number: 758
THE NEED FOR CULTURE CHANGE: HOSPITALIZED IBD PATIENTS REQUIRE PROPER VTE PROPHYLAXIS
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient was a 38 year old male with a 5 year history of ulcerative colitis (UC) who presented with a flare of symptoms during the past year, resulting in a 60 lb weight loss. He had been having up to 42 bloody bowel movements per day. The patient was found to have […]
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  • All Time

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