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Abstract Number: 608
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 63-year-old man with lung adenocarcinoma with multiple rib metastases and lytic spinal lesions was receiving palliative radiation treatment when computed tomography (CT) incidentally revealed a fluid collection along the anterior cecum with pneumatosis. Cultures taken during CT-guided abscess drainage were positive for piperacillin-tazobactam-sensitive enterococcus, and the patient was started on antibiotics. His […]
Abstract Number: 626
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 52 year old African American male with past medical history of hereditary hemorrhagic telangiectasia (HHT) on aminocaproic acid presents with epistaxis and hematochezia with a hemoglobin of 6.7 g/dL. Patient was diagnosed with HHT in his mid-30s when found to be profoundly anemic with reported hemoglobin of below 3 g/dL during incarceration. […]
Abstract Number: 648
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 82 year old Caucasian male with history of long standing well controlled diabetes mellitus type 2 since 2010, gastroparesis, and GERD presented to the ED with 2 episodes of “dark, tarry” stools for 1 day onset with resolution. On review of systems, the patient endorsed 32 pound weight loss over 6 months, […]
Abstract Number: 654
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 30 year-old female with AIDS presented with three weeks of headache, dry cough, odynophagia, vomiting, fatigue and weight loss. She had a history of cryptococcal meningitis requiring lumbo-peritoneal drain four years prior but was lost to follow up, with non-adherence to maintenance and antiretroviral therapy. She had normal vital signs and appeared […]
Abstract Number: 657
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 36-year-old Laotian female with a history of hypothyroidism presented with 3 days of worsening symmetrical proximal muscle weakness and anasarca. She was recently seen at another hospital and presented with one day of worsening throat swelling and diffuse anasarca. Over the next 2 months, she developed dysphagia requiring gastrostomy tube and was […]
Abstract Number: 684
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 64 year-old woman with no significant past medical history presented with nausea, vomiting, 50 lb. weight loss and generalized weakness for the past 6 months. Her primary care physician had prescribed treatment for possible reflux; symptoms did not improve. Three months prior, the patient was admitted to a community hospital where CT […]
Abstract Number: 709
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 24-year-old Hispanic female with a past medical history of diabetes mellitus and hyperthyroidism presented with slurred speech for one day that was associated with left-sided upper and lower extremity weakness. She did not use tobacco, alcohol, or illicit drugs. She had sinus tachycardia at 170 beats per minute and was febrile with […]
Abstract Number: 718
Hospital Medicine 2020, Virtual Competition
Case Presentation: 57-year-old male patient with past medical history of major depression, essential hypertension and coronary artery disease status post drug-eluting stent placement who presented to the Genitourinary Medical Oncology Clinic due to marked swelling of his left scrotum. Ultrasound showed a hypoechoic solid mass with large left hydrocele. Tumor markers were negative. Computed tomography […]
Abstract Number: 732
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 62-year-old man with type 2 diabetes was hospitalized with a two-week history of fatigue, sore throat, diarrhea, and 18-pound weight loss. In the ED, he was hypotensive and tachycardic, which improved with IV fluids. Physical exam was significant for bilateral posterior cervical lymphadenopathy and splenomegaly. Labs showed leukocytosis (25.8K) with 18.2% lymphocytic […]
Abstract Number: 775
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 48-year-old woman presented with a rapidly progressive brown tumor of the right anterior aspect of her hard palate. She had end stage renal disease for decades and secondary hyperparathyroidism for 16 years, which progressed to tertiary hyperparathyroidism within the past year. Two months prior to referral, she first noticed a lesion in […]