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Abstract Number: 784
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 62yo female with history of Combined Variable Immunodeficiency (CVID), Cirrhosis and Immune Mediated Colitis presented to the hospital with a 7-10 days history of confusion, ataxia, polyuria, and polydipsia. Her medications included Budesonide (9mg po once daily). Patient had no history of diabetes, and non-fasting blood glucose where in normal range 3 […]
Abstract Number: 796
Hospital Medicine 2020, Virtual Competition
Case Presentation: Patient is a 29 year old female with no significant past medical history who presented to our hospital with an unintentional 60 pound weight loss over 3 months and 4 days of palpitations, shortness of breath, leg swelling, and orthopnea. Physical exam revealed 4+ pitting edema, tachycardia (130 beats/minutes) and jugular venous distention […]
Abstract Number: 813
Hospital Medicine 2020, Virtual Competition
Case Presentation: 48-year-old-female with the history of Diabetes Mellitus presented with the complain of feeling sick for four-day-duration, chronic diarrhea, and unintentional weight loss of 20 lbs. over a period of two weeks. She was hypotensive with blood pressure 83/42 mmHg, hypothermic with temperature 35 C, tachycardic with the heart rate of 132 and tachypneic […]
Abstract Number: 899
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 72-year-old Hispanic male with an unconfirmed history of alcohol-related cirrhosis presented to the hospital for rectal bleeding and dark stool for two days. Vitals included a heart rate of 90-120 bpm, blood pressure 90-140 over 50-60 mm Hg. A left thyroid nodule was appreciated on physical exam. His pertinent labs included TSH, […]
Abstract Number: 908
Hospital Medicine 2020, Virtual Competition
Case Presentation: 54-year-old male patient diabetes mellitus type II presented with pain and swelling involving small joints of bilateral hands with wrists. Synovitis involving bilateral interphalangeal, metacarpo-phalangeal were noted.Labs revealed leukocytosis to 15.7K/microL. Hemoglobin was 7.7 g/dL. Anemia work up revealed low serum iron level of 23 µg/dL, low TIBC at 167ug/dL with saturation of […]
Abstract Number: 940
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60-year-old man with a history of bilateral adrenalectomy for Cushing’s disease, who received hydrocortisone replacement (hydrocortisone 20 mg/day; 15 mg after breakfast and 5 mg in the afternoon) for 50 years, visited our emergency department with epigastric pain and palpitations. The symptoms manifested without any obvious cause when the patient was at […]
Abstract Number: 1011
Hospital Medicine 2020, Virtual Competition
Case Presentation: Hemosuccus pancreaticus, a rare cause of gastrointestinal (GI) bleeding, is defined as bleeding through the pancreatic duct into the ampulla of Vater. Bleeding usually occurs due to a ruptured pseudoaneurysm, and can be fatal, as it can be easily missed. Here we discuss a case that was discovered in time for appropriate intervention. […]
Abstract Number: 1016
Hospital Medicine 2020, Virtual Competition
Case Presentation: 46 year old male with HTN presented to our facility with frequency, difficulty urinating and dribbling. Imaging revealed urinary retention, multiple 1mm non-obstructing renal calculi, lytic lesions in the axial skeleton, and numerous cysts within the kidneys, compatible with long standing kidney disease. Despite relief of obstruction via bladder catheterization, minimal renal improvement […]
Abstract Number: 1030
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 67-year-old male with history of alcohol abuse and chronic hyponatremia related to beer potomania presented to hospital with nosebleed and coincidently found to have hyponatremia of 118 meq/L and hypokalemia of 3.3 meq/L. He was treated with fluid restriction, Lasix 20 mg and sodium chloride 2 gm daily. Upon outpatient follow up […]
Abstract Number: 1062
Hospital Medicine 2020, Virtual Competition
Case Presentation: We present the case of a 58 -year-old opioid naïve man admitted for elective knee arthroplasty received parenteral hydromorphone and enteral oxycodone for analgesia. On post-operative day one, he developed abdominal pain. Abdominal X-ray showed stool burden suggesting constipation (OIC) prompting management with laxatives; he was given 12 mg parenteral methylnaltrexone. Overnight he […]