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Search2020-05-20T12:01:36-05:00
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Search Results for Thrombosis
Abstract Number: 185
Academic Detailing to Teach Aging and Geriatrics
Hospital Medicine 2020, Virtual Competition
Background: Detailing has been employed by the pharmaceutical sales industry to increase physician knowledge about new medications. Work‐hour rules and hectic schedules have challenged residency training programs to develop and utilize efficient and effective teaching methods. Academic detailing has been successful in the realm of continuing medical education. Purpose: We chose to employ academic detailing […]
Abstract Number: 185
INFLUENCE OF INFECTIOUS DISEASE PHYSICIAN APPROVAL ON APPROPRIATENESS OF PERIPHERALLY INSERTED CENTRAL CATHETER USE AND OUTCOMES
Hospital Medicine 2020, Virtual Competition
Background: Peripherally inserted central catheters (PICCs) are frequently used to deliver intravenous (IV) antibiotic therapy. Infectious disease (ID) physicians are often consulted prior to PICC placement, but whether their engagement influences PICC appropriateness and complications is not known. Methods: Using data from the Michigan Hospital Medicine Safety Consortium on PICCs placed in hospitalized medical patients […]
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: 289
ACCURACY OF POINT OF CARE ULTRASOUND FOR DIAGNOSIS OF PROXIMAL DEEP VEIN THROMBOSIS IN INPATIENTS PERFORMED BY INTERNAL MEDICINE RESIDENTS
Hospital Medicine 2020, Virtual Competition
Background: Deep Vein Thrombosis (DVT) is a pathology characterized by the formation of a blood clot inside the venous system. It comprises either distal vein thrombosis, but also proximal vein thrombosis (i.e. Femoral, Popliteal and Iliacal veins), which leads to a significant increase in complications of the disease, such as pulmonary thromboembolism (PE) and even […]
Abstract Number: 289
Lung Cavities in the Young and Healthy: Lemierre's Syndrome Can Still Do It
Hospital Medicine 2020, Virtual Competition
Case Presentation: Lemierre's syndrome is a rare form of thrombophlebitis, usually associated with tonsillitis and peritonsillar abscess, which can harbor anaerobic bacteria (most commonly Fusobacterium necrophorum). Deep to the abscess, the bacteria can grow and pass into an adjacent internal jugular vein, causing septicemia and septic emboli. A 19‐year‐old female presented to the ED with […]
Abstract Number: 703
Hyperammonemia: Its Not Always Liver
Hospital Medicine 2020, Virtual Competition
Case Presentation: This is the case of a 68-year-old Hispanic woman with a history of hypertension, non-insulin dependent diabetes mellitus and dyslipidemia who presented to the ED with AMS for 1 day. Collateral history from the patient’s daughter revealed that the patient had been having chronic constipation for some time with intermittent episodes of diarrhea. […]
Abstract Number: 703
THE CAUSE OF THE CLOT: ATYPICALLY NORMAL HEMOGLOBIN IN CHRONIC KIDNEY DISEASE
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 56-year-old-male with hypertension, diabetes mellitus, chronic kidney disease (CKD) stage 3 presented with a 6-month history of intermittent lower extremity swelling and a 3-week history of scrotal and abdominal swelling. 9 months prior, he was noted to have worsening renal function and nephrotic range proteinuria (13g) prompting two renal biopsies which demonstrated […]
Abstract Number: 734
A Case of Wegner with C-Anca, Anti Gbm+ with Preserved Kidney Function in a 22 Year Old
Hospital Medicine 2020, Virtual Competition
A case of wegner with C-ANCA, anti GBM+ with preserved kidney  function in a 22 year old Case Presentation: 22 years old male, Jehovah’s witness  with no past medical history. He was in a normal state of health before presentation to the emergency department for 3  days of fever,shortness of breath,cough and mild hemoptysis. He […]
Abstract Number: 734
URINE TROUBLE WITH A BALL-IN-CAGE VALVE: A CASE OF HEMOGLOBINURIA DUE TO HEMOLYSIS FROM A THROMBOSED BALL-IN-CAGE VALVE
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 64-year-old Middle-Eastern man with a history of rheumatic heart disease status post mechanical mitral Starr-Edwards ball-in-cage valve (in 1968), atrial flutter on coumadin and prior ischemic stroke with residual blindness presented with 4 days of “bloody” urine. Physical exam was significant for scleral icterus, an unchanged holosystolic murmur, and the observation of […]
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