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Search Results for VA
Abstract Number: 1119
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 78-year-old female was referred to the ED from clinic for elevated creatinine and hyperkalemia after recent treatment of right lower extremity cellulitis with sulfamethoxazole/trimethoprim. Physical exam showed improving cellulitis and large area of ecchymosis on right wrist. The patient reports developing frequent large bruises without trauma for the previous two months. During […]
Abstract Number: 1129
Hospital Medicine 2020, Virtual Competition
Case Presentation: Introduction:Hiatal Hernia is a common condition. Hiatal hernias rarely cause cardiac symptoms such as dyspnea and chest pain. Here we present an extremely rare case of a giant hiatal hernia causing typical chest pain and actual ST-segment elevations in inferior leads of EKG. Case ReportThis is a case of 76-year-old female who presented […]
Abstract Number: 1139
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 51-year-old female with pseudomyxoma peritonei was admitted to the hospital for surgical debulking. She was started on Lovenox post-operatively. A week later she became hypotensive with acute hypoxic respiratory failure. She was intubated and started on vasopressor therapy with an improvement in her hemodynamics. CT angiogram of the chest depicted a pulmonary […]
Abstract Number: 1149
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 49-year-old man with metastatic pancreatic adenocarcinoma diagnosed three months ago and not yet on therapy presented to the emergency room with symptoms of nausea, vomiting, and abdominal pain for one day. Computed tomography of the abdomen and pelvis showed splenic infarcts, bilateral renal infarcts, and increased size of hepatic metastases. On the […]
Abstract Number: 1154
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 63-year-old man with asthma, chronic rhinosinusitis, and fifty-pound weight loss in the past seven months, was admitted to the hospital for left parietal and right occipital stroke. Asthma was diagnosed in childhood and was well-controlled without recent exacerbation. Patient had focal right hand weakness of 4/5 strength, petechiae on the left lateral […]
Abstract Number: 1155
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 24 year-old woman presented to the emergency room for a sore throat and diffuse body aches, with weakness in her shoulders and hips to the point that she required assistance with ambulation over the past week. She was afebrile and normotensive at admission but initial labs were significant for a WBC of […]
Abstract Number: 1197
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 17-year-old female with no past medical history was admitted to a tertiary care children’s hospital with acute onset of abdominal pain, nausea, emesis, oral ulcers, and vaginal rash. She was sexually active with the last unprotected encounter nine days prior to presentation. She endorsed dysuria but denied vaginal discharge. The patient was […]
Abstract Number: 1205
Hospital Medicine 2020, Virtual Competition
Background: Patient out-of-pocket costs are a critical consideration when providing care as they can represent a substantial portion of a patient’s income and when they are exceedingly high can become a barrier to care. We sought to better understand Physician interaction with and reaction to out-of-pocket costs at the trainee level. Methods: A nineteen-question survey […]
Abstract Number: 1222
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69-year-old male with prostate cancer in remission developed diplopia 2 weeks prior to presentation. Workup at the referring hospital included a normal ophthalmologic exam and an MRI brain with possible mastoiditis and/or otitis media. A course of unknown oral antibiotics was completed. He had no improvement of his diplopia and progressed to […]
Oral Presentations
Abstract Number: Oral
Hospital Medicine 2020, Virtual Competition
Background: Midlines are peripheral vascular devices inserted in the veins of the upper extremity with the tip located at or below the axillary vein. Greater appreciation of complications associated with peripherally inserted central catheters (PICC) and the diffusion of catheter appropriateness criteria has led to expanded use of these devices. However, single center studies comparing […]