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Search Results for VA
Abstract Number: 493
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 47 year old man with asthma and a 30 pack-year smoking history presented with shortness of breath, chest tightness, and intermittent fevers for the past week. For the month prior to presentation he was vaping tetrahydrocannabinol (THC) daily. He had no sick contacts and no other drug use or occupational exposures. Initial […]
Abstract Number: 499
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 33-year-old woman presented to the hospital following seven days of persistent fever and non-productive cough despite a course of azithromycin prescribed by her primary care physician. She denied shortness of breath, chest pain, palpitations or lower extremity swelling. She reported no sick contacts or travel in the last six months. She endorsed […]
Abstract Number: 504
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 22-year-old male with a history of atopic dermatitis presented with worsening of eczema lesions around his eyes and mouth with blurring of vision bilaterally despite being on oral antibiotics. 2 weeks ago he was treated with a steroid taper for eczema flare in his forearms. Patient reported that he has always had eczema patches around his […]
Abstract Number: 508
Hospital Medicine 2020, Virtual Competition
Case Presentation: A previously healthy 7-week-old female presented to the infectious disease service with a 7-day history of fever, papular rash of the face and body, edema of the hands and feet, and cracking of the lips. A diagnosis of incomplete Kawasaki Disease (KD) was confirmed by demonstration of aneurysmal dilation of the right coronary […]
Abstract Number: 510
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 14-year-old previously healthy male presented to a community hospital for sudden repeated episodes of initially non-bloody, and then grossly bloody, emesis. He denied sick contacts, travel, significant NSAID use, alcohol consumption, and caustic ingestions. On presentation, he had normal vital signs, mild epigastric tenderness, and heme-positive dark stool. His labs were notable […]
Abstract Number: 537
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 18-year-old woman admitted to the hospital due to a new-onset tonic seizure lasting five minutes. She had recent history of flu-like illness a few weeks earlier. A review of systems revealed auditory and visual hallucinations. On physical examination, she was drowsy and disorientated to time only, but was following commands. Neurological examination […]
Abstract Number: 546
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 37-year-old male auto-mechanic, with a history of tobacco use, presented with acute right-sided pleuritic chest pain. He was diagnosed with musculoskeletal pain and discharged from the ED. Several days later he returned with dyspnea, dry cough, fever and diaphoresis. He revealed that he recently tried vaping marijuana (THC) oil. Vital signs were […]
Abstract Number: 551
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 56-year-old male with WHO Group I/III pulmonary hypertension (PH), Gold Stage III COPD, and right ventricular failure presented with several weeks of gradually worsening dyspnea. One month prior, he was hospitalized for an acute exacerbation of PH and was discharged on an increased dose of ambrisentan after excluding intra-atrial shunting. On the […]
Abstract Number: 566
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 47-year-old Hispanic female smoker presented with aone-week history of severe, intermittent substernal chest pain radiating tothe left arm. The pain was associated with palpitations and shortness ofbreath. She was afebrile with a heart rate of 100, a blood pressure of119/59, a fine tremor, and brisk reflexes. No lid lag or proptosis wasappreciated. […]
Abstract Number: 567
Hospital Medicine 2020, Virtual Competition
Case Presentation: 66 year old man with a history of eosinophilic granulomastosis with polyangiitis presented with ascending numbness and unsteadiness that worsened over two days and finally manifested as paraesthesia and weakness in all extremities, gait imbalance, and diplopia. Three weeks prior to presentation, the patient had received the flu vaccine. Neurology was consulted upon […]