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Search Results for abdominal
Abstract Number: 484
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 64 year-old man with a history of coronary artery disease status post 5-vessel coronary artery bypass grafting and subsequent percutaneous coronary intervention, essential hypertension, hyperlipidemia, and type 2 diabetes mellitus (DM) presented to the hospital with a 4 month history of chronic progressive abdominal pain and diarrhea with a 70 pound unintentional […]
Abstract Number: 571
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 41-year-old female presented with a three-day history of nausea, vomiting, and diffuse abdominal pain radiating to her back. The day prior to admission, the patient started having hematemesis, characterized as “streaks” of blood in her emesis. The patient had recently been in a motor vehicular accident leading to a tibial plateau fracture […]
Abstract Number: 678
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 73-year-old female with coronary artery disease, biventricular systolic heart failure requiring implantable cardiac defibrillator (ICD), paroxysmal atrial fibrillation (A-fib) treated with amiodarone for 2 years presented with abdominal pain, nausea, loss of appetite for 1 month. She also reported a recent ICD discharge. Initial vital signs were remarkable for a blood pressure […]
Abstract Number: 805
Hospital Medicine 2020, Virtual Competition
Case Presentation: 29-year-old female with a history of cervical cancer status post cervix removal in 2014 and epilepsy presented to the emergency department with a three-month history of chronic generalized abdominal pain, failure to thrive, 40 lb. unintentional weight loss and anorexia that had acutely worsened in the previous two weeks. One day prior to […]
Abstract Number: 864
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 21-year-old African American, primigravid presented at eight weeks gestation with a two-week history of progressively worsening lower abdominal and back pain, as well as intractable nausea and vomiting. Her symptoms were accompanied by tachycardia, hypertension, constipation, dark urine and blistering lesions on her lips. On exam, she was tender across her abdomen […]
Abstract Number: 875
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 48-year-old woman presented with a history of intermittent abdominal pain for eight years, with an extensive workup that had been negative. She ended up being labeled as having irritable bowel syndrome. The pain was localized to the epigastrium, was present during most of the day, but was aggravated by large meals. Upon […]
Abstract Number: 885
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 72-year-old man from Bangladesh, who immigrated to the U.S. 4 years ago, presented with ten days of constipation and progressively worsening abdominal pain. He reported no alcohol use, recent travel, known tuberculosis (TB) contact, IV drug use or incarceration history. The patient appeared frail and vital signs were within normal limits. His […]
Abstract Number: 1019
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient is a 43 year old woman with Hashimoto’s thyroiditis, Addison’s disease, and ovarian cysts who presented with days of focal right lower quadrant pain and one day of nausea, vomiting, and fever. She had no diarrhea, hematochezia, dysuria, or urinary frequency/urgency. She had doubled her maintenance glucocorticoid dose as instructed when […]
Abstract Number: 1057
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 23-year-old woman from Vietnam with no known past medical history presented to her primary care physician due to an abdominal mass. She first noticed the mass one month prior to presentation. It was associated with abdominal bloating and worsening sharp abdominal pain as well as a five-pound weight loss and decreased appetite. […]
Abstract Number: 1091
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27-year-old male with no significant medical history presented with a 3-day history of peri-umbilical pain localized to the right iliac fossa. Pain was sharp in nature, constant and aggravated by movement. No bowel or urinary symptoms and no previous abdominal surgeries. No history of inflammatory bowel disease or sarcoidosis. Upon admission, had […]