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Search Results for infection
Abstract Number: 690
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29-year-old woman presented to the emergency department for a 5-day history of persistent fever, sore throat, diffuse myalgias, and epigastric abdominal pain. The patient was recently diagnosed and treated for pelvic inflammatory disease after unprotected intercourse with a new sexual partner. On examination, she was tachycardic, hypotensive, afebrile and was noted to […]
Abstract Number: 725
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 73-year-old man with a history of atrial fibrillation on apixaban and panhypopituitarism secondary to resection of a pituitary adenoma in the 1980s presented to our hospital for chest pain. His recent history is notable for recurrent cystitis and Clostridium difficile infections requiring stress-doses of glucocorticoids; his endocrinologist had been attempting to taper […]
Abstract Number: 731
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40-year-old Caucasian woman with history of surgically-repaired lumbar spinal stenosis presented with a progressive swollen and painful right foot over past few hours. The patient was concerned of a spider bite though did not see a spider. The dorsal aspect of the foot was erythematous, edematous, with a pinpoint area of necrosis […]
Abstract Number: 733
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 39-year-old man with no significant past medical history was hospitalized with a 2-week history of constant burning left upper quadrant pain, headaches, myalgias, and fever/chills. The patient reported camping in Pennsylvania 1 month prior to presentation. In the ED, he was initially found to be febrile to 102.4F and hypotensive to SBP […]
Abstract Number: 777
Hospital Medicine 2020, Virtual Competition
Case Presentation: 56-year-old man with past medical history of abdominal aortic aneurysm surgery was brought to the Emergency Room for change in mental status and having bloody vomitus and melenic stool. On admission, abdominal exam was unremarkable, blood pressure was 110/77 mmHg, heart rate 103/min, Temperature 99.8 °C, Respiratory rate 20 per minute, hemoglobin 11.1 […]
Abstract Number: 839
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 49-year-old Thai male with no past medical history presented after one-week of progressive left arm pain, numbness, and weakness that radiated to his neck. The patient was a chef who had immigrated to the United States five years previously with no return travel to Southeast Asia. His lab work was largely unremarkable […]
Abstract Number: 861
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 58-year-old male with limited prior health care utilization with presumed longstanding untreated HTN, otherwise unknown medical history, presented to a rural hospital with lethargy, confusion, acute renal failure of unknown duration. His personal history is significant for being exposed to pigs and chicken. On exam, he had a left lower extremity wound […]
Abstract Number: 871
Hospital Medicine 2020, Virtual Competition
Case Presentation: Mr. A is a 53-year-old male who presented with a painful thigh. The patient was released from prison one week prior and had been living under a bridge next to a creek ever since. On the day of admission, Mr. A decided to bathed himself in the creek. As he was wading through […]
Abstract Number: 878
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient is a 64-year-old male, history of ischemic cardiomyopathy, chronic right ventricular failure, arrhythmia, and new infarcts, status post cardiac transplant. While recovering in the cardiac ICU, the patient started experiencing confusion and personality changes, and was unable to recognize his mom. On CT scan, the patient was shown to have a […]
Abstract Number: 910
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 65-year-old male with a past medical history significant for hypertension initially presented with episodes of double vision, fatigue and dysphagia. Physical exam was remarkable for right-sided ptosis which improved with the ice pack test. Serology was positive for anti-acetylcholine receptor antibodies. Further workup revealed a decremental response to slow (2Hz) repetitive nerve […]