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Search2020-05-20T12:01:36-05:00
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Search Results for paraneoplastic
Abstract Number: 661
A Case of Severe Acute Pancreatitis Secondary to Duodenal Diverticulum
Hospital Medicine 2020, Virtual Competition
Case Presentation: 72 year old Caucasian man who presented to the emergency department with sudden onset severe upper abdominal pain. Pain radiated to the back, with associated vomiting. No history of alcohol use. Past medical history includes acute pancreatitis, cholecystectomy for acute cholecystitis, hypertension and hyperlipidemia. There was no recent change in his medications. On […]
Abstract Number: 661
CANNABIS TO HELP LOOSEN UP
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60-year-old female with metastatic breast cancer presented with involuntary irregular forceful and painful contractions of facial muscles and dystonic posturing of her hands and feet lasting 5 to 30 minutes. Episodes sporadically occurred up to 20 times daily. MRI brain and spinal cord showed no evidence of metastatic disease or dural enhancement. […]
Abstract Number: 740
IMMUNOMODULATOR INDUCED LAMBERT EATON SYNDROME
Hospital Medicine 2020, Virtual Competition
Case Presentation: We present a case of a 65 year old female with a recent diagnosis of small cell lung cancer (SCLC) who had completed four cycles of carboplatin and etoposide. She was subsequently initiated on maintenance program cell death ligands (PD-L1) inhibitor, atezolizumab every three weeks since January 2019. Seven months after initiation, she […]
Abstract Number: 740
Mad As a Hatter
Hospital Medicine 2020, Virtual Competition
Case Presentation: Patient is a previously healthy 11-year old Hispanic female who presented to an emergency department with altered mental status, opus-myoclonus movements, aphasia, hallucinations and slurred speech. Six weeks prior to presentation, patient had been treated for an acute tonsillitis infection with Penicillin therapy. Soon after, she developed involuntary movements with progression to neurological […]
Abstract Number: 752
7 Year Old Male with Fever and Neck Swelling
Hospital Medicine 2020, Virtual Competition
Case Presentation: RM is a 7-year-old African American male seen twice in 2 days in the emergency department. He had a 3 day history of fever to 39.7°C, right neck pain and swelling, vomiting, and diarrhea. He was diagnosed with cervical lymphadenitis and sent home with oral clindamycin, but he had persistent emesis, worsening neck […]
Abstract Number: 752
EXPRESSIVE APHASIA AS THE INITIAL PRESENTATION OF SMALL CELL LUNG CANCER IN A PATIENT WITH MANTLE CELL LYMPHOMA
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69 year old man with history of Stage IV Mantle cell lymphoma on maintenance Rituximab presented to the emergency department with acute confusion and expressive aphasia. Patient was at his behavioral and functional baseline prior to this episode and there had not been any recent illnesses, medication changes or inciting events. Initial […]
Abstract Number: 1020
BULLOUS PEMPHIGOID: DON’T BE TENSE ABOUT THE DIAGNOSIS
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 76-year-old man with history of diabetes mellitus, atrial fibrillation, colonic adenoma, and recent self-reported bed bug infestation presents with one month of pruritic rash. On interview, he also endorses progressive edema, dyspnea on exertion, orthopnea, as well as 5 days of melena. Admission exam is notable for anasarca and diffuse, tense fluid-filled […]
Abstract Number: 1020
RIGHT TREATMENT- BUT WRONG SEQUENCE: CASE OF SCHMIDT SYNDROME
Hospital Medicine 2020, Virtual Competition
Case Presentation: 37 year old Hispanic male with Hyperlipidemia presented with diffuse abdominal pain and cramping for 2 days duration. Physical exam showed facial hyper pigmentation, soft palate – 2×2 mm hyper pigmented macules, hyper pigmentation on nails of all extremities. Patient had stocky neck without Goiter and scant axillary hair. Significant laboratory findings were: […]
Abstract Number: 1061
B12 DEFICIENCY: AN OVERLOOKED CASE OF MICROANGIOPATHIC HEMOLYTIC ANEMIA
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 32-year-old female with a history of untreated sarcoidosis and gastric bypass surgery with partially treated B12 deficiency in the past, was admitted for shortness of breath with a primary diagnosis of pancytopenia. Patient had not taken B12 injections for close to 2 years. Her labs were consistent with severe pancytopenia (Hemoglobin 5.4, […]
Abstract Number: 1061
DEBILITATION AFTER CANCER REMISSION: THE DEVASTATING CONSEQUENCES OF PARANEOPLASTIC NEUROLOGIC SYNDROMES
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 61-year-old woman with no pertinent past medical history presented to the hospital with two months of progressive numbness that began with her left foot and hands and eventually extended to her forearms. She developed clumsiness in her hands, gait unsteadiness, and had a 20-pound weight loss. A CT scan of the chest […]
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