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Search Results for pulmonary
Abstract Number: 596
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 75 year old male was transferred into the ICU, already intubated, requiring antibiotics and pressors. He was hypotensive, tachypnic with respiratory distress, had severe oliguric AKI with serum creatinine of 6.0, and anemia with hemoglobin below 7.0. His initial CXR and CT showed scattered bilateral pulmonary opacities. After he did not improve […]
Abstract Number: 634
Hospital Medicine 2020, Virtual Competition
Case Presentation: 47-year-old male with past medical history of fibromyalgia, hypertension, and mild asthma presented with shortness of breath during a double red cell donation (DRCD). DRCD is a procedure where two packs of whole blood are taken from a donor, and plasma is separated from them, this plasma is then transfused back to the […]
Abstract Number: 647
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69 year-old Mexican man with a history of polysubstance abuse presented to the hospital for fever and dysphagia of 4 weeks duration. CT of the chest taken at an outside facility showed a large esophageal mass with right hilar and left supraclavicular lymphadenopathy (Figure 1). Given concern for malignancy, an EGD with […]
Abstract Number: 757
Hospital Medicine 2020, Virtual Competition
Case Presentation: Radiation associated cardiac disease (RACD) is an important adverse effect which may not present until years to decades following therapy. Presentations include arrhythmias, acute coronary syndromes, heart failure and valvular pathologies, as seen in this presentation. A 50-year-old female with past medical history of breast cancer treated with chemo-radiation eight years prior presented […]
Abstract Number: 758
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient was a 38 year old male with a 5 year history of ulcerative colitis (UC) who presented with a flare of symptoms during the past year, resulting in a 60 lb weight loss. He had been having up to 42 bloody bowel movements per day. The patient was found to have […]
Abstract Number: 765
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 61-year-old female with a past medical history significant for hypertension well controlled on carvedilol and left elbow fracture status post fixation 2.5 weeks prior presented to the hospital secondary to lightheadedness. Patient had been experiencing waxing and waning lightheadedness for 3 days, worse when standing from the seated position and walking. She […]
Abstract Number: 800
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69-year-old female with a history of Takotsubo cardiomyopathy, atrial fibrillation on Amiodarone since 2 months prior, type 2 diabetes who presented to the primary care clinic due to shortness of breath. She was diagnosed with community-acquired pneumonia 3 weeks ago that was treated with Doxycycline without improvement. She continued to spike fevers […]
Abstract Number: 803
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 57-year old man was found down at home one day prior to admission. Three days prior, he experienced intermittent “stabbing” chest pain and dizziness. Past medical history was significant only for multiple sclerosis treated with Copaxone. On admission, he was afebrile, heart rate 113bpm, blood pressure 104/71 mmHg, respiratory rate 19 breaths […]
Abstract Number: 829
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 45-year-old woman with a history of ER-/PR-/Her2+ breast cancer previously in remission, recently diagnosed with recurrent metastatic breast cancer pathologically and on imaging, presented to the hospital with multiple days of dyspnea and dry cough. Vitals were remarkable for hypoxia and tachycardia. Electrocardiogram showed sinus tachycardia without ischemic changes. Troponin and B-type […]
Abstract Number: 848
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29-year-old male with no significant past medical history was admitted with 10 days of persistent fevers, cough, shortness of breath that worsened with exertion, weight loss, nausea, and vomiting. The patient had no history of travel to any TB-endemic areas, was in a monogamous relationship with his wife, denied IVDU, and had […]