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Search Results for pulmonary
Abstract Number: 883
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29 year-old woman with sickle cell disease (SCD) on hydroxyurea and L-glutamine, and mild intermittent asthma presented to our institution with right lower extremity and back pain suggestive of a vaso-occlusive crisis. She did not report fever, cough or dyspnea. Vital signs revealed a heart rate of 91/min, blood pressure of 126/86 […]
Abstract Number: 897
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 68-year-old previously healthy woman was presented to our hospital with acute low back pain that was not triggered by any trauma. Magnetic resonance imaging (MRI) revealed a lumbar compression fracture, and she was admitted to the orthopedic department. Two days later, she developed orthopnea and hypotension, and therefore the orthopedician consulted with […]
Abstract Number: 905
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 25-year-old man with a past medical history of Ulcerative Colitis (on mesalamine and non-compliant with steroid suppositories) presented as a transfer from an outside hospital (OSH) with fevers, left sided chest soreness, abdominal pain, and bloody diarrhea for 1 week. CT chest, abdomen, pelvis from OSH revealed diffuse colitis as well as […]
Abstract Number: 1039
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27-year-old male immigrant male from Guatemala presented with complaint of right-sided scrotal pain, swelling, and fever of 1 month. No reports of weight loss. Physical exam revealed right scrotal swelling, induration with the tenderness of the right testis and epididymis. Lab workup showed normal CBC, CMP. Urine culture, blood culture, chlamydia, and […]
Abstract Number: 1049
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 58-year-old male presented to the hospital with several days of fatigue and shortness of breath. His vitals were initially stable, and labs showed a hemoglobin of 4.2 (normal 13.5—17.5), white blood cell count WBC 20.1 (4.5—11.0), and platelet count 43 (160—420), BNP 617 (0—900 pg/ml). He received one unit of packed red […]
Abstract Number: 1064
Hospital Medicine 2020, Virtual Competition
Case Presentation: Case 1: 30 year old woman with uncontrolled T1DM, CKD, recurrent VTE, HTN, recurrent C.Diff, developed leg pain, fever and leukocytosis. Imaging, extensive rheumatology work up and biopsy revealed diabetic myonecrosis, also noted MDRO UTI and C diff colitis treated with ertapenem, ceftriaxone and oral vancomycin. Persistent high grade fever and leukocytosis called […]
Abstract Number: 1085
Hospital Medicine 2020, Virtual Competition
Case Presentation: Exogenous lipoid pneumonia (ELP) is an unusual respiratory disease caused by inflammation from a foreign body reaction to inhaled lipid particles. Here we present a case of this illness in the absence of a history of vaping, and we show how diagnosis can be delayed while searching for more common respiratory disorders. Discussion: […]
Abstract Number: 1087
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 35-year female presented to the ED with complaints of worsening abdominal pain and distension without nausea, vomiting or diarrhea. The abdominal pain was diffuse in nature without radiation. She had fatigue, chills, intermittent fevers, and 10 pounds of weight loss over a month. The review of systems was otherwise negative. She was […]
Abstract Number: 1107
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 72 year old woman with a history of recurrent, metastatic breast cancer complicated by pembrolizumab-related immune-mediated colitis presented to our hospital with sudden onset dizziness and shortness of breath. Four weeks prior to presentation, she suffered a colitis flare and was treated with a rapid 40 mg prednisone taper along with dapsone […]
Abstract Number: 1139
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 51-year-old female with pseudomyxoma peritonei was admitted to the hospital for surgical debulking. She was started on Lovenox post-operatively. A week later she became hypotensive with acute hypoxic respiratory failure. She was intubated and started on vasopressor therapy with an improvement in her hemodynamics. CT angiogram of the chest depicted a pulmonary […]