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Search Results for transplant
Abstract Number: 723
Hospital Medicine 2020, Virtual Competition
Case Presentation: Four years after kidney transplantation a 65 year-old woman with type 2 diabetes, hypertension, and no psychiatric history is referred to the hospital by her primary care physician to evaluate altered mental status. She was successfully maintained on tacrolimus with stable trough levels. During the preceding three months she had developed progressive symptoms […]
Abstract Number: 811
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 39-year-old male with history of end-stage renal disease secondary to focal segmental glomerulosclerosis in addition to severe non-ischemic cardiomyopathy was determined not to be a candidate for kidney transplant in the United States due to his cardiac co-morbidity, and subsequently traveled to Nigeria to receive a kidney transplant from a living relative. […]
Abstract Number: 867
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 65-year-old male presented to the emergency department with a 5-week history of epigastric pain, nausea, constipation and weight loss. Past medical history was significant for combined liver and kidney transplant 3 years prior due to hepatitis C cirrhosis and hepatorenal syndrome. Chronic immunosuppression consisted of mycophenolate mofetil, tacrolimus and prednisone. Laboratory studies […]
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: 882
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 63 year-old woman with a history of liver transplant presented to a rural hospital for evaluation of rigors, nausea and vomiting. Her post-transplant course had been complicated by HCV recurrence treated successfully with interferon and ribavirin; cirrhosis, and refractory gastric variceal bleeding for which she received a transjugular intrahepatic portosystemic shunt (TIPS) […]
Abstract Number: 990
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 63-year-old man with significant history of deceased donor transplant (18 months prior to presentation), hypertension, diabetes mellitus, who presented with two weeks of fevers and malaise. His other symptoms included drenching night sweats, shortness of breath, and diffuse pleuritic chest pain, however he denied cough. A recent exposure was a renovation of […]
Abstract Number: 1099
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 49 year-old man with history of renal transplant due to focal segmental glomerulosclerosis on mycophenolate and prednisone presented with chest tightness, shortness of breath, and productive cough with white sputum for several weeks. He was admitted one month prior with similar complaints and diagnosed with multi-lobar pneumonia. On admission, vital signs were […]
Abstract Number: 1127
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 52-year-old African American woman presented to her local hospital with a 3-week history of headache and diplopia without an inciting event. At that time, she was treated symptomatically and discharged. After persistent symptoms and new onset imbalance, neck stiffness, vomiting, and blurry vision, she reported to a second hospital. Her past medical […]
Abstract Number: 1210
Hospital Medicine 2020, Virtual Competition
Background: Hepatitis C virus (HCV) is a leading cause for liver cirrhosis and one of the commonest indications for liver transplantation. The introduction of direct acting antiviral (DAA) medications have revolutionized the treatment for HCV. Prior to 2014, the treatment for HCV consisted of interferon and ribavirin which yielded a sustained virologic response (SVR) of […]