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Search Results for uc
Abstract Number: 526
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 68- year-old Hispanic male with past medical history of hypertension, hyperlipidemia and gout presented with intermittent paresthesia and weakness in bilateral fingers and toes along with mild headaches and fatigue for the past two months. Additionally, the patient notes to have new short-term memory deficits where he often forgets his thoughts mid-conversation. […]
Abstract Number: 546
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 37-year-old male auto-mechanic, with a history of tobacco use, presented with acute right-sided pleuritic chest pain. He was diagnosed with musculoskeletal pain and discharged from the ED. Several days later he returned with dyspnea, dry cough, fever and diaphoresis. He revealed that he recently tried vaping marijuana (THC) oil. Vital signs were […]
Abstract Number: 557
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 73-year-old female with PMH of iron deficiency anemia, laparoscopic cholecystectomy, and hernia repair had received iron transfusions as well as blood transfusion. Despite which, her hemoglobin remained low, 7.3gm/dl. She was fatigued, but denied abdominal pain, black stool, vomiting blood, fevers or chills. She had an upper endoscopy that was unremarkable as […]
Abstract Number: 567
Hospital Medicine 2020, Virtual Competition
Case Presentation: 66 year old man with a history of eosinophilic granulomastosis with polyangiitis presented with ascending numbness and unsteadiness that worsened over two days and finally manifested as paraesthesia and weakness in all extremities, gait imbalance, and diplopia. Three weeks prior to presentation, the patient had received the flu vaccine. Neurology was consulted upon […]
Abstract Number: 570
Hospital Medicine 2020, Virtual Competition
Case Presentation: A previously healthy 38-year-old man presented with 8 days of intermittent colicky RUQ pain and jaundice. He denied any OTC or illicit drug use but did report daily alcohol use. On admission HAV, HBV, HCV, and HIV 1 & 2 screening, urine drug screen, and autoimmune workup were negative. Ceruloplasmin, serum copper, serum […]
Abstract Number: 598
Hospital Medicine 2020, Virtual Competition
Case Presentation: 47-year-old male veteran presented with one-month history of intermittent left-sided abdominal pain, vomiting, constipation and melena. Abdominal X-ray revealed small bowel obstruction. CT scan of the abdomen and pelvis with contrast revealed multifocal masses involving proximal to mid-small bowel with small bowel obstruction secondary to the mass at the level of jejunal and […]
Abstract Number: 600
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 59-year-old previously healthy man presented with subacute fatigue, back pain, and fevers. He developed gradual exertional intolerance in the preceding months which had progressively worsened prior to seeking medical attention. On the day of his presentation, he developed significant abdominal and atraumatic midline back pain. Vital signs at presentation were notable for […]
Abstract Number: 628
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 32 year-old African American man with a history of Kikuchi-Fujimoto’s Disease (KFD), presented with 2 weeks of fever, cervical lymphadenopathy and cough. Laboratory tests showed pancytopenia, elevated ESR, positive double stranded DNA and ANA titer. Complement 3 and 4 levels were low. His fever persisted despite broad spectrum antibiotics. Computed tomography (CT) […]
Abstract Number: 629
Hospital Medicine 2020, Virtual Competition
Case Presentation: This is a 49 year old female, with no significant medical history, who started having intermittent fevers, night sweats, and fatigue 11 months prior. She reported a temperature of 100.4°F with cough and rhinorrhea, diagnosed as bronchitis with an elevated CRP of 40 mg/L. She reported some improvement with azithromycin but continued to […]
Abstract Number: 631
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 25-year-old female with no significant past medical history presented to the emergency room with chest pain and shortness of breath. She was febrile to 40 degrees Celsius and tachypneic. Physical exam was notable for bilateral crackles in her lower bases. Her social history indicated former marijuana use and current e-cigarette use (Juule, […]