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Search Results for MAC
Abstract Number: 226
SHM Converge 2021
Background: A growing body of evidence suggests that selecting graduating medical students for residency interviews based solely on USMLE scores or clinical grades does not adequately capture the breadth of qualities needed to succeed as a resident as outlined by the ACGME competencies. Step scores have been shown to correlate with ITE scores and boards […]
Abstract Number: 246
SHM Converge 2021
Background: Advance care planning (ACP) helps patients plan end of life care in accordance with their goals and values, but is often performed too late and infrequently. Hospitalists play an important role in delivering ACP for patients admitted for serious illnesses, but often cite competing inpatient priorities, lack of time and training, and uncertainty about […]
Abstract Number: 367
SHM Converge 2021
Case Presentation: A 49-year-old male presented with shortness of breath, fatigue and four weeks of dark stools. He had previously been diagnosed with IgG lambda multiple myeloma (MM) with renal insufficiency and hypertension. He had MM disease progression despite completing chemotherapy and had declined further treatment. Physical exam revealed an ill-appearing, pale mane with a […]
Abstract Number: 445
SHM Converge 2021
Case Presentation: 41-year-old African American female with a history of Systemic lupus erythematosus (SLE) with antiphospholipid syndrome and cocaine abuse presents with acute onset of atypical chest pain, upper respiratory tract infection symptoms, myalgia, and arthralgia with an unremarkable physical examination. The labs were significant for urine drug screen positive for cocaine, elevated troponin, and […]
Abstract Number: 513
SHM Converge 2021
Case Presentation: A 69 year old male with COPD and a 6-year history of a slowly progressing left upper lobe cavitary mass presented to our hospital with new hemoptysis. CT angiogram showed the cavitary mass infiltrating into an artery, as well as a pseudoaneurysm in the left lower lobe consistent with mycobacterial invasion of the […]
Abstract Number: 551
SHM Converge 2021
Case Presentation: An 82-year-old woman with a history of OA and asthma presented with 3-week dry cough, SOB, poor appetite, and generalized weakness. She saw her PCP prior to admission and was prescribed prednisone for suspected asthma exacerbation which she took for 2 days without improvement. On presentation, she had a low-grade fever of 100.2⁰F […]
Abstract Number: 635
SHM Converge 2021
Case Presentation: A 45-year old male was escorted to our tertiary medical center from a prison for evaluation of 40 lb weight loss, paraplegia and recently developed urinary and fecal incontinence. The patient had been on a 7-month long hunger-strike, during which he only consumed one meal per day. In addition to incontinence, he reported […]
Abstract Number: 710
SHM Converge 2021
Case Presentation: An 81-year-old female with history of hypertension and hip osteoarthritis presented from rehabilitation facility with worsening right hip pain, back pain and lower abdominal pain. Laboratory work-up at the facility revealed several derangements, including elevated leukocytes. Patient was afebrile with tachycardia of 106. Pertinent examination findings included tender flexion at the right hip […]