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Search Results for COP
Abstract Number: 355
SHM Converge 2021
Case Presentation: A 47-year-old female with no significant medical history, however, a strong family history of venous thromboembolism presented to the hospital after a witnessed episode of syncope. On presentation she was hemodynamically stable, saturating well on room air and in no active distress. Initial workup revealed elevation of troponin, BNP, and d-dimer. Electrocardiogram showed […]
Abstract Number: 360
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Consensus supports the use of corticosteroids in acute exacerbation of COPD (AECOPD), but route of administration and dosage still vary considerably. In one study comparing lower dose oral (PO) prednisone to higher dose intravenous (IV) methylprednisolone, the prednisone regimen was associated with comparable improvement in lung function and oxygenation but a trend toward significantly […]
Abstract Number: 381
SHM Converge 2023
Background: Lost or improperly labeled specimens may be medically detrimental to patients and have legal implications for the medical professionals and healthcare facility involved. Endoscopy is an especially high-risk location for specimen errors given the large number of biopsies obtained and the high volume of patients served daily by the same team. A 61-year-old male […]
Abstract Number: 403
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 2-month-old male, born at 32 weeks, presented with nasal congestion, fever and respiratory distress requiring supplemental oxygen. Mother reported that he was hospitalized for bronchiolitis 2 weeks ago and was discharged home on oxygen. On admission CBC, CMP, UA, CSF studies, blood and urine culture were all normal. Chest X-Ray was consistent […]
Abstract Number: 416
Hospital Medicine 2020, Virtual Competition
Background: Unnecessary hospitalizations and testing for syncope remain common (1), and physician attitudes continue to favor overuse for syncope (2). Structured protocols, specialized units, and decision support algorithms may reduce health service use, but lack of data precludes the ability to advocate for use of a specific decision support algorithm (3). Purpose: Our primary aim […]
Abstract Number: 438
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 24 year old male presented for cardiology evaluation after a syncopal episode. At the time of the event, he experienced dizziness and was witnessed to fall and hit his head. Neurological assessment was unremarkable. Echocardiogram showed normal cardiac architecture and function. During cardiology follow up, past history was thoroughly examined. The patient […]
Abstract Number: 440
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 59-year old man presented with high grade fever (102 F), non-productive cough, and malaise for two months duration. His medical history was significant for of relapsing Chronic lymphocytic leukemia; on chemotherapy, Chronic kidney disease, and invasive pulmonary aspergillosis diagnosed a year ago and treated with a 12-week course of voriconazole. Initial laboratory […]
Abstract Number: 446
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Syncope is a common presentation encountered by hospitals worldwide. While well-established guidelines exist, there is significant variation in practice regarding the investigation and management of these patients. Practitioners tend to over-investigate, which may lead to unnecessary hospitalizations, length of stay and cost. In this study, we analyzed the utilization of healthcare resources for patients […]
Abstract Number: 448
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Some patients lack the functional capability or social support to perform their own colonoscopy bowel preparation. These patients may be admitted to Inpatient units for support with the bowel preparation, but this process can be costly, lead to long lengths of stay, and decrease the admitting capacity of the hospital. An observation unit may […]
Abstract Number: 451
SHM Converge 2021
Case Presentation: A 57 year-old female with a history of COPD and CKD presented with recurrent syncope. The patient reported a two year history of recurrent syncopal events and progressive worsening of orthostatic intolerance with inability to ambulate independently. She denied any gastrointestinal or urinary symptoms as well as changes in her sweating patterns. Blood […]