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Search Results for ABO
Abstract Number: 450
SHM Converge 2024
Background: Cost associated with diagnostic testing contributes greatly to the rising cost of health care in the United States (Bindraban et al, 2018). There is evidence to suggest that up to 20% of lab testing is unnecessary (Bindraban et al, 2018).Main Line Health (MLH) is a health system in suburban Philadelphia made up of four […]
Abstract Number: 465
Hospital Medicine 2020, Virtual Competition
Background: As hospital length of stay has shortened from an average of 6.5 days in 2015 to 4.5 days in 2019 (1), there is increased urgency for providers to efficiently address inpatient needs and to shift diagnostic and therapeutic management to outpatient settings. Patients are faced with increased self-care burdens, often tasked to implement complex […]
Abstract Number: 520
SHM Converge 2023
Case Presentation: A 66-year-old female became noncompliant with home medications presented to the emergency room with altered mental status. She had an established diagnosis of decompensated cirrhosis on a recent discharge from hospital leading to metabolic encephalopathy. Five days into her hospital stay, the patient refused medications and nutrition leading to an IV saline treatment. […]
Abstract Number: 549
SHM Converge 2021
Case Presentation: An 8-week pregnant G5P1041 24-year-old African American female with no past medical history presented with acute onset left-sided weakness, slurred speech, and paresthesia. Her symptoms started a day after taking one dose of misoprostol as morning-after pill. She used misoprostol multiple times previously with neither neurological nor cardiovascular symptoms. On physical examination, her […]
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: 601
SHM Converge 2023
Case Presentation: A 44-year-old male hospitalized for an extended period with severe diarrhea and polyarthritis developed worsening anion gap metabolic acidosis (AGMA) over the course of 10 days. The patient was being treated for septic arthritis in the background of polyarticular gout with vancomycin, ceftriaxone, colchicine, indomethacin, and acetaminophen. Acetaminophen was dosed as needed on […]
Abstract Number: 605
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A hospitalized 71-year-old female became acutely encephalopathic after an esophagogastroduodenoscopy under conscious sedation which was performed to evaluate a chronic esophageal ulcer and other potential causes of dysphagia. Her past medical history was significant for obesity, hypothyroidism, chronic back pain, peripheral neuropathy, colorectal mucinous adenocarcinoma with carcinomatosis and metastases to the lung, chronic […]
Abstract Number: 615
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: We report a 58 year old Caucasian male who presented with abdominal pain, fever and intractable vomiting. Past history was significant for laparoscopic cholecystectomy three weeks earlier complicated by post-operative bile leak that was managed conservatively. Physical examination was remarkable for diffuse abdominal tenderness most prominent in the right upper quadrant. Preliminary laboratory […]
Abstract Number: 617
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 54-year-old man presented with confusion, vomiting, and weakness. En route to hospital he received dextrose for a glucose of 40. Admitted to the ICU for severe metabolic acidosis. Past medical history included type 2 diabetes, depression and PTSD. Aside from tachycardia, smell of alcohol, and bilateral hand tremor, initial physical exam was […]
Abstract Number: 699
SHM Converge 2024
Case Presentation: A 71 year old male presents to the ED with diffuse abdominal pain and nausea for the day. He has an extensive medical history including Type II DM, CAD, HFpEF, and COPD. He was recently prescribed Bactrim for a UTI, but notes persistent dysuria and suprapubic discomfort which prompted him to take an […]