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Abstract Number: 1122
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient is a 20-year-old male without past medical history. He began to feel depressed about 3 weeks prior to admission, and his dietary intake decreased. Concomitantly, he experienced diarrhea once to twice per day. He noticed pain in both the thighs when waking up the day before the admission. The pain persisted […]
Abstract Number: 1125
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 64 year old female with a past medical history of coronary artery disease and coronary artery bypass graft, heart failure with reduced ejection fraction, diabetes mellitus, peripheral arterial disease, hyperlipidemia and a strong smoking history presented to the emergency department with exertional dyspnea worsening over the past 1 month and substernal chest […]
Abstract Number: 1138
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 22-year-old female with a past medical history of cholecystectomy and bipolar disorder presented with left upper quadrant spastic abdominal pain 9/10 in intensity, radiating to the epigastrium for the last 5 days, along with intermittent nausea, vomiting, and diarrhea. The patient described her bowel movements as a green ribbon-like consistency with no […]
Abstract Number: 1166
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 48-year-old female with an unremarkable past medical history presented with intermittent, dull, substernal chest pain for several hours, associated with diaphoresis and bilateral arm paresthesia, worse with exertion. Patient’s symptoms improved with sublingual nitroglycerin in the Emergency Department. EKG showed subtle ST-segment elevations inferiorly. Troponin was initially negative at 0.01, trended to […]
Abstract Number: 1170
Hospital Medicine 2020, Virtual Competition
Case Presentation: Our patient is a 13 year old female with a 3-year history of celiac disease who presented to an outside facility with three days of fever, myalgias and RUQ pain. She had no stool changes, nausea or vomiting. Initial lab work was notable for a lipase of 1100, bilirubin of 4.9, AST of […]
Abstract Number: 1174
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 12-year-old boy presents with 8 days of chest pain. He describes the pain as sudden onset, stabbing, located over his left chest with radiation to his right chest and left flank. The pain initially lasts between 5 to 10 minutes, but has been increasing in duration to span the entire day. The […]
Abstract Number: 1205
Hospital Medicine 2020, Virtual Competition
Background: Patient out-of-pocket costs are a critical consideration when providing care as they can represent a substantial portion of a patient’s income and when they are exceedingly high can become a barrier to care. We sought to better understand Physician interaction with and reaction to out-of-pocket costs at the trainee level. Methods: A nineteen-question survey […]
Abstract Number: 1206
Hospital Medicine 2020, Virtual Competition
Background: To curb the growing opioid epidemic, hospitalists need to re-examine inpatient opioid use and increase utilization of alternatives to opioids for pain management. Of 1.1 million nonsurgical inpatients across 286 US hospitals from July 2009 to June 2010, 51% received an opioid during hospitalization and more than half with inpatient exposure were prescribed opioids […]
Abstract Number: 1245
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 83-year-old male with a history of hypertension and coronary artery disease presented to the ED with complaints of persistent hiccups for 1-week duration associated with drooling, decreased appetite, inability to lie flat, and significant weight loss over several months. He was hemodynamically stable and afebrile but noted to have diffuse abdominal tenderness […]
Oral Presentations
Abstract Number: Oral
SHM Converge 2021
Background: Nationally, internal medicine (IM) residency programs have been struggling with the balance of protecting residents from exposure to COVID-19, ensuring they are sufficiently trained in general medicine while still teaching them about a new disease process and preparing them to help fight the pandemic (1). Anxiety is common amongst providers in a pandemic, especially […]