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Abstract Number: 924
SHM Converge 2024
Case Presentation: A 70 year old female with metastatic cholangiocarcinoma, heart failure with reduced ejection fraction, stage 4 chronic kidney disease and pulmonary embolism on anticoagulation presented to a NYC safety net hospital with bilateral lower extremity edema, dyspnea at rest and a recent unwitnessed fall. Her malignancy was diagnosed 7 months prior and her […]
Abstract Number: 958
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 55-year-old male with a history of hypertension and bipolar disorder presented with abdominal and groin pain, and unintentional 40lb weight loss over the past 4 months. Furthermore he reported fevers, chills, hematuria, and dysuria. On physical exam he had right upper quadrant abdominal tenderness, bilateral hard and immobile inguinal lymph nodes, and […]
Abstract Number: 968
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 36-year-old female presented with a month history of cramping abdominal pain, nausea and vomiting that started after an episode of diarrheal illness associated to ingestion of mangoes. Her symptoms were worse with food intake and consequently, she reported a 25-pound weight loss. Her PCP had performed a urea breath test and an […]
Abstract Number: A40
SHM Converge 2022
Case Presentation: A 50-year-old man with a past medical history notable for non-alcoholic fatty liver disease, peptic ulcer disease, gout, and depression presented to the emergency department with a 5-day history of constant, sharp, epigastric abdominal pain. Preceding these symptoms, he experienced an episode of severe nausea, non-bilious non-bloody vomiting, diarrhea, and chills after eating […]
Abstract Number: C25
SHM Converge 2022
Case Presentation: A 78-year-old African American female with a history of coronary artery disease (CAD) with stent placement, hypertension, and hyperlipidemia developed chest pain after being admitted for pulmonary embolism secondary to recently diagnosed pancreatic cancer. She was treated appropriately, but developed severe chest pain on day six of her stay. The patient’s vital signs […]
Abstract Number: D33
SHM Converge 2022
Case Presentation: 66 year old male with past medical history of hypertension presented with complains of tingling sensations & weakness involving his hands for 2 weeks. His initial symptoms began with weakness involving bilateral feet, legs & hamstrings that started about 10 weeks prior to this presentation. He received moderna vaccine 1 month prior to […]
Abstract Number: D45
SHM Converge 2022
Case Presentation: 53-year-old woman with locally recurrent melanoma and a family history of Huntington’s Disease (HD) presented with complications of cerebral venous sinus thrombosis and subdural hematomas. On hospital day 2, she suffered a cardiac arrest in the setting of QTc prolongation from antiemetics leading to dependence on hemodialysis, mechanical ventilation, and pressors. She was […]
Abstract Number: D49
SHM Converge 2022
Case Presentation: A 93-year-old female was brought by her daughter via EMS to the emergency department with complaints of vomiting and drowsiness. She was treated, 2 weeks prior, with Cefalexin for a presumed UTI. After antibiotics initiation, the patient developed multiple episodes of non-bloody, watery diarrhea, with subsequent drowsiness, confusion, and poor appetite. She denied […]
Abstract Number: E21
SHM Converge 2022
Background: Up to 10% of hospitalized patients report an allergy to penicillin, however studies have shown that the majority of these are not clinically significant reactions.1,2 Unverified penicillin allergies increase overall patient mortality as they lead to use of broad-spectrum antibiotics that are less effective and have more side effects.3 Recent studies have found that […]
Abstract Number: F21
SHM Converge 2022
Background: It is estimated that 3-5 falls occur per 1000 patient days in the US and UK(1). According to a study looking at National Database of Nursing Quality Indicators (NDNQI), established by the American Nurses Association, 26% of falls result in injury with 1 in 20 causing serious injuries(1). This poses a serious threat to […]