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Abstract Number: J12
SHM Converge 2022
Background: Transthoracic echocardiogram (TTE) is a frequently used cardiovascular imaging test for hospitalized patients especially those with chronic heart failure. Over the past two decades, TTE orders increased at a rate of about 5-8% per year. A large component of this is repeat TTE orders, defined as orders done within one year of a prior […]
Abstract Number: J24
SHM Converge 2022
Case Presentation: MG is an 18 year old male with quadriplegia from c-spine injury and chronic respiratory failure with trach/vent dependence who presented with 2-3 weeks of intermittent fevers, chills, malaise, abdominal pain, nausea, emesis, diarrhea, and anorexia. Initial evaluation revealed leukocytosis, thrombocytosis, and mild anemia. Urinalysis was significant for moderate leukocyte esterase, nitrites, pyuria, […]
Abstract Number: L16
SHM Converge 2022
Background: Early introduction of palliative care for medically complex patients can improve patient-centered outcomes. Yet, little is known about how to address these issues as patients are cared for by multiple teams in multiple care settings between hospital, home health care and primary care. Here we highlight clinician perspectives about introducing palliative care in the […]
Abstract Number: L35
SHM Converge 2022
Case Presentation: A 66-year-old-male presented with painless jaundice. Laboratory tests were consistent with biliary obstruction, Ca 19-9 was 304.3 IU/mL (N: 0.0-35), and CT scan revealed a pancreatic mass with omental metastasis. The patient underwent ERCP with biopsy. Pathology was consistent with pancreatic adenocarcinoma (Figure 1A-B). He underwent a Whipple procedure and completed 12 cycles […]
Abstract Number: M41
SHM Converge 2022
Case Presentation: A 36-year-old previously healthy female presented to the emergency department with one-day history of decreased visual acuity and spontaneous contractions of her right fourth and fifth digits. Review of systems was positive for a month history of dyspnea on exertion, hives, mild edema of ankles, wrists, hands, lips and eyes, as well as […]
Abstract Number: M48
SHM Converge 2022
Case Presentation: Previously healthy, never-smoker, COVID vaccinated, 45yo male with a history of hypertension presented to urgent care for one month history of shortness of breath on exertion, mild cough, and some weight loss. At urgent care, oxygen saturation was found to be 77% on room air and was transferred to Bronson Hospital for further […]
Abstract Number: N34
SHM Converge 2022
Case Presentation: A 33-year-old male with a past medical history of obesity, NIDDM2, OSA and HTN presented for an outpatient echocardiogram as part of routine surgical clearance for a bariatric surgery procedure. During the echocardiogram, the patient was injected with a sulfur hexafluoride lipid microsphere contrast agent (Lumason®) for better visualization of his anatomy. Within […]
Abstract Number: 1055
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27-year-old female with a history of PTSD, anxiety, and tobacco use initially presented to the emergency department with the worst headache of her life. Labs were significant for white blood cell count of 18.8 (normal 4.3 – 10.8 x 109 cells/L), troponin of 2.91 (
Abstract Number: 1083
Hospital Medicine 2020, Virtual Competition
Case Presentation: Dejerine-Roussy syndrome is a rare condition usually caused by ischemic or hemorrhagic strokes involving the thalamus. Patients develop dysesthesia or allodynia, weeks to months after the initial stroke. We present a case of central thalamic pain in a patient who presented with a middle cerebral artery (MCA) infarct with thalamic involvement. A 77 […]
Abstract Number: 1134
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 30-year-old man presented for evaluation of multiple episodes of recurrent non-bloody, watery diarrhea and abdominal complaints. Initially seen in clinic, he was well appearing, with normal lab work (CBC, BMP, TSH, TTG IgA, CRP), but given the subacute timeframe of his diarrhea (2-3 weeks) he was referred to a gastroenterologist. Further testing […]