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Meeting
Search Results for ARB
Abstract Number: 44
SHM Converge 2023
Background: Alcohol withdrawal is a common issue in hospitalized patients and is associated with significant morbidity and mortality. Alcohol withdrawal occurs when the gamma aminobutyric acid (GABA) stimulating effect of alcohol is removed, resulting in an excess of the excitatory neurotransmitter glutamate. Treatment typically consists of as needed benzodiazepines, which activate GABA. However, this reactive […]
Abstract Number: 170
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Heart failure (HF) and atrial fibrillation (AF) share several risk factors including coronary artery disease, hypertension, smoking, obesity, diabetes, and renal disease, as well as common pathophysiologic pathway involving activation of the renin–angiotensin–aldosterone system, maladaptive atrial remodeling and subsequent impaired conduction system. Some studies have supported the role of angiotensin converting enzyme inhibitors (ACEIs) […]
Abstract Number: 243
SHM Converge 2023
Background: Phenobarbital (PB) has important pharmacological advantages over benzodiazepines (BZDs) for treatment of alcohol withdrawal syndrome (AWS). The American Society of Addiction Medicine recommends PB monotherapy as an alternative to BZDs for prophylaxis or treatment of AWS by providers experienced with its use. Few studies have described the use of PB for AWS outside of […]
Abstract Number: 378
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 40-year-old previously healthy female presented nine weeks postpartum with numerous episodes of nonbilious, nonbloody emesis that began 24 hours prior to admission. She took no medications and denied fevers, chills, dysuria, cough, or ingestion of alcohol or other substances. She reported that since her uncomplicated vaginal birth, she had been adhering to […]
Abstract Number: 433
SHM Converge 2023
Case Presentation: A 65-year-old man with a history of nasal polyps was admitted to the hospital with a lactate of 10 mmol/L (0.5-2.2 mmol/L). He reported drenching night sweats and a 10-pound weight loss over the last 2-3 months. He noted orthostatic and ambulatory dizziness, as well as left-sided tinnitus, sinus pain, and nosebleeds over […]
Abstract Number: 458
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 90 year old female, with diabetes mellitus type 2, hypertension and osteoporosis presented to our emergency room with altered mental status for 5 days. The patient had been treated for jaw osteonecrosis over the past 6 months which included multiple debridements and IV antibiotics. She was started on IV ertapenem 1g daily […]
Abstract Number: 509
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 68 year old male with history of hemodialysis dependent chronic kidney disease, stroke and vascular dementia was transferred from a nursing home with increased lethargy and abdominal pain. In the emergency department he was found to be febrile to 101.9°F and abdominal exam revealed involuntary guarding with diffuse pain to deep palpation. […]
Abstract Number: 517
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 74-year-old female, with no significant past medical or travel history, developed sepsis 2 days after undergoing debulking surgery for stage IIIc ovarian carcinoma. Blood cultures were positive for gram-negative bacilli and the organisms identified as Enterobacter spp. with blaIMP MBL (Verigene). Antimicrobial susceptibility testing demonstrated high-level resistance to all penicillins, ureidopenicillins, cephalosporins, […]
Abstract Number: 573
SHM Converge 2021
Case Presentation: A 49-year-old male with past medical history of alcohol use disorder, hypertension, and necrotizing pancreatitis presented with severe epigastric pain for one day. The pain was sharp, non-radiating, worsened by eating, and associated with nausea and diarrhea. He drinks a fifth of hard liquor daily. Pertinent labs showed bicarbonate 8 with an anion […]
Abstract Number: 622
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A sixty-eight year-old woman presented with two days of confusion and lethargy following two weeks of worsening abdominal pain, nausea and emesis. Medical history was significant for chronic pain, depression, hypertension, and a remote history of alcohol withdrawal seizures. There was no reported dyspnea, cough, or chest pain. She was a one pack […]