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Search Results for ART
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: 1180
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 5-month-old male presented to the hospital for further workup of 15 days of fever. In the preceding 2 weeks, he had intermittent symptoms, including cough, rhinorrhea, and diarrhea. He was treated for an ear infection with antibiotics about 5 days into the course for suspected otitis media without resolution of his fever. […]
Abstract Number: 1204
Hospital Medicine 2020, Virtual Competition
Background: Preventable ED visits account for 20-50% of ED visits. (1, 2) Though student-run free clinics (SRFCs) could play an important role in decreasing unnecessary utilization, current ED utilization in SRFCs and risk factors have not been described. Methods: We conducted a cross-sectional study of patients receiving care at a student-run free clinic. We captured […]
Abstract Number: 1224
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 32-year-old female with a history of recent uncomplicated vaginal delivery (3 weeks prior, G7P6A1) was brought in following cardiac arrest. She had been running errands with family when she developed seizure-like activity prior to arresting. Cardiopulmonary resuscitation was not initiated until emergency medical services arrived 15 minutes after the event. Patient arrived […]
Abstract Number: 1230
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 54-year-old morbid obese female presented to the hospital with sudden-onset heart palpitations and skin paresthesia a few hours after taking a new medication she was prescribed for weight loss, bupropion/naltrexone 180/16mg once daily. The patient had a history of anxiety, for which she was prescribed citalopram 40 mg once daily. Upon her […]
Abstract Number: 1236
Hospital Medicine 2020, Virtual Competition
Case Presentation: 52-year-old male with no past medical history, presents to the emergency room for complaints of worsening diffuse abdominal discomfort of one-day duration. Pain was located in lower part of abdomen, dull in character, non-radiating, 10/10 in intensity associated with nausea, and subjective fever .Vital signs were significant with a temperature of 101.1 degrees […]
Abstract Number: 1238
Hospital Medicine 2020, Virtual Competition
Case Presentation: West Nile (WN) virus, a member of the Japanese encephalitis virus antigenic complex, is the leading cause of mosquito-borne disease in the continental United States. Approximately 1 out of 250 patients develop neuroinvasive disease including encephalitis, meningitis, acute flaccid paralysis and opsoclonus-myoclonus syndrome (OMS). Sparse data exist regarding potential treatments for WN virus […]
Abstract Number: 1239
Hospital Medicine 2020, Virtual Competition
Case Presentation: Cardiac amyloidosis- a multiorgan disease, which carries a grave prognosis due to its rarity and nonspecific presentation. We report a case of systemic AL amyloidosis with predominant cardiac and renal involvement associated with multiple myeloma.• A 60-year-old male presented with progressively worsening anasarca including 3+ pitting edema in all extremities, and 80 lbs. […]
Abstract Number: 1242
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 33-year-old female with a history of attention deficit hyperactivity disorder (ADHD) controlled by Adderall (10 mg QAM and 20 mg QHS), two miscarriages, and depression controlled by Bupropion and Fluoxetine, presented to the hospital with complaints of crampy abdominal pain followed by bloody diarrhea. On further history, she reported a fever of […]
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 […]