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Search Results for Adverse
Abstract Number: 953
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 58-year-old male presented to the emergency department with a twelve-hour history of sudden, painless and progressive left sided loss of vision following the consumption of tadalafil 20mg tablet for erectile dysfunction. He denied loss of consciousness, seizures, dizziness, headache, slurred speech, palpitations, tinnitus, urinary or stool incontinence, recent trauma, recent changes in […]
Abstract Number: D31
SHM Converge 2022
Case Presentation: We present an 80-year-old female with a medical history significant for atrial fibrillation and heart failure with preserved ejection fraction. She underwent pulmonary vein isolation in 2017 and had reportedly been on flecainide 150 mg twice daily and atenolol 100 milligram twice daily since then. She presented to the emergency department with dyspnea […]
Abstract Number: G23
SHM Converge 2022
Background: Communication related to medications is an important metric on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to measure patient experience after discharge from the hospital. There are many factors which can lead to poor communication about medications (Figure 1). Over 20% of readmissions can be related to medications, and of […]
Abstract Number: I11
SHM Converge 2022
Background: Opioid analgesia is an important treatment modality for patients with chronic pain, including pain attributed to cancer- and noncancer-related illness. Unfortunately, an estimated 40%–80% of opioid users experience opioid-induced constipation (OIC). Methylnaltrexone (MNTX) is indicated for the treatment of OIC. In clinical trials, the most common adverse events (AEs) were gastrointestinal (GI) in nature. […]
Abstract Number: L41
SHM Converge 2022
Case Presentation: A 70-year-old male with a history of metastatic renal cell carcinoma (RCC) on cabozantinib and nivolumab presented with an extensive, blistering skin rash. He initially noted faint erythema and blisters over his right elbow a week ago which spread to his arms, hands and feet. His oncologist had prescribed high dose prednisone, however […]
Abstract Number: N25
SHM Converge 2022
Case Presentation: A 55-year-old man presented with bilateral upper back pain with radiation to the upper chest for the past 1 month. On examination, he had left upper back tenderness. A CT of the chest revealed septic pulmonary emboli. Blood cultures drawn on admission speciated to methicillin-resistant staphylococcus aureus (MRSA). Urine cultures speciated to MRSA […]
Abstract Number: P25
SHM Converge 2022
Case Presentation: A 78-year-old male presented to the emergency department with past medical history of hypertension, hyperlipidemia, benign prostatic hyperplasia, and asthma presented to the emergency department with progressively worsening shortness of breath and substernal chest pain 2 days after undergoing Electrophysiology Studies (EPS), Radiofrequency Ablation (RFA) with pulmonary vein isolation (PVI), and Cavo-tricuspid isthmus […]
Abstract Number: 1105
Hospital Medicine 2020, Virtual Competition
Case Presentation: An elderly man was diagnosed with clear cell renal cell carcinoma in 1987, and treated with left nephrectomy, though developed multi-organ metastatic disease in 2015. After he did not tolerate initial treatment with sunitinib, he received 15 cycles of NKTR-214 and nivolumab as part of a phase I/II study. Three months after his […]
Abstract Number: 1117
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 84 year-old female with metastatic bladder cancer was admitted for a one month history of progressively worsening fatigue, bilateral ptosis, dysphagia, dyspnea, and lower extremity weakness. She was previously diagnosed with localized urothelial carcinoma in 2005 with recurrence in 2017 with pelvic metastases seen on surveillance imaging. She underwent chemotherapy, cystectomy, and […]
Abstract Number: 1235
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 37-year old male with PMH of HIV on HAART presented with episodes of seizure, syncope and altered mental status. Vital signs and physical examination were unremarkable. Laboratory results revealed sodium level 113, serum osmolarity 243, urine osmolarity 429 and urine sodium 113. Lab findings along with patient appearing euvolemic on exam suggested […]