Session Type
Meeting
Search Results for Altered Mental Status
Abstract Number: 532
SHM Converge 2021
Case Presentation: A 53-year-old female with a history of hypertension presented with encephalopathy. 2 days prior, her family noticed that she was making bizarre statements that did not correlate with reality. Notably, she had a positive COVID-19 test 3 weeks prior. Social history was significant for consumption of 100-125 ounces of beer per day and […]
Abstract Number: 574
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: 30 year old female with HIV/AIDS, a recent CD4 count of 7 who presented with 4 weeks of diarrhea, nausea, vomiting and odynophagia. She reported weight loss of 190 lbs over the last 6 months. She had been recently admitted with similar complaints and diagnosed with Cryptosporidial diarrhea and esophageal candidiasis. She was […]
Abstract Number: 589
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 74-year-old male with a past medical history of Stage III CKD and paroxysmal atrial fibrillation was initially taken to his PCP by his wife for changes in his mental status, trouble remembering things and following directions while driving. As his outpatient workup was ongoing, he also developed a fever with chills and […]
Abstract Number: 631
SHM Converge 2024
Case Presentation: A 63-year-old female with a past medical history of hypertension, atrial fibrillation, type 2 diabetes, multiple strokes with residual left sided deficit, and chronic kidney disease, who presented with altered mental status (AMS) after losing consciousness for 20 minutes during which family noticed left sided facial droop and dysarthria. The patient denied chest […]
Abstract Number: 661
SHM Converge 2023
Case Presentation: A 56-year-old male with a past medical history of hemophagocytic lymphohistiocytosis (HLH), in remission following chemotherapy in 2018, left MCA CVA in 2016 without significant residual deficits, restless leg syndrome, neurodegenerative motor neuron disease with lower extremity spasticity, and peripheral neuropathy was brought to the hospital for weeks of increasing confusion and generalized […]
Abstract Number: 673
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: An 82 year-old woman with history of stage five chronic kidney disease (CKD) presented with new onset of altered mental status, upper extremity tremors and slurred speech. Four days prior to presentation patient was diagnosed with urinary tract infection due to multidrug-resistant Pseudomonas aeruginosa, and was started on cefepime. On the day of […]
Abstract Number: 695
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 53-year-old African American woman with a history of systemic lupus erythematosus, refractory hypertension, and cerebrovascular accident, was found unresponsive and hypotensive at home. On presentation, the patient was drowsy but arousable and oriented to person, place and time. Vitals were notable for sinus bradycardia (50s) and hypotension (SBP in 90s). She was […]
Abstract Number: 700
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 70 year-old woman with hyperthyroidism, hypertension and diabetes presented with subacute progressive altered mental status and frequent falls. History obtained from family revealed a previously independently functioning woman until 4 months prior, when she began to demonstrate symptoms of forgetfulness and micrographia. Symptoms progressed rapidly requiring an inpatient psychiatric admission, a month […]
Abstract Number: 744
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 53-year-old female with no medical history presented with worsening mental status for 3 months. All history was given by family. Three months prior to presentation she began experiencing a generalized, persistent headache. A neurologist prescribed nortriptyline for presumed migraines, with improvement. In the month prior to presentation, the patient had become less […]
Abstract Number: 762
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Our patient is a 63-year-old Caucasian male with a past medical history of schizophrenia on risperidone, psychogenic polydipsia and chronic hyponatremia. He presented to the emergency department after being discovered unresponsive in a personal care home. He was tachycardic with a heart rate of 110, hypertensive with a blood pressure of 194/95 mmHg […]