Session Type
Meeting
Search Results for Altered Mental Status
Abstract Number: 771
SHM Converge 2021
Case Presentation: Anti-NMDA Receptor Encephalitis is an uncommon diagnosis disguised behind the more common chief complaint of altered mentation. Although treatment options have been established for this disease, management of its behavioral manifestations remains complex. Here we discuss a 13-year-old female who presented with acute-onset altered mental status and atypical behavior. At symptom onset, a […]
Abstract Number: 795
SHM Converge 2023
Case Presentation: A 75-year-old white male presented to the Emergency Department with a 2-day history of gait disturbance, flailing bilateral upper extremity movements, and confusion. His wife stated that his symptoms had been occurring for the past 1 month and acutely worsened over the past several days. For the past year, he had been evaluated […]
Abstract Number: 816
Hospital Medicine 2020, Virtual Competition
Case Presentation: This is a 64 year old male with a past medical history of bipolar disorder without previous psychiatric admissions, type 2 diabetes mellitus, stroke and autoimmune encephalitis that presented to the emergency room from a subacute rehabilitation facility (month long stay since an L3-L4 discectomy) with altered mental status. While at the rehabilitation […]
Abstract Number: 820
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 91 year-old female with history of atrial fibrillation on coumadin, hypertension, prior stroke, myeloproliferative disease, polycythemia vera and recently diagnosed macular degeneration presented with complaints of visual hallucinations for two weeks. She was in her usual state of health when she developed sudden onset of vivid visual hallucinations including people coming in […]
Abstract Number: 857
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 83-year-old woman presented as a transfer to our center for higher level of care in the setting of a mechanical fall with left femur fracture complicated by altered mental status (AMS) and acute onset atrial fibrillation (AF) with rapid ventricular response (RVR). A past medical history was significant for COPD, hypertension, hyperlipidemia, […]
Abstract Number: 865
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 65-year-old man presents with five days of altered mental status, ataxia, and headaches. Four months prior, he traveled to Arizona. Soon after, he sought care for sinus pain, cough, weight loss, and diplopia. Lumbar puncture (LP) at the time showed 492 white blood cells (WBCs)/μl (80% lymphocytes), protein 509 mg/dL, and glucose […]
Abstract Number: K37
SHM Converge 2022
Case Presentation: An 80-year-old female with past medical history significant for atrial fibrillation on apixaban, coronary artery disease, heart failure with preserved ejection fraction, Grave’s disease s/p thyroidectomy on vitamin D, calcium and levothyroxine supplements, and diabetes mellitus presented with 1 week of malodorous urine and 3 weeks of auditory and visual hallucinations. She reported […]
Abstract Number: O42
SHM Converge 2022
Case Presentation: An 80 year old woman with a history of disseminated tuberculosis (positive TB cultures in knee wound and pulmonary cavitary lesion in 2021) presented to the emergency room for edema and erythema of her right third DIP joint. Over the past 3 weeks, she had waxing and waning orientation, reduced energy, and reduced […]
Abstract Number: P27
SHM Converge 2022
Case Presentation: A 66-year-old male with hypertension, type 2 diabetes, hyperlipidemia, pulmonary emboli with +lupus anticoagulant, and intrathecal morphine pump presented for increasingly frequent episodic altered sensorium. Episodes were described as < 30 seconds of paresthesia, speech arrest, and déjà vu; no loss of consciousness or focal deficits. Onset was 2-3 months prior with associated […]