Session Type
Meeting
Search Results for Angitis
Abstract Number: 405
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 14 y.o. male with acne presented to dermatology for follow up. Having failed multiple acne treatments he was started on isotretinoin. Approximately 6 weeks later he developed fatigue, non-purulent conjunctivitis, retrosternal chest pain associated with dyspnea, joint pains, and bilateral lower extremity muscle aches. He was evaluated by cardiology with normal cardiac […]
Abstract Number: 450
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 64-year-old woman with a history of cholecystectomy and chronic intermittent abdominal pain presented with acute onset of right upper quadrant pain and vomiting. On admission, she was afebrile and nontoxic appearing with mild epigastric tenderness. Labs showed an elevated AST/ALT, total bilirubin, and alkaline phosphatase. Abdominal ultrasound showed a dilated common bile […]
Abstract Number: 606
SHM Converge 2024
Case Presentation: Raoultella ornithinolytica, a close relative of the genus Klebsiella, is a rare, Gram-negative bacterium known to cause biliary, pulmonary, and urinary tract infections in elderly or immunocompromised hosts. This case illustrates an unexpected discovery of Raoutella ornithinolytica bacteremia in a 20-year-old immunocompetent male with an underlying congenital condition called Caroli disease.A 20-year-old male […]
Abstract Number: 625
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 53-year-old woman with a history of metabolic syndrome and necrotizing pancreatitis presented with new onset ascites. Her story began nine months earlier, when she developed abdominal pain. CT at that time revealed pancreatitis and cholelithiasis without biliary dilation. Lab values were notable for: lipase 55000, total bilirubin (TBIL) 5.3, AST 660, ALT […]
Abstract Number: 660
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 78 year old female with history of previous cholecystitis s/p cholecystectomy in 1950s complicated by recurrent choledocholithiasis and cholangitis presented with a 1 day history of chills, epigastric abdominal pain, nausea and vomiting. Patient had recurrent episodes almost yearly, characterized by these symptoms. Similar to prior episodes, labs were indicative of biliary […]
Abstract Number: 736
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: The patient is a 20-year-old male with no past medical history who presented with a 6 day history of 6/10 constant sharp abdominal pain focused in the right upper quadrant (RUQ). The pain was worsened by eating, and associated with one episode of yellow, non-bloody vomiting. The patient denied any diarrhea, bloody stool, […]
Abstract Number: 737
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 54-year-old Hispanic woman presented with 5 days of subjective fevers, jaundice, nausea, vomiting, and right-sided abdominal pain. On presentation, she was febrile with borderline hypotension and tachycardia, abdominal tenderness, and laboratory values notable for leukopenia and transaminitis with direct hyperbilirubinemia. The patient received vancomycin, cefepime, metronizadole, and intravenous fluids per sepsis protocol. She was intubated […]
Abstract Number: 745
SHM Converge 2023
Case Presentation: A 48-year-old female with no significant past medical history was initially hospitalized for community-acquired pneumonia and subsequently developed hematemesis, melena along with fever and night sweats. Other presenting symptoms included productive cough, worsening dyspnea, and 80-pound unintentional weight loss in 3 months. She denied travel/occupation history. Further workup showed WBC 46.6×103/uL, Hemoglobin 8.3 […]
Abstract Number: 760
SHM Converge 2023
Case Presentation: A 57-year-old female with hypertension, hyperlipidemia and a surgical history of cholecystectomy for gallstone pancreatitis six years ago presents with right upper quadrant (RUQ) abdominal pain, nausea, vomiting, and skin yellowing for one day. Over the prior eight months, the patient had experienced intermittent episodes of RUQ abdominal pain that self-resolved in minutes. […]
Abstract Number: 824
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 24 year old, Chuukese-speaking woman visiting the United States from Micronesia, with no known past medical history, presented with complaint of 24 hours of acute epigastric pain. Patient was on no medications. Vital signs: temperature 36.4 degrees C, pulse 65, respirations 16, blood pressure 100/51. Exam showed mild epigastric and right upper […]