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Meeting
Search Results for Ascites
Abstract Number: 697
SHM Converge 2023
Case Presentation: A 76 year old male without any significant past medical history presented to the emergency department with abdominal pain, night sweats, and a fever for a week. He was found to have a mild macrocytic anemia (Hgb 9.9, MCV 105.4) with a normal B12 and folate, and elevated inflammatory markers (CRP 24, ESR […]
Abstract Number: 741
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A previously healthy 68-year-old woman presented with three weeks of progressive abdominal and leg swelling. While visiting family in Mexico two weeks prior, she developed an itchy rash on her thighs that spread distally. She denied fever, cough, dysphagia, vomiting, or abdominal pain, but did report a six pound weight loss. Physical exam […]
Abstract Number: 750
SHM Converge 2021
Case Presentation: We describe a case of new-onset unknown ascites due to atraumatic bladder rupture. A 56 year-old female with past medical history of functional urinary retention (prolonged urine holding due to phobia of public restrooms) and remote surgical history of TAH/BSO and C-section presented with recurrent ascites of unknown etiology. She initially presented to […]
Abstract Number: 776
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 40-year-old immigrant from Bangladesh with a history of uveitis presented to the emergency department for evaluation of abdominal pain. He first developed fevers 10 days prior to admission, when he was visiting his hospitalized mother in Bangladesh. He subsequently noticed increased abdominal girth and returned to the United States for additional evaluation. […]
Abstract Number: 782
SHM Converge 2024
Case Presentation: A 64-year-old female with decompensated alcoholic liver cirrhosis was admitted to the hospital for lower abdominal pain. The initial paracentesis polymorphonuclear (PMN) leukocyte count was 149 cells/mm3, but the patient was found to have E. coli urinary tract infection. During the course of her treatment, the patient developed pancreatitis and her hepatic encephalopathy […]
Abstract Number: 783
SHM Converge 2023
Case Presentation: A 51-year-old man with history of psoriasis presented to the emergency department for abdominal discomfort and distention for 2 weeks, associated with fever, weight loss, night sweats, non-productive cough, and shortness of breath. He previously lived in Mexico and was treated in the past for latent tuberculosis (TB) with 6 months of isoniazid. […]
Abstract Number: 796
SHM Converge 2024
Case Presentation: A 41 year old female from Haiti with a history of uterine fibroids and menorrhagia presents to the emergency room with subacute abdominal distension. A CT shows moderate ascites with peritoneal enhancement and infiltration of mesenteric fat by soft tissue densities suggestive of omental caking, thus favoring peritoneal carcinomatosis versus peritonitis. Serum CA-125 […]
Abstract Number: 825
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 71 year-old female presented to the emergency department with six weeks of worsening nausea and emesis. Her symptoms were associated with anorexia, 10-pound unintentional weight loss, and urinary incontinence. Past medical history was significant for right-sided breast cancer, status post partial mastectomy and radiation, 25 years prior to presentation. Physical examination showed […]
Abstract Number: 864
SHM Converge 2023
Case Presentation: A 54-year-old woman presented with six months of diarrhea and weight loss, and three months of abdominal distension. Her abdomen was distended and diffusely tender to palpation. Initial labs were notable for an albumin of 3.4 with normal bilirubin, AST, and ALT. Cross-sectional imaging demonstrated large ascites without evidence of liver pathology or […]
Abstract Number: 875
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 82 year-old female with a history of hypothyroidism on levothyroxine and coronary artery disease presented with 3 months of worsening generalized weakness, inability to walk, abdominal swelling, poor oral intake and 6 kg of unintentional weight loss. Review of symptoms was negative for fever, jaundice, orthopnea, dyspnea on exertion and syncope. Vital signs […]