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Search Results for Bleed
Abstract Number: 565
SHM Converge 2021
Case Presentation: A 72 year-old male patient with recent deceased donor renal transplant was on combined immune suppression with prednisone, tacrolimus and MMF. He Had multiple comorbidities but no previous history of IBD or autoimmune disease. He presented with normocytic anemia (hemoglobin 6.5 g/dL), weakness, anorexia and diarrhea. He was found to have ulcerated hemorrhoids […]
Abstract Number: 567
SHM Converge 2021
Case Presentation: A 49 year old female with history of alcoholic cirrhosis presented to the ED after experiencing self-reported bright red blood per rectum that morning. Patient had history of numerous prior admissions for reported GI bleed with extensive endoscopic work-up; evidence of portal hypertensive gastropathy had been seen previously however no actively-bleeding lesions were […]
Abstract Number: 597
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 76 year-old male with a history of diverticulitis, T2DM, HTN, persistent atrial fibrillation and compensated alcoholic cirrhosis presented for recurrent gastrointestinal bleeding (GIB). He initially presented to an outside hospital six months prior for shortness of breath and found to be anemic requiring 4 units of packed red blood cells (PRBCs). Since […]
Abstract Number: 609
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 49-year-old male with past medical history of anxiety, chronic diarrhea and alcohol dependency presented with blood-tinged emesis. The patient endorsed a three-week history of non-bilious, blood-streaked emesis after ingestion of both solids and liquids. He also endorsed a cough productive of blood-streaked sputum and easy bruising. He was a retired librarian. He […]
Abstract Number: 634
SHM Converge 2021
Case Presentation: Our patient is a 66-year-old female who was admitted for shortness of breath and generalized weakness. She was severely anemic with hemoglobin of 6.5. Her EGD did not show any obvious evidence of bleeding. Colonoscopy in the past showed a large inflammatory mass consistent with ischemic colitis. Follow-up colonoscopy showed completely healed mucosa. […]
Abstract Number: 635
SHM Converge 2024
Case Presentation: A 62-year-old female with past medical history of poorly controlled Type 2 diabetes mellitus and hypertension, presented to the emergency department with complaints of altered mental status. Her physical exam was positive for tenderness over the lower abdominal area. Initial lab work was notable for leucocytosis [WBC of 18.9 bil/L (normal 3.3- 10.7 […]
Abstract Number: 638
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 65-year-old male underwent vascular repair for a psuedoaneurysm of left brachiocephalic arteriovenous fistula. During surgery he was noted to have excessive bleeding and also postoperatively, he continued to ooze from the surgical site. His labs revealed PT of 33.5 seconds, INR of 3.3, and PTT of 53.7 seconds. His mixing studies showed […]
Abstract Number: 639
SHM Converge 2024
Case Presentation: A 57-year-old male comorbid with hypertension and benign prostatic hyperplasia presented to the emergency department with a 1-month history of worsening bifrontal headaches and progressive cognitive decline. The headaches were increasing in both frequency and severity, occurring throughout the day and night. He also endorsed nausea, light sensitivity, word-finding difficulty, and new memory […]
Abstract Number: 653
SHM Converge 2024
Case Presentation: A 67-year-old male with a history of Graves’ disease, paroxysmal atrial fibrillation status post cardiac ablation not on anticoagulation, and chronic ibuprofen use presented to the emergency department with progressive dizziness, fatigue. He noted 10 days of black stools. Additionally, patient’s wife reported he had confusion that started yesterday. Patient presented stable on […]
Abstract Number: 653
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Introduction: In a hospital medicine service, how often do we come across the conundrum of a high risk bleeder who has a high risk for clot? This is one of the more common clinical scenarios that plague us as providers. A double edged sword, we talk about the dire consequences on either side […]