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Search Results for Bowel
Abstract Number: 610
SHM Converge 2023
Case Presentation: A 59 y/o male who presented to the hospital with a 2 week history of subjective fevers, generalized fatigue, and non-bloody diarrhea. Past medical history was notable for indeterminate ulcerative colitis (UC) and was being managed with azathioprine and mesalamine. He was recently prescribed antibiotics and developed diarrhea shortly after. He denied any […]
Abstract Number: 659
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 21-year-old male with past medical history of Crohn’s disease on monthly infliximab infusion initially presented to the emergency department with a 5-day history of joint pain. He first noted left-sided pain that was only relieved by heat, but it progressed to left hip and groin pain made worse with movement. The patient […]
Abstract Number: 659
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 55 year old male with history of ulcerative colitis and iron deficiency anemia presented to the emergency department with a 1 week history of progressive swelling, tenderness and erythema of a circumscribed area of his anterior chest. Similar lesions erupted over right 4th finger and right ankle 2 days prior to presentation. […]
Abstract Number: 660
SHM Converge 2021
Case Presentation: We present a case of a 58 year old female with complaints of abdominal pain. The patient had six months of alternating fevers, chills and fatigue. She was placed on antibiotics but her fevers returned upon completion. Three months thereafter, the patient developed left lower quadrant abdominal pain that was sharp in nature […]
Abstract Number: 683
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 67 year old female presented to an outside facility with four months of intermittent abdominal pain and alternating episodes of diarrhea and constipation. CT scan of the abdomen and pelvis showed a large lobulated mesenteric mass closely adherent to adjacent bowel and encasing the SMA and SMV. A CT-guided core needle biopsy […]
Abstract Number: 690
SHM Converge 2024
Case Presentation: A 52-year-old male with hypertension, sleep apnea, and polycythemia presented to an outside hospital for abdominal bloating and pain with emesis for 2 weeks. Labs showed WBC up to 26k/µl, AST of 166, ALT of 155, and total bilirubin of 2.8 mg/dl with normal range lipase and lactate. Initial CT abdomen pelvis (CTAP) […]
Abstract Number: 728
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 78-year-old woman with amyotrophic lateral sclerosis presented with abdominal fullness. She had undergone tracheal tube intubation, mechanical ventilation and percutaneous gastrostomy 4 years previously because of difficulty in respiration and ingestion. Upon physical examination, her abdomen was distended with board-like rigidity and her legs were cyanotic. Her blood pressure was 96/71 mm […]
Abstract Number: 743
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 28-year-old HIV positive male presented with one week of rectal pain and bloody diarrhea. He was found to have bright red blood in vault on rectal examination. Laboratory studies were concerning for a leukocytosis with left shift, an elevated CRP (>80 mg/dl), and a positive fecal calprotectin. His CT scan demonstrated circumferential […]
Abstract Number: 756
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 41-year-old male with past medical history of ulcerative colitis (UC) currently on vedolizumab infusions every 8 weeks presented to the hospital with right lower quadrant abdominal pain. The patient endorsed nausea, vomiting, and 15-20 loose, bloody bowel movements per day. Upon admission, the patient was afebrile, normotensive, and non-tachycardic. Physical exam revealed […]
Abstract Number: 758
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient was a 38 year old male with a 5 year history of ulcerative colitis (UC) who presented with a flare of symptoms during the past year, resulting in a 60 lb weight loss. He had been having up to 42 bloody bowel movements per day. The patient was found to have […]