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Search Results for COP
Abstract Number: 844
SHM Converge 2023
Case Presentation: 79-year-old man presented with recurrent syncope. He had a history of tonsillar squamous cell carcinoma (SCC) in 2005 s/p resection, pyriform sinus SCC in 2019 s/p total laryngopharyngectomy with tracheostomy and PEG placement. He had multiple prior admissions for the same presentation, which had been attributed to vasovagal syncope and dehydration from intermittent […]
Abstract Number: 880
Hospital Medicine 2020, Virtual Competition
Case Presentation: Pancreaticopleural fistula is a rare and serious complication of acute and chronic pancreatitis. This phenomenon develops due to a leak from an incompletely formed or disrupted pseudocyst, though it can also result from direct pancreatic duct leak. Although few case reports identify pancreaticopleural fistula causing recurrent pleural effusion and empyema, we describe the […]
Abstract Number: 881
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29 year-old male (AP) with history of ALL presented with neutropenic fevers after receiving intrathecal methotrexate one day prior. AP was in consolidation phase of treatment with most recent bone marrow biopsy showing hypocellular marrow without evidence of leukemia. On admission, he was febrile to 102.9 degrees Fahrenheit with pancytopenia and ANC […]
Abstract Number: 911
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 39 year old female presented on day 10, status post (s/p) laparoscopic gastric sleeve, with nausea, vomiting, abdominal pain and loose mucoid stools intermittently since surgery. She had history of rheumatoid arthritis, morbid obesity, with provoked lower extremity deep venous thrombosis (DVT) and pulmonary embolism (PE) who had previous IVC filter and […]
Abstract Number: 927
SHM Converge 2024
Case Presentation: 16-month-old boy with developmental delay, anal atresia, lipomyelomeningocele, and tethered cord syndrome transferred to a tertiary care center for recurrent postprandial blood-streaked emesis and failure to thrive. His past surgical history was remarkable for anorectoplasty. On admission to the outside hospital, his laboratory values were consistent with dehydration, hemoconcentration & hypokalemia. Stool occult […]
Abstract Number: A26
SHM Converge 2022
Case Presentation: A 19-year-old male with no known medical history presented to the ED after being found down and profusely diaphoretic by his parents. He was unresponsive to multiple doses of Ativan and Narcan. He was tachycardic to the 150s and had respiratory insufficiency, so he was intubated in the ED. Initial EKG showed sinus […]
Abstract Number: A41
SHM Converge 2022
Case Presentation: A 45-year-old Vietnamese female with history of H. pylori who presented with worsening nausea, vomiting, epigastric abdominal pain and early satiety. Patient reported her epigastric pain had been intermittent for the past six months but had acutely worsen in the last two weeks. There were no initial inciting events that triggered these symptoms. […]
Abstract Number: G26
SHM Converge 2022
Case Presentation: A 25-year-old male with no significant past medical and family history presented with a one-week history of fever, productive cough, intermittent shortness of breath, diffuse muscle aches and one episode of syncope on the day of presentation. Initial workup in the emergency department was positive for COVID-19. Inflammatory markers, D-dimer and Fibrinogen levels […]
Abstract Number: H22
SHM Converge 2022
Background: Acute exacerbations of Chronic Obstructive Pulmonary Disease (AECOPD) are a major driver of hospitalizations. With a goal of reducing AECOPD admissions at the Cleveland VA Medical Center (VAMC), an interdisciplinary team was developed after a literature review and discussion with high-performing VA groups. Purpose: Primary aim was to decrease AECOPD hospitalizations and readmissions at […]
Abstract Number: H26
SHM Converge 2022
Case Presentation: Here, we present a rare case of large bilateral pleural effusions arising from a pancreaticopleural fistula (PPF) with a complicated course of trapped lung. Our patient is a 41 year old woman with a history of chronic pancreatitis who presented to the emergency department with a 3-day history of dyspnea on exertion and […]