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Search Results for COP
Abstract Number: N22
SHM Converge 2022
Background: Time spent on electronic medical record (EMR) documentation is one of the top dissatisfiers for providers. With burnout at an all-time high, reducing provider burden while maintaining high quality care is essential to moving healthcare forward in a sustainable way. “While electronic documentation provides a number of benefits as compared to paper-based documentation, including […]
Abstract Number: O14
SHM Converge 2022
Background: There are more than 1.2 million annual emergency department (ED) visits for syncope in the United States. Prior studies have demonstrated that many associated admissions and diagnostic studies, including echocardiogram, carotid ultrasound and head computed tomography (CT), may be unnecessary. Our objective was to determine the effectiveness of a novel protocol for syncope care […]
Abstract Number: O25
SHM Converge 2022
Case Presentation: A 21-year-old previously healthy female presented with a myriad of symptoms including one month of unintentional 20-pound weight loss, dyspnea with minimal exertion, syncopal episodes, palpitations, nausea, and vomiting. Prior to this, she had occasional syncopal episodes throughout her life but was athletic and participated in track in high school. Three months ago, […]
Abstract Number: P34
SHM Converge 2022
Case Presentation: 49-year-old male patient with history of hypertension was sent by his nephrologist to the ER for unexplained worsening renal function and likely renal biopsy. Vital signs were stable, exam was unremarkable, however BUN was 85 mg/dL with creatinine of 10.1 mg/dL (baseline of 1.5 mg/dL). 24-hour urine protein excretion was 5.2 grams. The […]
Abstract Number: 1005
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 24-year-old gentleman gentleman presented to the emergency room complaining of left precordial discomfort and syncopal event at work. His system review was negative. He acknowledged using marijuana with the last usage being the morning of presentation. His initial EKG revealed sinus bradycardia (Figure A). His preliminary blood work revealed normal chemistry, TSH. […]
Abstract Number: 1074
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 25-year-old woman with history of childhood asthma presented with 1 week of fever, dry cough and chest discomfort. She also had non-bloody diarrhea, nausea and vomiting. On review, she admitted vaping THC and CBD products for the past 9 months. She was afebrile with HR 115 bpm, BP 130/61 mmHg, RR 18/min […]
Abstract Number: 1085
Hospital Medicine 2020, Virtual Competition
Case Presentation: Exogenous lipoid pneumonia (ELP) is an unusual respiratory disease caused by inflammation from a foreign body reaction to inhaled lipid particles. Here we present a case of this illness in the absence of a history of vaping, and we show how diagnosis can be delayed while searching for more common respiratory disorders. Discussion: […]
Abstract Number: 1099
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 49 year-old man with history of renal transplant due to focal segmental glomerulosclerosis on mycophenolate and prednisone presented with chest tightness, shortness of breath, and productive cough with white sputum for several weeks. He was admitted one month prior with similar complaints and diagnosed with multi-lobar pneumonia. On admission, vital signs were […]
Abstract Number: 1211
Hospital Medicine 2020, Virtual Competition
Background: Chronic Obstructive Pulmonary Disease (COPD) is among the top three leading causes of hospital readmissions in the United States. Acute Exacerbation of Chronic Obstructive Pulmonary Disease(AECOPD) is associated with increased morbidity, mortality, and cost with AECOPD accounting for more than half of the 15.5 billion USD spent on COPD[1,2]. In this project, we aim […]
Abstract Number: 1220
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 55 year-old man with a history of MSSA Bacteremia, Type II Diabetes, and Hypertension was admitted with pseudomonas bacteremia. Physical exam was notable for a cushingoid appearance. Laboratory studies were remarkable for hypernatremia, hyperkalemia and metabolic alkalosis. Serum morning cortisol was 162 mcg/dL and serum morning ACTH was 297 pg/mL (normal 7-63 […]