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Search Results for CT
Abstract Number: 1130
Hospital Medicine 2020, Virtual Competition
Case Presentation: Autoimmune myopathies are rare diseases, with a prevalence of just 9–14 cases per 100,000 people and only about 10% of these have Immune-mediated necrotizing myopathy (IMNM). Instead of muscle biopsy, recent guidelines describe IMNM based on antibodies. Here we present a case of Anti-SRP myopathy, a rare subtype of IMNM.This is a case […]
Abstract Number: 1134
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 30-year-old man presented for evaluation of multiple episodes of recurrent non-bloody, watery diarrhea and abdominal complaints. Initially seen in clinic, he was well appearing, with normal lab work (CBC, BMP, TSH, TTG IgA, CRP), but given the subacute timeframe of his diarrhea (2-3 weeks) he was referred to a gastroenterologist. Further testing […]
Abstract Number: 1144
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 70 year-old female with migraines, type 2 diabetes and hypertension presented with progressively worsening headaches, fatigue, fevers, and 20 lb weight loss over six months. She had extensive workup revealing elevated inflammatory markers and an MRI brain three months prior showing a mildly expansile lesion in the right sphenoid bone (Fig. 1A). […]
Abstract Number: 1147
Hospital Medicine 2020, Virtual Competition
Case Presentation: An undomiciled 48-year-old man with HIV presented with fever, chills, rigors, and bilateral leg swelling with pain for 1 week. He had developed worsening painful weeping ulceration most prominently over his right leg below the knee after exposure to water during a series of thunderstorms over the week prior. Physical examination revealed fever, […]
Abstract Number: 1148
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69-year-old man with prior right adrenalectomy for primary hyperaldosteronism presents with lightheadedness, resistant hypertension, and hypokalemia.He had been diagnosed with primary hyperaldosteronism several years prior following workup for resistant hypertension, chronic hypokalemia, and orthostasis. At that time, he was found to have an elevated aldosterone level associated with suppressed renin and normal […]
Abstract Number: 1149
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 49-year-old man with metastatic pancreatic adenocarcinoma diagnosed three months ago and not yet on therapy presented to the emergency room with symptoms of nausea, vomiting, and abdominal pain for one day. Computed tomography of the abdomen and pelvis showed splenic infarcts, bilateral renal infarcts, and increased size of hepatic metastases. On the […]
Abstract Number: 1150
Hospital Medicine 2020, Virtual Competition
Case Presentation: 72 years old Caucasian male presented to the hospital with the complaint of generalized maculopapular rash involving the chest and bilateral upper and lower extremities with the itching for the last 12 hours. He also had been having diarrhea for the last 2 days which was loose watery in consistency and yellowish in […]
Abstract Number: 1152
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 19 year-old obese man presented to the emergency room with 5-day history of periumbilical rash, pain and bloody purulent umbilical discharge.On presentation, the patient was febrile (38.4 C), hypotensive (98/54 mmHg), and tachycardic (111 beats/min). On exam, the periumbilical region was erythematous, indurated, and tender to palpation without rebound tenderness or guarding.Laboratory […]
Abstract Number: 1155
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 24 year-old woman presented to the emergency room for a sore throat and diffuse body aches, with weakness in her shoulders and hips to the point that she required assistance with ambulation over the past week. She was afebrile and normotensive at admission but initial labs were significant for a WBC of […]
Abstract Number: 1156
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 58-year old female with history of breast cancer and uterine fibroid, presented to the ED with worsening right leg pain and swelling associated with red skin discoloration and blanching skin. There was no history of fever, dyspnea, coughs, chest pain, hemoptysis, diaphoresis, palpitations, oral contraceptives or tobacco use. She has family history […]