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Search Results for Chronic
Abstract Number: 670
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 59 year old man with no past history presented with continuous gingival bleeding for 3 days. He underwent dental cleaning and tooth extraction 3 days prior and since then had been having bleeding from the extraction site associated with headache and dizziness. On presentation blood pressure 110/70mmHg, pulse 105/min, temperature 98F, respiratory […]
Abstract Number: 679
SHM Converge 2024
Case Presentation: An 87-year-old woman with a history of pancreatic cancer status post distal pancreatectomy/splenectomy/partial colectomy, chronic kidney disease, hepatocellular carcinoma, and diabetes was admitted following sudden onset of new, uncontrollable bilateral upper extremity shaking and facial twitching. Symptoms started the night before and became progressively worse with dyspnea, nausea, and bilateral lower extremity tremors […]
Abstract Number: 692
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 21-year-old woman was referred to the hematology clinic for further workup for thrombocytosis which was found upon evaluation for vasovagal syncope. The patient was asymptomatic with no pertinent past medical or family history. Upon presentation, the patient was vitally stable and physical examination was normal. Labs were relevant for a white blood […]
Abstract Number: 702
SHM Converge 2021
Case Presentation: A 102-year-old male with a past medical history of coronary artery disease(CAD), transient ischemic attack(TIA) ,well controlled hypertension(HTN), presented to emergency department(ED) with aphaisa and left facial droop of two hours duration. His symptoms were resolved by the time he presented to the ED. Surgical, social, and family histories were unremarkable.Physical Examination was […]
Abstract Number: 702
SHM Converge 2024
Case Presentation: A 23-year-old male with a history of migraines and a renal transplant presented to the ED with diffuse headaches and photophobia. He was treated with Ganciclovir and Doxycycline for positive HHV6 and Lyme disease, respectively. His MRI was negative for intracranial abnormalities but, CSF showed elevated protein and glucose. A repeat LP a […]
Abstract Number: 703
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 56-year-old-male with hypertension, diabetes mellitus, chronic kidney disease (CKD) stage 3 presented with a 6-month history of intermittent lower extremity swelling and a 3-week history of scrotal and abdominal swelling. 9 months prior, he was noted to have worsening renal function and nephrotic range proteinuria (13g) prompting two renal biopsies which demonstrated […]
Abstract Number: 705
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 73 year-old African-American female with history Rai Stage 3 Chronic Lymphocytic Leukemia (CLL), not on any treatment was admitted with sepsis secondary to cellulitis of right leg. On the seventh day of hospitalization she became acutely dyspneic. On evaluation, blood pressure was 100/70 mmHg, heart rate 110 beats/min, respiratory rate 21 per […]
Abstract Number: 716
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 64-year-old Pakistani man was referred to nephrology clinic for evaluation of progressive kidney disease. Relevant medical history included well-controlled type 2 diabetes mellitus, gout and hypertension. Six months prior to presentation his serum creatinine level was 2.9 mg/dL (eGFR 22 ml/min per 1.73m2), patient had been asymptomatic and had well-controlled co-morbidities without […]
Abstract Number: 721
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 56-year-old man with history of hypertension on amlodipine, hydralazine, losartan, spironolactone, and torsemide, uncontrolled insulin dependent type 2 diabetes mellitus, chronic kidney disease (CKD) stage IIIb, and chronic lymphocytic leukemia (CLL) with extreme leukocytosis of 268,600/uL on admission presented to the hospital for progressive shortness of breath and was found to be […]
Abstract Number: 742
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 48 year-old woman presented to the emergency room with dizziness following five episodes of black stool. She had otherwise been well and denied prior episodes. Her admission labs were notable for hemoglobin of 6.2 g/dL, white blood cell count of 24,000/uL, and platelets of 1.4 million/uL. On chart review, the patient had […]