Meeting
Abstract Number: 442
SHM Converge 2023
Case Presentation: A 49-year-old male presented for evaluation of an umbilical hernia. Past medical history was remarkable for alcohol misuse; the patient had ceased all alcohol consumption three years earlier. Physical exam revealed a protuberant, non-tender abdomen with a 4×4 cm reducible umbilical hernia. Pre-operative laboratory exam was remarkable for serum sodium of 137 mmol/L, […]
Abstract Number: 672
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 70-year-old man presented with 5 months of anasarca and recurrent chylous ascites and left chylothorax. He had symptoms of dyspnea, orthostatic hypotension, bloating, early satiety, 20-pound unintentional weight loss, anasarca, and left periorbital purpura. He was a 25 pack-year current smoker with a past medical history including type 2 diabetes mellitus, hypothyroidism, […]
Abstract Number: 687
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient is a 56-year-old Caucasian male who presented from an outside hospital (OSH) for recurrent chylous ascites. Four years ago, he was diagnosed with unprovoked left subclavian and left internal jugular deep vein thromboses (DVTs) and had been placed on chronic warfarin therapy. At that time, he developed chylous ascites which resolved […]
Abstract Number: 1113
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 53 year old male with history of decompensated non-alcoholic steatohepatitis cirrhosis (with ascites and esophageal varices), chronic kidney disease stage 3, type 2 diabetes mellitus, colon adenocarcinoma (TNM stage: T3N1) s/p FOLFOX (folinic acid, fluorouracil, and oxaliplatin) and right hemicolectomy 3 years ago was admitted from the liver clinic for acute kidney […]