Session Type
Meeting
Search Results for Cirrhosis
Abstract Number: 542
SHM Converge 2023
Case Presentation: 26 yo M with X-linked agammaglobulinemia admitted for RLE extremity non healing wound and abdominal distention found to have hepatosplenomegaly (liver 23 cm), moderate to large ascites, transaminitis (ALP 300, AST/ALT 43/12), hyperbilirubinemia (T bili 6.5->7.5), coagulopathy (INR 1.75 with pancytopenia. On ultrasound porto-systemic collaterals and splanchnic vessels were reported patent. MRI abdomen […]
Abstract Number: 559
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: This is a 79-year-old female with a history of stage 3 chronic kidney disease and Sjogren’s syndrome who presented with a two month history of worsening malaise and arthralgia, and a two day history of abdominal distention. On admission, laboratory testing revealed an alkaline phosphatase of 132U/L, aspartate aminotransferase (AST) of 195U/L, alanine […]
Abstract Number: 560
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 46 year-old man with decompensated cirrhosis (MELD 45) presented with dizziness and confusion for two days. He denied any other new symptoms. Home medications included lactulose, propranolol, pantoprazole, folic acid and thiamine. On arrival, the patient was normothermic (99.2 F), with bradycardia to 30-40 BPM and blood pressures of 80s/40s mmHg. He […]
Abstract Number: 567
SHM Converge 2021
Case Presentation: A 49 year old female with history of alcoholic cirrhosis presented to the ED after experiencing self-reported bright red blood per rectum that morning. Patient had history of numerous prior admissions for reported GI bleed with extensive endoscopic work-up; evidence of portal hypertensive gastropathy had been seen previously however no actively-bleeding lesions were […]
Abstract Number: 571
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 45 yo woman with alcohol use, liver cirrhosis, hepatic encephalopathy and recurrent abdominal ascites, presented to hospital with decreased urine output and abdominal swelling. She was found to have severe acute renal failure and was treated for suspected hepatorenal syndrome with intravenous albumin infusion. She did not recover renal function and required […]
Abstract Number: 585
SHM Converge 2024
Case Presentation: A 54-year-old man with a history of alcoholic cirrhosis presented to the emergency department for evaluation of a new facial rash and was found to be hypercalcemic to 15.6 mg/dL. A subsequent ionized calcium and cystatin C were also found to be elevated at 1.90 mMol/L and 2.55 mg/L (eGFR 23), respectively. His […]
Abstract Number: 585
SHM Converge 2021
Case Presentation: A 57-year-old man with decompensated cryptogenic cirrhosis and chronic kidney disease who was listed for simultaneous liver and kidney transplantation presented with two days of anorexia and malaise. He reported associated nausea, vomiting, and progressive weakness. He denied fever, confusion, cough, abdominal pain, dysuria.Vital signs were normal. He was fatigued, jaundiced, and chronically […]
Abstract Number: 589
SHM Converge 2024
Case Presentation: A 46-year-old male with alcohol use disorder and cirrhosis presented to the emergency department for 1 day of persistent ascitic fluid leakage from his umbilicus. Exam was significant for ascites and a reducible, ulcerated umbilical hernia. The ulcer was cleaned, sealed with skin glue, and the patient was discharged. He presented again 7 […]
Abstract Number: 622
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 51- year old male with a past medical history of cirrhosis due to sarcoidosis, was admitted with worsening left lower extremity pain and swelling for two days. He remembered a pop in his left leg two days ago after performing squats followed by severe left lower extremity pain the morning after. Additionally, […]
Abstract Number: 625
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 53-year-old woman with a history of metabolic syndrome and necrotizing pancreatitis presented with new onset ascites. Her story began nine months earlier, when she developed abdominal pain. CT at that time revealed pancreatitis and cholelithiasis without biliary dilation. Lab values were notable for: lipase 55000, total bilirubin (TBIL) 5.3, AST 660, ALT […]