Session Type
Meeting
Search Results for Cirrhosis
Abstract Number: 672
SHM Converge 2024
Case Presentation: A 48-year-old male with past medical history significant for hypertension, alcohol use disorder in remission, known grade I esophageal varices, and cirrhosis who presented with confusion and oral mucosa bleeding. He was tachycardic to 100 but had adequate blood pressure of 106/68. Initial labs remarkable for hemoglobin 9.4 g/dL and platelet count 1 […]
Abstract Number: 689
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 76-year-old Chinese woman with history of cryptogenic cirrhosis (MELD-Na 25) presented to our hospital with 1 week of worsening jaundice, abdominal distension, and right upper quadrant pain. Cirrhosis was diagnosed by imaging on admission 2 months previously and presumed to be secondary to Hepatitis C infection due to antibody positivity. CT of […]
Abstract Number: 694
Hospital Medicine 2020, Virtual Competition
Case Presentation: Introduction: Renal cell carcinoma (RCC) is classically associated with the triad of abdominal pain, hematuria, and a palpable mass, but its variability in clinical presentation has earned it the label of “internist’s tumor” (1,2). Liver dysfunction has been observed as a result of metastatic disease and a non-metastatic paraneoplastic syndrome called Stauffer’s syndrome […]
Abstract Number: 722
SHM Converge 2021
Case Presentation: A 61-year-old man with decompensated non-alcoholic steatohepatitis cirrhosis and end-stage renal disease (ESRD) presented with sudden-onset hypotension. He described 3 days of fatigue, lethargy, and loss of appetite with a history of breeding chickens. He was afebrile, blood pressure was 70/40, and abdomen was distended without tenderness to palpation. Initial diagnostic paracentesis showed […]
Abstract Number: 742
SHM Converge 2021
Case Presentation: 63-year-old female with past medical history of type II diabetes, Roux-en-Y bypass, alcoholic hepatitis, osteoarthritis of bilateral knees post-total left knee arthroplasty (2014), presented with acute left knee pain and new functional decline. She denied any trauma, fevers, or chills. Exam was notable for warmth over the joint, diffuse pain with palpation and […]
Abstract Number: 782
SHM Converge 2024
Case Presentation: A 64-year-old female with decompensated alcoholic liver cirrhosis was admitted to the hospital for lower abdominal pain. The initial paracentesis polymorphonuclear (PMN) leukocyte count was 149 cells/mm3, but the patient was found to have E. coli urinary tract infection. During the course of her treatment, the patient developed pancreatitis and her hepatic encephalopathy […]
Abstract Number: 988
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 55-year old female with cirrhosis secondary to chronic hepatitis B infection non-adherent with Entecavir therapy presented with altered mental status, diarrhea, abdominal pain, and emesis. Vital signs revealed hypotension, tachycardia, and tachypnea. Exam revealed somnolence and significant abdominal distension without guarding, rebound, or rigidity. Laboratory evaluation was remarkable for a leukocytosis to […]
Abstract Number: B31
SHM Converge 2022
Case Presentation: A 51-year-old male with a history of alcoholic liver cirrhosis presented with severe bilateral leg pain associated with nausea, vomiting, and diarrhea, after consuming raw oysters 36 hours prior to admission. Physical exam revealed an encephalopathic obese man with a temperature of 38.2oC, heart rate of 102 bpm, and BP of 85/50 mmHg. […]
Abstract Number: C45
SHM Converge 2022
Case Presentation: A 43-year-old woman with cryptogenic cirrhosis complicated by a previous episode of spontaneous bacterial peritonitis, recurrent bilateral hepatic hydrothorax, hepatic encephalopathy, and esophageal variceal bleeding presented with a three-day history of dyspnea. Her oxygen saturation was 90% on room air, but the remainder of her vital signs were within normal limits. A chest […]
Abstract Number: N27
SHM Converge 2022
Case Presentation: A 57-year-old male with history of non-alcoholic steatohepatitis (NASH) cirrhosis complicated by recurrent hepatic hydrothorax (requiring approximately 15 thoracenteses) presented with dyspnea. Admission chest x-ray and subsequent computed tomography (CT) scan revealed a large pleural effusion with collapse of the right lower lobe. He underwent thoracentesis with removal of two liters of pink, […]