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Search Results for Cognitive
Abstract Number: 286
SHM Converge 2024
Background: Inter-hospital transfer (IHT) care is complex and suffers from inefficiencies in information and task organization, which can contribute to high cognitive load for clinicians.[1-4] Cognitive overload can lead to medical errors and clinician stress.[5-8] Our study identifies specific areas of high cognitive load experienced by hospital medicine physicians and advanced practice providers (APPs) who […]
Abstract Number: 298
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Medicine is complex with extraneous workload impacting the daily flow of physicians. This may contribute to an increased risk of burnout (BO). Cognitive load from complex systems can decrease performance and increase risk of error. This study aims to evaluate the physician cognitive load (PCL) of a clinical workday in a national sample of […]
Abstract Number: 365
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Altered Mental Status in a Psychiatric Patient: A Case of Anti-NMDA Encephalitis Case Presentation: 29-year-old female with a history of Bipolar I Disorder, in remission off medication, presented to the Psychiatric Emergency Department with hyperactivity, insomnia, impulsive purchasing and audiovisual hallucinations for two weeks. The patient was admitted to psychiatry for treatment of mania with […]
Abstract Number: 386
SHM Converge 2021
Case Presentation: A 60-year-old man with type 2 diabetes presented with dyspnea and chest pain for 5 days during the COVID-19 pandemic. He arrived in acute hypoxic respiratory failure, with an oxygen saturation of 45% on room air. Physical exam revealed coarse lung sounds bilaterally and accessory muscle use. Initial labs were notable for leukocytosis […]
Abstract Number: 480
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 56-year-old male with a history of 45 pack-year smoking, peptic ulcer, and cholecystectomy 5 months ago presented with worsening epigastric pain and 70-pound weight loss over the last 3 months, associated with subjective fevers, drenching night sweat, and malaise. The patient was hospitalized a month ago for the same reason, when computed […]
Abstract Number: 483
SHM Converge 2023
Case Presentation: 67-year-old gentleman with medical history significant for alcohol use presented to the Emergency Department (ED) with hallucinations and tremors. His last drink was the day prior. In the ED, he was tremulous, tachycardic, hypertensive and confused. He was admitted and placed on the alcohol withdrawal protocol with diazepam. At discharge, he was evaluated […]
Abstract Number: 503
SHM Converge 2024
Case Presentation: A 70-year-old man with a history of bladder cancer treated with intravesical Bacillus Calmette-Guerin (BCG) therapy presented with acute on chronic back pain. Six months prior, he presented with lower back pain, was diagnosed with culture negative bacterial osteomyelitis, and underwent an L3-L5 laminectomy. He was discharged with an empiric 6-week antibiotic course […]
Abstract Number: 552
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 66-year-old male with history of type 1 Von Willebrand disease, colonic polyps, and gastric ulcer from naproxen use due to osteoarthritis presented with a 3-week history of lethargy and fatigue with walking short distances. He denied melena or hematemesis but did report consistent ibuprofen use for his osteoarthritis over the past few […]
Abstract Number: 597
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 66-year-old woman with hypertension presented to the hospital one day after arrival to New York City from Guinea with chronic daily vomiting, unintentional weight loss, progressive shoulder pain, and a subacute pruritic rash. She denied fevers, night sweats, difficulty breathing, chest pain, palpitations, unusual skin exposures, insect bites, trauma to the shoulder, […]
Abstract Number: 622
Hospital Medicine 2020, Virtual Competition
Case Presentation: 47-year-old African American incarcerated male presented with headache, new seizures, and blurry vision. Spinal fluid showed high protein, lymphocytes, mildly elevated adenosine deaminase, and low glucose. AFB, bacterial, fungal and viral studies were negative. MRI revealed severe basilar meningitis with enhancing nodular density. RIPE (Rifampicin, Isoniazid, Pyrazinamide, Ethambutol) was started, followed by RI […]