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Search Results for Complex
Abstract Number: 593
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 41-year-old female presented with non-productive cough and worsening exertional shortness of breath for 3 weeks. She denied fever, night sweats, orthopnea, paroxysmal nocturnal dyspnea. There was no history of recent travel, smoking, or illicit drug use. She did not have any significant past medical or family history. On physical exam, there was […]
Abstract Number: 601
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 64-year-old female with non-insulin-dependent type 2 diabetes mellitus presented to the emergency room with a 2-week history of progressive pain and swelling of her left index finger. Prior outpatient evaluation with X-rays and MRI resulted negative, and a Cortisone injection and anti-inflammatories provided no relief. She reported difficulty moving her finger, increased warmth […]
Abstract Number: 605
SHM Converge 2024
Case Presentation: A 52 year-old man with PMH of HIV presented with inguinal lymphadenopathy, intermittent abdominal pain, suprapubic fullness, fever and poor urine production for several days. Bladder catheterization yielded a large volume of bloody urine. The patient had not experienced hematuria previously and had no history of urinary retention, urgency, perineal or GU trauma. […]
Abstract Number: 740
SHM Converge 2024
Case Presentation: A 33-year-old male with alcohol use disorder presented with progressive bilateral proximal arm weakness and muscle twitching for months. MRI of his brain and cervical spine were unremarkable. Electromyography (EMG) demonstrated mild diffuse fasciculations and changes consistent with denervation, which were attributed to alcohol-related polyneuropathy. The patient planned to abstain from alcohol and […]
Abstract Number: 741
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 61-year-old male with past medical history of hypertension, hyperlipidemia and coronary artery disease presented with sustained tachycardia. His history was remarkable for ST segment elevation myocardial infarction (MI) and had a stent placed in right coronary artery (RCA) 1 month ago. He was non-compliant with antiplatelet therapy and his RCA re-occluded within […]
Abstract Number: 814
Hospital Medicine 2020, Virtual Competition
Case Presentation: Introduction: Mixed Cryoglobulinemia (MC) is a rare subtype of the Cryoglobulinemia disorders which are caused by precipitation of immune complexes in the serum at cold temperature. MC involves more than one immunoglobulin component, i.e. IgM, rheumatoid factor (RF) and can be classified further as Type II or III. MC has associations with both […]
Abstract Number: 880
SHM Converge 2023
Case Presentation: A 19-year-old male with history of VACTERL, end-stage kidney disease with kidney transplant 7 years prior, scoliosis with T8-L2 fusion 8 years prior, reversible posterior leukoencephalopathy syndrome (PRES), depression, and recent admission for suspected cannabinoid hyperemesis syndrome presented to the ED after a fall due to weakness, and recurrent nausea and vomiting.Physical exam […]
Abstract Number: A10
SHM Converge 2022
Background: The rate of young adults with complex medical needs and chronic illnesses hospitalized at children’s hospitals is increasing faster than any other age group of pediatric patients. There have been multiple studies showing the impact of young adult and adult aged patients as they are admitted to a pediatric hospital, however little has been […]
Abstract Number: J21
SHM Converge 2022
Background: In the US, a small number of patients with complex medical and psychosocial needs disproportionately consume healthcare resources. At our institution, the HOME Program provides dedicated Individualized Care Plans (ICPs) and care coordination for patients with a range of chronic illness. Among such illnesses, Type 1 Diabetes Mellitus accounts for a large portion of […]
Abstract Number: J24
SHM Converge 2022
Case Presentation: MG is an 18 year old male with quadriplegia from c-spine injury and chronic respiratory failure with trach/vent dependence who presented with 2-3 weeks of intermittent fevers, chills, malaise, abdominal pain, nausea, emesis, diarrhea, and anorexia. Initial evaluation revealed leukocytosis, thrombocytosis, and mild anemia. Urinalysis was significant for moderate leukocyte esterase, nitrites, pyuria, […]