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Abstract Number: 609
SHM Converge 2024
Case Presentation: A 70-year-old woman with morbid obesity and non-alcoholic steatohepatitis cirrhosis was initially treated at an outside hospital for hematemesis. She received aggressive volume resuscitation, a blood transfusion, and was found to have esophageal varices. She was transferred for endovascular management of her varices. During transfer, she had nausea treated with an antiemetic administered […]
Abstract Number: 634
SHM Converge 2023
Case Presentation: 59 year-old female with past history of uncontrolled asthma with multiple exacerbations requiring systemic corticosteroids, and recurrent episodes of non-traumatic rhabdomyolysis, presented with muscle aches. On exam, patient was hemodynamically stable and afebrile, with bilateral upper and lower extremity tenderness. Laboratory analysis was concerning for elevated creatinine kinase levels of 1127 U/L. Complete […]
Abstract Number: 647
SHM Converge 2023
Case Presentation: A 43-year-old male with a history of diffuse large B-cell lymphoma (DLBCL) in remission for 2 years after chimeric antigen receptor (CAR) T-cell therapy presented to his PCP with headaches and a mild cough. A PCR COVID-19 test was positive, a head CT showed cerebral edema, and MRI had diffuse dural thickening without […]
Abstract Number: 666
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 45 year old African American male with sarcoidosis (2009 lung biopsy) was brought by EMS after an out of hospital ventricular fibrillation cardiac arrest. With ACLS, ROSC was attained after 20minutes. He had no family history of sudden death or heart disease. He did not engage in any toxic habits. Exam showed […]
Abstract Number: C17
SHM Converge 2022
Background: Cirrhosis was the fifteenth leading cause of death in the United States in 2019, with ascites being the most common major complication leading to hospital admission. Patients with ascites have recurrent hospital admissions with disproportionate use of hospital resources. Large volume abdominal paracentesis can be done safely by trained providers and is associated with […]
Abstract Number: E17
SHM Converge 2022
Background: Point-of-care ultrasound (POCUS) is being adopted by hospitalists and internal medicine (IM) residencies due to its impact on procedural safety, diagnostic accuracy and efficiency, provider and patient satisfaction, and its role as a teaching adjunct in medical education. Studies demonstrating impact on system efficiency and cost are few and mostly limited to the emergency […]
Abstract Number: F18
SHM Converge 2022
Background: In utero opioid exposure can result in neonatal abstinence syndrome (NAS). NAS is a serious condition characterized by central nervous system hyperirritability and autonomic nervous system and gastrointestinal tract dysfunction. Newborns with NAS may require pharmacological management, have increased hospital costs, and have a prolonged hospital length of stay (LOS). NAS incidence has increased […]
Abstract Number: G18
SHM Converge 2022
Background: Venous thromboembolism (VTE) is a preventable cause of morbidity and mortality in the hospital setting. While respiratory symptoms are the fundamental feature of COVID-19 infection, VTE is a known sequelae given the hypercoagulable state of the disease. Therefore, it is common for hospitalists to prescribe prophylactic anticoagulation in the inpatient setting for patients with […]
Abstract Number: H15
SHM Converge 2022
Background: The SARS-CoV-2 pandemic has required healthcare systems around the world to rapidly innovate and adapt to unprecedented operational and clinical strain. Anticipated limitations in healthcare resource allocation is coupled by the strife caused by the variable clinical course of COVID-19 and the isolation of families inevitable with an inpatient admission. Many healthcare systems have […]
Abstract Number: H16
SHM Converge 2022
Background: Up to 45% of Americans do not fill prescriptions because of cost. Medication non-adherence annually leads to $100-$300B in excess morbidity and mortality. To better inform medication cost effects on a potentially vulnerable patient population, our primary aim was to measure annual patient out-of-pocket outpatient medication cost for patients without prescription drug insurance coverage […]