Session Type
Meeting
Search Results for Diagnosis
Abstract Number: 327
Hospital Medicine 2020, Virtual Competition
Background: Cancer screening guidelines based on age, biological sex, and degree of risk are intended to diagnose malignancies early and in the outpatient setting. Despite these efforts, malignancies are often diagnosed while patients are admitted to the hospital. These diagnoses are made either incidentally or after the onset of a clinical condition that necessitates an […]
Abstract Number: 386
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 57 year old man with a history of heart failure with preserved ejection fraction (HFpEF), chronic kidney disease (CKD) and hypertension presented with two weeks of exertional dyspnea and lower extremity edema, followed by 4-days of progressive tongue swelling. One-month prior, he was initiated on an ACE inhibitor (ACEi) and experienced tongue […]
Abstract Number: 397
SHM Converge 2024
Background: Clinical documentation is essential for adequate representation of patient quality care metrics and accurate diagnosis capture but rarely taught in graduate medical education. Inaccurate capture of diagnoses leads to clinical documentation integrity (CDI) queries, which increase workload on busy providers. Implementation of a standardized note template for our resident physicians previously resulted in an […]
Abstract Number: 399
SHM Converge 2024
Background: The diagnostic process, inherently fraught with uncertainty and susceptible to errors, has been associated with adverse outcomes when physicians exhibit lower tolerance for uncertainty (1,2). The Diagnostic Time-Out (DTO) serves as a structured tool to outline a problem representation, prioritize the differential diagnosis, and communicate diagnostic uncertainty in high-risk situations for diagnostic errors. In […]
Abstract Number: 434
SHM Converge 2023
Case Presentation: A 67 year-old woman presented with six weeks of worsening disorientation. Her husband reported severe insomnia, abnormal behaviors, decreased short-term memory, and very labile mood. She had a history of well-controlled bipolar disorder on chronic lithium therapy. She had a forty pack-year smoking history. She was diagnosed with a urinary tract infection and […]
Abstract Number: 455
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospitalized patients are complex and often receive concurrent treatment for multiple diseases. Patients presenting with shortness of breath and infiltrates on chest x-ray may be treated for pneumonia, congestive heart failure (CHF) or both. Fluid and blood pressure management may be particularly challenging for these patients. Our goal was to define the impact of […]
Abstract Number: 461
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: Ms. S is a 64 year old woman recently diagnosed with multiple myeloma following a hip fracture and repair, who was transferred from an outside hospital for hematochezia. She was admitted to the outside hospital from a skilled nursing facility for presumed post-operative ileus complicated by nausea and vomiting. During that stay, she […]
Abstract Number: 482
SHM Converge 2024
Case Presentation: 21 cases of small intestine anisakiasis were analyzed in terms of medical history, examinations of symptoms, vital signs, laboratory data, and CT findings. 9 cases were identified through specific anisakiasis Immunoglobulin E or Immunoglobulin A testing. 2 cases were confirmed by the detection of anisakis by endoscopic examination. 10 cases were diagnosed based […]
Abstract Number: 521
SHM Converge 2023
Case Presentation: An 84-year-old Caucasian male with a history of hyperlipidemia presented to his primary care provider with a 6-week history of an erythematous rash with associated proximal limb weakness but without complaint of breathing or swallowing difficulties. Statin-induced rash with myopathy were suspected so his statin was stopped, and he was referred for skin […]
Abstract Number: 524
SHM Converge 2023
Case Presentation: 72-year-old male with a history of prostate cancer status post prostatectomy, recent diagnosis of pansinusitis and multiple bilateral pulmonary lesions and a mass-like consolidation of the left upper lobe presented complaining of dyspnea. He was receiving treatment for sinusitis and pneumonia with plans for outpatient bronchoscopy to rule out malignancy. On presentation, the […]