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Search Results for Diagnosis
Abstract Number: 584
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 47- year-old man with a history of hypothyroidism presented to the emergency room (ER) for the evaluation of generalized body weakness and jaundice of a week duration. There was also associated intense generalized pruritus of about 6 months; subjective weight loss, recurrent fevers, nausea and vomiting. Physical examination was significant for an […]
Abstract Number: 603
SHM Converge 2023
Case Presentation: A 44-year-old man with history of uncontrolled diabetes mellitus, gastroparesis, chronic malnutrition, and cognitive impairment presented to the emergency room with two weeks of nausea, vomiting, and inability to tolerate oral intake. Given chronic malnutrition and inability to control symptoms with anti-emetics, enteral access was obtained and both tube feeds and motility agents […]
Abstract Number: 619
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 22 year old man with no past medical history presented to our emergency department with three weeks of nausea, vomiting and abdominal pain. He also reported subjective fevers, hematochezia, hematemesis, oral ulcers, gum bleeding, dark colored urine and 30 pound weight loss over the past month. The patient was not forthcoming with […]
Abstract Number: 625
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 53-year-old woman with a history of metabolic syndrome and necrotizing pancreatitis presented with new onset ascites. Her story began nine months earlier, when she developed abdominal pain. CT at that time revealed pancreatitis and cholelithiasis without biliary dilation. Lab values were notable for: lipase 55000, total bilirubin (TBIL) 5.3, AST 660, ALT […]
Abstract Number: 650
SHM Converge 2023
Case Presentation: A 19 year-old woman with anxiety and recurrent fevers of unclear etiology presents with fever, sore throat, and body aches. Three days prior to presentation, the patient developed sore throat, dysphagia, and dysphonia. She presented to urgent care, started amoxicillin without improvement. She developed fevers (Tmax 104F) two days later, prompting an Emergency […]
Abstract Number: 680
SHM Converge 2024
Case Presentation: A 29-year-old man with a history of morbid obesity, asthma, and chronic tracheostomy presented with 3 weeks of abdominal pain. The pain was intermittent and epigastric, without relationship to eating. He had poor appetite and nausea, though no emesis. He denied use of ibuprofen or alcohol. He denied fevers or chills. The pain […]
Abstract Number: 691
SHM Converge 2024
Case Presentation: A 22-year-old male with no past medical history presented with a three-week history of a frontal headache associated with nausea and vomiting. He denied various symptoms, including bloody diarrhea, dysuria, or hematuria. He had no history of renal calculi, recent illness, antibiotic exposure, or drug allergies. He recently traveled to Jamaica and Florida […]
Abstract Number: 728
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 78-year-old woman with amyotrophic lateral sclerosis presented with abdominal fullness. She had undergone tracheal tube intubation, mechanical ventilation and percutaneous gastrostomy 4 years previously because of difficulty in respiration and ingestion. Upon physical examination, her abdomen was distended with board-like rigidity and her legs were cyanotic. Her blood pressure was 96/71 mm […]
Abstract Number: 768
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 57-year-old Japanese woman with a history of atopic dermatitis and recurrent cystitis presented to our hospital with a 4-week history of intermittent fever with chills, unlocalized mild headache, appetite loss, and 6-kg weight loss. Four weeks earlier, she developed fever without any localized symptoms, except for a mild headache. Her symptoms did […]
Abstract Number: 825
SHM Converge 2024
Case Presentation: A 48-year-old male with major depressive disorder, bipolar disorder and borderline personality disorder with multiple psychiatric admissions was admitted to the hospital for sepsis secondary to aspiration pneumonia with associated chronic dysphagia and unintentional weight loss. He also reported suicidal ideation, homicidal ideation, and intrusive thoughts of hurting others. Per family he had […]