Session Type
Meeting
Search Results for Diagnostic
Abstract Number: 809
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: An 87-year-old female with a history of bilateral knee osteoarthritis presented to the emergency room with complaints of intermittent fever ongoing at home for two weeks. She recently had a Lipogems injection procedure done to her right knee. She denied any history of recent travel, tick bites or sick contacts. Physical exam was […]
Abstract Number: 810
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 75-year-old Caucasian female with a history of hyperlipidemia treated with statin presented to the emergency room for generalized weakness. She became completely bedbound over the course of 5 days. Examination showed symmetric muscle weakness with power 2/5 at proximal muscles but normal strength in distal muscles. Deep tendon reflexes were decreased. She […]
Abstract Number: 817
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 80-year-old man with prostate cancer and radical prostatectomy with an indwelling Foley catheter presented from his nursing home with three days of hematuria and a hemoglobin of 5.2 mg/dL (baseline 7-9 mg/dL). Initial vital signs were normal. Exam was significant for pink-tinged urine, copious melena, and no abdominal pain. A repeat hemoglobin […]
Abstract Number: 822
SHM Converge 2024
Case Presentation: A 63-year-old male with a medical history of hypertension presented with progressive vision loss over four months, with a one-month history of diffuse myalgias, increasing agitation, and altered behavior. He was an avid hunter with a history of frequent tick and deer fly bites. He presented to the emergency department with his wife […]
Abstract Number: 846
SHM Converge 2023
Case Presentation: Patients presenting with melena are often found to have an upper gastrointestinal source: melenic stool on exam has a likelihood ratio of 25 for upper gastrointestinal bleed (1). But what if repeated endoscopies are unimpressive? Mr. S is a 75 year old male with a history of atrial fibrillation on apixaban for three […]
Abstract Number: 888
SHM Converge 2024
Case Presentation: We detail the hospital course of a 44-year-old man with HIV, inconsistent treatment adherence, and suspected pulmonary tuberculosis (TB). Referred due to miliary lesions on CT scan post-positive QuantiFERON test, weight loss prompted further investigation. The patient, with a CD4 count of 290 cells/μL, had a history of HAART non-adherence, yet no prior […]
Abstract Number: A11
SHM Converge 2022
Background: Community-acquired pneumonia (CAP) is the most common infectious diagnosis necessitating adult hospitalization in the United States (US). Timely diagnosis of CAP is important to improve patient outcomes. However, overdiagnosis of CAP, or treatment of CAP despite inadequate signs or symptoms of CAP, may also pose a significant threat to patient safety. Potential harm of […]
Abstract Number: B42
SHM Converge 2022
Case Presentation: A 28-year-old man with recently diagnosed HIV (CD4 57/mm3), not on antiretroviral therapy (ART), presented to the hospital with shortness of breath for several days. He was severely hypoxic, requiring high-flow nasal cannula oxygen. Chest x-ray showed bilateral infiltrates. He was treated empirically with vancomycin and piperacillin/tazobactam for bacterial pneumonia, and Bactrim and […]
Abstract Number: E44
SHM Converge 2022
Case Presentation: A 53 year old male Missouri resident with a prior history of intravenous drug use, traumatic subdural hematoma, seizure disorder and a diagnosis of human immunodeficiency virus (HIV) / acquired immunodeficiency syndrome (AIDS) in 1990 presented to his local hospital in April with a 1 day history of fever and confusion. He was […]
Abstract Number: F33
SHM Converge 2022
Case Presentation: 71-year-old female with history of DM2, HTN, breast carcinoma in situ status post mastectomy, B-cell lymphoma (R-CHOP in 2016 & RT, currently in remission), autoimmune hepatitis related cirrhosis on Azathioprine presented to the hospital with a 4-day history of progressively worsening productive cough, mild hemoptysis, fever and shortness of breath. In the Emergency […]