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Abstract Number: 1092
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 90-year female with a recent onset of vancomycin induced hypersensitivity reaction presents to the ED with sepsis and generalized disseminated rash. She recently underwent a surgery that was complicated with pseudomonas infection and was treated with vancomycin and Zosyn. However, she developed a pruritic, erythematous macular rash on her abdomen and vancomycin […]
Abstract Number: 1105
Hospital Medicine 2020, Virtual Competition
Case Presentation: An elderly man was diagnosed with clear cell renal cell carcinoma in 1987, and treated with left nephrectomy, though developed multi-organ metastatic disease in 2015. After he did not tolerate initial treatment with sunitinib, he received 15 cycles of NKTR-214 and nivolumab as part of a phase I/II study. Three months after his […]
Abstract Number: 1142
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 46-year-old woman with no past medical history presented with right upper quadrant pain, jaundice, and pruritus after undergoing a liver biopsy at an outside hospital. At the outside hospital, she had these same symptoms with hyperbilirubinemia and transaminitis. HIDA scan was negative. The liver biopsy showed marked portal and pan-lobular inflammatory infiltration […]
Abstract Number: 1170
Hospital Medicine 2020, Virtual Competition
Case Presentation: Our patient is a 13 year old female with a 3-year history of celiac disease who presented to an outside facility with three days of fever, myalgias and RUQ pain. She had no stool changes, nausea or vomiting. Initial lab work was notable for a lipase of 1100, bilirubin of 4.9, AST of […]
Abstract Number: 1235
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 37-year old male with PMH of HIV on HAART presented with episodes of seizure, syncope and altered mental status. Vital signs and physical examination were unremarkable. Laboratory results revealed sodium level 113, serum osmolarity 243, urine osmolarity 429 and urine sodium 113. Lab findings along with patient appearing euvolemic on exam suggested […]
Abstract Number: 1241
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 61-year-old male with a history of alcohol abuse and Insulin-dependent diabetes mellitus presented with complaints of retrosternal chest pain and multiple bouts of coffee-ground emesis for three days. He reported a three-day binge of drinking vodka prior to the presentation. On examination, he was tachycardic, tachypneic, but normotensive. Hand and tongue tremors […]