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Abstract Number: 391
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 66 year old man presents with progressive weakness and diffuse myalgias. He has been on antibiotic treatment for an infected iliac artery stent which was removed on recent hospitalization. He was discharged in good condition on IV daptomycin and ceftriaxone. He presented one week after discharge and was found with an acutely […]
Abstract Number: 391
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: This is the case of an ex-41 2/7 week baby girl, born to a 28 year old G4P0 now 1 mother via cesarean section for arrest of descent. Early in pregnancy, the mother endorsed occasional marijuana use and had one urine toxicology screen positive for marijuana. Subsequent urine drug screens were all negative, […]
Abstract Number: 411
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 49 year-old woman with type 2 diabetes presented with emesis and inability to tolerate oral intake. Her symptoms had developed three days earlier, following an elective abdominoplasty and incarcerated hernia repair. Her anti-hyperglycemic regimen included sitagliptin, glimepiride, and dapagliflozin. She had stopped those medications on the day of surgery and restarted them […]
Abstract Number: 434
SHM Converge 2021
Case Presentation: A 77 year old male with history of diabetes mellitus, systolic heart failure and morbid obesity who presented with multiple episodes of falls occurring over a 2 week period. The patient reported bilateral weakness and pain in the lower extremities, in addition to sensation of paresthesias and numbness. He reported a progressive loss […]
Abstract Number: 435
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Most patients hospitalized with community-acquired pneumonia (CAP) can be safely treated with 5-days of antibiotic therapy. However, many are not. We aimed to determine whether a hospitalist-focused collaborative could reduce excessive antibiotic use in patients hospitalized with CAP through a combination of collaboration with antibiotic stewardship, data feedback, pay-for-performance, and sharing best practices. Methods: […]
Abstract Number: 450
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 65-year-old woman with hepatitis C-induced liver cirrhosis status-post liver transplantation, coronary artery disease and gout, presents with one week of progressive fatigue, weakness, and severe pain in her right leg and left shoulder. She was on atorvastatin for cardiac disease and had recently started Ledipasvir/Sofosbuvir for hepatitis C two months prior. She […]
Abstract Number: 458
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 90 year old female, with diabetes mellitus type 2, hypertension and osteoporosis presented to our emergency room with altered mental status for 5 days. The patient had been treated for jaw osteonecrosis over the past 6 months which included multiple debridements and IV antibiotics. She was started on IV ertapenem 1g daily […]
Abstract Number: 464
SHM Converge 2024
Case Presentation: A 67-year-old male with a past medical history of peripheral arterial disease, a chronic left lower extremity wound, and type 2 diabetes mellitus was admitted from vascular surgery clinic for osteomyelitis of the left lower extremity. He underwent multiple procedures by the podiatry service including a trans-metatarsal amputation. Intraoperative bone cultures returned positive […]
Abstract Number: 474
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 49 year-old man with a recent diagnosis of myasthenia gravis presented with 3 days of fever up to 103, rhinorrhea, frontal headache, mild lower extremity weakness, a mildly productive cough, and a leukocytosis to 16. As he had been started on prednisone and azathioprine 10 days prior to his presentation, he underwent […]
Abstract Number: 476
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 69-year-old woman with metastatic breast cancer, atrial fibrillation (on coumadin) and CKD stage III was admitted after a fall. She was treated for pneumonia with ceftriaxone and azithromycin. On hospital day 2, the patient became encephalopathic, hypotensive and required endotracheal intubation for hypercapneic respiratory failure. Antibiotics were broadened to vancomycin and piperacillin/tazobactam.On […]