Session Type
Meeting
Search Results for Dysphagia
Abstract Number: 74
SHM Converge 2023
Background: Most cases of pneumonia in older people are aspiration pneumonia,[1] and the prognosis among patients hospitalized for aspiration pneumonia is very poor.[2] After being hospitalized for aspiration pneumonia, a certain number of patients become unable to take orally, and some chronic conditions are reported to be negatively associated with the retrievement of oral intake.[3] […]
Abstract Number: D1
SHM Converge 2022
Background: Oropharyngeal dysphagia affects up to 86% of hospitalized patients with dementia. Texture-modified food and thickened fluids are the mainstay of dysphagia management in patients with dementia, yet data on whether these diets improve clinical outcomes is lacking. Using a mixed methods approach, this study aimed to evaluate the following: 1) adherence to dysphagia diets […]
Abstract Number: I7
SHM Converge 2022
Background: Dysphagia is prevalent in older adults with dementia, particularly in the acute care setting. The objective of this study was to use an innovative approach to extract a more representative sample of patients with dysphagia from the electronic health record (EHR) to determine patient characteristics and outcomes associated with dysphagia in hospitalized persons with […]
Abstract Number: 105
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In Japan, a “super-aged” society, the rate of end-stage dysphagia in the elderly is increasing. Artificial hydration and nutrition (AHN) can be used for such patients, although it may not improve mortality or quality of life. The many downsides of AHN are not always well explained to patients and their families, resulting in routine […]
Abstract Number: 401
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: 77 year old man with history of renal cell cancer status post ablation a year ago presented to primary care physician with difficulty swallowing and weight loss for 3 weeks. Examination was normal. Routine labs showed thrombocytosis to 1170×10⁹ with platelet count of 300×10⁹ a month ago. He was referred to the emergency […]
Abstract Number: 548
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 37-year-old female veterinarian with past medical history of migraines was diagnosed with multiple sclerosis (MS) in December 2015. In April 2016, she was admitted with 3weeks of progressive dysphagia and 20lb weight loss. Although MRI of the brain and cervical spine obtained during admission showed no new lesions, her symptoms were initially […]
Abstract Number: 549
SHM Converge 2023
Case Presentation: A 73-year-old woman with a history of cervical carcinoma treated with chemotherapy and radiation in remission presented with weight loss (6 kg), poor oral intake and dysphagia over the prior three months. She reported epigastric and chest discomfort after swallowing, early satiety and the feeling of food becoming stuck in her upper abdomen. […]
Abstract Number: 666
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 66-year-old woman with a history of hypertension and type 2 diabetes mellitus presented to an outside hospital with persistent nausea and vomiting, a 45 pound weight loss, and dysphagia over a 4-week period. In addition to the new diagnosis of atrial fibrillation, esophagogastroduodenoscopy identified a lesion in the gastric cardia concerning for […]
Abstract Number: 689
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Progressive dysphagia associated with weight loss is usually related to upper gastrointestinal cancer. As a differential diagnosis, fungal infections may present with a similar clinical presentation due to upper GI lesions. Paracoccidioidomycosis (PCM) infection is a systemic granulomatous disease caused by the fungi Paracoccidioides brasiliensis, especially important in rural areas of Latin America. […]
Abstract Number: 713
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 51 year old woman with lichen planus presented with dysphagia to solids and liquids, excess oral secretions, and globus sensation for three days. Her history included hypothyroidism, GERD, and episodic dysphagia for two years. Surgical history included a prior endoscopy revealing nonspecific esophagitis. The patient had no toxic habits and family history […]