Session Type
Meeting
Search Results for Encephalopathy
Abstract Number: 392
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: The patient is a 34 y.o. female with a past medical history significant only for morbid obesity. She had a gastric sleeve placed 3 months ago, in order to promote weight loss. Two weeks ago, the patient experienced the onset of blurred vision, clumsiness, ambulatory dysfunction, and generalized weakness. At that time, she […]
Abstract Number: 395
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: This is a case of a 73-year-old male with a history of CKD stage 4 and left total knee arthroplasty in 2006, who had a recent hospital admission for left knee septic arthritis with left knee prosthesis removal and placement of an antibiotic spacer. Joint fluid cultures grew Serratia marcescens, and the patient […]
Abstract Number: 395
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Rifaximin 550 mg tablets is a nonsystemic antibiotic indicated for reducing the risk of overt hepatic encephalopathy (HE) recurrence in adults and may be used in combination with lactulose. Practice guidelines state that rifaximin is effective as add-on therapy to lactulose for preventing overt HE recurrence. This pooled analysis evaluated the efficacy and safety […]
Abstract Number: 425
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 75-year-old African-American female with a past medical history of hypothyroidism, hypertension, and Alzheimer’s dementia presented to the emergency room with altered mental status and concern for possible stroke; family also reported new seizure-like activity. Vitals on admission were significant for severe hypertension however, she was afebrile. Physical exam was limited due to […]
Abstract Number: 434
SHM Converge 2023
Case Presentation: A 67 year-old woman presented with six weeks of worsening disorientation. Her husband reported severe insomnia, abnormal behaviors, decreased short-term memory, and very labile mood. She had a history of well-controlled bipolar disorder on chronic lithium therapy. She had a forty pack-year smoking history. She was diagnosed with a urinary tract infection and […]
Abstract Number: 435
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: An 84 year-old man with a history of diet-controlled diabetes, atrial fibrillation, and MGUS was admitted for back pain and 30 pounds of unintentional weightloss over 3 months. His wife also reported that he had had a mild cognitive decline over this period. On admission, he was noted to have new thrombocytopenia and […]
Abstract Number: 456
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 31-year-old female with history of generalized anxiety disorder (GAD), morbid obesity, and eight weeks status-post sleeve gastrectomy presented with 50-pound weight loss and mental status changes. Other symptoms included nausea, vomiting, and poor oral intake. Days to weeks prior to admission she developed generalized weakness, gait disturbance, diplopia, vertigo, and slowed mentation […]
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: 471
SHM Converge 2021
Case Presentation: A 29-year-old female with history of systemic lupus erythematous (SLE), hypertension, and cirrhosis presented to the ED with altered mental status and generalized weakness for 3 days. Physical exam revealed tachycardia, abdominal distension and tenderness, and weakness of her lower extremities. Labs showed WBC 17.2, total bilirubin 19.8, AST 106, ALT 19, and […]
Abstract Number: 473
SHM Converge 2021
Case Presentation: A 36-year-old male with a history of IV drug use presented with right upper extremity (RUE) pain that started after he used IV methamphetamine. Physical exam revealed tachycardia and erythema, edema, and blistering of the RUE. Labs showed WBC 26.7, sodium 129, and lactic acid 3.1. CT RUE revealed moderate soft tissue edema […]