Session Type
Meeting
Search Results for Encephalopathy
Abstract Number: 486
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 60-year old female with past medical history significant for diabetes, hypertension, and hypothyroidism presented with acute onset confusion progressing over the course of 5 hours. On exam, patient’s vitals were significant for an elevated blood pressure (179/104). She was only oriented to herself and showed no focal motor deficits, but did have […]
Abstract Number: 489
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 43-year-old male with roux-en-y gastric bypass fourteen years ago with complications and multiple adhesions, hiatal hernia associated with nausea and vomiting, and subsequent small bowel resection last year, started to experience cognitive changes and short-term memory loss. He has also experienced problems with balance, generalized weakness, and unintentional 60-pound weight loss. His […]
Abstract Number: 511
SHM Converge 2024
Case Presentation: A 74-year-old man with a medical history of hepatitis C cirrhosis post-treatment was evaluated after he was found to have hepatocellular carcinoma on abdominal MRI. The carcinoma occupied almost the entire right hepatic lobe with macrovascular invasion without evidence of metastatic disease. The initial alpha-fetoprotein level exceeded 2000 nanograms per milliliter. Subsequently, the […]
Abstract Number: 513
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 66 year-old male with hypothyroidism was admitted for a COPD exacerbation, however his neurological exam was markedly abnormal. He had suffered multiple falls due to gait instability in years past, and recently experienced progressive symptoms of dizziness, slurred speech, tremors, and weakness. His symptoms were now so severe that he could no […]
Abstract Number: 520
SHM Converge 2023
Case Presentation: A 66-year-old female became noncompliant with home medications presented to the emergency room with altered mental status. She had an established diagnosis of decompensated cirrhosis on a recent discharge from hospital leading to metabolic encephalopathy. Five days into her hospital stay, the patient refused medications and nutrition leading to an IV saline treatment. […]
Abstract Number: 524
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 73 year-old woman presented with lethargy and decreased responsiveness for one day. She did not respond to her name or noxious stimuli and did not follow commands. She would spontaneously repeat the phrase “I see the light” but was otherwise non-verbal. Waxy rigidity was noted on passive extension and flexion of her […]
Abstract Number: 527
SHM Converge 2021
Case Presentation: A 52-year-old woman brought by family to the emergency department with worsening confusion over 24 hours. There were no associated symptoms and history negative for fever, headache, sore throat, cough, abdominal pain, diarrhea, travel, sick contacts, tick or mosquito bite, alcoholism or drug abuse. Family did report well controlled hypothyroidism, and influenza vaccination […]
Abstract Number: 532
SHM Converge 2021
Case Presentation: A 53-year-old female with a history of hypertension presented with encephalopathy. 2 days prior, her family noticed that she was making bizarre statements that did not correlate with reality. Notably, she had a positive COVID-19 test 3 weeks prior. Social history was significant for consumption of 100-125 ounces of beer per day and […]
Abstract Number: 532
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: The patient is a 70 y.o. female with a history of hypertension, bilateral lower extremity deep vein thrombosis (DVT), and peripheral neuropathy, who was brought to the emergency room (ER) by EMS due to the recent onset of altered mental status. Starting a few days ago, her son noted that she was not […]
Abstract Number: 542
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: We report a case of a 44 year old female with a history of hepatitis C and alcoholic cirrhosis, abstinent from alcohol for about two years, who presented from a nursing facility with few weeks of confusion and bilateral lower extremity weakness and imbalance. Her family reported that she was oriented, communicative and […]