Session Type
Meeting
Search Results for Encephalopathy
Abstract Number: 642
SHM Converge 2024
Case Presentation: Posterior reversible encephalopathy syndrome (PRES) is a neurological disorder characterized by symptoms of encephalopathy and radiographic findings suggestive of vasogenic edema. Although PRES is most often triggered by hypertensive emergencies, sepsis and immunosuppressive medications have also been implicated in its pathogenesis. We present a case of PRES due to lithium toxicity.A 47-year-old female […]
Abstract Number: 650
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 33-year-old male without significant medical history experienced visual changes, left-sided tingling and weakness, vertigo, nausea, and mild expressive aphasia for 2 months. At that time, he had mild upper extremity tremor and was able to walk, drive, and perform activities of daily living. On physical exam, the patient demonstrated left upper extremity […]
Abstract Number: 652
Hospital Medicine 2020, Virtual Competition
Case Presentation: 74-year-old male with history of NASH cirrhosis with Grade I esophageal variceal bleeding history, SDH s/p burr hole drainage with course complicated by seizures on Keppra and Vimpat, type 2 diabetes mellitus, and coronary artery disease status post 1 drug eluting stent who presented with worsening confusion, fatigue and difficulty walking x 3-4 […]
Abstract Number: 653
SHM Converge 2021
Case Presentation: A 60-year-old male with a history of hypertension, diabetes, and hypercholesterolemia presented to the emergency department for worsening shortness of breath. Subjective and objective data lead to the preliminary diagnosis of bilateral pneumonia, COVID-19 positive, and soon thereafter developed acute hypoxic respiratory failure. This patient had a prolonged ICU course complicated by septic […]
Abstract Number: 655
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: 53-yo Male with past medical history of poly-substance abuse presented with weakness, shortness of breath and productive cough for 1 month. He also reported low-grade fever, chills, fatigue, and weight loss of 30 to 40 pounds. He had 25-pack-year history of smoking. On examination, he had bronchial breath sounds in right upper lung […]
Abstract Number: 656
SHM Converge 2023
Case Presentation: A 68 year old man with PMH of cerebral palsy, cognitive impairment, and chronic pain with intrathecal baclofen pump initially presented with sepsis due to baclofen pump pocket infection, and underwent explantation of baclofen pump. Intraoperative cultures grew pseudomonas, so on POD 3 cefepime was initiated. On POD 4, he developed encephalopathy, becoming […]
Abstract Number: 667
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 36-year-old woman with medical history only significant for obesity presents with confusion and difficulty ambulating one week prior to our evaluation. Two months ago, she underwent an uneventful laparoscopic sleeve gastrectomy for morbid obesity (BMI ~40.4). After further discussion with her family it was revealed she had worsening nausea and vomiting after […]
Abstract Number: 669
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 36-year-old female with no clear past medical history other than possible mood disorder presented after three days of decreased level of consciousness. Associated symptoms included body aches, fever, chills, nausea, vomiting, and headaches. The patient had been suffering from flu-like symptoms two weeks prior to presentation and was treated with antibiotics. The […]
Abstract Number: 671
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 64 year old man with a history of membranous nephropathy on tacrolimus and recent cerebral arteriovenous malformation (AVM) repair, with stent placement seven months prior, presented to the emergency room with one day of progressive lethargy, frontal headache, photophobia, and confusion with subjective fevers and nausea.His vitals on presentation were significant for […]
Abstract Number: 684
SHM Converge 2024
Case Presentation: A 53-year-old female with a past medical history of hypertension presented with three days of progressively worsening confusion, aphasia, poor PO intake, and urinary incontinence. Vital signs were within normal limits. Physical exam notable for orientation only to person and place, hyperreflexia, and no other focal neurologic deficits. Initial workup significant for positive […]