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Abstract Number: 597
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 66-year-old woman with hypertension presented to the hospital one day after arrival to New York City from Guinea with chronic daily vomiting, unintentional weight loss, progressive shoulder pain, and a subacute pruritic rash. She denied fevers, night sweats, difficulty breathing, chest pain, palpitations, unusual skin exposures, insect bites, trauma to the shoulder, […]
Abstract Number: 649
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 83-year-old woman of Chinese origin with remote history of breast cancer and pulmonary fibrosis of unknown etiology presented to care with one month of fevers, night sweats, malaise, and cough. After three negative acid-fast bacillus (AFB) smears and CT chest showing chronic right apical scarring during hospital admission, she was discharged on […]
Abstract Number: 817
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 80-year-old man with prostate cancer and radical prostatectomy with an indwelling Foley catheter presented from his nursing home with three days of hematuria and a hemoglobin of 5.2 mg/dL (baseline 7-9 mg/dL). Initial vital signs were normal. Exam was significant for pink-tinged urine, copious melena, and no abdominal pain. A repeat hemoglobin […]
Abstract Number: A11
SHM Converge 2022
Background: Community-acquired pneumonia (CAP) is the most common infectious diagnosis necessitating adult hospitalization in the United States (US). Timely diagnosis of CAP is important to improve patient outcomes. However, overdiagnosis of CAP, or treatment of CAP despite inadequate signs or symptoms of CAP, may also pose a significant threat to patient safety. Potential harm of […]
Abstract Number: E44
SHM Converge 2022
Case Presentation: A 53 year old male Missouri resident with a prior history of intravenous drug use, traumatic subdural hematoma, seizure disorder and a diagnosis of human immunodeficiency virus (HIV) / acquired immunodeficiency syndrome (AIDS) in 1990 presented to his local hospital in April with a 1 day history of fever and confusion. He was […]
Abstract Number: F33
SHM Converge 2022
Case Presentation: 71-year-old female with history of DM2, HTN, breast carcinoma in situ status post mastectomy, B-cell lymphoma (R-CHOP in 2016 & RT, currently in remission), autoimmune hepatitis related cirrhosis on Azathioprine presented to the hospital with a 4-day history of progressively worsening productive cough, mild hemoptysis, fever and shortness of breath. In the Emergency […]
Abstract Number: F43
SHM Converge 2022
Case Presentation: An 82-year-old woman with hypertension, diabetes, and a renal transplant recipient for diabetic nephropathy was admitted with three days of chills, cough, dyspnea, and increased urinary frequency. Her urinalysis was positive for pyuria and hematuria, and she was diagnosed with cystitis. Chest radiograph on admission was read as clear by radiology. She was […]
Abstract Number: G23
SHM Converge 2022
Background: Communication related to medications is an important metric on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to measure patient experience after discharge from the hospital. There are many factors which can lead to poor communication about medications (Figure 1). Over 20% of readmissions can be related to medications, and of […]
Abstract Number: G27
SHM Converge 2022
Case Presentation: A 76 year-old woman with coronary artery disease, hypertension, and chronic kidney disease presented to the ER with a one-day history of profound generalized weakness and acute severe anemia. She had known diverticulosis and was taking aspirin 81 mg twice daily status-post a left total hip arthroplasty three weeks prior. Review of systems […]
Abstract Number: G28
SHM Converge 2022
Case Presentation: A 90-year-old-male with history of hypertension, coronary artery disease and chronic lymphocytic lymphoma presented with shortness of breath that had been getting worse over the previous few weeks, particularly at night and with lying down. He also reported increased cough and worsening leg swelling. In the ED, he was hypoxic (84% on room […]