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Search Results for FISTULA
Abstract Number: 812
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 59-year old male with a history of hypertension, chronic kidney disease, and Stanford Type A aortic dissection (treated six years prior by open followed by endovascular repair) presented with a four-day history of hematemesis associated with midsternal chest pain. He reported taking a nifedipine tablet, which felt like it was “stuck in […]
Abstract Number: 836
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 64 year old female with a pmh of Klinefelter’s syndrome (XXY) s/p gender reassignment surgery, hypothyroidism, asthma, obesity, hyperlipidemia and diverticulosis presented with 6 days of worsening lower abdominal pain and discomfort with diarrhea, mucus and bloody stools along with low-grade fevers, nausea, fatigue, weakness and lower abdominal cramping exacerbated by bowel […]
Abstract Number: 836
SHM Converge 2023
Case Presentation: A 71-year-old woman with a history of cecal perforation status post end ileostomy and subtotal colectomy in 2017 presented with intractable pain in the setting of a worsening erythematous intertriginous rash of the abdomen and labia. She reported using topical anti-fungal therapy without improvement of symptoms.Upon presentation, her vital signs were normal and […]
Abstract Number: 870
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: We present a case of a 42-year-old male with a past medical history of atrial fibrilation (AF) on anti-coagulation (AC) who underwent left atrial radio-frequency ablation (RFA) and pulmonary vein isolation (PVI) and presented with confusion and bilateral upper and lower extremity weakness.The patient tolerated the procedure but complained of difficulty swallowing afterwards. […]
Abstract Number: 880
Hospital Medicine 2020, Virtual Competition
Case Presentation: Pancreaticopleural fistula is a rare and serious complication of acute and chronic pancreatitis. This phenomenon develops due to a leak from an incompletely formed or disrupted pseudocyst, though it can also result from direct pancreatic duct leak. Although few case reports identify pancreaticopleural fistula causing recurrent pleural effusion and empyema, we describe the […]
Abstract Number: 929
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 45-years-old African American male with a past medical history of seizure disorder, chronic alcohol abuse, and cervical spine injury, presented to hospital after a witnessed tonic-clonic seizure episode that resolved spontaneously. Initial evaluation revealed hypotension (90/57mmHg), tachycardia (145), tachypnea (36), temperature of 39.1 degrees celsius, leukocytosis (24.2×10^3/microliter) with bandemia, and lactate of […]
Abstract Number: A48
SHM Converge 2022
Case Presentation: A 79-year-old patient with a history of esophageal cancer status post esophagectomy six years prior with neo-esophagus creation and chemotherapy currently in remission, was admitted for upper tract gastrointestinal (GI) bleeding. An esophagogastroduodenoscopy (EGD) demonstrated several non-bleeding gastric ulcers. Given stability and resolution of the bleeding, the patient was discharged home. Later that […]
Abstract Number: H26
SHM Converge 2022
Case Presentation: Here, we present a rare case of large bilateral pleural effusions arising from a pancreaticopleural fistula (PPF) with a complicated course of trapped lung. Our patient is a 41 year old woman with a history of chronic pancreatitis who presented to the emergency department with a 3-day history of dyspnea on exertion and […]
Abstract Number: K47
SHM Converge 2022
Case Presentation: A 62-year-old male with no significant medical history presented to our clinic after new diagnosis of atrial fibrillation. He had no associated symptoms and endorsed great exercise tolerance. Transthoracic echocardiogram (TTE) was ordered and he was started on metoprolol 25 milligram two times daily. TTE demonstrated normal global systolic function with severely dilated […]
Abstract Number: 1009
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: The patient is a 61-year-old male theatre director who presented with chronic diarrhea associated with a 50-pound weight loss, fatigue, and weakness. His past surgical history was notable of a Whipple’s procedure done 10 years ago for a symptomatic duodenal mass causing nausea and vomiting, later found to be benign in nature. Patient […]