Session Type
Meeting
Search Results for Hepatic
Abstract Number: 564
Hospital Medicine 2020, Virtual Competition
Case Presentation: Case of 53 years old female with a past medical history of rheumatoid arthritis, coronary artery disease and peripheral vascular disease who presented with worsening postprandial right upper quadrant abdominal pain. Pain was described as intermittent, sharp, and stabbing. The patient also reported a 20-30 pounds’ unintentional weight loss over 6 months and […]
Abstract Number: 567
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 51-year-old woman presented with recurrent confusion and altered mental status over the past 6 months. She reported associated hallucinations, altered sleep cycle and hyper-arousal symptoms. She was treated with lactulose and rifaximin for suspected hepatic encephalopathy with no improvement. She denied any other symptoms. Past medical history was significant for cirrhosis secondary […]
Abstract Number: 605
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A hospitalized 71-year-old female became acutely encephalopathic after an esophagogastroduodenoscopy under conscious sedation which was performed to evaluate a chronic esophageal ulcer and other potential causes of dysphagia. Her past medical history was significant for obesity, hypothyroidism, chronic back pain, peripheral neuropathy, colorectal mucinous adenocarcinoma with carcinomatosis and metastases to the lung, chronic […]
Abstract Number: 629
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 56-year-old healthy man who presents with three days of fatigue and bilateral thigh pain. He was born in Puerto Rico but lives in Boston and had no recent travel. He denies alcohol or drug use. He works as a cook at an urban restaurant. Admission vitals and physical exam are unremarkable. Initial […]
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: 682
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 37-year-old gentleman with a history of metastatic carcinoid tumor with metastases to the liver and mediastinal lymph nodes was admitted to the hospital after presenting to the ED with three days of fevers and altered mental status. On presentation there was no overt source of infection. He had chronic abdominal pain that […]
Abstract Number: 689
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 76-year-old Chinese woman with history of cryptogenic cirrhosis (MELD-Na 25) presented to our hospital with 1 week of worsening jaundice, abdominal distension, and right upper quadrant pain. Cirrhosis was diagnosed by imaging on admission 2 months previously and presumed to be secondary to Hepatitis C infection due to antibody positivity. CT of […]
Abstract Number: 712
SHM Converge 2021
Case Presentation: A 33-year-old female was initially admitted to the ICU for septic shock secondary to complicated Pseudomonas aeruginosa urinary tract infection and methicillin-sensitive Staphylococcus aureus bacteremia. CT of the abdomen showed fluid in the left paracolic gutter. Aspiration and culture of the fluid was positive for Staph aureus and attributed to seeding from bacteremia. […]
Abstract Number: 729
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 30 year old woman with history of benign essential hypertension, hyperlipidemia, gastroesophageal reflux disease and fatty liver disease who was four days post-partum after a vaginal delivery complicated by post-partum depression presented with acute onset altered mentation, erratic behavior, visual hallucinations, combativeness and occasional bursts of hyperactivity. She had been started on […]
Abstract Number: 737
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 54-year-old Hispanic woman presented with 5 days of subjective fevers, jaundice, nausea, vomiting, and right-sided abdominal pain. On presentation, she was febrile with borderline hypotension and tachycardia, abdominal tenderness, and laboratory values notable for leukopenia and transaminitis with direct hyperbilirubinemia. The patient received vancomycin, cefepime, metronizadole, and intravenous fluids per sepsis protocol. She was intubated […]