Session Type
Meeting
Search Results for Hyperglycemia
Abstract Number: 385
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 74-year-old Caucasian male presented to our emergency department with unintentional movements of right arm and right leg for 1 day. He was diagnosed with type 2 diabetes mellitus 20 years ago and is not compliant with his insulin regimen. His medical history is also significant for diabetic neuropathy, hypertension and depression. Physical […]
Abstract Number: 442
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: We are presenting a case of a 71-year-old male patient with a history of hypertension, non-insulin dependent type 2 diabetes mellitus (DM) well controlled on metformin, and non-invasive high grade urothelial bladder cancer diagnosed in 2014 treated with transurethral resection of the prostate and intravesicular mitomycin. In 2016, his bladder cancer has progressed […]
Abstract Number: 453
SHM Converge 2023
Case Presentation: A 74 -year-old male with a past medical history of hypertension, hyperlipidemia, benign prostatic hyperplasia, renal cell carcinoma status post right nephrectomy, and peripheral arterial disease, presented to the Emergency Room with 20 days of progressive weakness, shortness of breath, nausea, vomiting, polyuria, polydipsia, and abdominal pain. The patient was vaccinated but not […]
Abstract Number: 604
SHM Converge 2023
Case Presentation: A 58 year old female with history of hypertension, hypothyroidism and noninsulin dependent diabetes mellitus presented with two days of involuntary movements of her right upper extremity. Bloodwork was remarkable for blood glucose 1273MG/DL, anion gap 15, serum creatinine 2.0 MG/DL from normal baseline, no ketosis. Infectious workup with urinalysis, respiratory viral panel […]
Abstract Number: 623
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 62-year-old man with history of end-stage renal disease and poorly controlled type 2 diabetes mellitus presents to the hospital after a fall due to unsteady gait and was noted to have facial movements similar to tardive dyskinesia, whole body chorea, and hyperkinesis of torso and bilateral extremities. On admission, he had an […]
Abstract Number: 635
SHM Converge 2024
Case Presentation: A 62-year-old female with past medical history of poorly controlled Type 2 diabetes mellitus and hypertension, presented to the emergency department with complaints of altered mental status. Her physical exam was positive for tenderness over the lower abdominal area. Initial lab work was notable for leucocytosis [WBC of 18.9 bil/L (normal 3.3- 10.7 […]
Abstract Number: 668
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: An 82-year-old man with a past medical history of coronary artery disease, atrial fibrillation, heart failure with reduced ejection fraction, stroke, non insulin-dependent diabetes mellitus and chronic kidney disease stage III presented to the hospital with uncontrollable movements of his right-side upper and lower extremities. His symptoms began spontaneously two weeks earlier and […]
Abstract Number: 701
SHM Converge 2021
Case Presentation: Diabetic myonecrosis is a rare and under-recognized disorder observed in poorly controlled long-standing diabetes mellitus (1). Typical presentation includes acute pain and swelling of the affected muscle group in the absence of local injury due to spontaneous ischemic necrosis of the skeletal muscles. We present a case of a 48-year old female with […]
Abstract Number: 873
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 79-year-old male with type 2 diabetes mellitus presented after being found down by a neighbor. Patient reported generalized fatigue. On exam, he was not alert or oriented, but otherwise had a non-focal neurological exam. Glucose was 742 mg/dL, bicarb 15 mmol/L, anion gap 22.8 mmol/L, and beta-hydroxybutyrate 3.92 mmol/L. CT head was […]
Abstract Number: G22
SHM Converge 2022
Background: Studies have demonstrated that oral medications such as metformin are safe to continue in the hospital, and that when insulin is used in a hospital setting, a basal or basal-bolus regimen is more effective than sliding scale monotherapy (1-2). Despite mounting evidence and society guidelines, clinicians have been slow to adopt these practices in […]