Session Type
Meeting
Search Results for Hypoglycemia
Abstract Number: 919
SHM Converge 2024
Case Presentation: A 45-year-old female with past medical history of gastric sleeve in 2018 and follicular thyroid carcinoma status-post total thyroidectomy in 2019, resulting in hypothyroidism, is currently taking Levothyroxine 200mcg daily. Patient presented to the Emergency department with increasing fatigue for the past 3 weeks. She reported progressive shortness of breath on exertion, “loss […]
Abstract Number: 942
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 51-year-old male with a past medical history of hypertension and schizophrenia maintained on amlodipine, risperidone and benztropine was transported to the ER psychiatric unit by law enforcement. He was detained after he was found wandering the streets demonstrating increased verbal and physical aggressiveness. He was known to the psychiatric unit, with previous […]
Abstract Number: G15
SHM Converge 2022
Background: Hospitals generally have clear protocols, often nursing driven, for management of inpatient hypoglycemia. The American Diabetes Association recommends a standardized approach to hypoglycemia management in the hospital to address hypoglycemia. A frequent cause of hypoglycemia is poor management of the first hypoglycemia episode. Standard treatment protocols include the use of oral carbohydrate agents for […]
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 […]
Abstract Number: I47
SHM Converge 2022
Case Presentation: 75-year-old female with atrial fibrillation, ESRD on HD, HFrEF, cognitive decline, a history of multiple hypoglycemic episodes, and previous alcohol use disorder presented with unresponsiveness and hypoglycemia (serum glucose = 42mg/dL). Her past medical history was also notable for recent Staph aureus bacteremia from an infected left AV fistula and an infection of […]
Abstract Number: 1036
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27-year-old male brought to the emergency department after being found unresponsive on the floor. The patient had no recollection of subsequent events until awakening in the ambulance. Notably, he had two prior hospitalizations for episodes of amnesia, “being off” and visual hallucinations. The patient was found to be hypoglycemic by the paramedics […]
Abstract Number: 1191
Hospital Medicine 2020, Virtual Competition
Case Presentation: A previously healthy 17-year-old girl was brought to the emergency department (ED) by ambulance following a generalized tonic-clonic seizure. Her blood glucose was 61 mg/dL at the scene and 31 mg/dL on arrival to the ED. A basic metabolic panel was obtained and was within normal limits with the exception of low plasma […]