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Search Results for ICU
Abstract Number: 810
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 68-year-old gentleman status- post craniotomy for meningioma resection 3 weeks ago was brought to the ER with complaints of 1 episode of fever (101 F) associated with weakness, decreased appetite and a decline in functional capacity. Blood cultures were obtained, a CT brain was ordered which ruled out acute pathology and the […]
Abstract Number: 810
SHM Converge 2024
Case Presentation: A 40-year-old male presented with acute-onset left back and flank pain radiating to the lower abdomen, along with nausea and vomiting. His initial presentation was most concerning for nephrolithiasis and CT Abdomen/Pelvis was obtained. Imaging demonstrated bulky retroperitoneal lymphadenopathy with a large paraaortic conglomerate, measuring up to 14cm in diameter. The mass was […]
Abstract Number: 817
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 55-year-old woman with intravenous polysubstance abuse presented with a 1-week history of back pain, fever, and cough with blood-tinged sputum. Vital sign on admission showed tachycardia and hypotension but she responded well to fluid resuscitation. A pansystolic murmur grade 2 was noted. There was diffuse midline and paraspinal tenderness over the back. […]
Abstract Number: 818
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 68-year-old male with a pituitary adenoma resected 6 months ago complicated by panhypopituitarism on oral hydrocortisone, presented to the ED with acute progressive altered mental status, headache, and fatigue. On the day of presentation, he became confused to the point where he could not dress himself. Vitals were significant for HR 98. […]
Abstract Number: 821
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 63-year-old woman with no significant medical history presented to the ED with three days of fever, confusion, and lethargy. She was responsive to physical but not verbal stimuli. Vital signs included temperature of 38.8C, heart rate of 110 BPM, blood pressure of 107/52 mmHg, with SpO2 of 94% on room air. Her […]
Abstract Number: 822
SHM Converge 2024
Case Presentation: A 63-year-old male with a medical history of hypertension presented with progressive vision loss over four months, with a one-month history of diffuse myalgias, increasing agitation, and altered behavior. He was an avid hunter with a history of frequent tick and deer fly bites. He presented to the emergency department with his wife […]
Abstract Number: 823
SHM Converge 2024
Case Presentation: A 46-year-old male with a past medical history of hypertension and macular edema was referred to the Cardiology office by his primary care provider for uncontrolled hypertension and bilateral lower extremity edema. An echocardiogram was obtained to rule out structural heart disease which revealed a reduced left ventricular ejection fraction of 35-40% and […]
Abstract Number: 826
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Loperamide is an over-the counter anti-motility opioid agonist considered to be specific to the intestinal µ receptor, safe for non-prescription use, and to have low abuse potential. However, several cases of fatal cardiac arrhythmias have been reported.1 38-year-old male without prior cardiovascular history, presented to a rural hospital with pre-syncope and lightheadedness. He […]
Abstract Number: 832
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 53 years old woman presented to the outside hospital with altered mental status. She was found to have acute liver failure on lab investigations and was transferred to our institution for further work up and management. Patient had significant past medical history of scoliosis, COPD, Bipolar disorder and recent motor vehicle accident […]
Abstract Number: 832
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 70 year old female with a history of diabetes presented to the hospital for evaluation of pancytopenia and neutropenic fever. She was found to have pancytopenia on routine blood work. about 2 months prior to presentation. She complained of intermittent fever and chills for 1 week. She denied any specific complaints including […]