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Meeting
Search Results for ICU
Abstract Number: 891
SHM Converge 2023
Case Presentation: A 5 month old boy born at 39 weeks presented with vomiting and lethargy. On the day of presentation, the patient took his morning bottle but refused baby food, then had an episode of non-bilious emesis. Over the course of the day the patient was less interactive and sleeping more. The last bottle was […]
Abstract Number: 901
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 43-year-old Caucasian woman with stage IV rectal adenocarcinoma metastatic to liver and lung presented with new onset generalized tonic clonic seizures. She was receiving her second line treatment with 5-FU continuous infusion Day number 7 of 7 of the 5th cycle. This was preceded by confusion and altered mentation since the previous […]
Abstract Number: 911
SHM Converge 2024
Case Presentation: A 61-year-old male with past medical history of HIV on HAART with undetectable viral load and bicuspid aortic valve (BAV) presented to the hospital with fevers, abdominal pain and diarrhea for three days found to have sepsis with leukocytosis of 13.7×10^3/uL and fever of 39°C, elevated trop of 168ng/L without acute ischemic changes […]
Abstract Number: 930
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 57-year-old man with past medical history of hypertension and left partial nephrectomy for renal cell carcinoma presented to the emergency department with several days of fevers, diarrhea, and fatigue. On examination, the patient was lethargic and febrile to 103°F with a blood pressure of 80/50mmHg. His labs were notable for an elevated […]
Abstract Number: 988
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 55-year old female with cirrhosis secondary to chronic hepatitis B infection non-adherent with Entecavir therapy presented with altered mental status, diarrhea, abdominal pain, and emesis. Vital signs revealed hypotension, tachycardia, and tachypnea. Exam revealed somnolence and significant abdominal distension without guarding, rebound, or rigidity. Laboratory evaluation was remarkable for a leukocytosis to […]
Abstract Number: A34
SHM Converge 2022
Case Presentation: A 35-year-old female presented to the emergency department after an episode of syncope. She takes methadone (180 mg/day) for opioid dependency. She had a recent relapse and returned to illicit drug use after a period of sobriety. Vital signs were notable for tachycardia, blood pressure and respiratory rate were normal. On physical exam […]
Abstract Number: B31
SHM Converge 2022
Case Presentation: A 51-year-old male with a history of alcoholic liver cirrhosis presented with severe bilateral leg pain associated with nausea, vomiting, and diarrhea, after consuming raw oysters 36 hours prior to admission. Physical exam revealed an encephalopathic obese man with a temperature of 38.2oC, heart rate of 102 bpm, and BP of 85/50 mmHg. […]
Abstract Number: D49
SHM Converge 2022
Case Presentation: A 93-year-old female was brought by her daughter via EMS to the emergency department with complaints of vomiting and drowsiness. She was treated, 2 weeks prior, with Cefalexin for a presumed UTI. After antibiotics initiation, the patient developed multiple episodes of non-bloody, watery diarrhea, with subsequent drowsiness, confusion, and poor appetite. She denied […]
Abstract Number: E18
SHM Converge 2022
Background: Hospital medicine is a rapidly growing and advancing field. In 2020, pediatric hospital medicine became a board-certified specialty requiring successful completion of an ACGME accredited two-year fellowship and examination1. Adult hospital medicine fellowships, which do not require ACGME accreditation, have grown organically. We sought to characterize the current landscape of hospital medicine fellowships. Methods: […]
Abstract Number: E28
SHM Converge 2022
Case Presentation: An unvaccinated 56-year-old man with a past medical history of hypertension, insulin dependent diabetes, sleep apnea, and obesity presented to the emergency department with complaints of dyspnea, cough, fevers, and diarrhea for the past 5 days. Initial work up was significant for COVID-19, a normal troponin level, elevated inflammatory markers, creatinine of 1.57, […]