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Search Results for ICU
Abstract Number: O13
SHM Converge 2022
Background: Non-beneficial treatment can be defined as medical interventions that are ineffective in achieving the desired goals or are “a disservice to patients who are subjected to ongoing and likely uncomfortable conditions with no benefit”. At times, critically ill patients are declined Intensive Care Unit (ICU) admission due to perceived lack of benefit from medical […]
Abstract Number: P29
SHM Converge 2022
Case Presentation: 20-year-old severely agitated female with history of major depression disorder and anxiety presented after ingesting up to 85 pills including escitalopram, bupropion and alprazolam. Subsequently requiring 4-point restraint due to combative behavior. Labs remarkable for hypokalemia and metabolic acidosis. UDS positive for amphetamines, benzodiazepines cannabis. However negative testing for acetaminophen, salicylates, and ETOH. […]
Abstract Number: 1011
Hospital Medicine 2020, Virtual Competition
Case Presentation: Hemosuccus pancreaticus, a rare cause of gastrointestinal (GI) bleeding, is defined as bleeding through the pancreatic duct into the ampulla of Vater. Bleeding usually occurs due to a ruptured pseudoaneurysm, and can be fatal, as it can be easily missed. Here we discuss a case that was discovered in time for appropriate intervention. […]
Abstract Number: 1038
Hospital Medicine 2020, Virtual Competition
Case Presentation: Darier disease (keratosis follicularis) is a rare autosomal dominant genodermatosis due to ATP2A2 gene mutation. Presentation includes a characteristic eruption in seborrheic regions exacerbated by sun exposure, heat, and secondary infection. The disease runs a remittent course beginning in puberty. Darier disease is associated with neuropsychiatric disorders including intellectual disability, seizures, mood disorders […]
Abstract Number: 1039
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27-year-old male immigrant male from Guatemala presented with complaint of right-sided scrotal pain, swelling, and fever of 1 month. No reports of weight loss. Physical exam revealed right scrotal swelling, induration with the tenderness of the right testis and epididymis. Lab workup showed normal CBC, CMP. Urine culture, blood culture, chlamydia, and […]
Abstract Number: 1097
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 82-year-old woman with a history of bladder diverticulum, neurogenic bladder, and atrial fibrillation was admitted to the intensive care unit because of an altered mental status. For 10 years, she had experienced recurrent urinary tract infections (UTIs) following total hysterectomy. She had no history of alcohol abuse or liver disease. On examination, […]
Abstract Number: 1128
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 77 year old man with a history of first degree heart block, hypertension, type II diabetes, and alpha thalassemia trait presented with one day of lightheadedness and palpitations. Several days of fatigue, myalgias, sore throat, rhinorrhea, and headache preceded his symptoms. His exam was notable for bradycardia but was otherwise normal. Labs […]
Abstract Number: 1177
Hospital Medicine 2020, Virtual Competition
Case Presentation: A previously healthy 10 year-old girl was admitted directly to the pediatric ward with several weeks of fever of unknown origin, lower extremity edema, right groin edema, erythema and pain. She frequently traveled to Mexico and lived in a farm-type setting.She had been treated for cellulitis with at least 7 different antibiotics at […]
Abstract Number: 1214
Hospital Medicine 2020, Virtual Competition
Background: The ACGME instituted duty hour restrictions in 2003, leading to re-organization and re-structuring of resident schedules and educational opportunities. In response to these regulations, many programs, including our institution, initiated night float rotations. After noting decreased resident attendance at didactic sessions due to this model, our institution implemented various interventions to offer educational opportunities […]
Abstract Number: 1235
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 37-year old male with PMH of HIV on HAART presented with episodes of seizure, syncope and altered mental status. Vital signs and physical examination were unremarkable. Laboratory results revealed sodium level 113, serum osmolarity 243, urine osmolarity 429 and urine sodium 113. Lab findings along with patient appearing euvolemic on exam suggested […]