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Search Results for IPA
Abstract Number: 598
Hospital Medicine 2020, Virtual Competition
Case Presentation: 47-year-old male veteran presented with one-month history of intermittent left-sided abdominal pain, vomiting, constipation and melena. Abdominal X-ray revealed small bowel obstruction. CT scan of the abdomen and pelvis with contrast revealed multifocal masses involving proximal to mid-small bowel with small bowel obstruction secondary to the mass at the level of jejunal and […]
Abstract Number: 670
SHM Converge 2021
Case Presentation: A male in his 70s with a history of paroxysmal atrial fibrillation presented to the hospital for evaluation of shortness of breath, dysgeusia, and subjective fever. His home medications were aspirin, atorvastatin, pantoprazole, apixaban, and tramadol. Physical exam on admission revealed bilaterally diminished breath sounds in addition to being tachypneic and hypoxic. His […]
Abstract Number: 736
SHM Converge 2023
Case Presentation: Reports of COVID-19 Associated Pulmonary Aspergillosis (CAPA) have increased. Most cases are in persons older than 65 years of age, who are mechanically ventilated, have chronic lung disease, and/or are immunocompromised. Aspergillus can lead to infections such as chronic pulmonary aspergillosis, allergic bronchopulmonary aspergillosis, and invasive pulmonary aspergillosis (IPA). IPA has the highest […]
Abstract Number: 741
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 56 year-old-female with past history of schizoaffective disorder on clozapine after failure of many antipsychotic medications for around 3 years got voluntarily hospitalized in a psychiatric facility for over 2 months and then presented to the acute care hospital with complains of fever, generalized fatigue and abdominal pain and admitted for SIRS […]
Abstract Number: 765
SHM Converge 2024
Case Presentation: A 74-year-old man presented to our rural hospital for evaluation of three days of right flank and abdominal pain with constipation. Initial examination and workup were unremarkable, and the patient was discharged on laxative therapy. Two days later, the patient returned with worsening abdominal discomfort, constipation, and a painful rash to the right […]
Abstract Number: 811
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 39-year-old male with history of end-stage renal disease secondary to focal segmental glomerulosclerosis in addition to severe non-ischemic cardiomyopathy was determined not to be a candidate for kidney transplant in the United States due to his cardiac co-morbidity, and subsequently traveled to Nigeria to receive a kidney transplant from a living relative. […]
Abstract Number: 826
SHM Converge 2024
Case Presentation: This is a 32 year old male with no pertinent medical history who presented to the emergency department with complaints of headache, body aches, vomiting, diarrhea, fevers and chills for 4 days. The patient also admits to generalized weakness and poor appetite. The patient denies any chest pain, dyspnea, shortness of breath. The […]
Abstract Number: 829
SHM Converge 2023
Case Presentation: A healthy 43-year-old Caucasian male who recently traveled to East Africa was presented to the emergency department with a high-grade fever (105.3F), and myalgia. He denied taking malaria chemoprophylaxis. On presentation, he was febrile, hypotensive, and tachycardic. He appeared to be ill, and toxic with no palpable organomegaly. His initial blood tests revealed […]
Abstract Number: 994
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 50-year-old gentleman was admitted to the hospital medicine service for workup and evaluation of 3 days of epigastric abdominal pain. His history was significant for two recent admissions for episodes of acute pancreatitis within the preceding 2 months and alcohol use disorder (4 weeks sober) without cirrhosis. Physical exam was remarkable for […]
Abstract Number: I11
SHM Converge 2022
Background: Opioid analgesia is an important treatment modality for patients with chronic pain, including pain attributed to cancer- and noncancer-related illness. Unfortunately, an estimated 40%–80% of opioid users experience opioid-induced constipation (OIC). Methylnaltrexone (MNTX) is indicated for the treatment of OIC. In clinical trials, the most common adverse events (AEs) were gastrointestinal (GI) in nature. […]