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Abstract Number: 448
Hospital Medicine 2020, Virtual Competition
Background: Clinical reasoning is a core component of medical training yet learners receive very little formative feedback on their clinical reasoning documentation. We hypothesize that this is related to the lack of a shared assessment rubric and faculty time constraints. Purpose: Here we describe the process of developing a machine learning algorithm for feedback on […]
Abstract Number: 463
SHM Converge 2021
Case Presentation: A 41-year-old Hispanic woman with a past medical history of intractable trigeminal neuralgia and recurrent admissions for associated facial and airway swelling requiring intubation presented with acute onset of severe facial and tongue swelling, dyspnea, and neuropathic facial pain, similar to prior flare-up episodes. A pruritic rash on the chest and bilateral hand […]
Abstract Number: 537
SHM Converge 2023
Case Presentation: A 58-year-old Spanish-speaking, uninsured man presents to primary care for a rash and is diagnosed with poison ivy and treated with prednisone. He eventually presents to the emergency department with ulcerative, crusting lesions of his right nasal ala, eyelid, scalp, philtrum, and lips. The lesions overlay a desquamative rash that covers his right […]
Abstract Number: 570
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 54-year-old male with history of cocaine and marijuana abuse presented to the emergency room (ER) with a few-hour history of dizziness and abdominal pain. He also reported a two-month history of intermittent right upper jaw pain that he was treated for presumed gingivitis with analgesics and antibiotics. In the emergency department, vital signs […]
Abstract Number: 604
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 41 year old African American man history presented with 8 months of diarrhea with tenesmus. He had no past medical history and took no home medications. He also complained of cough and 15 pound unintentional weight loss in the past month, but had no nausea or vomiting. He was febrile to 103.7, […]
Abstract Number: 663
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 23 year-old man with schizophrenia presented to the emergency department complaining of nausea, vomiting, headache, and subjective fever, followed by acute onset of right lower quadrant abdominal pain. His medications included chlorpromazine and benztropine. Vital signs: temperature 39 degrees C, pulse 155, respirations 18, and blood pressure 116/58. Admission exam was remarkable […]
Abstract Number: 681
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: The patient is a 35-year-old female who presented to the emergency department with a chief complaint of abdominal swelling and 10-pound weight gain over the last month. She also reported diffuse abdominal pain, nausea, and vomiting during this time. She had a past medical history of fibromyalgia. She had no relevant social or […]
Abstract Number: 813
SHM Converge 2023
Case Presentation: We present a case of a 64-year-old woman with metastatic neuroendocrine pancreatic carcinoma with abrupt left facial and oculomotor cranial nerve palsy as well spastic tetraplegia after one dose of Ipilimumab/Nivolumab. She had a history of sudden onset diplopia, fever and ground-level fall a few hours after her initial dose of immunotherapy. Initial […]
Abstract Number: 853
SHM Converge 2023
Case Presentation: A previously healthy 18-year-old male presented with a loculated pleural effusion. 10 days prior, the patient had sudden, acute, left sided anterior wall chest pain and shortness of breath. He reported night sweats, but no other symptoms. He was initially treated with doxycycline in the outpatient setting. Despite antibiotics, the symptoms worsened, and […]
Abstract Number: H18
SHM Converge 2022
Background: Residents receive little feedback on their clinical reasoning (CR) documentation due to time constraints of supervisors and lack of a shared mental model. We developed an innovative workplace-based assessment tool using machine learning (ML) to provide feedback on CR documentation. Here, we describe the impact of feedback using this assessment tool. Methods: In earlier […]