Session Type
Meeting
Search Results for Injury
Abstract Number: 546
SHM Converge 2024
Case Presentation: An 81-year-old man with a history of heart failure (HF) and recent diagnosis of an ileocecal mass with associated bulky lymphadenopathy and peritoneal carcinomatosis (Figure 1) presented to the emergency room with decreased appetite, abdominal pain, and worsening abdominal distention. Upon arrival, the patient was afebrile and hemodynamically stable. Physical examination was remarkable […]
Abstract Number: 570
Hospital Medicine 2020, Virtual Competition
Case Presentation: A previously healthy 38-year-old man presented with 8 days of intermittent colicky RUQ pain and jaundice. He denied any OTC or illicit drug use but did report daily alcohol use. On admission HAV, HBV, HCV, and HIV 1 & 2 screening, urine drug screen, and autoimmune workup were negative. Ceruloplasmin, serum copper, serum […]
Abstract Number: 571
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A previously independent and active 89-year-old male without past medical history was brought to the hospital by his son with a 6-day history of progressively worsening confusion. Per the son, the patient lived alone on a 10-acre property that included fruit orchards, a fishing pond, and 100 acres of surrounding woodlands on which […]
Abstract Number: 575
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Herpes simplex virus 2 (HSV-2) infection often presents in a disseminated pattern in immunocompromised hosts. Immunocompetent hosts typically present with genital or oral lesions or have HSV-2 or varicella-zoster virus (VZV) that follows along a dermatomal pattern. Here we present a herpetiform rash, which was culture positive for HSV-2 on biospy, that disseminated across […]
Abstract Number: 593
SHM Converge 2021
Case Presentation: This patient is a 74-year old male with CAD, HFpEF, HTN, Type 2 DM, CKD3, and obesity admitted for sepsis secondary to bilateral lower extremity purulent cellulitis, complicated by acute decompensated heart failure. He was started on cefepime 2 g twice daily and on vancomycin (vanco), dosed daily by level. After receiving only two doses of vanco 1g, the patient was found to have persistently elevated […]
Abstract Number: 594
SHM Converge 2021
Case Presentation: An 86-year-old female with history of hypertension and endometrial cancer was admitted for acute kidney injury. On presentation, patient’s creatinine was 3.06 mg/dL, associated with a dipstick urinalysis showing proteins 100 mg/dL. She was unresponsive to intravenous fluids, demonstrated by a persistent rise in her creatinine to 3.89 mg/dL. Urine output and oral […]
Abstract Number: 601
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 52-year-old male presented with one week of abdominal pain, myalgia, and diarrhea. The patient was referred to our Emergency Department after outpatient testing revealed an increase in serum creatinine to 11 mg/dL from 0.7 mg/dL six months prior.The patient had medical history of hypertension, gastroesophageal reflux disease, and former alcohol use disorder. […]
Abstract Number: 603
SHM Converge 2021
Case Presentation: A 57-year-old male with history of C5-6 spinal cord injury (SCI) presented with recurrent episodes of sweating, flushing, headache, and hypertensive episodes over the past week, with concern for autonomic dysreflexia (AD). The patient is tetraplegic following traumatic SCI 38 years ago associated with remote episodic AD due to neurogenic bladder and adynamic […]
Abstract Number: 610
SHM Converge 2021
Case Presentation: The patient is a 58-year-old African-American male with no known past medical history. He presented to the emergency room complaining of shortness of breath. He had been at home taking care of his parents, who were both COVID-19 positive, for the past four weeks. He reported that he has been feeling unwell since […]
Abstract Number: 613
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 70-year-old female with a history of lobular carcinoma of the breast, status-post mastectomy followed by adjuvant radio-chemotherapy in remission for 4 years admitted with a complaint of right upper quadrant pain and jaundice. Examination was positive for icteric sclera and ascites. Her hemoglobin was 8.8 gm/dL; mean corpuscular volume of 90.5 fL; […]