Session Type
Meeting
Search Results for Ketoacidosis
Abstract Number: 385
SHM Converge 2021
Case Presentation: Mr. O is a 28 year old Navy cadet with no significant past medical history who presented to the Emergency Department with three days of malaise, nausea, polyuria, and polydipsia in the setting of recent steroids for a new rash. On presentation, Mr. O’s glucose returned at 624 mg/dL, pH was 7.28 and […]
Abstract Number: 411
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 49 year-old woman with type 2 diabetes presented with emesis and inability to tolerate oral intake. Her symptoms had developed three days earlier, following an elective abdominoplasty and incarcerated hernia repair. Her anti-hyperglycemic regimen included sitagliptin, glimepiride, and dapagliflozin. She had stopped those medications on the day of surgery and restarted them […]
Abstract Number: 415
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 64- year- old woman with past medical history of type 1 diabetes mellitus (DM), managed with 22 units of daily subcutaneous long acting insulin, and 50 mg of daily oral canagliflozin, presented to the hospital with new onset nausea and vomiting. Physical examination was notable for Heart […]
Abstract Number: 442
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: We are presenting a case of a 71-year-old male patient with a history of hypertension, non-insulin dependent type 2 diabetes mellitus (DM) well controlled on metformin, and non-invasive high grade urothelial bladder cancer diagnosed in 2014 treated with transurethral resection of the prostate and intravesicular mitomycin. In 2016, his bladder cancer has progressed […]
Abstract Number: 478
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 53-year-old man with a history of insulin-dependent type 2 diabetes mellitus presented with the complaint of abdominal pain, emesis and poor oral intake for three days. CT scan revealed non-obstructing nephrolithiasis. He was started on continuous IV fluids and pain management. Initial urinalysis revealed glucosuria >1000 mg/dL and negative ketones. Home medications […]
Abstract Number: 521
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 35-year-old black male presented to the emergency department (ED) with acute onset diffuse abdominal pain, along with nausea and vomiting. Review of systems was positive for polyuria and polydipsia. The examination was unremarkable apart from a sizeable fungating lesion of the left lower extremity by the ankle measuring 12 x 8 cm. […]
Abstract Number: 557
SHM Converge 2021
Case Presentation: A 55-year-old man with poorly-controlled type II diabetes and coronary artery bypass graft one month previously presented with a three-day history of dyspnea, nausea, vomiting, and constipation. He had been started on empagliflozin/metformin HCl after his bypass. On presentation, his vital signs were remarkable for tachycardia. His exam was notable for mild left […]
Abstract Number: 601
SHM Converge 2023
Case Presentation: A 44-year-old male hospitalized for an extended period with severe diarrhea and polyarthritis developed worsening anion gap metabolic acidosis (AGMA) over the course of 10 days. The patient was being treated for septic arthritis in the background of polyarticular gout with vancomycin, ceftriaxone, colchicine, indomethacin, and acetaminophen. Acetaminophen was dosed as needed on […]
Abstract Number: 619
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 49-year-old man with type 2 diabetes was admitted to our hospital because of impaired consciousness. The patient was fatigued for 10 days and had visited his primary care physician who administered an intravenous drip the day before admission. In ER, he was unconscious with a Glasgow Coma Scale of 6; his breathing pattern […]
Abstract Number: 653
SHM Converge 2023
Case Presentation: A 47-year-old female with a history significant for poorly controlled T1DM and hypothyroidism presented after being found unresponsive following episodes of vomiting for the past 24 hours. The patient was found to have DKA, high anion gap metabolic acidosis, and shock with blood pressure of 65/31. Labs showed blood glucose levels of 983, […]