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Search Results for LAB
Abstract Number: B48
SHM Converge 2022
Case Presentation: A 55-year-old man with a past medical history of poorly controlled diabetes and remote intravenous drug use was evaluated for a right chest wall infection. 1 week prior to presentation, he had chest wall erythema, pain resulting in decreased range of motion, fevers, chills, decreased appetite, and weight loss. He presented to an […]
Abstract Number: E21
SHM Converge 2022
Background: Up to 10% of hospitalized patients report an allergy to penicillin, however studies have shown that the majority of these are not clinically significant reactions.1,2 Unverified penicillin allergies increase overall patient mortality as they lead to use of broad-spectrum antibiotics that are less effective and have more side effects.3 Recent studies have found that […]
Abstract Number: E22
SHM Converge 2022
Background: Catheter Associated Urinary Tract Infections (CAUTI) and Central Line Associated Bloodstream Infections (CLABSI) carry a huge health care burden and is associated with increased length of stay and potential harm for the patient. There is an estimated total healthcare cost of $896 per infection for CAUTI and $45,814 per infection associated with CLABSI. The […]
Abstract Number: G27
SHM Converge 2022
Case Presentation: A 76 year-old woman with coronary artery disease, hypertension, and chronic kidney disease presented to the ER with a one-day history of profound generalized weakness and acute severe anemia. She had known diverticulosis and was taking aspirin 81 mg twice daily status-post a left total hip arthroplasty three weeks prior. Review of systems […]
Abstract Number: H20
SHM Converge 2022
Background: Academic promotion in Hospital Medicine (HM) can be limited by lack of senior mentorship and limited opportunities for early/mid-career (EMC) academic hospitalists to develop national collaborations. Purpose: To provide opportunity to EMC academic hospitalists to showcase institutional best practices in an effort to gain national exposure/reputation, enhance academic portfolio, and foster networking amongst participating […]
Abstract Number: J13
SHM Converge 2022
Background: Literature on the timing of inpatient laboratory test collection is limited. Most studies suggest that physicians and patients are satisfied with morning collection [1], more specifically, intermittent late morning lab collection to decrease sleep disruption [2,3]. Evening labs put increasing demands on healthcare providers given limited resources available outside standard work hours. We sought […]
Abstract Number: L11
SHM Converge 2022
Background: As hospitals focus on central venous catheter associated bloodstream infections (CVC-BSI), the impact of peripheral venous catheter (PVC) associated bloodstream infections (PVC-BSI) may be underappreciated. There are conflicting recommendations on how to manage PVCs, including when to replace them (1)(2)(3), and inconsistencies in nursing practice in following PVC management guidelines (4). There are an […]
Abstract Number: M20
SHM Converge 2022
Background: Nursing facility (NF) quality of care is the subject of many innovations. The Centers for Medicare and Medicaid Services (CMS) allows for public comparison of quality measures. New Mexico (NM) consistently explores how to improve care in these areas. There are 70 NFs in NM; half are scattered in isolated rural areas. The shortage […]
Abstract Number: N15
SHM Converge 2022
Background: An important duty of every hospitalist is to detect the earliest signs of imminent clinical deterioration. Breathing motion patterns can convey early warnings of respiratory instability (1). Normal breathing appears regular, effortless, well-coordinated and comfortable (2). In patients at high risk of respiratory deterioration, breathing appears labored (3). Well-established signs of labored breathing include: […]
Abstract Number: 1156
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 58-year old female with history of breast cancer and uterine fibroid, presented to the ED with worsening right leg pain and swelling associated with red skin discoloration and blanching skin. There was no history of fever, dyspnea, coughs, chest pain, hemoptysis, diaphoresis, palpitations, oral contraceptives or tobacco use. She has family history […]