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Abstract Number: 961
Hospital Medicine 2020, Virtual Competition
Case Presentation: 63y old female with history of CHF, HTN, and hypothyroidism presented from primary care physician’s office for lab abnormalities. Review of systems was positive for decreased urine output, fatigue, and sinus congestion. Vitals were within normal limits and physical exam was non-contributary. Lab workup was significant for hypokalemia (2.9) and elevated Cr (4.0). […]
Abstract Number: 998
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 54 year old man with no known past medical history who presented with complaints of shortness of breath and a new axillary mass for the last three weeks. He previously moved from Kenya 6 years prior with no recent travel. As his mass grew, he began to experience increasing fatigue and shortness […]
Abstract Number: A28
SHM Converge 2022
Case Presentation: A 70-year-old male with medical history significant for rheumatoid arthritis presented to the emergency department with several days of odynophagia, oral ulcers, skin lesions and epistaxis. He was treated for foot cellulitis with TMP-SMX for one week prior to admission. The patient had been receiving 10 mg SQ weekly injectable MTX for Rheumatoid […]
Abstract Number: C32
SHM Converge 2022
Case Presentation: A 48-year-old man without significant past medical history presented with 1 week of left eye central vision loss and left frontal headache. He denied eye pain or photophobia. Examination revealed left relative afferent pupillary defect and visual acuity at count fingers at 4 feet. Fundoscopic examination showed grade 5 disc/retinal edema with flame […]
Abstract Number: E36
SHM Converge 2022
Case Presentation: An 88-year-old woman with a history of hypertension, atrial fibrillation, and HFpEF presented with a right femur fracture following a mechanical fall. Physical exam revealed a right femur fracture and small ascites. The patient underwent a right hemiarthroplasty on hospital day (HD) 4 and received cefazolin perioperatively.On HD 9, the patient developed abdominal […]
Abstract Number: G31
SHM Converge 2022
Case Presentation: A healthy 44-year-old woman with latent TB on isoniazid (INH) for 6 months was sent to the hospital by her primary care physician for elevated liver tests and right sided abdominal pain, anorexia, and jaundice for two weeks. She had normal liver tests prior to starting INH. She denied illicit drugs, alcohol or […]
Abstract Number: H37
SHM Converge 2022
Case Presentation: A 55-year-old previously incarcerated male with a history of tuberculosis and a 27-year-old incarcerated male both with a history of cough and hemoptysis, and a 56-year-old female with pulmonary nodules, right ankle pain, and swelling, all presented to the ED at a tertiary center in Wisconsin. All three patients shared a constellation of […]
Abstract Number: J41
SHM Converge 2022
Case Presentation: A 46-year-old Hispanic male with a history of acute myelocytic leukemia (AML) presents with subjective fever of three-day duration after one week of induction chemotherapy with fludarabine, cytarabine, filgrastim (FLAG), and venetoclax. Otherwise, the patient denies cough, shortness-of-breath, diarrhea, abdominal pain, or dysuria. Vitals signs showed a temperature of 37.6C, pulse of 87, […]
Abstract Number: L10
SHM Converge 2022
Background: Clostridioides difficile infection (CDI) is a leading healthcare-associated infection causing debilitating diarrhea, life-threatening complications, 20,500 deaths and healthcare costs of up to $5.4 billion annually in the US. The main driver of CDI costs is hospitalizations, and patients with higher CDI recurrence rates have more hospitalizations and emergency department visits and longer hospital stays. […]
Abstract Number: L43
SHM Converge 2022
Case Presentation: A 90 year old Caucasian female with history of complicated diverticulitis s/p partial colectomy and Waldenstrom’s Macroglobulinemia (last treatment with Cyclophosphamide and Dexamethasone 1 week prior to presentation) was admitted with 2 day history of crampy lower abdominal pain, bloody streaked diarrhea, vomiting, and subjective chills. Physical examination elicited tachycardia and diffuse abdominal […]