Session Type
Meeting
Search Results for Lactic acidosis
Abstract Number: 309
SHM Converge 2021
Case Presentation: A 40-year-old woman with a history of anxiety presented with one week of diffuse abdominal pain, associated with constipation, decreased oral intake, nausea, and bilious emesis three times a day. She was admitted to an outside hospital one month prior with similar symptoms and treated for pneumonia. The patient lives alone and denied […]
Abstract Number: 338
SHM Converge 2021
Case Presentation: Type A Lactic acidosis is commonly caused by decreased oxygen delivery and poor peripheral perfusion. Type B lactic acidosis ensues in absence of hypoxia or tissue hypoperfusion, mostly occurring in alcoholism, mitochondrial dysfunction, medications like metformin. We present an unusual case of Type B lactic acidosis induced by nebulized albuterol in the treatment […]
Abstract Number: 433
SHM Converge 2023
Case Presentation: A 65-year-old man with a history of nasal polyps was admitted to the hospital with a lactate of 10 mmol/L (0.5-2.2 mmol/L). He reported drenching night sweats and a 10-pound weight loss over the last 2-3 months. He noted orthostatic and ambulatory dizziness, as well as left-sided tinnitus, sinus pain, and nosebleeds over […]
Abstract Number: 572
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 38 year-old female with history of asthma presented to the emergency department (ED) with symptoms of progressive dyspnea, wheezing, and dry cough, consistent with asthma exacerbation. In the ED, she was treated with continuous albuterol nebulizer for nearly 8 hours along with intravenous methylprednisolone. Her clinical status worsened with increased work of […]
Abstract Number: 587
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 60-year-old woman with a twelve-year history of presumed gastroparesis of unclear etiology, was admitted for worsening chronic abdominal pain, nausea and vomiting with unintentional weight loss of over 80 pounds over a year. Evaluation included normal laboratory findings and abdominal imaging. Upper endoscopy showed mild mucosal erythema with normal biopsies of the stomach. […]
Abstract Number: 593
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 30 year-old woman with a history of severe asthma presented with two weeks of progressively worsening dyspnea. She has a history of multiple hospitalizations and intubations in the setting of asthma exacerbations. She noted a non-productive cough, but denied any fevers, edema or recent sick contacts. Symptoms persisted despite increasing albuterol use […]
Abstract Number: 609
SHM Converge 2023
Case Presentation: A 71-year-old male presented to the ER with complaints of constipation for one week. He has a past medical history of coronary artery disease status post CABG, congestive heart failure with reduced ejection fraction, Type II diabetes, chronic obstructive pulmonary disease, obstructive sleep apnea, peripheral vascular disease and hyperlipidemia. The patient was recently […]
Abstract Number: J26
SHM Converge 2022
Case Presentation: A 46-year-old Caucasian male with a past medical history of spastic quadriplegia secondary to MVC, Seizure disorder, CVA, Diabetes Mellitus type II on insulin, Neurogenic Bladder s/p suprapubic catheter, Chronic G-J Tube, Chronic Tracheostomy on Trach Collar, Severe protein calorie malnutrition and all extremities contractures who was admitted for dislodged G-J tube from […]
Abstract Number: 1226
Hospital Medicine 2020, Virtual Competition
Case Presentation: Syphilis manifestations are widespread, varying with stage and type of visceral involvement. Our detailed understanding of its natural history comes from the pre-antibiotic era and sources like the Tuskegee study. Herein we present a case of complete heart block in a patient with aortic dilation who was subsequently diagnosed to have neurosyphilis during […]