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Search Results for Liver
Abstract Number: 515
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient is a 58-year-old male with a past medical history of end-stage liver cirrhosis status post-liver transplantation in 1991 who was on tacrolimus (TAC) 1 mg twice a day. He was admitted for altered mental status, fever and respiratory distress. He was found to have bilateral pneumonia treated as community-acquired pneumonia. The […]
Abstract Number: 523
SHM Converge 2021
Case Presentation: A 70 year male presented to the emergency department with complaints of worsening fatigue, abdominal distension, abdominal pain, dyspnea, and increased lower extremity edema. He had been diagnosed with pancreatic cancer 3 months ago and recently started on chemotherapy. An abdominal CT scan revealed massive ascites and multiple liver abscesses essentially replacing the […]
Abstract Number: 530
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 35-year-old healthy male veteran presented to the emergency room with painless jaundice. Three days prior to presentation, the patient noticed a yellowing of his eyes, but was otherwise asymptomatic. His history was notable for traumatic brain injury, PTSD, heterozygous gene mutation for hemochromatosis, and alcohol abuse with prior elevations in his aminotransferases […]
Abstract Number: 534
SHM Converge 2021
Case Presentation: A 44 year old man with a history of alcohol abuse presented with one week of right upper quadrant (RUQ) pain, nausea, jaundice, fevers, lethargy and anorexia in the summer time after two weeks of binge drinking. Physical examination was notable for tachycardia, scleral icterus and RUQ tenderness. Pertinent labs included elevated AST:ALT […]
Abstract Number: 536
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Budd Chiari is a rare disorder caused by hepatic venous outflow obstruction with resulting hepatic dysfunction. It affects 1.4 per million people a year, and presentation depends upon the extent and rapidity of hepatic vein occlusion. This case is noteworthy given it presents the rapid progression of liver dysfunction in the setting of newly […]
Abstract Number: 545
SHM Converge 2023
Case Presentation: Diclofenac is a routinely prescribed non-steroidal anti-inflammatory agent in hospital with well-recognized hepatotoxic potential. However, there are only two reported cases of topical diclofenac-induced liver injury in literature. Herein, we describe a case of a 94-year-old man with Paget’s disease and osteoarthritis, who developed acute hepatotoxicity after four months of application of topical […]
Abstract Number: 550
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 26 year-old Singaporean man with no past medical history presented with two weeks of fevers and abdominal pain. Five months prior to admission, the patient traveled to Singapore. Two weeks prior to presentation, he had an episode of sharp, right-sided abdominal pain accompanied by emesis. He continued to have intermittent fevers, chills, […]
Abstract Number: 560
SHM Converge 2021
Case Presentation: A 31 year-old woman with a history of portal vein thrombosis at age 8 with cavernous transformation resulting in non-cirrhotic portal hypertension presented with acute onset of upper abdominal pain. The patient was pale, tachycardic, with diffuse abdominal distention and tenderness. Laboratory data was significant for an acute drop in hemoglobin from 14 […]
Abstract Number: 568
Hospital Medicine 2020, Virtual Competition
Case Presentation: This patient was a 44-year-old female with a past medical history of localized scleroderma (morphea) of the breast diagnosed by punch biopsy. She presented to the emergency department with right upper quadrant pain and nausea. At that time, a CT scan showed a heterogeneous liver without a definitive underlying mass. Her workup revealed […]
Abstract Number: 569
SHM Converge 2024
Case Presentation: A 41-year-old woman with a history of nephrolithiasis managed conservatively presented to the hospital with right flank and right upper quadrant pain. The pain initially started four months prior to her presentation, cramping in nature, rated 10/10 in intensity, intermittent, progressively worsening, initially well managed with ibuprofen, aggravated by movement, and relieved partially […]