Session Type
Meeting
Search Results for Liver Failure
Abstract Number: 399
SHM Converge 2021
Case Presentation: A 29-year-old otherwise healthy man presented to the emergency room with five weeks of progressively worsening pruritus and fatigue. The patient denied recent ingestion of herbal supplements, and reported lifetime abstinence from alcohol use. Physical exam revealed jaundice and scleral icterus. No ascites or hepatomegaly were noted on initial exam. Admission labs revealed […]
Abstract Number: 444
SHM Converge 2023
Case Presentation: A 73-year-old man with a past medical history of pancreatic adenosquamous carcinoma, biventricular heart failure with reduced ejection fraction (30-35%), and paroxysmal atrial fibrillation presented to the hospital with a 2-day history of bilateral lower extremity edema and 5-pound weight gain. Physical exam was notable for tachycardia, jugular venous distension, scleral icterus, and […]
Abstract Number: 499
SHM Converge 2023
Case Presentation: 59 years old Hispanic male with history of alcoholic cirrhosis, esophageal varices that presented with 1 day history of abdominal pain and worsening renal function. Patient gets therapeutic paracentesis every 2 weeks, and the last one was one day prior his presentation. He was seen by his PCP who instructed him to present […]
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: 594
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 65 year old male with no significant medical history presented to an outside facility complaining of fatigue, weakness, nausea and vomiting. He had moderate alcohol history and significant weight loss over the past 6 months. Initial lab workup was notable for elevated liver transaminases with a hepatocellular pattern, Maddrey score of 53.6 […]
Abstract Number: 595
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 68-year-old Caucasian male with a history of stage IV follicular lymphoma treated with rituximab and bendamustine presented with generalized malaise, weakness, and acute encephalopathy of two weeks.He was hypotensive and his exam showed dry mucous membranes and poor skin turgor. Laboratory examination was remarkable for: creatinine 7.6 mg/dL, AST and ALT 691 […]
Abstract Number: 596
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 53 year-old man with a history of sickle cell trait and stroke presented with subacute, progressively worsening generalized abdominal pain and distension. He had recently been diagnosed with cirrhosis due to autoimmune hepatitis at an outside hospital. Physical examination was notable for scleral icterus and a nontender, moderately distended abdomen with bulging […]
Abstract Number: 605
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 21-year-old male with end-stage renal disease for 3 years (cause unknown) presented to the hospital with a 19lb weight loss (10% of body weight) over 2 months. Exam was notable for jaundice, diffuse abdominal tenderness, and innumerable purple, papular lesions covering his body, which he had noticed for 8 months. Labs revealed […]
Abstract Number: 625
SHM Converge 2021
Case Presentation: We present a 96-year-old male who presented to the emergency department with syncope and worsening fatigue. He noted yellowing of his eyes and skin, clay colored stools and dark urine. He had a remote cholecystectomy but no prior liver disease and denied alcohol use.Physical exam revealed prominent jaundice and scleral icterus with a […]
Abstract Number: 642
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 95 year old woman with a remote history of treated breast cancer and endometrial cancer presented to the hospital with severe abdominal pain and somnolence. One month prior, the patient was living independently in her usual state of health. She developed dysuria and malaise and visited an outside hospital. Routine laboratory testing […]