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Search Results for Lymph
Abstract Number: 1012
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 50-year-old African American man with a sixteen year history of skin rash presents with worsening skin lesions and joint pain. The rash is diffuse, scaly, and pruritic, and the joints in all of his extremities are swollen and painful. Three years ago, a limited rheumatologic workup was negative, and he was diagnosed […]
Abstract Number: 1015
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 73-year-old woman with a history of coronary artery disease and remote cervical cancer presented to the hospital with a two-month history of progressive leg weakness and confusion. Over the course of six weeks, symptoms progressed to flaccid paralysis and loss of sensation in both legs. Magnetic resonance imaging (MRI) demonstrated enhancing hemorrhagic […]
Abstract Number: 1018
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 52-year-old male presented with six-week history of unintentional weight loss, decreased appetite and non-radiating dull suprapubic pain. Review of systems was notable for constipation, polyuria, polydipsia, nausea, and left leg swelling. No family history of cancer or blood dyscrasias. Physical examination revealed blood pressure- 194/114 mmHg, heart rate -105, distended abdomen with hypoactive […]
Abstract Number: 1043
Hospital Medicine 2020, Virtual Competition
Case Presentation: Lymphangioleiomyomatosis (LAM) is a rare multisystemic disease of uncertain etiology that can have a dramatic presentation with spontaneous pneumothorax. We describe the management of a case of LAM in a healthy individual in the setting of a community hospital.A 44-year-old female with a history of smoking and vaping presented with acute onset shortness […]
Abstract Number: 1052
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40 year old female with a medical history of pancreatitis and gastroesophageal reflux initially presented with cough and viral cold symptoms. She was initially febrile to 102 F, with labs significant for WBC 3,900 (normal 4,500-11,000 WBC/uL), hemoglobin 9.1 (12.0-15.5 g/dL), and platelet count 35,000 (150,000-450,000 /uL). She quickly deteriorated with new […]
Abstract Number: 1073
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69-year-old man with a history of chronic obstructive pulmonary disease was admitted with fevers and altered mental status (AMS). He reported 6 months of fevers, with confusion and shortness of breath. He denied cough and sputum production, but endorsed a 20lb unintentional weight loss. He had no history of immunosuppression, imprisonment, or […]
Abstract Number: 1177
Hospital Medicine 2020, Virtual Competition
Case Presentation: A previously healthy 10 year-old girl was admitted directly to the pediatric ward with several weeks of fever of unknown origin, lower extremity edema, right groin edema, erythema and pain. She frequently traveled to Mexico and lived in a farm-type setting.She had been treated for cellulitis with at least 7 different antibiotics at […]
Abstract Number: 1216
Hospital Medicine 2020, Virtual Competition
Case Presentation: 85-year-old woman with a past medical history of hypertension, severe peripheral vascular disease, atrial fibrillation on Coumadin was hospitalized to have lower extremity above knee amputation for long standing infection of the left lower extremity. Patient was started on cefepime and linezolid for her left lower extremity wound (cultures growing pseudomonas, vancomycin resistant […]