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Search Results for MI
Abstract Number: 987
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 20 year old woman with a history of astrocytoma of thoracic and lumbar spine status post resection with subsequent neurogenic bladder and bowel presented with acute encephalopathy following a viral illness. Initial workup showed acute kidney injury (creatinine 2.21 mg/dL), normal hemoglobin (12 g/dL), new thrombocytopenia (platelet 60 K/uL), and urinalysis suggestive […]
Abstract Number: 999
Hospital Medicine 2020, Virtual Competition
Case Presentation: 81 year-old man with a history of atrial fibrillation on Warfarin and bioprosthetic aortic and mitral valves presented with dark urine and shortness of breath. He described progressive shortness of breath and reduced exercise tolerance, unable to walk upstairs to his apartment. His urine had become “the color of eggplant”. On exam, he […]
Abstract Number: A20
SHM Converge 2022
Background: Microaggressions are subtle, indirect words or actions that create hostility, communicate disrespect, or imply a sense of exclusion. Over time, these microaggressions can contribute to physician burn-out and negatively impact well-being. Although studies have found that a majority of physicians have been subjected to these deleterious comments by patients, many physicians have never received […]
Abstract Number: A27
SHM Converge 2022
Case Presentation: A 25 year old woman with history of asthma presented to the emergency department with one week of sore throat, cough, shortness of breath, nausea, vomiting, and diarrhea. Upon arrival, she was hypotensive, tachycardic, tachypneic, febrile, and was found to have leukocytosis, elevated lactate, procalcitonin, and creatinine prompting concern for septic shock. She […]
Abstract Number: A33
SHM Converge 2022
Case Presentation: A 63 year old African American female with history of hypertension was admitted to the hospital for COVID-19 and hypoxia. She was treated with Remdesivir, dexamethasone and convalescent plasma in January 2021. Symptoms improved and she was discharged on steroids and anticoagulation. Six weeks later she started complaining of shortness of breath. CTA […]
Abstract Number: A34
SHM Converge 2022
Case Presentation: A 35-year-old female presented to the emergency department after an episode of syncope. She takes methadone (180 mg/day) for opioid dependency. She had a recent relapse and returned to illicit drug use after a period of sobriety. Vital signs were notable for tachycardia, blood pressure and respiratory rate were normal. On physical exam […]
Abstract Number: A35
SHM Converge 2022
Case Presentation: 39-year-old African American male presented with dyspnea and hematuria for one week. His past medical history includes stage 3 CKD and hypertension. In the emergency room he was found to be severely hypertensive with systolic blood pressures hovering around 240 mmHg. Initial laboratory tests revealed significantly elevated creatinine level from baseline and new-onset […]
Abstract Number: A37
SHM Converge 2022
Case Presentation: A 46-year-old male with no known past medical history presents with worsening chronic cough of one-year duration. He also reports shortness of breath and increasing fatigue during the same timeframe. On presentation, he is noted to have numerous umbilicated facial lesions that are actively bleeding. He was febrile to 103F, tachycardic to 130s, […]
Abstract Number: A45
SHM Converge 2022
Case Presentation: A 51-year-old male with history of chronic lower back pain on opiates presented with acute abdominal pain along with nausea/vomiting. The patient was concerned about constipation secondary to opiate use and used a makeshift enema at home, after which he noted bleeding from the rectum. He presented for medical evaluation and on physical […]
Abstract Number: A49
SHM Converge 2022
Case Presentation: A 54-year-old female with essential hypertension, hyperlipidemia, hypothyroidism and MGUS presented to Wheeling Hospital complaining of weakness, dyspnea on exertion and right lower extremity pain for two weeks. Patient was treated for a right gastrocnemius DVT, acute SARS-CoV-2 pneumonia and pulmonary emboli in right middle and lower lobe pulmonary artery branches with smaller […]