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Search Results for MOC
Abstract Number: 557
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 71-year-old African American male presented to the emergency department due to chest pain, fevers and shortness of breath with associated dry cough. The symptoms progressively worsened since onset one month prior to admission. He was HIV negative with a history of Stage IV (T2a N2 M1a) lung adenocarcinoma diagnosed one year ago […]
Abstract Number: 574
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 61 year old female with history of metastatic breast carcinoma presented to the hospital for an elective vertebral cryoablation and kyphoplasty to treat her painful bony metastasis. She has known vertebral lytic lesions in addition to a suspected right adrenal involvement. On the first day, cryoablation was performed uneventfully under general anesthesia. […]
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: 603
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 28 year old man presented to the ED with hypotension and tachycardia. Laboratory evaluation showed hyponatremia, hyperkalemia, hematocrit of 47.4, cortisol level<0.5, ACTH elevated at 886, TSH 11.91, Free T4 1.0 and negative anti TPO antibody. On admission, the patient had orthostatic hypotension and ashen grey skin tone. Cosyntropin stimulation test resulted […]
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: 658
SHM Converge 2023
Case Presentation: We present a case of a 59 year old man with a history of HTN, T2DM (a1c 8.3%) and splenectomy in 1981 who presented with two weeks of progressive constipation, episodic flushing, sweating, palpitations and severe lightheadedness, no longer able to stand.On admission he was tachycardic to 140 and hypertensive to 200/120. CT […]
Abstract Number: 680
SHM Converge 2023
Case Presentation: A 55-year-old woman with a remote history of renal transplant complicated by stage 4 chronic kidney disease (CKD) presented to the emergency room with a week history of progressive fatigue, fever, dry cough and exertional dyspnea. Outpatient medications were tacrolimus 2.5mg BID, mycophenolate mofetil 500mg BID, prednisone 5mg daily, and vitamin D 1000 […]
Abstract Number: 684
SHM Converge 2023
Case Presentation: A 25-year-old man with ADHD and anxiety presented to the emergency department with four days of acute headache. CT scan of the head revealed an acute left frontal intraparenchymal hemorrhage. Neurosurgery resected a left frontal arteriovenous malformation that had ruptured due to hypertension. Over the next year, he presented to the ED and […]
Abstract Number: 699
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27-year-old pregnant woman with no significant medical history presented to the hospital in labor and underwent spontaneous vaginal delivery. Shortly after epidural analgesia and delivery of her child, she started having a severe, shooting headache radiating from her back to her temporal and frontal regions. She reported that the headache was worse […]
Abstract Number: 699
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: We report a case of a 29 yo female whose initial clinical manifestation of pheochromocytoma/MEN was suspected due to an incidental discovery of bilateral adrenal lesions revealed by abdominal CT instead of a positive family history with relevant symptoms. Despite repeatedly presenting to the emergency department for episodic anxiety accompanied by hypertension, the […]