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Search Results for MS
Abstract Number: 885
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 56 year-old female teacher presents with 1-week history of shortness of breath. She noted progressive shortness of breath on minimal exertion over the past week. She denied associated pedal edema, orthopnea, epistaxis or chest pain. She noted associated cough with white frothy sputum and subjective chills. She denied rashes, exposure to sick […]
Abstract Number: 909
SHM Converge 2024
Case Presentation: A 19-year-old female without medical history presented with two days of fever and nausea. Symptoms began abruptly while camping in Canada. She denied tick bites, sick contacts, injections, and trauma other than a cut from a clean razor while shaving. At Urgent Care, she was febrile to 104.9°F, tested negative for influenza and […]
Abstract Number: 932
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69-year-old Brazilian female who moved to the US in the 1990s with history of COPD, hypertension, and depression (treated 5 years ago with Seroquel) presented to the ER with 2 weeks of cough, diarrhea, and post-tussive emesis. The patient was febrile to 103 F, BP 96/58, tachycardic to 110, and hypoxic to […]
Abstract Number: 943
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40-year-old Caucasian male presented with a recent diagnosis of stage IV metastatic duodenal adenocarcinoma. Given the metastatic disease, after duodenal stent placement, the patient started on adjuvant mFOLFOX6 chemotherapy. During the second day of the first cycle of chemotherapy, the patient suddenly experienced complete right-sided weakness, headache, confusion, and slurred speech. He […]
Abstract Number: C44
SHM Converge 2022
Case Presentation: A 22-year-old healthy female presented in April 2021 for abdominal pain during menstruation. Vital signs and workup with blood counts, metabolic, pregnancy, and sexually transmitted infection panels were unremarkable. Urinalysis showed nitrites, pyuria, bilirubin, and urobilinogen. Ultrasound and CT of the abdomen/pelvis were unremarkable. She was diagnosed with cystitis and prescribed cefuroxime. Urine […]
Abstract Number: D15
SHM Converge 2022
Background: Patients’ satisfaction has been shown to be associated with improved health outcomes and reduced health care utilization. The Center for Medicare Services (CMS) has linked patient satisfaction to financial incentives as part of the value-based purchasing program. Patient satisfaction in the inpatient setting is measured using the Hospital Consumer Assessment of Healthcare Providers and […]
Abstract Number: D22
SHM Converge 2022
Background: Quality Improvement (QI) is a methodology for solving complex systems problems, and QI methods have been adapted from industry and spread widely across healthcare over the past two decades. QI methods are particularly well-suited for examining clinical processes for effectiveness, reliability, and efficiency. However, Design Thinking (DT) is a problem solving methodology that applies […]
Abstract Number: E13
SHM Converge 2022
Background: Sepsis, a life-threatening organ dysfunction caused by dysregulated host responses to infection (1), remains a major healthcare problem, affecting millions of people worldwide. Out of 48.9 million cases in 2017, 11 million people died, contributing to almost 20% of global deaths (2). Septicemia/sepsis was the most expensive condition treated hospitals in 2016 (3). These […]
Abstract Number: H31
SHM Converge 2022
Case Presentation: A 76-year-old female with past medical history of hypertension, recent intracranial hemorrhage (ICH) in the left cerebellar hemisphere with subsequent craniotomy, and newly found 6.5 mm aneurysm in the right middle cerebral artery (MCA) was directly admitted for an elective diagnostic cerebral angiogram to further evaluate her aneurysm. At baseline, patient was alert […]
Abstract Number: I13
SHM Converge 2022
Background: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey distributed by The Center for Medicare and Medicaid (CMS) services measures patient perceptions of hospital experience and impacts annual CMS reimbursement. This study focuses on the “Quiet at Night” variable, to identify the top box institutions and identify the key characteristics that enable […]