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Search Results for MS
Abstract Number: 769
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: We present the case of a 42-year-old man in otherwise good health who was admitted to our hospital with several days of fevers, ear pain, hearing changes, and vertigo. The patient initially presented to his primary care provider with several days of subjective fever and left ear pain. Examination revealed edema and erythema […]
Abstract Number: 772
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 63-year-old woman presented with a 4-day history of progressive dysphagia, first to solid food, then to liquids and oral secretions. She endorsed hoarseness and mild lateral neck and chin pain, but denied trauma, headache, neck stiffness, and rash. Her past medical history included gastroesophageal reflux and remote esophageal erosions with normal follow-up […]
Abstract Number: 784
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 54-year-old Japanese man presented to his primary care physician with a 3-month history of epigastric pain, fever, and unintentional weight loss. Upper endoscopy showed only a gastric polyp. Abdominal computed tomography showed small intestinal dilatation accompanied by adhesion to the sigmoid colon, and perianal abscess. Crohn’s disease was suspected and he was […]
Abstract Number: 793
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 34-year-old man with history of injection (IV) heroin misuse, anxiety, and homelessness presents with dyspnea and pleuritic chest pain. He was recently hospitalized with Methicillin-Sensitive Staph Aureus (MSSA) tricuspid valve (TV) endocarditis complicated by acute heart failure and septic pulmonary emboli but left against medical advice. On admission he was afebrile, tachycardic […]
Abstract Number: 797
SHM Converge 2024
Case Presentation: A 60-year-old female with a history of Castleman disease presented outpatient with painful progressive “stocking-and-glove” polyneuropathy. She was referred for EMG, which demonstrated significant sensorimotor neuropathy. Notable lab findings months prior included new subclinical hypothyroidism, normocytic anemia, and thrombocytosis. Given her presentation, she was admitted for expedited evaluation. Upon arrival, neurology and hematology […]
Abstract Number: 826
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Loperamide is an over-the counter anti-motility opioid agonist considered to be specific to the intestinal µ receptor, safe for non-prescription use, and to have low abuse potential. However, several cases of fatal cardiac arrhythmias have been reported.1 38-year-old male without prior cardiovascular history, presented to a rural hospital with pre-syncope and lightheadedness. He […]
Abstract Number: 860
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: An eighteen-year-old woman presents with progressively worsening weakness in her legs as well as numbness throughout her body. She also endorsed rhinorrhea, nasal congestion, abdominal discomfort, nausea, vomiting and decreased urine output. Her past medical history included depression and asthma. She received a flu vaccine 30 days prior to symptom onset and denied […]
Abstract Number: 863
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: We present the case of a 70-year-old man who developed MSSA bacteremia after removal of a spinal stimulator. The bacteremia cleared with cefazolin treatment, but he developed an MSSA psoas abscess. He underwent abscess source reduction and was started on oxacillin, based on culture sensitivities. Unfortunately, he developed encephalopathy and was restarted on […]
Abstract Number: 866
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 36 year-old otherwise healthy female presented with six days of acute flu-like symptoms, myalgias, persistent fever and chills associated with abdominal bloating and vomiting for three days. Physical exam was notable for temperature of 103 F, sinus tachycardia and mild tenderness at the left upper quadrant on deep palpation. Labs were notable […]
Abstract Number: 868
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Reversible posterior leukoencephalopathy syndrome (RPLS) is characterized by a combination of clinical symptoms and radiographic findings. Clinical signs range from headaches and visual disturbances, to more classic seizures.1 Radiologic findings usually include vasogenic edema in the white matter of the posterior lobes of the brain, especially occipital and parietal.2 Multiple etiologies have been […]