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Search Results for Mass
Abstract Number: 450
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 64-year-old woman with a history of cholecystectomy and chronic intermittent abdominal pain presented with acute onset of right upper quadrant pain and vomiting. On admission, she was afebrile and nontoxic appearing with mild epigastric tenderness. Labs showed an elevated AST/ALT, total bilirubin, and alkaline phosphatase. Abdominal ultrasound showed a dilated common bile […]
Abstract Number: 453
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital disaster response has historically been the purview of emergency medicine and surgery, without significant involvement of hospitalists themselves or consideration of how mass casualty incidents impact the hospital as a whole. However, many disaster modalities, e.g. pandemic infectious disease or bioterrorism, are outside of the surgical scope of practice and require involvement of […]
Abstract Number: 470
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Patient with prior history of alcohol use presented with abdominal pain, nausea vomiting of 4 days duration. Labs were remarkable for elevated BUN 38 mg/dL, Creatinine 1.9 mg/dL, AST 50 U/L and lipase 771 U/L. CT abdomen and pelvis showed a poorly delineated mass within the head and uncinate process of the pancreas […]
Abstract Number: 480
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 56-year-old male with a history of 45 pack-year smoking, peptic ulcer, and cholecystectomy 5 months ago presented with worsening epigastric pain and 70-pound weight loss over the last 3 months, associated with subjective fevers, drenching night sweat, and malaise. The patient was hospitalized a month ago for the same reason, when computed […]
Abstract Number: 487
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 70-year-old woman visiting from India with history of hypothyroidism and adrenal insufficiency presented with four days of profuse diarrhea and fever. She was admitted for sepsis secondary to Rotavirus gastroenteritis with initial sodium level 132 (135-145 mmol/L). On day 2 of hospitalization, sepsis resolved with isotonic fluids and stress dose steroids, but […]
Abstract Number: 489
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 77 year old female who had a diagnosed primary gastric adenocarcinoma at another hospital presented to the emergency department with shortness of breath. A chest x-ray was done which showed a large left-sided pleural effusion (Figure 1). An ultrasoundguided thoracentesis was done and the pleura was positive for metastatic adenocarcinoma, however the […]
Abstract Number: 501
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 27-year-old male presented with one year history of nonproductive cough and a 4 week history of expiratory wheezing, dyspnea on exertion, facial swelling and episodic hemoptysis. Past medical history was significant for fatigue, insomnia and headaches. Social history was significant for minimal tobacco use, occasional alcohol consumption, prior use of marijuana and […]
Abstract Number: 502
SHM Converge 2024
Case Presentation: A 53-year-old immunocompetent female with a history of well-controlled type 2 diabetes mellitus had incidentally found asymptomatic right lower lobe lung masses, the largest of which measured 6.5 cm x 2.4 cm. She underwent a CT-guided lung biopsy of these for further evaluation. The pathology report did not reveal a malignancy, but instead […]
Abstract Number: 547
Hospital Medicine 2020, Virtual Competition
Case Presentation: We present a 68 year-old man, with a history of benign prostatic hypertrophy, who presented with several months of progressive personality changes and mild gait changes. His wife noticed he had become more introverted, and his gait had become more ataxic with prolonged ambulation. He also started having subtle memory problems. On physical, […]
Abstract Number: 567
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 46 year-old woman presented with one week of palpitations and dyspnea on exertion. Her medical history was remarkable for a pericardial effusion of unknown etiology two months prior, treated with pericardiocentesis in Guyana. On presentation she was hemodynamically stable. Exam was significant for distant heart sounds and decreased breath sounds at the […]