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Meeting
Search Results for Mediated
Abstract Number: 150
Hospital Medicine 2020, Virtual Competition
Background: Patients with immune-mediated diseases such as rheumatoid arthritis, psoriatic arthritis, or inflammatory bowel disease (IBD) are increasingly being prescribed biologics. While biologics may account for roughly 2% of total prescriptions in the United States, they account for over 35% of net drug spending and for over 80% of the growth in net drug spending.1,2 […]
Abstract Number: 436
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 54 years old man with a history of hypertension was hospitalized due to elevated BUN/creatinine of 33/4.6 mg/dL and Hb of 9.9 mg/dL (baseline 15). He endorsed dyspnea on exertion, anorexia and weight loss of 15 pounds in 6 months. One month ago, he was treated for acute bronchitis with levofloxacin and was […]
Abstract Number: 503
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 78-year-old woman with severe persistent asthma on a maximum dose of inhaled corticosteroids (ICS) was admitted for lethargy and skin nodules on her thighs. She had three hospital admissions in the past two months for reported pneumonia. She was found to have fever, left basilar crackles, and multiple violaceous, firm, tender subcutaneous […]
Abstract Number: 580
SHM Converge 2023
Case Presentation: A 73 year old man with a past medical history notable for type 2 diabetes and hypothyroidism presented with ten days of dark urine and jaundice. He had developed worsening jaundice, pruritus, and a five pound weight loss prior to presentation. Labs showed alkaline phosphatase 731, ALT 369, AST 174, total bilirubin 5.64 […]
Abstract Number: 665
Hospital Medicine 2020, Virtual Competition
Case Presentation: Patient presented to the ED in June 2019 with 6 month history of progressive proximal bilateral upper and lower extremity weakness, swallowing difficulty and 100 lbs. weight loss over 3 months. Exam was significant for decreased strength of bilateral hip flexors, knee flexors and knee extensors with intact reflexes. Labs were significant for […]
Abstract Number: 683
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Atypical (complement-mediated) Hemolytic-Uremic Syndrome is a rare but life threatening thrombotic microangiopathy that affects patients of all ages. About 33-40% of patients sustain end-stage renal disease, stroke, myocardial infarction or have mortality during the first presentation of this syndrome. We present a case of a 32-year-old previously healthy male who presented to the […]
Abstract Number: 763
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 44 year-old Caucasian woman presented with shortness of breath and weakness. She had a history of stage IIIC malignant melanoma (BRAF Wild Type) of right face. She underwent excision of the lesion a year prior to presentation and immunotherapy with ICI (intravenous Nivolumab 240mg every 2 weeks) was initiated. After 10 cycles of […]
Abstract Number: 784
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 62yo female with history of Combined Variable Immunodeficiency (CVID), Cirrhosis and Immune Mediated Colitis presented to the hospital with a 7-10 days history of confusion, ataxia, polyuria, and polydipsia. Her medications included Budesonide (9mg po once daily). Patient had no history of diabetes, and non-fasting blood glucose where in normal range 3 […]
Abstract Number: 785
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 63-year-old male with history of hypertension (HTN) on Lisinopril, with recent addition of hydrochlorothiazide (HCTZ) for uncontrolled HTN a week prior to presentation. He presented with dark color urine, nausea, constipation reported to have ensued a week after HCTZ was added to his regimen. He denied IV drug, alcohol, acetaminophen or any over […]
Abstract Number: 850
SHM Converge 2023
Case Presentation: A 78-year-old female with a medical history of deep vein thrombosis, ovarian cancer status post resection and currently in the TESARO trial (receiving Dostarlimab and Niraparib or placebo; last dose was 3 months ago) presented to the emergency department from her outpatient provider due to inability to obtain a blood pressure reading in […]