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Abstract Number: 332
SHM Converge 2024
Background: The hospitalist position has exploded in recent years to become one of the largest single groups of physicians in medicine, increasing in size by 50% from 2012 to 2018. Many early career hospitalists have limited, if any, dedicated training for the role beyond their internal medicine residencies. Accordingly, new hospitalists may have greatly varying […]
Abstract Number: 333
SHM Converge 2021
Case Presentation: A 61-year-old male with a past medical history of pancreatic and renal transplants on chronic immunosuppression presented with a six-day history of watery diarrhea. He also reported fever, abdominal pain, and noted a family member also developed a similar diarrhea after a pork dinner. His vital signs were remarkable for fever (101.8 F) […]
Abstract Number: 354
SHM Converge 2024
Background: Recommended core skills for internal medicine subinterns include recognizing sick patients, knowing when to ask for help, and time management skills. ACGME duty hour restrictions have led to more resident shift work including night shifts. Working with nightfloat residents provides a unique opportunity for students to incorporate the aforementioned learning objectives through patient cross-coverage […]
Abstract Number: 375
Hospital Medicine 2020, Virtual Competition
Background: Time motion studies are often conducted to describe activities of physicians caring for hospitalized patients with the goal of improving efficiency and patient safety. Prior work has mostly focused on trainees at academic medical centers. However, with the growth of hospital systems, most academic hospitals now have a similar number of patients cared for […]
Abstract Number: 408
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 36 year-old African-American female with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) was admitted to a community hospital with hypercalcemia and acute kidney injury (AKI). She recently was diagnosed with HIV/AIDs with diffuse lymphadenopathy. An abdominal lymph node biopsy showed Mycobacterium avium complex (MAC). She was started on highly active anti-retroviral therapy (HAART) […]
Abstract Number: 435
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: The diagnosis of a sexually active young male who presents with fevers, night sweats, weight loss with opportunistic infections and then found to have an acquired immunodeficiency is going to be HIV except when it isn’t. We present a patient with a presumptive diagnosis of HIV but a negative comprehensive HIV laboratory testing […]
Abstract Number: 443
Hospital Medicine 2020, Virtual Competition
Background: Rural areas are disproportionately affected by physician shortages, and small rural hospitals in particular struggle to staff acute medicine services 24/7. Telehospitalist models are emerging as an alternative to provide inpatient medicine services in rural settings. In a 2018 needs assessment of rural Veterans Health Administration (VHA) hospitals, 60% percent reported being short on […]
Abstract Number: 456
SHM Converge 2024
Background: Observations units commonly serve as an intermediate stage between the emergency department and inpatient hospitalization where patients of appropriate acuity are managed, however many observation units exist serving diverse patient populations ranging from peripartum or post-op surgical. Patients in observation units typically have lower-acuity health concerns and have an average length of stay of […]
Abstract Number: 480
SHM Converge 2024
Case Presentation: A 55-year-old male with history of bilateral degenerative hip joint disease presented for worsening serosanguinous drainage from his wounds one week after bilateral hip replacement. He further developed diaphoresis and chills and received cephalexin at an outside hospital from where he was later discharged. He did not have improvement from antibiotics and his […]
Abstract Number: 482
SHM Converge 2024
Case Presentation: 21 cases of small intestine anisakiasis were analyzed in terms of medical history, examinations of symptoms, vital signs, laboratory data, and CT findings. 9 cases were identified through specific anisakiasis Immunoglobulin E or Immunoglobulin A testing. 2 cases were confirmed by the detection of anisakis by endoscopic examination. 10 cases were diagnosed based […]