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Search Results for NIS
Abstract Number: 888
SHM Converge 2023
Case Presentation: A 12 month old female with a prior episode of hyperkalemia in the setting of diarrheal illness presented to the Emergency Department with four days of non-bloody, non-bilious vomiting and three days of non-bloody loose stools. Initial outpatient evaluation included normal abdominal ultrasound and serum potassium of 7.1 mEq/L. Patient was admitted for […]
Abstract Number: 893
SHM Converge 2023
Case Presentation: An 18-year-old man presented with 2 weeks of fever, non-productive cough, and sore throat, as well as nausea, emesis, and unintentional weight loss of ~5kg. He was an undocumented immigrant but had not traveled outside of the country in the past 18 months and reported no sick contacts. He worked in landscaping but […]
Abstract Number: 910
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 65-year-old male with a past medical history significant for hypertension initially presented with episodes of double vision, fatigue and dysphagia. Physical exam was remarkable for right-sided ptosis which improved with the ice pack test. Serology was positive for anti-acetylcholine receptor antibodies. Further workup revealed a decremental response to slow (2Hz) repetitive nerve […]
Abstract Number: 913
SHM Converge 2024
Case Presentation: 5 59-year-old male with alcoholic cirrhosis, hypertension, COPD, and diabetes mellitus presented with a 3-month history of progressive confusion and altered mental status. His family reported memory decline, prompting multiple ER visits primarily focused on cirrhosis-related complications, overlooking the neurological symptoms’ etiology. Initial improvement following hepatic encephalopathy treatment was short-lived, leading to rapid […]
Abstract Number: E10
SHM Converge 2022
Background: Catheter associated urinary tract infection (CAUTI) is a leading cause of hospital acquired infections. In this analysis, we aim to examine the incidence of CAUTI over the last 8 years and potential social determinants of health that lend to increasing mortality and morbidity during inpatient hospitalizations. Methods: Patient data was collected for years 2011-2018 […]
Abstract Number: G41
SHM Converge 2022
Case Presentation: 77-year-old Caucasian male with history of Stage IV mantle cell lymphoma, multiple myeloma, atrial fibrillation, presented to the emergency department with 5-day history of progressively worsening ataxia & generalized weakness. He reported a black legged deer tick bite 10 days prior and was on doxycycline for this. He reported tremors in his bilateral […]
Abstract Number: J37
SHM Converge 2022
Case Presentation: A 23-year-old male with a past medical history of systemic lupus erythematosus presented to the emergency department with a chief complaint of blurred vision. His blurred vision was ongoing for several months and was not associated with any pain. The patient had recently been seen at an outpatient ophthalmology clinic where he was […]
Abstract Number: 1005
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 28-year-old male with a recently diagnosed HIV infection presented to the hospital with dyspnea, pleuritic chest pain and fatigue for 4 days. Six weeks prior, he was found to have HIV infection with a CD4+ cell count of 17 cells/ul and an HIV viral load of 41,399 copies/mL. He was prescribed antiretroviral […]
Abstract Number: 1108
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60-year-old woman with a history of diabetes, hypertension, and sleep apnea presented to the hospital with acute onset shortness of breath. Several months prior, she had undergone dental extraction that was complicated by poor wound healing. Unusually, the surgeon noted pus from the site of extraction but when further analyzed, it was […]
Abstract Number: 1148
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69-year-old man with prior right adrenalectomy for primary hyperaldosteronism presents with lightheadedness, resistant hypertension, and hypokalemia.He had been diagnosed with primary hyperaldosteronism several years prior following workup for resistant hypertension, chronic hypokalemia, and orthostasis. At that time, he was found to have an elevated aldosterone level associated with suppressed renin and normal […]