Session Type
Meeting
Search Results for Obstruction
Abstract Number: 434
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 70 year old man presented with four days of epigastric pain, nausea, vomiting and abdominal distension. He reported 50lbs of weight loss due to decrease in appetite over two months. He denied any hematemesis or melena. Physical exam was unremarkable except for diminished bowel sounds and positive stool guaiac test. CT scan […]
Abstract Number: 448
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 94-year-old man with no significant past medical history presented to the Emergency Department with a two week history of progressively worsening constipation accompanied by nausea, vomiting, and abdominal pain. He denied any hematochezia, melena, change in stool caliber or unintentional weight loss. He had never undergone a colonoscopy. He had tried stool […]
Abstract Number: 470
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 33 year-old female presented to an outside facility with a few days of gradual onset abdominal pain with nausea and vomiting. On presentation, vital signs were notable for tachycardia. Examination showed periumbilical tenderness without rigidity or guarding. Labs were remarkable for leukocytosis and normocytic anemia but normal lipase. CT of the abdomen […]
Abstract Number: 478
SHM Converge 2023
Case Presentation: A 69-year-old male with history of metastatic prostate cancer on chemotherapy presented with fever for three days. On presentation, he was tachycardic with a heart rate of 130 beats per minute. Physical examination was significant for right upper quadrant tenderness. Initial laboratory workup revealed leukocytosis with a white blood cell count of 17000 […]
Abstract Number: 522
SHM Converge 2021
Case Presentation: 67 year old caucasian male with history of right sided hemicolectomy, schizoaffective disorder on clozapine presented with severe epigastric abdominal pain and nausea for 4 hours. He was hemodynamically stable on presentation and physical exam revealed distended abdomen with diffuse tenderness. Initial blood work including CBC, CMP, TSH, lactate was within normal limits. […]
Abstract Number: 542
SHM Converge 2023
Case Presentation: 26 yo M with X-linked agammaglobulinemia admitted for RLE extremity non healing wound and abdominal distention found to have hepatosplenomegaly (liver 23 cm), moderate to large ascites, transaminitis (ALP 300, AST/ALT 43/12), hyperbilirubinemia (T bili 6.5->7.5), coagulopathy (INR 1.75 with pancytopenia. On ultrasound porto-systemic collaterals and splanchnic vessels were reported patent. MRI abdomen […]
Abstract Number: 557
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 73-year-old female with PMH of iron deficiency anemia, laparoscopic cholecystectomy, and hernia repair had received iron transfusions as well as blood transfusion. Despite which, her hemoglobin remained low, 7.3gm/dl. She was fatigued, but denied abdominal pain, black stool, vomiting blood, fevers or chills. She had an upper endoscopy that was unremarkable as […]
Abstract Number: 579
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 23-year-old male with past medical history of anxiety disorder presented with nausea and multiple episodes of vomiting for 2 days. He also had generalized abdominal pain that was cramp-like in nature. There was no abdominal distention, however the patient reported constipation. He passed flatus during this episode. Noteworthy was the patient’s 10 […]
Abstract Number: 582
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 59 year-old male with intellectual disability presented with abdominal pain and distension following a fecal impaction. Imaging revealed diffuse gaseous colonic distension with colonic wall thickening suggestive of inflammatory colitis and colonic ileus without obstruction. His labs were notable for severe hypokalemia (1.5 mmol/L) and mild hypomagnesemia. Despite empiric antibiotic course, imaging […]
Abstract Number: 598
Hospital Medicine 2020, Virtual Competition
Case Presentation: 47-year-old male veteran presented with one-month history of intermittent left-sided abdominal pain, vomiting, constipation and melena. Abdominal X-ray revealed small bowel obstruction. CT scan of the abdomen and pelvis with contrast revealed multifocal masses involving proximal to mid-small bowel with small bowel obstruction secondary to the mass at the level of jejunal and […]