Session Type
Meeting
Search Results for Obstruction
Abstract Number: 770
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 44-year-old man previously healthy except sleep apnea syndrome presented with low grade fever and feeling of residual urine, but he returned home because of no evidences of urinary tract infection and incontinence. On the next day, he returned to ER with abdominal bloating and admitted, because abdominal CT showed paralytic ileus without […]
Abstract Number: 792
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 74-year-old woman presents to the ED with acute on chronic right upper quadrant pain that awoke her from a dead sleep. She reported struggling with intermittent abdominal pain, nausea, and vomiting over the past several months, but not previously this severe. Patient denied fevers or chills. Labs were remarkable for leukocytosis, transaminitis, […]
Abstract Number: 833
Hospital Medicine 2020, Virtual Competition
Case Presentation: 79 yo. female with PMH of A. Fib on Warfarin, HFpEF, Hypertension,PVD, CKD-III who presented to the hospital with generalized weakness and recent falls. Reported gradual decline over about 1 month before admission. She reported that symptoms started with “stomach flu” about 4 days prior with chills, nausea, and abdominal pain. She complained […]
Abstract Number: 847
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 48 year old female with no significant past medical history presented with acute onset of dysphagia, early satiety, nausea /vomiting and epigastric pain. Epigastric pain and non-bloody non-bilious emesis occurred after each meal. Lab work significant for eosinophilia (absolute eosinophil count 2,084/microL, reference < 500/microL ). CT abdomen and pelvis significant for […]
Abstract Number: 864
SHM Converge 2023
Case Presentation: A 54-year-old woman presented with six months of diarrhea and weight loss, and three months of abdominal distension. Her abdomen was distended and diffusely tender to palpation. Initial labs were notable for an albumin of 3.4 with normal bilirubin, AST, and ALT. Cross-sectional imaging demonstrated large ascites without evidence of liver pathology or […]
Abstract Number: 867
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 65-year-old male presented to the emergency department with a 5-week history of epigastric pain, nausea, constipation and weight loss. Past medical history was significant for combined liver and kidney transplant 3 years prior due to hepatitis C cirrhosis and hepatorenal syndrome. Chronic immunosuppression consisted of mycophenolate mofetil, tacrolimus and prednisone. Laboratory studies […]
Abstract Number: 883
SHM Converge 2024
Case Presentation: A 55-year-old woman presented with abdominal pain and intractable nausea without constitutional symptoms. Abdominal CT showed duodenal obstruction and hydronephrosis. She underwent two EGD/EUS with benign duodenal and celiac lymph node biopsies. Small bowel follow-through revealed near complete obstruction at the level of the duodenum. Abdominal MRI demonstrated a soft tissue mass-like density […]
Abstract Number: 887
SHM Converge 2023
Case Presentation: A previously healthy 13-year-old girl presented with chronic abdominal discomfort, significant weight loss (11 kg over 8 months), and hyponatremia in the setting of decreased oral intake. Initial evaluation revealed elevated inflammatory markers, iron deficiency anemia (IDA), and thickened bowel walls on abdominal ultrasound. Then, computed tomography revealed a small bowel obstruction secondary […]
Abstract Number: 968
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 36-year-old female presented with a month history of cramping abdominal pain, nausea and vomiting that started after an episode of diarrheal illness associated to ingestion of mangoes. Her symptoms were worse with food intake and consequently, she reported a 25-pound weight loss. Her PCP had performed a urea breath test and an […]
Abstract Number: A41
SHM Converge 2022
Case Presentation: A 45-year-old Vietnamese female with history of H. pylori who presented with worsening nausea, vomiting, epigastric abdominal pain and early satiety. Patient reported her epigastric pain had been intermittent for the past six months but had acutely worsen in the last two weeks. There were no initial inciting events that triggered these symptoms. […]