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Meeting
Search Results for Obstructive
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: 558
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 68 year-old-woman with right upper lobe non-small cell lung cancer on chemotherapy presented with shortness of breath. A CT scan of the chest prior to admission revealed a right hilar mass encasing and narrowing the distal superior vena cava (SVC). Her exam was notable for distended neck veins and diminished breath sounds […]
Abstract Number: 593
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 56 y/o African American male with a history of paroxysmal atrial fibrillation presented with “pounding” chest pain after being assaulted. On presentation, the patient was afebrile and normotensive but significantly tachycardic (heart rate 140). Physical exam revealed an irregular rhythm with a s3 gallop and a 2/6 systolic murmur in the left […]
Abstract Number: 711
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 71-year-old woman presented to the hospital after her granddaughter noticed two days of worsening jaundice. The patient reported a one-week history of fatigue, early satiety, poor appetite, nausea, and vomiting. She also noted having tea-colored urine and a 30-pound unintentional weight loss during the previous eight months. She denied history of trauma, […]
Abstract Number: 878
SHM Converge 2024
Case Presentation: A 59-year-old female with recently diagnosed perihilar lung mass and liver lesions presented for evaluation of painless jaundice and transaminitis. Initial laboratory studies revealed a sodium of 129 mOsm/kg, elevated bilirubin, alkaline phosphatase, lipase, and liver enzymes. Initial hyponatremia workup showed a serum osmolality of 279 mOsm/kg, urine osmolality of 118 mOsm/kg, and […]
Abstract Number: 891
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 84-year-old male with a PMH of CAD, atrial fibrillation and BPH presented to the ED due to night time vision loss and jaundice. Patient stated one month prior to presentation he noticed difficulty with vision at night while driving. One week prior to presentation, patient’s family noticed new-onset jaundice. Upon presentation, patient […]
Abstract Number: D35
SHM Converge 2022
Case Presentation: Fibrosis is a consequence of inflammation in response to injury which results in regeneration of the damaged tissue and deposition of connective tissue. The development of post-surgical or radiation-induced gastrointestinal fibrosis is a chronic process that can surface months to years after treatment. We present a case of duodenal fibrosis mimicking a neoplastic […]
Abstract Number: P48
SHM Converge 2022
Case Presentation: The patient was a 73 year old gentleman with a recent diagnosis of heart failure with preserved ejection fraction presenting with weight gain, worsening dyspnea, lower extremity edema, and urinary incontinence since beginning furosemide two months previously. Labs were notable for a creatinine of 2.68 mg/dL from a baseline of 1.0 mg/dL. The […]
Abstract Number: 1097
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 82-year-old woman with a history of bladder diverticulum, neurogenic bladder, and atrial fibrillation was admitted to the intensive care unit because of an altered mental status. For 10 years, she had experienced recurrent urinary tract infections (UTIs) following total hysterectomy. She had no history of alcohol abuse or liver disease. On examination, […]
Abstract Number: 1101
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 61-year-old African American male with DMII and HTN, presented with intermittent muscle twitching, abdominal pain and fatigue of 2 weeks duration. Physical exam was notable for subtle myoclonic jerks and mild pitting edema of bilateral lower extremities. Lab work showed hemoglobin of 6.6 g/dl, potassium of 5.8 mEq/L and creatinine of 12.2 […]