Session Type
Meeting
Search Results for Overdose
Abstract Number: 508
SHM Converge 2024
Case Presentation: A 57-year-old man with depression and prior suicide attempts presented after being found unresponsive at home with empty bottles of doxepin, amitriptyline, and another unidentified pill bottle. In the ED, he had a GCS of 6, was intubated for airway protection and admitted to MICU. Sodium bicarbonate, fentanyl and propofol infusions were started […]
Abstract Number: 543
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 57-year-old male with type II Diabetes on insulin therapy and depression, with prior suicidal attempts on opioids presented to the Emergency Department (ED) after an intentional injection of 320 Units of glargine. His home medications were glargine 20 U daily and metformin 500 mg twice a day. On arrival to the ED, he […]
Abstract Number: 695
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 53-year-old African American woman with a history of systemic lupus erythematosus, refractory hypertension, and cerebrovascular accident, was found unresponsive and hypotensive at home. On presentation, the patient was drowsy but arousable and oriented to person, place and time. Vitals were notable for sinus bradycardia (50s) and hypotension (SBP in 90s). She was […]
Abstract Number: 740
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 58-year-old man presented with two days of confusion, tremors and seizures. Past medical history included schizophrenia, epilepsy, HCV infection and right hemiparesis due to ischemic strokes. He initiated dasabuvir, ombitasvir, paritaprevir and ritonavir (Viekira Pak) three days earlier. His epilepsy had been well controlled on lamotrigine for years. Review of systems was […]
Abstract Number: K48
SHM Converge 2022
Case Presentation: A 42 year-old Caucasian male with a past medical history significant for schizoaffective disorder with command auditory hallucinations, often commanding him to harm himself or others, with multiple suicide attempts by ingestion, and history of poly-substance abuse, was found by his friend on the floor of his apartment, seemingly unconscious, with copious amounts […]
Abstract Number: O38
SHM Converge 2022
Case Presentation: A 74-year-old male with a known history of hypertension, chronic kidney disease, and depression presented with 5 days of upper abdominal pain that radiated to the left chest and frequent muscle spasms. He was evaluated in the emergency department for right upper quadrant abdominal pain. Due to concerns for cholecystitis, point-of-care ultrasound was […]
Abstract Number: O43
SHM Converge 2022
Case Presentation: A 63-year-old female with history of end-stage renal disease, atrial fibrillation (AFib), cirrhosis, and Parkinson’s disease was admitted to the hospital after an unwitnessed fall with persistent encephalopathy and altered mental status. Upon admission the patient was found to have wide QRS complexes with an Atrial fibrillation, clinical findings of heart failure, and […]
Abstract Number: P29
SHM Converge 2022
Case Presentation: 20-year-old severely agitated female with history of major depression disorder and anxiety presented after ingesting up to 85 pills including escitalopram, bupropion and alprazolam. Subsequently requiring 4-point restraint due to combative behavior. Labs remarkable for hypokalemia and metabolic acidosis. UDS positive for amphetamines, benzodiazepines cannabis. However negative testing for acetaminophen, salicylates, and ETOH. […]
Oral Presentations
Abstract Number: Oral
Hospital Medicine 2020, Virtual Competition
Background: There were approximately 46,000 opioid overdose deaths in 2017. It is known that opioid overdose risk is increased in patients with a diagnosis of substance use disorder, prior opioid overdose, and high suspicion of risk as assessed by clinical teams. The Risk Index for Overdose or Serious Opioid-Induced Respiratory Depression (RIOSORD) is a validated […]