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Search Results for PA
Abstract Number: 1090
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 30-year-old male with past medical history of seizure disorder, hepatitis C, depression and intravenous drug abuse presented with fever, progressive generalized myalgia and cough of three days duration. He also endorsed migratory polyarthralgia and a recent dental surgery. He denied any intravenous drug use in the past three years. Physical exam was […]
Abstract Number: 1091
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27-year-old male with no significant medical history presented with a 3-day history of peri-umbilical pain localized to the right iliac fossa. Pain was sharp in nature, constant and aggravated by movement. No bowel or urinary symptoms and no previous abdominal surgeries. No history of inflammatory bowel disease or sarcoidosis. Upon admission, had […]
Abstract Number: 1093
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29-year-old Japanese man who attended to an orthopedist in an outside hospital with multiple fractures of rib bones and a compression fracture of vertebral bones was referred to our hospital for further investigation for the tentative diagnosis of rheumatoid arthritis worried about increased serum level of matrix metalloproteinase-3. In advance of the […]
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 […]
Abstract Number: 1102
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 63-year-old male presented with altered mental status of one day duration. The patient’s history was significant for CAD, CKD Stage 3, and a recent whipple procedure for cholangiocarcinoma complicated by abdominal abscess requiring percutaneous drainage and prolonged course of ertapenem (renally dosed). He was admitted to the hospital with encephalopathy after having […]
Abstract Number: 1111
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 67 year old male with a past medical history of recurrent pericarditis, hypertension, psoriatic arthritis, and gout presented with diffuse chest pain. Patient stated that the pain was substernal, 10/10, sharp in nature, and non-radiating. Pain was aggravated by exertion and alleviated with rest, nitroglycerin and morphine. Pain was associated with shortness […]
Abstract Number: 1122
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient is a 20-year-old male without past medical history. He began to feel depressed about 3 weeks prior to admission, and his dietary intake decreased. Concomitantly, he experienced diarrhea once to twice per day. He noticed pain in both the thighs when waking up the day before the admission. The pain persisted […]
Abstract Number: 1125
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 64 year old female with a past medical history of coronary artery disease and coronary artery bypass graft, heart failure with reduced ejection fraction, diabetes mellitus, peripheral arterial disease, hyperlipidemia and a strong smoking history presented to the emergency department with exertional dyspnea worsening over the past 1 month and substernal chest […]
Abstract Number: 1127
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 52-year-old African American woman presented to her local hospital with a 3-week history of headache and diplopia without an inciting event. At that time, she was treated symptomatically and discharged. After persistent symptoms and new onset imbalance, neck stiffness, vomiting, and blurry vision, she reported to a second hospital. Her past medical […]
Abstract Number: 1128
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 77 year old man with a history of first degree heart block, hypertension, type II diabetes, and alpha thalassemia trait presented with one day of lightheadedness and palpitations. Several days of fatigue, myalgias, sore throat, rhinorrhea, and headache preceded his symptoms. His exam was notable for bradycardia but was otherwise normal. Labs […]