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Search Results for PRES
Abstract Number: 925
SHM Converge 2024
Case Presentation: A 73-year-old woman with type II diabetes presented with right eye pain and decreased vision. On exam, she had right eye periorbital edema, conjunctival injection, and corneal opacification. Laboratory studies revealed Streptococcus pneumoniae bloodstream infection and meningitis. Imaging demonstrated leptomeningeal enhancement, debris in the occipital horns and fourth ventricle consistent with ventriculitis, and […]
Abstract Number: 926
SHM Converge 2024
Case Presentation: A 42 year-old woman with no significant past medical history presented with a one-week history of sudden bilateral vision loss. Two weeks prior, she reported new bifrontal, pounding headaches with subsequent blurring of vision in her right eye. After two weeks, her headaches suddenly disappeared with sudden bilateral, painless blindness. Evaluation by a […]
Abstract Number: 928
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 70 year-old woman with no known history was admitted with symptoms of urinary incontinence and generalized weakness. Workup was notable for a positive urinalysis, positive Influenza swab, and serum sodium of 142mmol/L. She was started on ceftriaxone, oseltamivir and isotonic fluids (normal saline). On hospital day (HD) 2, her sodium was 159mmol/L, […]
Abstract Number: 965
Hospital Medicine 2020, Virtual Competition
Case Presentation: Idiopathic CD4 lymphocytopenia (ICL) is a disease characterized by persistently low CD4 T-cell counts without HIV infection or any other discernible cause of T-cell suppression. Individuals with ICL are at increased risk of opportunistic infections, lymphomas, and autoimmune diseases. Diagnosis can be difficult, and prognosis can vary widely depending on the diseases that […]
Abstract Number: 990
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 63-year-old man with significant history of deceased donor transplant (18 months prior to presentation), hypertension, diabetes mellitus, who presented with two weeks of fevers and malaise. His other symptoms included drenching night sweats, shortness of breath, and diffuse pleuritic chest pain, however he denied cough. A recent exposure was a renovation of […]
Abstract Number: A28
SHM Converge 2022
Case Presentation: A 70-year-old male with medical history significant for rheumatoid arthritis presented to the emergency department with several days of odynophagia, oral ulcers, skin lesions and epistaxis. He was treated for foot cellulitis with TMP-SMX for one week prior to admission. The patient had been receiving 10 mg SQ weekly injectable MTX for Rheumatoid […]
Abstract Number: D13
SHM Converge 2022
Background: Hospitalists are at the forefront of the opioid epidemic. Over half of hospitalized patients are exposed to opioids during their admission, most of whom are opioid naïve.1 Patients discharged on opioids have a 15% chance of long-term use after one year.2 There is significant variation in provider opioid prescribing practices, even within the same […]
Abstract Number: D48
SHM Converge 2022
Case Presentation: A 61-year-old man with no notable health history was admitted to the hospital for a month-long history of dysphagia and weight loss. The patient had been in his usual state of health until around six months ago when occasional back pain developed, which he attributed to his prolonged truck-driving. Four months prior to […]
Abstract Number: F30
SHM Converge 2022
Case Presentation: A 23 yo Indian M with a history of transfusion-dependent β-thalassemia major, extramedullary hematopoiesis (EMH), iron overload, and myeloneuropathy presented with mid-back pain, bilateral lower extremity (BLE) weakness and pain with acute-on-chronic paresthesias, gait imbalance, and recent falls. He complained of constipation, but denied saddle paresthesia, urinary retention, or bowel incontinence. Symptoms progressively […]
Abstract Number: H16
SHM Converge 2022
Background: Up to 45% of Americans do not fill prescriptions because of cost. Medication non-adherence annually leads to $100-$300B in excess morbidity and mortality. To better inform medication cost effects on a potentially vulnerable patient population, our primary aim was to measure annual patient out-of-pocket outpatient medication cost for patients without prescription drug insurance coverage […]