Session Type
Meeting
Search Results for Pancreatitis
Abstract Number: 668
SHM Converge 2021
Case Presentation: We present a case of hereditary pancreatitis in the setting of SPINK1 gene mutation (c.101A>G; p.Asn34Ser) with symptom onset at age sixty-six. The patient had no history of alcohol use and remote history of cholecystectomy, however, did have a strong first-degree family history in her brother and sister, who also began to experience […]
Abstract Number: 668
SHM Converge 2023
Case Presentation: A 33-year-old man presented to the emergency department with sudden onset, severe abdominal pain radiating toward the back. Medical history included bipolar disorder treated with bupropion, sertraline, and lamotrigine. Surgical history included prior appendectomy. There was no history of sick contacts, alcohol use, gallstones, or peptic ulcer disease. On exam he was tachycardic […]
Abstract Number: 674
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 45 year-old gentleman with a history of recurrent alcoholic pancreatitis complicated by pancreatic pseudocyst presented to the hospital after three episodes of hematochezia. Ten days prior, he had undergone endoscopic transgastric metal stent placement between his pseudocyst and stomach, followed 6 days later by pseudocyst drainage with necrosectomy. After 3 days, he […]
Abstract Number: 705
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 37 year-old woman with a past medical history of depression and chronic knee pain presented with complaints of two day duration non-radiating 8/10 epigastric and lower abdominal pain associated with nausea and vomiting. Vitals sings were normal. Abdomen was soft, non-distended with generalized tenderness, but without masses, rebound, or guarding. Lipase was […]
Abstract Number: 720
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 76 y.o. Caucasian male with a past medical history of heart failure with reduced ejection fraction (HFrEF), atrial fibrillation, HTN, and DVT/PE presented to the ED with a chief complaint of sharp, constant, LLQ abdominal pain and hematemesis x2 days. The patient was hemodynamically stable and exhibited diffuse abdominal tenderness on exam. […]
Abstract Number: 739
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 35 year old African American woman with a past medical history of alcohol and tobacco abuse and acute pancreatitis presented to the hospital with a progressive dyspnea and nonproductive cough for one month not responding to outpatient antibiotics. Six months prior to presentation, she was hospitalized for acute pancreatitis that was attributed […]
Abstract Number: 762
SHM Converge 2023
Case Presentation: A 33-year-old female presented to the emergency department with 2-days of fever, nausea, non-bilious/non-bloody vomiting, epigastric pain, and anorexia. This was superimposed on a one-year history of intermittent abdominal pain, bloating, nausea, bilious vomiting, and 20-pound weight loss which has been preceded by food insecurity with resulting weight loss. Her past medical, surgical, […]
Abstract Number: 778
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 38-year-old Asian American male presented with severe non-radiating upper abdominal pain for the previous 18 hours. The pain was exacerbated with deep breathing and movement. He had no significant past medical, surgical, or family history. He drank two alcoholic drinks per week and did not smoke. The only medication he reported taking […]
Abstract Number: 813
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 46-year-old male with a history of type II diabetes mellitus on metformin presented with five days of severe, post-prandial epigastric pain with inability to tolerate meals. Labs on admission were notable for mild hyperglycemia with finger stick blood glucose between 100 and 200 mmol/L with an anion gap of 21, pH 7.3, […]
Abstract Number: 840
SHM Converge 2024
Case Presentation: A 19-year-old male with past medical history of well-controlled juvenile myoclonic epilepsy was transferred from a community hospital for management of acute necrotizing pancreatitis. Upon arrival, he was severely hypovolemic and hypotensive, prompting aggressive intravenous fluid resuscitation and initiation of vasopressor therapy. He became obtunded, and was intubated for airway protection. Broad-spectrum antibiotics […]