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Meeting
Search Results for Pneumonia
Abstract Number: K41
SHM Converge 2022
Case Presentation: We describe a 56-year-old man who presented with a three-week-history of dyspnea. The dyspnea began two days following the first dose of a two-part Moderna COVID-19 vaccination series. In the three weeks prior to presentation, he had sought help at an urgent care, and from his primary care physician, and was treated with […]
Abstract Number: L26
SHM Converge 2022
Case Presentation: A 19-year-old female with past medical history of asthma, GERD, and anxiety presented with chief complaint of dyspnea, fever, pleuritic chest pain, and vomiting. She was diagnosed with community acquired pneumonia based on multifocal opacities on CT and started on ceftriaxone and azithromycin with initial improvement of symptoms and leukocytosis. On hospital day […]
Abstract Number: N25
SHM Converge 2022
Case Presentation: A 55-year-old man presented with bilateral upper back pain with radiation to the upper chest for the past 1 month. On examination, he had left upper back tenderness. A CT of the chest revealed septic pulmonary emboli. Blood cultures drawn on admission speciated to methicillin-resistant staphylococcus aureus (MRSA). Urine cultures speciated to MRSA […]
Abstract Number: O28
SHM Converge 2022
Case Presentation: A 52-year-old unvaccinated male with past medical history of asthma and uncontrolled obstructive sleep apnea presented to the ED ten days after receiving a diagnosis of COVID-19 with worsening dyspnea. He endorsed a cough, fever, chills, and non-bloody diarrhea, and denied chest pain, leg edema, and anosmia. His initial vitals were remarkable for an oxygen saturation of 65%. A CBC demonstrated leukopenia […]
Oral Presentations
Abstract Number: OP9
SHM Converge 2022
Background: Antibiotics are frequently prescribed—and overprescribed—at hospital discharge, leading to adverse-events and patient harm. Antibiotic overuse at discharge varies widely across hospitals, with rates of overuse differing up to 5-fold.(1) Our understanding of what approaches optimize prescribing at discharge is limited. Recently, we published the ROAD (Reducing Overuse of Antibiotics at Discharge) Home Framework which […]
Abstract Number: 1001
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 50-year-old female was admitted with shortness of breath, cough and fevers. Her past medical history was significant for breast cancer undergoing active neoadjuvant chemotherapy with doxorubicin and cyclophosphamide. She was hypoxic requiring 2L of oxygen via nasal cannula and febrile to 39.0°C. Labs revealed a WBC of 12.0 x 109/L (4.5-11.0 x […]
Abstract Number: 1074
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 25-year-old woman with history of childhood asthma presented with 1 week of fever, dry cough and chest discomfort. She also had non-bloody diarrhea, nausea and vomiting. On review, she admitted vaping THC and CBD products for the past 9 months. She was afebrile with HR 115 bpm, BP 130/61 mmHg, RR 18/min […]
Abstract Number: 1076
Hospital Medicine 2020, Virtual Competition
Case Presentation: We present the case of a 65-year-old male with no previous smoking or supplemental oxygen history who presented to the emergency department after routine clinic visit that was ultimately found to have cryptogenic organizing pneumonia from Influenza type B. Past medical history was insignificant except for recent hospital admission the week prior that […]
Abstract Number: 1085
Hospital Medicine 2020, Virtual Competition
Case Presentation: Exogenous lipoid pneumonia (ELP) is an unusual respiratory disease caused by inflammation from a foreign body reaction to inhaled lipid particles. Here we present a case of this illness in the absence of a history of vaping, and we show how diagnosis can be delayed while searching for more common respiratory disorders. Discussion: […]
Abstract Number: 1086
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 56-year-old male with history of spinal epidural abscess being treated with IV daptomycin, presented to the emergency department with a fever of 104° F. The patient had a history of recurrent epidural abscesses, requiring multiple surgical washouts, following past lumbar diskectomy subsequent to lumbar radiculopathy. Previous cultures were positive for two strains […]