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Search Results for SEP
Abstract Number: N45
SHM Converge 2022
Case Presentation: 39-year-old female with a history of ulcerative colitis (UC), but not on therapy, presented with abdominal pain and hematochezia for two weeks, along with weight loss and night sweats. On admission, vital signs were notable for tachycardia and physical examination revealed a diffusely tender abdomen. Laboratory studies were remarkable for leukocytosis of 23,250/mm3. […]
Abstract Number: 1017
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 60-year old male gardener presented with generalized body aches, night sweats, chills, malaise, fevers and headache (frontal and occipital) intermittently for a month. He reported abdominal pain, dyspnea, joint stiffness and myalgia. Around 2 weeks prior, the pain intensified and he received a treatment for upper respiratory infection with azithromycin. He finally […]
Abstract Number: 1115
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 34 year-old woman presented with 5 days of progressively worsening, throbbing left groin pain that radiated down her left thigh and was severe enough to limit ambulation. She denied injury to the area, fevers, chills, a history of arthritis or other autoimmune conditions, and intravenous drug use. Her past medical history was […]
Abstract Number: 1207
Hospital Medicine 2020, Virtual Competition
Background: As the day progresses, clinicians may experience decision fatigue that impairs clinical reasoning. Such impairment may exert its greatest effects on clinicians’ abilities to identify and effectively treat heterogeneous clinical syndromes with high diagnostic uncertainty, including sepsis. We therefore examined the association of time of day with antibiotic initiation among hospitalized ward patients with […]
Oral Presentations
Abstract Number: Oral
Hospital Medicine 2020, Virtual Competition
Background: Sepsis is a common and life-threatening complication of infection that disproportionately affects patients with chronic comorbidities. Timely fluid resuscitation is a key initial management strategy for reducing sepsis mortality; however, patients with serious comorbidities are often excluded from clinical trials. The Surviving Sepsis guidelines suggest that patients meeting severe sepsis criteria should be administered […]
Oral Presentations
Abstract Number: Oral
Hospital Medicine 2020, Virtual Competition
Background: In 2016, the Sepsis-3 taskforce posited that acute organ failure is the defining feature of sepsis. Accordingly, they recommended that an acute rise in the Sequential Organ Failure Assessment (SOFA) score by 2 points over baseline should replace the Systemic Inflammatory Response Syndrome (SIRS) score as the sepsis criteria (1). As a justification, they […]