Session Type
Meeting
Search Results for SSA
Abstract Number: 442
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 54 year-old-woman presented with one week of progressive fatigue, shortness of breath, and productive cough. Physical exam revealed fever of 101.6⁰ F, poor oral dentition, bilateral pulmonary crackles and left lower quadrant abdominal tenderness. Initial laboratory workup was remarkable for elevated procalcitonin which prompted initiation of broad spectrum antibiotics. Chest X-ray was […]
Abstract Number: 450
SHM Converge 2024
Background: Cost associated with diagnostic testing contributes greatly to the rising cost of health care in the United States (Bindraban et al, 2018). There is evidence to suggest that up to 20% of lab testing is unnecessary (Bindraban et al, 2018).Main Line Health (MLH) is a health system in suburban Philadelphia made up of four […]
Abstract Number: 460
Hospital Medicine 2020, Virtual Competition
Background: Hospitalization provides an opportunity to provide patients who use tobacco with evidence-based treatment for cessation, including nicotine replacement therapy, motivational interviewing, and pharmacotherapy. However, this benefit is often lost without appropriate transitions in care to outpatient cessation resources. We have found that inpatient tobacco cessation interventions at our 600-bed urban academic medical center do […]
Abstract Number: 492
SHM Converge 2023
Case Presentation: Bacterial osteomyelitis is very challenging to treat. This is partly due to the widespread antimicrobial resistance to gram positive bacterium Staphylococcus Aureus. We present a severe case of disseminated staphylococcus aureus osteomyelitis, that includes bacteriemia, psoas abscess, infective endocarditis, osteomyelitis, septic arthritis of knee and shoulder joints. A 63-year-old woman with poorly controlled […]
Abstract Number: 617
SHM Converge 2023
Case Presentation: A 23-year-old male with granulomatosis with polyangiitis with renal involvement (on azathioprine), stage 4 chronic kidney disease (baseline renal function) presented with fever, weight loss, and new pancytopenia. Broad-spectrum antibiotics were started and a comprehensive infectious work-up was done, including bacterial cultures, viral tests, and fungal serologies. Initial imaging was unremarkable for any […]
Abstract Number: 647
SHM Converge 2024
Case Presentation: A 63-year-old female with no prior oncologic history was found to have a right breast mass via ultrasound guided biopsy. Pathology showed invasive poorly differentiated metaplastic carcinoma triple negative breast cancer. She was started on neoadjuvant chemotherapy, including Keytruda (pembrolizumab) every 3 weeks. During therapy, she developed Grade 1 fatigue and anemia. Baseline […]
Abstract Number: 749
SHM Converge 2021
Case Presentation: A 51-year-old woman with irritable bowel syndrome presented with abdominal distention, anasarca, and altered mental status. A few weeks prior to her admission, she received an intragluteal steroid injection at another facility for recently diagnosed sciatica. On admission to outside facility, vital signs were notable for hypertension (BP 171/88). Laboratory work was significant […]
Abstract Number: 793
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 34-year-old man with history of injection (IV) heroin misuse, anxiety, and homelessness presents with dyspnea and pleuritic chest pain. He was recently hospitalized with Methicillin-Sensitive Staph Aureus (MSSA) tricuspid valve (TV) endocarditis complicated by acute heart failure and septic pulmonary emboli but left against medical advice. On admission he was afebrile, tachycardic […]
Abstract Number: 795
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 61 year old female presented to the ED with rapidly progressing lower extremity weakness, gait abnormalities, and urinary incontinence. Her neurologic exam was pertinent for bilateral lower extremity motor deficits, diminished reflexes, and weakened rectal tone. MRI spine without contrast showed no cord compression prompting further evaluation with LP. CSF showed elevated […]
Abstract Number: 863
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: We present the case of a 70-year-old man who developed MSSA bacteremia after removal of a spinal stimulator. The bacteremia cleared with cefazolin treatment, but he developed an MSSA psoas abscess. He underwent abscess source reduction and was started on oxacillin, based on culture sensitivities. Unfortunately, he developed encephalopathy and was restarted on […]