Session Type
Meeting
Search Results for Seizure
Abstract Number: 815
Hospital Medicine 2020, Virtual Competition
Case Presentation: We present a 65-year-old, woman who had developed pseudomonas bacteremia after a complicated femoral artery thrombosis s/p transcatheter repair of the mitral valve. The patient was discharged home on a 6-week course of IV cefepime for concerns of possible mitral valve endocarditis. Within 2 weeks of discharge, the patient had been brought back […]
Abstract Number: 821
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 67-year-old woman with a history of osteoporosis, GERD, diverticulitis, and osteoarthritis presented to the emergency department with altered mental status and a witnessed tonic-clonic seizure one day after receiving zoledronic acid (ZA) for treatment of osteoporosis. The seizure was refractory to medical management and she required intubation for airway protection. Labs were […]
Abstract Number: 847
SHM Converge 2024
Case Presentation: A 33 year old previously healthy male with no significant past medical history presented to the ED with two days of severe bilateral shoulder pain and chest swelling, found to have bilateral anterior shoulder dislocations with humerus fractures, an AKI and rhabdomyolysis. Patient stated he awoke from sleep two days prior with severe […]
Abstract Number: 895
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60 year-old female with no significant past medical history was brought in as a level 2 trauma after being involved in a motor vehicle accident. The non-contrast head CT demonstrated bilateral frontal brain lesions, prompting a brain MRI which revealed a non-enhancing T2/FLAIR hyperintense lesion in the anterior frontal lobes and crossing […]
Abstract Number: 932
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69-year-old Brazilian female who moved to the US in the 1990s with history of COPD, hypertension, and depression (treated 5 years ago with Seroquel) presented to the ER with 2 weeks of cough, diarrhea, and post-tussive emesis. The patient was febrile to 103 F, BP 96/58, tachycardic to 110, and hypoxic to […]
Abstract Number: 964
Hospital Medicine 2020, Virtual Competition
Case Presentation: 73-year-old male had a witnessed fall at home with a minor head injury without loss of consciousness. Later, his wife noted him having new onset convulsive seizures and immediately notified EMS. Upon EMS arrival, he was alert but confused- his fingerstick glucose measured 11 mg/dL. He received oral glucose and was transferred to […]
Abstract Number: C18
SHM Converge 2022
Background: Current guidelines recommend against routine neurodiagnostic testing for evaluation of simple febrile seizures. We aimed to assess variation in rates of neurodiagnostic testing and establish Achievable Benchmarks of Care (ABCs) for children evaluated for simple febrile seizures at children’s hospitals. Methods: We conducted a cross-sectional study of children 6 months to 5 years with […]
Abstract Number: 1013
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 44-year-old female with history of a seizure disorder presented with status epilepticus. She had four witnessed seizures with generalized convulsions at home and two more en route to the hospital with EMS, for which she received two doses of 5mg of midazolam. Upon arriving to the ED, she had two to three […]
Abstract Number: 1036
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27-year-old male brought to the emergency department after being found unresponsive on the floor. The patient had no recollection of subsequent events until awakening in the ambulance. Notably, he had two prior hospitalizations for episodes of amnesia, “being off” and visual hallucinations. The patient was found to be hypoglycemic by the paramedics […]
Abstract Number: 1191
Hospital Medicine 2020, Virtual Competition
Case Presentation: A previously healthy 17-year-old girl was brought to the emergency department (ED) by ambulance following a generalized tonic-clonic seizure. Her blood glucose was 61 mg/dL at the scene and 31 mg/dL on arrival to the ED. A basic metabolic panel was obtained and was within normal limits with the exception of low plasma […]