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Search Results for Septic
Abstract Number: 336
SHM Converge 2021
Case Presentation: Patient is a 51-year-old man who presented with complaints of progressively worsening dyspnea, productive cough, sore throat and intermittent fevers of about 1 week. He has a past medical history of tobacco use. Initial vitals showed a temperature – 100.5F, heart rate – 118 bpm ,blood pressure – 119mmhg/60mmhg , respiratory rate – […]
Abstract Number: 382
SHM Converge 2021
Case Presentation: A 20-year-old female with no past medical history presented to a rural hospital with shortness of breath, sepsis, and a several-day history of right-sided throat pain 2 weeks after a dental procedure. Chest x-ray demonstrated bilateral lung opacifications and blood cultures were positive for Streptococcus constellatus. She was started on broad-spectrum antibiotics and […]
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: 461
SHM Converge 2024
Case Presentation: A 68-year-old male with osteoarthritis, status post bilateral knee replacement in 2014, presented with two weeks of flu-like symptoms, generalized weakness, and shortness of breath. Upon admission, the patient was noted to have a tender, swollen right knee with laboratories revealing neutrophilia with bandemia. Computed tomography (CT) of the joint revealed punctate gas […]
Abstract Number: 461
SHM Converge 2021
Case Presentation: An 80-year-old man presented with progressive worsening of altered mental status after a fall and right knee trauma. Four days prior he developed subjective fevers, chills and inability to walk after the fall. Past medical history was significant for diverticulitis complicated by diverticular abscess six months prior to admission. He was homebound, no […]
Abstract Number: 471
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A previously healthy 77 year-old woman with a history of porcine mitral valve repair (MVR) presented with left knee pain. Three weeks prior to admission she experienced general malaise and intermittent chills. She then fell resulting in left knee pain and presented three days later due to inability to walk. On examination, she […]
Abstract Number: 511
SHM Converge 2021
Case Presentation: A 55-year old female with no reported past medical or surgical history presented for evaluation of sharp epigastric pain radiating into her lower abdomen. The pain began two days prior upon awakening with associated bloating. She also reported nausea worsened by food but denied vomiting. Her last bowel movement was one day prior […]
Abstract Number: 533
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 21-year-old man with no previous medical history presented to the emergency department with nausea, vomiting and diarrhea for one week. Labs were significant for white blood cell (WBC) count 3.4 k/ul with decreased lymphocytes along with mild elevation of transaminases and lipase. He was thought to have viral gastroenteritis and was discharged. […]
Abstract Number: 538
SHM Converge 2024
Case Presentation: Patient was a 26-year-old female with history of methamphetamine abuse, previous C trachomatis infection, and heart failure with reduced ejection fraction who presented via EMS for acute hypoxic respiratory failure and unresponsiveness and was intubated in ED. Initial vitals include systolic blood pressure of 80, undetectable diastolic blood pressure, heart rate of 168 […]
Abstract Number: 544
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 68-year-old female presented to the emergency department with altered mental status. A few weeks prior to presentation, she was found to have a viral influenza infection which was managed supportively. Approximately one week prior to presentation, she had started developing a productive cough associated with body aches and fatigue, and eventually developed […]