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Search Results for Siadh
Abstract Number: 608
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: This is the case of a 57-year-old lady with rapidly progressive stage IV pulmonary adenocarcinoma who presented two months after diagnosis with findings of significant hyponatremia. Upon admission, she was afebrile, hypotensive and tachycardic. Sodium was 119 mEq/L, potassium 2.4 mEq/L, chloride 67 mEq/L, serum osmolality 246 mosm/kg, urine osmolality 684 mosm/kg and […]
Abstract Number: 622
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A sixty-eight year-old woman presented with two days of confusion and lethargy following two weeks of worsening abdominal pain, nausea and emesis. Medical history was significant for chronic pain, depression, hypertension, and a remote history of alcohol withdrawal seizures. There was no reported dyspnea, cough, or chest pain. She was a one pack […]
Abstract Number: 638
SHM Converge 2021
Case Presentation: A 59 year-old female with past medical history significant for chronic hyponatremia and tobacco use presented to the hospital with complaints of dyspnea and neck pain for 2 weeks. She reported blurry vision and swelling in her neck, face and axillae. Initial vitals were stable. Admission labs were significant for sodium 125, baseline […]
Abstract Number: 672
SHM Converge 2021
Case Presentation: A 41-year old female was hospitalized for management of SIADH causing refractory hyponatremia. Her medical history was notable for generalized anxiety disorder and cosmetic silicone bilateral breast implant. She was up to date on age appropriate cancer screening, and was not taking any prescription medications or supplements. The patient had been in usual […]
Abstract Number: 772
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Mr. R, a 52 year old man with history of nasopharyngeal carcinoma in remission for 14 years, presented for an elective total laryngectomy. He was doing well post-operatively however had been experiencing uncontrolled anxiety for a few months that was previously controlled by sertraline 100mg. Therefore the medicine team recommended increasing his sertraline […]
Abstract Number: 814
SHM Converge 2023
Case Presentation: A 34-year-old man with hypertension on chlorthalidone and recent COVID-19 infection treated with Paxlovid presented to the ED with three days of shortness of breath, dizziness, and diarrhea. On exam, he was alert, neurologically non-focal, and underweight by BMI. Initial lab work was significant for severe hyponatremia (< 100 mmol/L) and hypokalemia (2.3 […]
Abstract Number: B47
SHM Converge 2022
Case Presentation: A 63-year-old male presents to the hospital with complaints of one-day history of weakness, dizziness. His outpatient blood work demonstrated a serum sodium level of 124 mEq/L, and a creatinine of 3.1 mg/dL. His medical history was significant for high-grade urothelial bladder carcinoma status post radical cysto-prostatectomy, neobladder urinary diversion, and MVAC (methotrexate, […]
Abstract Number: L33
SHM Converge 2022
Case Presentation: 83 year old female with a history of SLE, rheumatoid arthritis, B-cell lymphoma in remission, hypothyroidism presented with a 4 day history of atraumatic lower back pain, rash to left lower back, nausea, retching, few episodes of small volume, clear vomitus and fatigue. She also reported one year of 25 pound unintentional weight […]
Abstract Number: 1058
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 73-year-old male presented to the ER with right-sided facial droop for 2 days. He had a recent history of multiple insect bites and had noticed a bull’s eye rash about 4 weeks back. He did not have any GI or GU symptoms. No history of recent surgery or trauma. His diet was […]
Abstract Number: 1223
Hospital Medicine 2020, Virtual Competition
Case Presentation: 33-year-old male with metastatic germ cell testicular cancer to the lungs initially presented with worsening headaches. Imaging showed significant disease progression with new intracranial metastases in the right parietal and occipital lobes. He underwent autologous stem cell transplant complicated by pancytopenia. Three days later developed sudden onset typical chest pain at rest associated […]