Session Type
Meeting
Search Results for Small Bowel
Abstract Number: 470
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 33 year-old female presented to an outside facility with a few days of gradual onset abdominal pain with nausea and vomiting. On presentation, vital signs were notable for tachycardia. Examination showed periumbilical tenderness without rigidity or guarding. Labs were remarkable for leukocytosis and normocytic anemia but normal lipase. CT of the abdomen […]
Abstract Number: 486
SHM Converge 2023
Case Presentation: A 65-year-old male with a past medical history of hypersensitivity pneumonitis/bronchiolitis, coronary artery disease, hypertension and hyperlipidemia was admitted for uncontrolled pain. Myalgias and fatigue were present for a month following a tick bite and shingles. He was treated with doxycycline 100mg twice a day for 14 days and valacyclovir 1g three times […]
Abstract Number: 557
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 73-year-old female with PMH of iron deficiency anemia, laparoscopic cholecystectomy, and hernia repair had received iron transfusions as well as blood transfusion. Despite which, her hemoglobin remained low, 7.3gm/dl. She was fatigued, but denied abdominal pain, black stool, vomiting blood, fevers or chills. She had an upper endoscopy that was unremarkable as […]
Abstract Number: 598
Hospital Medicine 2020, Virtual Competition
Case Presentation: 47-year-old male veteran presented with one-month history of intermittent left-sided abdominal pain, vomiting, constipation and melena. Abdominal X-ray revealed small bowel obstruction. CT scan of the abdomen and pelvis with contrast revealed multifocal masses involving proximal to mid-small bowel with small bowel obstruction secondary to the mass at the level of jejunal and […]
Abstract Number: 660
SHM Converge 2021
Case Presentation: We present a case of a 58 year old female with complaints of abdominal pain. The patient had six months of alternating fevers, chills and fatigue. She was placed on antibiotics but her fevers returned upon completion. Three months thereafter, the patient developed left lower quadrant abdominal pain that was sharp in nature […]
Abstract Number: 683
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 67 year old female presented to an outside facility with four months of intermittent abdominal pain and alternating episodes of diarrhea and constipation. CT scan of the abdomen and pelvis showed a large lobulated mesenteric mass closely adherent to adjacent bowel and encasing the SMA and SMV. A CT-guided core needle biopsy […]
Abstract Number: 758
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 56-year-old male presented with acute crampy, diffuse abdominal pain, distension, constipation and nausea. Last year, he had similar episode that was clinically diagnosed as diverticulitis and managed conservatively. Other review of systems was negative. Vitals signs were normal. Abdominal exam was remarkable for distension and left lower quadrant tenderness with no rebound […]
Abstract Number: 825
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 56 year-old man with a history of psoriasis on adalimumab, coronary artery disease with prior stents, presented with chest pressure, dizziness, and dyspnea on exertion after noticing three days of melena and crampy abdominal pain. He denied nausea, vomiting, hematemesis, or bright red blood per rectum. Other than taking aspirin 81mg once […]
Abstract Number: 887
SHM Converge 2023
Case Presentation: A previously healthy 13-year-old girl presented with chronic abdominal discomfort, significant weight loss (11 kg over 8 months), and hyponatremia in the setting of decreased oral intake. Initial evaluation revealed elevated inflammatory markers, iron deficiency anemia (IDA), and thickened bowel walls on abdominal ultrasound. Then, computed tomography revealed a small bowel obstruction secondary […]
Abstract Number: 903
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 78-year-old male with a past medical history of atrial fibrillation presented with abdominal pain, nausea, and vomiting. His surgical history includes hernia repair, appendectomy, and cholecystectomy. He endorsed symptoms of anorexia and constipation, with review of systems otherwise unremarkable. His abdomen was mildly distended and tender to palpation without rebound or guarding. […]