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Meeting
Search Results for Surgery
Abstract Number: 380
SHM Converge 2021
Case Presentation: A 75-year old female with controlled Type 2 Diabetes Mellitus and Stage 3 Chronic Kidney Disease was admitted to our hospital for anginal symptoms secondary to hypertensive emergency and subsequently diagnosed with NSTEMI. Blood pressure was 206/90 on admission and labs significant for troponin of 0.043 ng/mL that downtrended afterwards. Her symptoms resolved […]
Abstract Number: 380
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 75 year-old man with recently diagnosed bladder cancer presented with fever and dyspnea, one month after a laparoscopic cystectomy, radical prostatectomy, lymph node dissection, and urinary diversion via ileal conduit. On arrival, he was febrile to 38.4 C, heart rate of 110 bpm, tachypneic on 2L supplemental oxygen. His abdomen was nontender […]
Abstract Number: 392
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: The patient is a 34 y.o. female with a past medical history significant only for morbid obesity. She had a gastric sleeve placed 3 months ago, in order to promote weight loss. Two weeks ago, the patient experienced the onset of blurred vision, clumsiness, ambulatory dysfunction, and generalized weakness. At that time, she […]
Abstract Number: 395
Hospital Medicine 2020, Virtual Competition
Background: In surgical co-management (SCM), surgeons and hospitalists share responsibility of care of the surgical patients. In August 2012, we implemented SCM in Orthopedic and Neurosurgery services at our institution (Ann Surg 2016;264(2):275-282). This model is innovative because the same Internal Medicine hospitalists are dedicated year round to the same surgical service. After the first […]
Abstract Number: 456
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 31-year-old female with history of generalized anxiety disorder (GAD), morbid obesity, and eight weeks status-post sleeve gastrectomy presented with 50-pound weight loss and mental status changes. Other symptoms included nausea, vomiting, and poor oral intake. Days to weeks prior to admission she developed generalized weakness, gait disturbance, diplopia, vertigo, and slowed mentation […]
Abstract Number: 480
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 63 year-old man with a history of tobacco abuse presented with progressive left-sided neck pain radiating down the left arm with associated weakness, neck swelling, low-grade fevers, and unintentional weight loss. Nine months prior to this presentation, the patient had a C3-5 anterior cervical decompression and fusion (ACDF) to address similar symptoms. […]
Abstract Number: 489
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 43-year-old male with roux-en-y gastric bypass fourteen years ago with complications and multiple adhesions, hiatal hernia associated with nausea and vomiting, and subsequent small bowel resection last year, started to experience cognitive changes and short-term memory loss. He has also experienced problems with balance, generalized weakness, and unintentional 60-pound weight loss. His […]
Abstract Number: 498
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 47 year old female with a history of depression and remote Roux-en-Y gastric bypass surgery, presented for an elective laparoscopic gastrectomy due to hypertrophic pyloric stenosis causing complete gastric remnant outlet obstruction. Her home medications included duloxetine, pantoprazole and alprazolam. Vital signs on admission revealed blood pressure 147/83 mm Hg, pulse 80 […]
Abstract Number: 511
SHM Converge 2023
Case Presentation: A 53-year-old female with history of Roux-en-y bypass, hypertension, and type 2 diabetes mellitus presented to the emergency department following a mechanical fall. She was found to have a right femoral neck fracture and was admitted for surgical repair. There were no apparent intraoperative complications. Upon arrival to the general care floor shortly […]
Abstract Number: 558
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 44 year old woman with a history of Roux-En-Y gastric bypass (RYGB), hypothyroidism, and morbid obesity, presented with one day of confusion and somnolence. In the emergency department, she was unresponsive to voice with an initial Glasgow Coma Score of 9. Her temperature was 94 F, pulse 94 beats per minute, blood […]