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Search Results for TIN
Abstract Number: P28
SHM Converge 2022
Case Presentation: A 64-year-old female with hereditary transthyretin amyloidosis (hATTR) and hypothyroidism presented with three days of dull pain localized bilaterally to the biceps femorum, recurrent emesis, and anorexia. Her past medical history includes complications of hATTR (being treated with patisirtan and tafamidis); polyneuropathy, small bowel enteropathy, and cardiomyopathy with associated recent bioprosthetic mitral and […]
Abstract Number: 1007
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Case 1: A 56 year old female with history of metastatic adenocarcinoma of lung on cycle 1 day 8 of carboplatin/permetrexed/pembrolizumab therapy presented with fever, headache and altered mental status. She was diagnosed with Methicillin resistant Staphylococcus aureus (MRSA) bacteremia and was treated with antibiotics. She presented with potassium levels of 3.4 mmol/l […]
Abstract Number: 1011
Hospital Medicine 2020, Virtual Competition
Case Presentation: Hemosuccus pancreaticus, a rare cause of gastrointestinal (GI) bleeding, is defined as bleeding through the pancreatic duct into the ampulla of Vater. Bleeding usually occurs due to a ruptured pseudoaneurysm, and can be fatal, as it can be easily missed. Here we discuss a case that was discovered in time for appropriate intervention. […]
Abstract Number: 1025
Hospital Medicine 2020, Virtual Competition
Case Presentation: This is the case of a 55-year-old female with history of asthma who presented with chief complaint of abdominal pain. The patient endorsed an 8-month history of intermittent stomach discomfort that acutely worsened to severe RUQ pain, nausea, and diarrhea. Social history was notable for recent travel to China and herbal supplement use. Patient’s outpatient […]
Abstract Number: 1062
Hospital Medicine 2020, Virtual Competition
Case Presentation: We present the case of a 58 -year-old opioid naïve man admitted for elective knee arthroplasty received parenteral hydromorphone and enteral oxycodone for analgesia. On post-operative day one, he developed abdominal pain. Abdominal X-ray showed stool burden suggesting constipation (OIC) prompting management with laxatives; he was given 12 mg parenteral methylnaltrexone. Overnight he […]
Abstract Number: 1073
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69-year-old man with a history of chronic obstructive pulmonary disease was admitted with fevers and altered mental status (AMS). He reported 6 months of fevers, with confusion and shortness of breath. He denied cough and sputum production, but endorsed a 20lb unintentional weight loss. He had no history of immunosuppression, imprisonment, or […]
Abstract Number: 1135
Hospital Medicine 2020, Virtual Competition
Case Presentation: This is a 32 year old female with no significant past medical history who presented with diffuse, constant, dull abdominal pain. She denied any associated diarrhea, fever, chills, night sweats, or weight loss. Her social history was significant for immigrating from Trinidad when she was eight years old. She had previously been admitted […]
Abstract Number: 1144
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 70 year-old female with migraines, type 2 diabetes and hypertension presented with progressively worsening headaches, fatigue, fevers, and 20 lb weight loss over six months. She had extensive workup revealing elevated inflammatory markers and an MRI brain three months prior showing a mildly expansile lesion in the right sphenoid bone (Fig. 1A). […]
Abstract Number: 1159
Hospital Medicine 2020, Virtual Competition
Case Presentation: 53-year-old man with history of alcohol abuse, cirrhosis (with preserved liver function) presented with complaints of bilateral hand tremors and hallucinations for one day. He was unable to provide history due to confusion. Computed tomography scan of the brain revealed microvascular ischemic changes and an old lacunar infarct. Patient was delirious and actively […]
Abstract Number: 1210
Hospital Medicine 2020, Virtual Competition
Background: Hepatitis C virus (HCV) is a leading cause for liver cirrhosis and one of the commonest indications for liver transplantation. The introduction of direct acting antiviral (DAA) medications have revolutionized the treatment for HCV. Prior to 2014, the treatment for HCV consisted of interferon and ribavirin which yielded a sustained virologic response (SVR) of […]