Session Type
Meeting
Search Results for Therapy
Abstract Number: I26
SHM Converge 2022
Case Presentation: A 77-year-old female was admitted with a 3-week history of pruritus and a 1-week history of jaundice and fatigue. Patient had not used any new medications, except for recently prescribed ACE inhibitors. There was no history of alcohol abuse or liver disease and no recent sick contacts. Other medical conditions are type 2 […]
Abstract Number: L14
SHM Converge 2022
Background: Physical therapy (PT) in the inpatient setting is a limited and valuable resource. Inappropriate PT consultation is costly and can lead to delays in care. Overutilization of inpatient PT services is an increasingly recognized problem. Patients with minimal or no functional limitations frequently receive PT evaluation, diverting resources and delaying care for the patients […]
Abstract Number: L25
SHM Converge 2022
Case Presentation: An 81-year-old man with a history of paroxysmal atrial fibrillation and angiosarcoma on immunotherapy presented with acute onset of shortness of breath, chest pressure and lower extremity edema. He had been started on ipilimumab and nivolumab 1 year prior to presentation and had developed immune checkpoint inhibitor (ICI) thyroiditis, hepatitis, and pneumonitis while […]
Abstract Number: L46
SHM Converge 2022
Case Presentation: Immune checkpoint inhibitors have evolved into the conventional therapy regimen for many cancer types. The major categories of immune checkpoint inhibitors include monoclonal antibodies against cytotoxic T lymphocyte antigen (CTLA-4), programmed cell death protein-1 (PD-1) and programmed cell death ligand molecules (PD-L1). Pembrolizumab has been implicated in causing hepatitis Discussion: An 89-year-old Caucasian […]
Abstract Number: M27
SHM Converge 2022
Case Presentation: A 34 year old male with a medical history of polysubstance abuse and hypothyroidism presented from subacute rehab after a combined thoracolumbar and sacral fixation surgery with worsening generalized weakness. The patient described deconditioning with increased difficulty standing despite 3-4 hours of daily physical therapy. Other acute symptoms included insomnia and mood swings. […]
Abstract Number: O37
SHM Converge 2022
Case Presentation: This is a case of a 72-year-old male with Stage III metastatic melanoma. The patient was started on combination immunotherapy with ipilimumab and nivolumab three months prior. He completed three cycles of treatment. He presented to the emergency department with complaints of fatigue and lethargy. Initial assessment of vitals showed hypotension, BP 95/61 […]
Abstract Number: P38
SHM Converge 2022
Case Presentation: 56-year-old Caucasian lady with a past medical history of recurrent stage 4 melanoma presented with nausea, vomiting, inadequate oral intake and weight loss of 20lbs over several weeks. She received nivolumab immunotherapy for one year and stopped 3-months prior to presentation due to stable lesions without recurrence. She also underwent an esophagogastroduodenoscopy (EGD) […]
Abstract Number: 1013
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 44-year-old female with history of a seizure disorder presented with status epilepticus. She had four witnessed seizures with generalized convulsions at home and two more en route to the hospital with EMS, for which she received two doses of 5mg of midazolam. Upon arriving to the ED, she had two to three […]
Abstract Number: 1105
Hospital Medicine 2020, Virtual Competition
Case Presentation: An elderly man was diagnosed with clear cell renal cell carcinoma in 1987, and treated with left nephrectomy, though developed multi-organ metastatic disease in 2015. After he did not tolerate initial treatment with sunitinib, he received 15 cycles of NKTR-214 and nivolumab as part of a phase I/II study. Three months after his […]
Abstract Number: 1120
Hospital Medicine 2020, Virtual Competition
Case Presentation: 60-year-old gentleman with a history of autoimmune hemolytic anemia presented to emergency department with acute onset of severe left leg pain, edema, and cyanosis. On examination of his left leg, pulses were not palpable distal to posterior tibialis but motor functions remained intact. There were no blebs or bullae noted. He was requiring […]