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Meeting
Search Results for Wernicke
Abstract Number: 693
SHM Converge 2021
Case Presentation: A 53 year-old female with poorly differentiated gastric adenocarcinoma metastatic to the lungs was hospitalized with repeated vomiting for almost two months. She reported vomiting with every meal but without abdominal pain. IV ondansetron, metoclopramide, and prochlorperazine provided only minimal improvement in the hospital. Esophagogastroduodenoscopy showed gastric body obstruction due to a large […]
Abstract Number: 741
SHM Converge 2023
Case Presentation: Patient is a 47-year-old female with a past medical history of uncontrolled type 2 diabetes, hypertension, and stage 3 chronic kidney disease. She was admitted to the hospital on 10/14/22 with intractable nausea/vomiting (N/V) and diarrhea. She had been in and out of the hospital for the past few months with these symptoms. […]
Abstract Number: 800
SHM Converge 2023
Case Presentation: 65 year old woman with history of mood disorder on abilify and cogentin presented with altered sensorium. Patient was exhibiting disorderly behavior and having visual hallucinations at home. Patient had multiple emergency room visits and two hospital admissions for nausea and vomiting in the past one month where she was diagnosed with UTI […]
Abstract Number: 884
SHM Converge 2023
Case Presentation: A 14-year-old male with autism spectrum disorder presented with history of 5 days of refusal to move and imbalance for 2 days, following diarrheal illness two weeks prior. On admission, he was tachycardic and hypertensive with dry mucous membranes. His neurologic exam was limited by agitation but demonstrated symmetric facies and 5/5 strength […]
Abstract Number: 888
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 23 year-old woman presented with blurry vision and difficulty walking for two weeks. Her family also reported two weeks of progressive memory changes and a 52-pound weight loss over four months. One month prior to presentation, while pregnant at 18 weeks gestation, she was admitted with three months of vomiting and five […]
Abstract Number: 894
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 46 year old African American woman presented with one week of worsening hearing loss along with 3 days of vision changes, confusion, visual hallucinations, and difficulty ambulating. She had history of invasive ductal cell carcinoma status-post mastectomy and chemotherapy. Additional history included hemorrhoids for which she underwent hemorrhoidectomy due to excessive bleeding […]
Abstract Number: E33
SHM Converge 2022
Case Presentation: Wernicke’s encephalopathy is the presence of neurological symptoms caused by lesions in the central nervous system due to a lack of thiamine (vitamin B1). The deficiency is seen in malnutrition due to excessive alcohol, malabsorption or decreased intake. Most symptoms will improve quickly if deficiencies are repleted; however, we present the case of […]
Abstract Number: I24
SHM Converge 2022
Case Presentation: A 14-year-old previously healthy female presented to the Emergency Department with 3 days of fluctuating mental status and gait difficulty. Parents noted one episode of urinary incontinence and endorsed avoidance of right sided gaze. Ten months prior to these symptoms, the patient was diagnosed with COVID-19 complicated by anosmia and dysgeusia. Since her […]
Abstract Number: 1071
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29 year old female presents with one week of sudden onset double vision. She reports accompanying dark spots in her vision, photosensitivity, and some unsteadiness with walking. The patient’s friend noted that her eyes were “crossed” the morning of admission. Past medical history is significant for alcohol abuse and anxiety with a […]