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Search Results for abdominal
Abstract Number: 511
SHM Converge 2021
Case Presentation: A 55-year old female with no reported past medical or surgical history presented for evaluation of sharp epigastric pain radiating into her lower abdomen. The pain began two days prior upon awakening with associated bloating. She also reported nausea worsened by food but denied vomiting. Her last bowel movement was one day prior […]
Abstract Number: 522
SHM Converge 2021
Case Presentation: 67 year old caucasian male with history of right sided hemicolectomy, schizoaffective disorder on clozapine presented with severe epigastric abdominal pain and nausea for 4 hours. He was hemodynamically stable on presentation and physical exam revealed distended abdomen with diffuse tenderness. Initial blood work including CBC, CMP, TSH, lactate was within normal limits. […]
Abstract Number: 535
SHM Converge 2021
Case Presentation: A 59-year-old male with a history of Factor V Leiden and BPH presented with three weeks of worsening left flank pain accompanied by intermittent fevers and fatigue. He also endorsed a history of persistent fevers a few months ago which resolved without treatment. The patient immigrated 30 years ago from rural Italy, and […]
Abstract Number: 571
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 41-year-old female presented with a three-day history of nausea, vomiting, and diffuse abdominal pain radiating to her back. The day prior to admission, the patient started having hematemesis, characterized as “streaks” of blood in her emesis. The patient had recently been in a motor vehicular accident leading to a tibial plateau fracture […]
Abstract Number: 581
SHM Converge 2021
Case Presentation: A 45-year-old male with a history of smoking and hypertension presented to his primary care provider for progressive left-sided pleuritic chest pain without night sweats or fever and reported 2 months of intentional weight loss with diet and exercise. He was sent for an outpatient CT which revealed splenomegaly of 16x19cm with possible […]
Abstract Number: 587
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 60-year-old woman with a twelve-year history of presumed gastroparesis of unclear etiology, was admitted for worsening chronic abdominal pain, nausea and vomiting with unintentional weight loss of over 80 pounds over a year. Evaluation included normal laboratory findings and abdominal imaging. Upper endoscopy showed mild mucosal erythema with normal biopsies of the stomach. […]
Abstract Number: 612
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: We present the case of a 33 year old male who presented with a one day history of non-radiating right upper quadrant abdominal pain worsened by physical activity and lying on his right side. The patient initially suspected that he may have been constipated, but then presented to our hospital due to increasing […]
Abstract Number: 616
SHM Converge 2024
Case Presentation: A 22-year-old female presented with diffuse abdominal pain and a past medical history of endometriosis managed with medroxyprogesterone acetate injections. She also reported a decreased appetite and hematuria. Six months earlier she presented with similar symptoms and was diagnosed with an endometriosis flare. On this admission, the heart rate was 131 bpm, with […]
Abstract Number: 636
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 42-year-old African American woman with a history of hypertension, morbid obesity, and obstructive sleep apnea presented to the emergency department with a 12-hour history of left-sided abdominal pain, nausea and vomiting. At presentation her medications included hydrochlorothiazide, acetaminophen, ibuprofen, and lisinopril. Her first dose of lisinopril 5mg was 12 hours before the […]
Abstract Number: 641
SHM Converge 2024
Case Presentation: A 70-year-old woman with hypereosinophilic syndrome (HES) complicated by recurrent organizing pneumonia (OP) was admitted to a hospital medicine service with four weeks of involuntary spasms of her abdominal wall muscles and hypoxemia. She reported having similar episodes during past OP flares which resolved quickly with prednisone. Notable admission vitals included a heart […]