Session Type
Meeting
Search Results for delirium
Abstract Number: 376
SHM Converge 2023
Background: Hospital-acquired delirium induced via disruptions of the sleep cycle contributes to increased mortality and morbidity in hospitalized patients (1,2). Surveys of hospitalized general internal medicine patients at our institution, a tertiary academic medical center, have found that sleep duration is decreased in the hospital, with inpatients sleeping on average 4-6 hours, and reporting worse […]
Abstract Number: 417
Hospital Medicine 2020, Virtual Competition
Background: Overnight disruptions in sleep during acute care hospitalizations contribute to lower patient satisfaction, higher risk of delirium, and potentially, increased length of stay. One primary offender of quality sleep is high frequency collection of vital signs during overnight hours. Protocols for reduction in collection of overnight vital signs have been successfully implemented at other […]
Abstract Number: 434
SHM Converge 2023
Case Presentation: A 67 year-old woman presented with six weeks of worsening disorientation. Her husband reported severe insomnia, abnormal behaviors, decreased short-term memory, and very labile mood. She had a history of well-controlled bipolar disorder on chronic lithium therapy. She had a forty pack-year smoking history. She was diagnosed with a urinary tract infection and […]
Abstract Number: 439
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 68 year old woman with a past history notable for recurrent urinary tract infections presents with one day of confusion, odd postures, mutism, and subjective fever. In the Emergency Department, she was febrile to 103o, tachycardic, and appeared restless, with odd purposeless movements of her extremities. She was only able to follow […]
Abstract Number: 473
SHM Converge 2021
Case Presentation: A 36-year-old male with a history of IV drug use presented with right upper extremity (RUE) pain that started after he used IV methamphetamine. Physical exam revealed tachycardia and erythema, edema, and blistering of the RUE. Labs showed WBC 26.7, sodium 129, and lactic acid 3.1. CT RUE revealed moderate soft tissue edema […]
Abstract Number: 502
SHM Converge 2021
Case Presentation: A 78-year-old African American female with a history of hypertension, coronary artery disease, heart failure with reduced ejection fraction, chronic kidney disease (CKD) stage 4, and systemic sarcoidosis in remission, presented for an acute change in mental status with delusions, and memory loss for 1 week. She had a history of dysphagia with […]
Abstract Number: 643
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 56-year-old male with history of alcohol abuse presented to the Emergency Room complaining of worsening abdominal pain for 2 weeks. Patient stated that he drinks half a pint of whiskey every day, and that the last drink was the day before presenting to the Emergency Room. He also reported that he had […]
Abstract Number: 714
Hospital Medicine 2020, Virtual Competition
Case Presentation: As physicians, we frequently engage patients and families in goals of care discussions in the context of advanced serious illnesses. These discussions can be challenging for numerous reasons. We present an atypical case of a woman, who experienced acute onset of confusion, numbness, pre-syncope, chest pain, and abdominal pain, after initiating a discussion […]
Abstract Number: 820
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 91 year-old female with history of atrial fibrillation on coumadin, hypertension, prior stroke, myeloproliferative disease, polycythemia vera and recently diagnosed macular degeneration presented with complaints of visual hallucinations for two weeks. She was in her usual state of health when she developed sudden onset of vivid visual hallucinations including people coming in […]
Abstract Number: 857
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 83-year-old woman presented as a transfer to our center for higher level of care in the setting of a mechanical fall with left femur fracture complicated by altered mental status (AMS) and acute onset atrial fibrillation (AF) with rapid ventricular response (RVR). A past medical history was significant for COPD, hypertension, hyperlipidemia, […]