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Meeting
Search Results for diabetic ketoacidosis
Abstract Number: 521
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 35-year-old black male presented to the emergency department (ED) with acute onset diffuse abdominal pain, along with nausea and vomiting. Review of systems was positive for polyuria and polydipsia. The examination was unremarkable apart from a sizeable fungating lesion of the left lower extremity by the ankle measuring 12 x 8 cm. […]
Abstract Number: 557
SHM Converge 2021
Case Presentation: A 55-year-old man with poorly-controlled type II diabetes and coronary artery bypass graft one month previously presented with a three-day history of dyspnea, nausea, vomiting, and constipation. He had been started on empagliflozin/metformin HCl after his bypass. On presentation, his vital signs were remarkable for tachycardia. His exam was notable for mild left […]
Abstract Number: 619
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 49-year-old man with type 2 diabetes was admitted to our hospital because of impaired consciousness. The patient was fatigued for 10 days and had visited his primary care physician who administered an intravenous drip the day before admission. In ER, he was unconscious with a Glasgow Coma Scale of 6; his breathing pattern […]
Abstract Number: 653
SHM Converge 2023
Case Presentation: A 47-year-old female with a history significant for poorly controlled T1DM and hypothyroidism presented after being found unresponsive following episodes of vomiting for the past 24 hours. The patient was found to have DKA, high anion gap metabolic acidosis, and shock with blood pressure of 65/31. Labs showed blood glucose levels of 983, […]
Abstract Number: 704
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 61-year-old male with a past medical history of type 2 diabetes mellitus (T2DM), hypertension, hyperlipidemia, coronary artery disease (CAD) with multiple previous PCIs and status post CABG 6 days prior, presented to the ED with a 1 day history of nausea, vomiting, upper abdominal discomfort and chest pain. He was maintained on […]
Abstract Number: 709
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 47-year-old woman with migraines, bipolar disorder, and hypothyroidism presented with a 2-day headache that was not improving with sumatriptan. She also complained of generalized weakness, dizziness, nausea, and vomiting. Workup revealed diabetic ketoacidosis, with blood glucose 530 mg/dL, venous pH 7.02, bicarbonate of 8 mmol/L, and anion gap 29. The patient had […]
Abstract Number: 719
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 57-year-old woman with type 1 diabetes on insulin pump and hypertension presented to the ED with abdominal pain with associated nausea/vomiting and shortness of breath for one day. She reported her insulin pump has been malfunctioning for several days. She denied fever/chills, chest pain, or diarrhea. She denied any toxic habits.Vital signs […]
Abstract Number: 719
SHM Converge 2021
Case Presentation: A previously healthy 19 year-old female presented to the emergency room with complaints of nausea, headaches, polyuria, polydipsia and anorexia for four days. She denied urinary urgency or frequency. Her exam was unremarkable except for a flat affect and slowed speech. She was found to have hyperglycemia to 401mg/dL, elevated beta hydroxybutyrate to […]
Abstract Number: 724
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 25-year-old female with a history of hypertension and diabetes mellitus (DM) type 1 presented with altered mental status, abdominal pain, and tenderness. On presentation, she was afebrile, hemodynamically stable. Further workup revealed leukocytosis 27000/ml, acute kidney injury with creatinine 2.47 mg/dl, blood glucose 1000 + mg/dl; glycosylated hemoglobin A1c (HbA1c 11.5%); amylase […]
Abstract Number: 732
SHM Converge 2021
Case Presentation: A 52-year-old Hispanic man with a medical history of hypertension, T2D with neuropathy, and hyperlipidemia without previous exposure to glucocorticoid presented to the emergency department (ED) with mild fever, headache, and shortness lasting three days. His diabetes had been well controlled with glipizide, metformin, and liraglutide, and his recent glycated hemoglobin was 7.2% […]