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Search Results for effusion
Abstract Number: 617
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 51-year-old male with a past medical history of alpha-1 antitrypsin deficiency with severe emphysema status post bilateral lung transplantation presented to the pulmonary transplant clinic for follow up. On evaluation, he was found to have declining FEV1 and FVC levels. A chest x-ray was performed to evaluate underlying abnormalities and revealed bilateral […]
Abstract Number: 623
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 44 year-old man with history of anemia and HIV on antiretroviral therapy (ART) with CD4 359 presented with a 3-month history of progressive bilateral lower extremity swelling, increasing abdominal girth, and scrotal edema. He reported a 20-pound unintentional weight loss over the last year, associated with progressive fatigue and drenching night sweats […]
Abstract Number: 631
SHM Converge 2024
Case Presentation: A 63-year-old female with a past medical history of hypertension, atrial fibrillation, type 2 diabetes, multiple strokes with residual left sided deficit, and chronic kidney disease, who presented with altered mental status (AMS) after losing consciousness for 20 minutes during which family noticed left sided facial droop and dysarthria. The patient denied chest […]
Abstract Number: 641
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 73 year-old man with type 2 diabetes mellitus (hemoglobin A1c 7.5), hypertension, hyperlipidemia, chronic renal failure stage 3a, and a distant 10 pack year smoking history presented with 2 weeks of substernal chest tightness and dyspnea on exertion. He was hemodynamically stable without tachypnea at rest. Examination revealed a grade 2/6 holosystolic […]
Abstract Number: 641
SHM Converge 2023
Case Presentation: The patient is a 31 year old male with a medical history of HIV on antiretroviral therapy who was seen in the emergency department for chest pain and dyspnea, then discharged after a negative cardiac workup. He re-presented two days later with worsening chest tightness, dyspnea, and vomiting. On examination, the patient was […]
Abstract Number: 644
SHM Converge 2023
Case Presentation: A 61-year-old African American male with a history of alcohol use disorder and chronic pancreatitis presented to the hospital with shortness of breath and severe chest pain that worsened with inspiration. Two months prior to admission he was found to have a 17x12x12 cm pancreatic pseudocyst and subsequently underwent cystogastrostomy with stent placement […]
Abstract Number: 655
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 63 year-old gentleman had a history of ischemic cardiomyopathy treated with Orthotopic Heart Transplant (OHT), on tacrolimus & prednisone; cutaneous Kaposi Sarcoma (KS); & negative pre-transplant Human Herpesvirus 8 (HHV8) serology. He presented 5 months after OHT with progressive dyspnea on exertion, orthopnea & bilateral lower extremities swelling since 1 week. On […]
Abstract Number: 668
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: We present a case of a 77 year old Filipino male with Chronic Kidney Disease Stage 5, Diabetes Type 2, stage I diastolic congestive heart failure and hypertension who presented with dyspnea and abdominal pain in the setting of paradoxical hypercalcemia. On CT chest, the patient had unremarkable lung parenchyma with a large […]
Abstract Number: 672
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 26-year-old female with lymphangiomatosis presented to the emergency department with fever and malaise of one day duration. She denied headache, cough, nausea, dysuria, or rash. Vitals were notable for elevated heart and respiratory rate. Initial lab work revealed a WBC of 5.9 with a neutrophilic predominance of 99%. This neutrophilia led to […]
Abstract Number: 674
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: The patient is a 16-year-old primigravid woman with past medical history of recurrent childhood UTIs and prior treatment for right pyelonephritis with hydronephrosis at 28 weeks’ gestation. At that time she had a right percutaneous nephrostomy tube placed with subsequent resolution of the right hydronephrosis. Her urine culture grew Stenotrophomonas maltophilia and she […]