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Search Results for electrolyte
Abstract Number: 58
SHM Converge 2023
Background: Hospitalists routinely precept third year medical students on general internal medicine wards. One of the key patient care tasks for students is to interpret and initiate management for common electrolyte abnormalities. Formal training to achieve this is lacking for students transitioning from preclinical to clinical years. We designed and implemented a module on interpreting […]
Abstract Number: 308
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Frequent blood draws are implicated in hospital-acquired anemia as well as rising costs. Critically ill patients undergo frequent venous and arterial blood sampling, both providing electrolyte concentrations. In this study, we sought to examine electrolyte values obtained by arterial blood gas testing (ABG) and central laboratory testing (VCL) and determine the extent of essentially […]
Abstract Number: 373
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 62 year-old woman with hypertension presented with one day of profound, generalized weakness. The patient awoke from sleep and felt nearly paralyzed from the neck down, unable to walk or hold a glass of water. Exam revealed 2+ strength in upper and lower extremities and left wrist drop but no cranial nerve […]
Abstract Number: 423
SHM Converge 2023
Background: In the inpatient setting, serum potassium (K) and magnesium (Mg) are frequently replaced for patients with values within the reference range (generally K 3.5-5.0 mEq/L, Mg 1.3-2.2 mEq/L) to target an arbitrary goal of 4 mEq/L for K and 2 mEq/L for Mg.(1,2) For certain high-risk non-pregnant adults, K and Mg replacement to these […]
Abstract Number: 563
SHM Converge 2023
Case Presentation: A 69-year-old female presented to the Emergency Department with progressive weakness, nausea, vomiting, diarrhea, abdominal pain, and confusion for several weeks following an eye surgery the month prior, with symptoms acutely worsening over the last week. On the day of admission, she was found disoriented and clinging to a doorway at home, unable […]
Abstract Number: 629
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 27 year old female with bulimia nervosa (self induced vomiting and laxative abuse) and major depressive disorder presented to the emergency department because of chest pain and lower extremity twitching. Initial evaluation was remarkable for multiple life threatening electrolyte abnormalities including hyponatremia (123 mmol/L), hypokalemia (1.7 mmol/L), hypochloremia (
Abstract Number: 744
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 36 year-old female with history of bulimia nervosa, bipolar disorder and borderline personality disorder presented to the emergency department after she woke up with painful spasm of bilateral hands. She had been vomiting multiple times daily for the past few days but denied any paresthesia, numbness, weakness, tingling, diarrhea, laxative or diuretic […]
Abstract Number: 814
SHM Converge 2023
Case Presentation: A 34-year-old man with hypertension on chlorthalidone and recent COVID-19 infection treated with Paxlovid presented to the ED with three days of shortness of breath, dizziness, and diarrhea. On exam, he was alert, neurologically non-focal, and underweight by BMI. Initial lab work was significant for severe hyponatremia (< 100 mmol/L) and hypokalemia (2.3 […]
Abstract Number: 821
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 67-year-old woman with a history of osteoporosis, GERD, diverticulitis, and osteoarthritis presented to the emergency department with altered mental status and a witnessed tonic-clonic seizure one day after receiving zoledronic acid (ZA) for treatment of osteoporosis. The seizure was refractory to medical management and she required intubation for airway protection. Labs were […]
Abstract Number: 840
SHM Converge 2023
Case Presentation: A 26-year-old male with no significant past medical history was intubated due to respiratory failure from cocaine and fentanyl overdose. Admission labs showed severe rhabdomyolysis (creatinine kinase> 22K U/L), hyperphosphatemia (>20mg/dL) and hyperkalemia (>10mmol/L) with creatinine 2.9mg/dL. ICU course was complicated by hypoalbuminemia, chronic hypocalcemia (corrected calcium-7.6-8.4 mmol/L) and chronic hyperphosphatemia (5.6-10mg/dL). He […]