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Search Results for hepatitis
Abstract Number: 587
SHM Converge 2021
Case Presentation: An 87-year-old female with a history significant for hyperlipidemia on high-intensity atorvastatin for 6 months, multinodular goiter, Raynaud’s disease, spinal stenosis with peripheral neuropathy presents with 3 days of decreased appetite and bilateral lower extremity pain. Her COVID RT-PCR screen was positive, but the patient denied cough, shortness of breath, fever, or diarrhea. […]
Abstract Number: 589
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 39 y/o Hispanic man presented with 1 week of fever, headache, photophobia, and mild confusion. His complaints and physical examination were consistent with possible meningitis, so empiric treatment with vancomycin, ceftriaxone and acyclovir was initiated following blood cultures. Laboratory data was significant for mild hyponatremia, transaminases 3-4X normal, monocytosis, and surprisingly normal […]
Abstract Number: 595
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 68-year-old Caucasian male with a history of stage IV follicular lymphoma treated with rituximab and bendamustine presented with generalized malaise, weakness, and acute encephalopathy of two weeks.He was hypotensive and his exam showed dry mucous membranes and poor skin turgor. Laboratory examination was remarkable for: creatinine 7.6 mg/dL, AST and ALT 691 […]
Abstract Number: 604
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 37 year-old man with a history of alcohol abuse presented to the emergency department with a chief complaint of abdominal pain and jaundice. The patient stated that 3 days prior to presentation, he awoke with severe intermittent right upper quadrant abdominal pain associated with a yellow discoloration of his skin and sclera. […]
Abstract Number: 652
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 50-year-old woman presented with two weeks of progressively worsening abdominal pain and distention. The abdominal pain was accompanied by yellowing of her eyes and periods of confusion. She reported consuming 4 shots of vodka daily for greater than 10 years. Vital signs were normal. The patient was grossly jaundiced and exhibited scleral […]
Abstract Number: 654
SHM Converge 2023
Case Presentation: A 37-year-old man with a history of alcoholic cirrhosis and treated hepatitis C virus (HCV) infection as well as IV opioid use presented to the hospital with elevated liver function tests on intake labs at a substance abuse facility. Several years prior to presentation, he completed hepatitis C infection treatment with ledipasvir/sofosbuvir with […]
Abstract Number: 668
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Most complications of Hepatitis C virus (HCV) infection, such as progressive fibrosis and cirrhosis, hepatic decompensation, and hepatocellular carcinoma (HCC), are related to chronic infection. Upon adequate treatment of HCV with sustained virologic response (SVR), patients without prior bridging fibrosis or cirrhosis are at a lower risk of developing complications. This is a […]
Abstract Number: 693
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Significant alcohol consumption can lead to a variety of alcoholic liver diseases ranging from alcoholic fatty liver disease to alcoholic hepatitis. Here, we discuss an atypical presentation of alcoholic hepatitis in a patient initially thought to have a hematologic malignancy. Our patient was a 28-year-old Cantonese-American man presenting with one month of fevers, […]
Abstract Number: 702
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40 year old previously healthy female was incidentally found to have elevated transaminases on routine lab work. She was sent to our hospital for further evaluation. On admission, she complained of fatigue, right sided abdominal discomfort, and jaundice of a few weeks. She denied taking prescription medications but reported taking a supplement […]
Abstract Number: 705
SHM Converge 2024
Case Presentation: A 13-year-old previously healthy boy presented to the emergency department with 1 day of jaundice and scleral icterus as well as acute on chronic progressive abdominal pain. Review of systems was notable for unintentional 5 kg weight loss over the past year, fatigue, oral ulcers, Raynaud’s phenomenon, and gross hematuria. He had no […]