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Abstract Number: 717
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 31-year-old man presented to the ED with one week of worsening cough, headaches, and abdominal pain. Initial laboratory evaluation revealed a total bilirubin level of 15.6 mg/dL, ALP 181 U/L, ALT 518 U/L, AST 829 U/L. Lipase and GGT were within normal range. Chest x-ray and abdominal ultrasound showed no abnormalities. He […]
Abstract Number: 738
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 55 year old non obese African American male with the past medical history of HIV on tenofovir/emtricitabine/efavirenz and HCV genotype 1 infection who was being treated with ledipasvir/sofosbuvir came in with complaints of increased urinary frequency, nocturia, increased thirst and fatigue of 2 weeks duration. He denied any fever, chills, dysuria, abdominal […]
Abstract Number: 744
SHM Converge 2024
Case Presentation: A 52-year-old man with a past medical history of hypertension, hyperlipidemia, and type 2 diabetes mellitus presented to the emergency department (ED) with complaints of two weeks of nausea, vomiting, abdominal fullness and distension, full-body fatigue, and myalgias. He was also noted to be febrile and jaundiced. Abdominal ultrasound findings were consistent with […]
Abstract Number: 749
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 44-year-old male with a history of i cirrhosis of liver secondary to chronic hepatitis C,and Illicit drug use presented from a jail to a regional medical center with abdominal discomfort and jaundice which started 2 weeks ago. The patient was diagnosed with acute hepatitis A infection by positive HAV IgM and treated […]
Abstract Number: 766
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 39-year-old male with a past medical history significant for PTSD, depression, and asthma presented to the hospital secondary to suicidal ideation. Patient was reportedly found on an overpass by the police where he was intending to jump. Medications that the patient was currently prescribed were clonazepam, prazosin, sertraline, and zolpidem; however, patient […]
Abstract Number: 783
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 70-year-old woman was admitted to our medical center with a 2-month history of abdominal discomfort, anorexia and fatigue. Past medical history was notable for hyperlipidemia. Five weeks prior to admission, the patient presented to her primary provider with similar complaints and was found to have significantly elevated liver enzymes, as shown in […]
Abstract Number: 786
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 23-year-old woman presented with complaints of jaundice, nausea, and epigastric pain for ten days. She had a history of epithelioid hemangiodendothelioma (EHE) of the lungs, diagnosed six months prior to presentation. She had been treated with interferon alpha-2b (a type 1 interferon) for four months, but this was stopped two weeks prior […]
Abstract Number: 796
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 24 year old pregnant woman presented at 32w1d with three days of fevers, chills and fatigue. Her pregnancy had been complicated by asthma, obesity, pyelonephritis, and a recent gonorrhea infection. Her vital signs on presentation revealed a temperature of 39.5°C, heart rate of 150, blood pressure of 101/67, respiratory rate of 44, […]
Abstract Number: 810
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 75-year-old Caucasian female with a history of hyperlipidemia treated with statin presented to the emergency room for generalized weakness. She became completely bedbound over the course of 5 days. Examination showed symmetric muscle weakness with power 2/5 at proximal muscles but normal strength in distal muscles. Deep tendon reflexes were decreased. She […]
Abstract Number: 814
Hospital Medicine 2020, Virtual Competition
Case Presentation: Introduction: Mixed Cryoglobulinemia (MC) is a rare subtype of the Cryoglobulinemia disorders which are caused by precipitation of immune complexes in the serum at cold temperature. MC involves more than one immunoglobulin component, i.e. IgM, rheumatoid factor (RF) and can be classified further as Type II or III. MC has associations with both […]