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Search Results for intern
Abstract Number: 348
SHM Converge 2021
Case Presentation: A 73-year-old woman with a past medical history of hypertension and osteoarthritis presented to the emergency department with progressive right lower back pain after a mechanical fall, subacute oropharyngeal dysphagia, and diffuse proximal and distal muscle weakness. On presentation, she was afebrile with unremarkable vital signs. Her labs were significant for a WBC […]
Abstract Number: 353
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Inadequate access to seven-day inpatient medicine services, particularly at weekends, can lead to poor outcomes. Most evidence in this area is from North America and Europe but there is little or no evidence from the Middle East region. Purpose: We evaluated our practice before and after the introduction of an attending physician hospitalist delivered […]
Abstract Number: 354
SHM Converge 2024
Background: Recommended core skills for internal medicine subinterns include recognizing sick patients, knowing when to ask for help, and time management skills. ACGME duty hour restrictions have led to more resident shift work including night shifts. Working with nightfloat residents provides a unique opportunity for students to incorporate the aforementioned learning objectives through patient cross-coverage […]
Abstract Number: 373
Hospital Medicine 2020, Virtual Competition
Background: The ability to recognize a patient requiring urgent or emergent care and initiate evaluation and management is one of the core Entrustable Professional Activities (EPA 10). Interns are also expected to work as part of an interprofessional team (EPA 9). The exposure to common, urgent internal medicine (IM) scenarios is inconsistent throughout the IM […]
Abstract Number: 381
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 46 year-old man with a past medical history of untreated hypertension presented with right ptosis and miosis. The patient was in his usual state of health until one month prior to presentation, when he developed right retrobulbar pain in the absence of additional upper airway or constitutional symptoms. The patient subsequently noticed […]
Abstract Number: 391
SHM Converge 2024
Background: The traditional Morbidity and Mortality Conference (MMC) is known for its punitive aspects. Some programs have met the ACGME Internal Medicine (IM) requirement for MMC or Quality Improvement (QI) conferences by focusing on general principles of patient safety. We describe the impact of a QI-based MMC on resident perceptions of psychological safety and the […]
Abstract Number: 425
SHM Converge 2023
Background: While the Coronavirus Disease 2019 (COVID-19) pandemic has substantially affected health outcomes globally, care strategies have varied in different regions. For example, while US hospitals primarily admitted patients with severe COVID-19, hospitals in Egypt admitted most symptomatic COVID-19-positive individuals per the May 2020 Ministry of Health and Population management protocol. Additionally, the use of […]
Abstract Number: 443
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 65 year old male with a history of diabetes mellitus type II complicated by neuropathy presented with profound facial and oropharyngeal edema after ingesting his usual medications. He was hemodynamically stable and without urticaria on exam. The patient could not speak and his airway was deemed compromised, so he underwent urgent nasopharyngeal […]
Abstract Number: 457
SHM Converge 2021
Case Presentation: A 57-year-old incarcerated male with end stage renal disease (ESRD) on hemodialysis, coronary artery disease (CAD), and Gastroesophageal reflux disease (GERD) presented to the emergency department with several episodes of hematemesis, shortness of breath and fatigue for the past 2 days without any associated abdominal pain, dysphagia, or odynophagia. On exam, he was […]
Abstract Number: 608
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: This is the case of a 57-year-old lady with rapidly progressive stage IV pulmonary adenocarcinoma who presented two months after diagnosis with findings of significant hyponatremia. Upon admission, she was afebrile, hypotensive and tachycardic. Sodium was 119 mEq/L, potassium 2.4 mEq/L, chloride 67 mEq/L, serum osmolality 246 mosm/kg, urine osmolality 684 mosm/kg and […]