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Search Results for pancreatic
Abstract Number: 891
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 84-year-old male with a PMH of CAD, atrial fibrillation and BPH presented to the ED due to night time vision loss and jaundice. Patient stated one month prior to presentation he noticed difficulty with vision at night while driving. One week prior to presentation, patient’s family noticed new-onset jaundice. Upon presentation, patient […]
Abstract Number: 929
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 45-years-old African American male with a past medical history of seizure disorder, chronic alcohol abuse, and cervical spine injury, presented to hospital after a witnessed tonic-clonic seizure episode that resolved spontaneously. Initial evaluation revealed hypotension (90/57mmHg), tachycardia (145), tachypnea (36), temperature of 39.1 degrees celsius, leukocytosis (24.2×10^3/microliter) with bandemia, and lactate of […]
Abstract Number: H26
SHM Converge 2022
Case Presentation: Here, we present a rare case of large bilateral pleural effusions arising from a pancreaticopleural fistula (PPF) with a complicated course of trapped lung. Our patient is a 41 year old woman with a history of chronic pancreatitis who presented to the emergency department with a 3-day history of dyspnea on exertion and […]
Abstract Number: L35
SHM Converge 2022
Case Presentation: A 66-year-old-male presented with painless jaundice. Laboratory tests were consistent with biliary obstruction, Ca 19-9 was 304.3 IU/mL (N: 0.0-35), and CT scan revealed a pancreatic mass with omental metastasis. The patient underwent ERCP with biopsy. Pathology was consistent with pancreatic adenocarcinoma (Figure 1A-B). He underwent a Whipple procedure and completed 12 cycles […]
Abstract Number: 1011
Hospital Medicine 2020, Virtual Competition
Case Presentation: Hemosuccus pancreaticus, a rare cause of gastrointestinal (GI) bleeding, is defined as bleeding through the pancreatic duct into the ampulla of Vater. Bleeding usually occurs due to a ruptured pseudoaneurysm, and can be fatal, as it can be easily missed. Here we discuss a case that was discovered in time for appropriate intervention. […]
Abstract Number: 1149
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 49-year-old man with metastatic pancreatic adenocarcinoma diagnosed three months ago and not yet on therapy presented to the emergency room with symptoms of nausea, vomiting, and abdominal pain for one day. Computed tomography of the abdomen and pelvis showed splenic infarcts, bilateral renal infarcts, and increased size of hepatic metastases. On the […]