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Search Results for pleural
Abstract Number: 617
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 51-year-old male with a past medical history of alpha-1 antitrypsin deficiency with severe emphysema status post bilateral lung transplantation presented to the pulmonary transplant clinic for follow up. On evaluation, he was found to have declining FEV1 and FVC levels. A chest x-ray was performed to evaluate underlying abnormalities and revealed bilateral […]
Abstract Number: 641
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 73 year-old man with type 2 diabetes mellitus (hemoglobin A1c 7.5), hypertension, hyperlipidemia, chronic renal failure stage 3a, and a distant 10 pack year smoking history presented with 2 weeks of substernal chest tightness and dyspnea on exertion. He was hemodynamically stable without tachypnea at rest. Examination revealed a grade 2/6 holosystolic […]
Abstract Number: 644
SHM Converge 2023
Case Presentation: A 61-year-old African American male with a history of alcohol use disorder and chronic pancreatitis presented to the hospital with shortness of breath and severe chest pain that worsened with inspiration. Two months prior to admission he was found to have a 17x12x12 cm pancreatic pseudocyst and subsequently underwent cystogastrostomy with stent placement […]
Abstract Number: 672
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 26-year-old female with lymphangiomatosis presented to the emergency department with fever and malaise of one day duration. She denied headache, cough, nausea, dysuria, or rash. Vitals were notable for elevated heart and respiratory rate. Initial lab work revealed a WBC of 5.9 with a neutrophilic predominance of 99%. This neutrophilia led to […]
Abstract Number: 674
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: The patient is a 16-year-old primigravid woman with past medical history of recurrent childhood UTIs and prior treatment for right pyelonephritis with hydronephrosis at 28 weeks’ gestation. At that time she had a right percutaneous nephrostomy tube placed with subsequent resolution of the right hydronephrosis. Her urine culture grew Stenotrophomonas maltophilia and she […]
Abstract Number: 679
SHM Converge 2023
Case Presentation: A 36-year-old man presented with a one-month history of fevers, night sweats, low back pain, and an enlarging nodule on his back. Physical exam revealed left axillary adenopathy, diminished breath sounds at bilateral bases, and an irregularly shaped 10 cm pigmented lesion (image 1) on his left posterior hemithorax. Labs were notable for […]
Abstract Number: 745
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient is a 51 year old female with a history of acute cholecystitis status post cholecystectomy who presented to the hospital for acute on chronic abdominal pain. Since her cholecystectomy five months prior, she had recurrent episodes of nausea, vomiting, and abdominal pain with persistently elevated LFTs and bilirubin. Liver biopsy and […]
Abstract Number: 776
SHM Converge 2023
Case Presentation: A 73 year old female with previous history of IgG lambda multiple myeloma presented to the emergency room with three weeks of gradually worsening shortness of breath, fatigue, and loss of appetite. Her multiple myeloma was diagnosed 2.5 years ago and she had since undergone several rounds of radiation and chemotherapy. Upon arrival […]
Abstract Number: 796
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 41-year-old man presented with months of a dry cough, non-bloody diarrhea, and an unintentional 20-lb weight loss, as well as one day of a severe headache. His history was notable for injection drug use, homelessness, and HIV infection for which he was not taking any medications. Initial vitals were temperature 38.3°C, blood […]
Abstract Number: 802
SHM Converge 2023
Case Presentation: 65-year-old female with a past medical history of hypertension and colonic diverticulosis presented to emergency department with progressively worsening dyspnea for two months. This was associated with orthopnoea and wet cough. Before presentation, she completed a course of Levofloxacin and steroids in an outpatient clinic. On examination, she was hypoxic with basilar crackles […]