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Abstract Number: 55
TOWARDS DEVELOPING AN OBSTETRIC MEDICINE CONSULTATIVE SERVICE: IDENTIFYING OBSTETRIC PATIENTS WITH MEDICAL CO-MORBIDITIES
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: In the US, the increase in pre-existing maternal conditions and aging of the maternal population has resulted in a shift towards indirect causes of maternal morbidity and mortality. Indirect causes of morbidity and mortality result from previous existing disease or disease that developed during pregnancy and which were not due to direct obstetric causes, but which were [...]
Abstract Number: 176
INCREASING POSTPARTUM DEPRESSION SCREENING FOR AT RISK MOTHERS
SHM Converge 2024
Background: Postpartum Depression can have a negative impact on the physical, cognitive, and behavioral development of children. In the most extreme cases, it can be associated with the cause of death for mothers and their children. Some risk factors that can lead to Postpartum Depression are teenage pregnancy, late or lack of prenatal care, food/housing [...]
Abstract Number: 475
CONSIDER THYROID DYSFUNCTION FOR ABNORMAL WEIGHT LOSS IN POSTPARTUM
SHM Converge 2023
Case Presentation: A 37-year-old female with no significant past medical history presented to emergency room with complaint of palpitation, diarrhea, and heat intolerance. She was five months postpartum. She also complained of unintentional weight loss of 20lb after delivery. She denied fever, chest pain, abdominal pain, or sick contact. General examination including thyroid gland was [...]
Abstract Number: 834
HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS – AN UNUSUAL POSTPARTUM PRESENTATION
SHM Converge 2023
Case Presentation: A 27-year-old female without any significant medical history, who developed acute kidney injury, metabolic acidosis, increasing liver enzymes, coagulopathy, anemia, thrombocytopenia and undifferentiated shock requiring pressors on 6th post-partum delivery. Peripheral smear showed atypical lymphocytes, dohle bodies and neutrophils with toxic vacuolization, suggesting an inflammatory processOther labs were significant for elevated ferritin levels [...]
Abstract Number: 845
WHEN THERE IS NOT ONE PURE CAUSE- PURE RED BLOOD CELL APLASIA IN PREGNANCY AND LUPUS
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40-year-old G2P2 woman with a history of systemic lupus erythematosus (SLE) that has been serologically and clinically quiescent for 15 years, lupus nephritis at 25-years-old that was treated with cyclophosphamide, and HELLP syndrome during her first pregnancy, presented with fatigue and dyspnea one month after her second son was delivered via C-section. [...]
Abstract Number: 0697
COMPLEMENT MEDIATED HEMOLYTIC UREMIC SYNDROME: A RARE LIFE-THREATENING POSTPARTUM COMPLICATION
SHM Converge 2025
Case Presentation: A 23-year-old female presented to the ED, 6 days postpartum with weakness, vomiting, and jaundice following a delivery complicated by preeclampsia. On examination, she had scleral icterus, and labs showed hemoglobin of 6 (normal 12.1- 15.1 g/dL), platelets of 8 (normal 150 – 400× 10^9/L), elevated LDH, low haptoglobin, and schistocytes, suggesting hemolysis. Creatinine was [...]
Abstract Number: 1236
IT’S NOT ALWAYS OCCAM’S RAZOR BUT FIXATION BIAS
Hospital Medicine 2020, Virtual Competition
Case Presentation: 52-year-old male with no past medical history, presents to the emergency room for complaints of worsening diffuse abdominal discomfort of one-day duration. Pain was located in lower part of abdomen, dull in character, non-radiating, 10/10 in intensity associated with nausea, and subjective fever .Vital signs were significant with a temperature of 101.1 degrees [...]
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