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Search Results for respiratory
Abstract Number: 641
SHM Converge 2021
Case Presentation: A 77-year-old woman with a significant health history including metabolic syndrome, chronic obstructive pulmonary disease, ischemic cardiomyopathy, stage III chronic kidney disease and a recently diagnosed SARS-CoV-2 infection. She presented with sepsis and cardiorenal syndrome. On arrival, she was in acute respiratory distress with severe metabolic and respiratory acidosis, and in oliguric state, […]
Abstract Number: 650
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 65 year-old man was admitted to the inpatient medical service with worsening cough and dyspnea. He also reported progressive muscle weakness and myalgias over the past several weeks. His past medical history was significant for tobacco use, hypertension, hypothyroidism, and obesity. On admission, he was hemodynamically stable and afebrile with mild tachypnea […]
Abstract Number: 662
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: KW is a 64 year old female with chronic obstructive pulmonary disease and hypertension who presented with progressive dyspnea in the setting of cardiac tamponade, but with persistent hypoxic respiratory failure despite pericardiocentesis. One week after initial presentation, a test returned positive for p-ANCA with anti-myeloperoxidase (anti-MPO) by immunofluorescence and ELISA. Lupus anticoagulant […]
Abstract Number: 670
SHM Converge 2024
Case Presentation: 37 y/o M with a past medical history of SARS-CoV-2 infection one month prior presented after a syncopal episode and complained of inability to move his lower extremities. On exam he was hypotensive and had 0/5 motor strength in his bilateral lower extremities, decreased rectal tone, and absent patellar reflexes. Sensation to light […]
Abstract Number: 701
SHM Converge 2024
Case Presentation: 65 year old female with history of rheumatoid arthritis on methotrexate and hydroxychloroquine, prior gastric ulcers on EGD, who was admitted to the hospital with bloody diarrhea, epigastric pain, acute blood loss anemia found to have duodenal ulcer. Patient received 2 units of blood products on hospitals day one and four. Course had […]
Abstract Number: 705
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 73 year-old African-American female with history Rai Stage 3 Chronic Lymphocytic Leukemia (CLL), not on any treatment was admitted with sepsis secondary to cellulitis of right leg. On the seventh day of hospitalization she became acutely dyspneic. On evaluation, blood pressure was 100/70 mmHg, heart rate 110 beats/min, respiratory rate 21 per […]
Abstract Number: 707
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 75-year-old female with past medical history of obesity (BMI 31.7 kg/m2), paroxysmal atrial fibrillation, hypertension, hypothyroidism, was admitted to the hospital for elective laparoscopic cholecystectomy. Patient tolerated the procedure without complications, however, post operatively, she was difficult to extubate due to hypercapnia of pCO2 of 100 mmHg in arterial blood gas. She was […]
Abstract Number: 721
Hospital Medicine 2020, Virtual Competition
Case Presentation: 23 year old male with history of 8 years of vaping presents with 3 days history of fever, tachypnea, diarrhea, nausea. On initial presentation he had signs of sepsis with hypoxia.Vitals: TMax – 102.7, PR – 119, BP 124/82, RR 28.Labs-WBC-14,800, N- 92%, L 1%, Hb 13.2, Platelets 276, Na 132, K – […]
Abstract Number: 757
SHM Converge 2023
Case Presentation: We present the case of a 62-year-old female with a past medical history of breast cancer diagnosed one-year prior status post lumpectomy, adjuvant radiation, and letrozole, who presented to the hospital with a 1.5 month history of cough, night sweats, fevers, and weight loss. She reported the cough was initially productive of yellow […]
Abstract Number: 825
SHM Converge 2024
Case Presentation: A 48-year-old male with major depressive disorder, bipolar disorder and borderline personality disorder with multiple psychiatric admissions was admitted to the hospital for sepsis secondary to aspiration pneumonia with associated chronic dysphagia and unintentional weight loss. He also reported suicidal ideation, homicidal ideation, and intrusive thoughts of hurting others. Per family he had […]