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Search Results for respiratory
Abstract Number: 826
SHM Converge 2024
Case Presentation: This is a 32 year old male with no pertinent medical history who presented to the emergency department with complaints of headache, body aches, vomiting, diarrhea, fevers and chills for 4 days. The patient also admits to generalized weakness and poor appetite. The patient denies any chest pain, dyspnea, shortness of breath. The […]
Abstract Number: 872
SHM Converge 2023
Case Presentation: A 15-year-old female with a past medical history of acne vulgaris on topical Dapsone and anxiety on Sertraline presented to the ER with severe shortness of breath. She was recently hospitalized for a left knee meniscal repair one month prior. She went to a theme park on the day of admission where she […]
Abstract Number: 885
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 56 year-old female teacher presents with 1-week history of shortness of breath. She noted progressive shortness of breath on minimal exertion over the past week. She denied associated pedal edema, orthopnea, epistaxis or chest pain. She noted associated cough with white frothy sputum and subjective chills. She denied rashes, exposure to sick […]
Abstract Number: B11
SHM Converge 2022
Background: Oxygen saturation (SpO2) is often overestimated in darker skinned individuals (1–3), but the ideal method to quantify this phenomenon and measure its impact on clinical outcomes is unclear. Studying the distributions of SpO2 may not be the appropriate method because these distributions are influenced by clinicians’ real time efforts to maintain SpO2 in a […]
Abstract Number: B29
SHM Converge 2022
Case Presentation: A 69-year-old male with past medical history of bipolar disorder, schizophrenia, and substance abuse presented to the ED with suicidal and homicidal ideations, and hallucinations. He tested positive for COVID-19 at an outside hospital a week prior to presentation. He endorsed subjective fevers and productive cough with non-bloody sputum and denied dyspnea, chest […]
Abstract Number: D41
SHM Converge 2022
Case Presentation: A 52-year-old man with a history of hypertension and coronavirus disease 2019 (COVID-19) two months prior presented to the emergency department (ED) with five days of fever, malaise, vomiting, and diarrhea. He tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) three days prior and received monoclonal antibody infusion the day prior […]
Abstract Number: F27
SHM Converge 2022
Case Presentation: A 26-year-old otherwise healthy female was prescribed trimethoprim-sulfamethoxazole (TMP-SMX) for a recurring, spontaneously draining vaginal mass below her urethra with inguinal adenopathy. 5 days after starting TMP-SMX, she developed a full-body rash, fever, myalgia, nausea, and a depressed WBC of 2.4 K/mcL. Possible drug fever was suspected and TMP-SMX was discontinued and covered […]
Abstract Number: N15
SHM Converge 2022
Background: An important duty of every hospitalist is to detect the earliest signs of imminent clinical deterioration. Breathing motion patterns can convey early warnings of respiratory instability (1). Normal breathing appears regular, effortless, well-coordinated and comfortable (2). In patients at high risk of respiratory deterioration, breathing appears labored (3). Well-established signs of labored breathing include: […]
Abstract Number: 1249
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69 year old male presented with one week history of worsening delusional behavior and encephalopathy. His medical history included hepatitis C (in remission), hypertension, hyperlipidemia, and polysubstance abuse (cocaine, alcohol). Initial CT head revealed a hypodensity involving right temporal, parietal, and occipital lobes suggestive of acute infarction. Subsequent MRI brain revealed T2 […]