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Search Results for toxic
Abstract Number: P26
SHM Converge 2022
Case Presentation: 62-year-old male with GERD, ESRD on hemodialysis (HD) presented to the hospital in 2021 with a chief complaint of bilateral lower extremity swelling and difficulty ambulating though a chronic problem, symptoms worsened a few days prior to hospitalization. Patient also complained of myalgias bilateral lower extremities. Patient was hemodynamically stable and afebrile. Labs […]
Abstract Number: P29
SHM Converge 2022
Case Presentation: 20-year-old severely agitated female with history of major depression disorder and anxiety presented after ingesting up to 85 pills including escitalopram, bupropion and alprazolam. Subsequently requiring 4-point restraint due to combative behavior. Labs remarkable for hypokalemia and metabolic acidosis. UDS positive for amphetamines, benzodiazepines cannabis. However negative testing for acetaminophen, salicylates, and ETOH. […]
Abstract Number: 1032
Hospital Medicine 2020, Virtual Competition
Case Presentation: 82-year-old female with atrial fibrillation, non-ischemic cardiomyopathy (EF 25%), rheumatoid arthritis, bed bound at home with hospice care presents for acute encephalopathy and tachycardia. Patient’s son (the primary caregiver) reported that patient is on four drops of oral 1% atropine solution daily for bronchorrhea. Accidentally a family member who is not a primary […]
Abstract Number: 1105
Hospital Medicine 2020, Virtual Competition
Case Presentation: An elderly man was diagnosed with clear cell renal cell carcinoma in 1987, and treated with left nephrectomy, though developed multi-organ metastatic disease in 2015. After he did not tolerate initial treatment with sunitinib, he received 15 cycles of NKTR-214 and nivolumab as part of a phase I/II study. Three months after his […]
Abstract Number: 1114
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 25-year-old female with a history of End Stage Renal Disease (ESRD) due to Focal Segmental Glomerulosclerosis (FSGS) status post cadaveric kidney transplant one year ago presented with acute rejection of the transplanted kidney, likely due to medication non-compliance. Renal biopsy demonstrated that the kidney was no longer salvageable, and she was started […]
Abstract Number: 1226
Hospital Medicine 2020, Virtual Competition
Case Presentation: Syphilis manifestations are widespread, varying with stage and type of visceral involvement. Our detailed understanding of its natural history comes from the pre-antibiotic era and sources like the Tuskegee study. Herein we present a case of complete heart block in a patient with aortic dilation who was subsequently diagnosed to have neurosyphilis during […]
Abstract Number: 1248
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 45 year-old male with a history of nephrolithiasis and hypertension presented with acute onset of right-sided flank pain and hematuria. He presented to an outside hospital and underwent workup for suspected nephrolithiasis. Urinalysis was negative for pyuria or leukocyte esterase. Non-contrast CT scan of his abdomen and pelvis was performed and was […]