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Search Results for toxic
Abstract Number: 508
SHM Converge 2024
Case Presentation: A 57-year-old man with depression and prior suicide attempts presented after being found unresponsive at home with empty bottles of doxepin, amitriptyline, and another unidentified pill bottle. In the ED, he had a GCS of 6, was intubated for airway protection and admitted to MICU. Sodium bicarbonate, fentanyl and propofol infusions were started […]
Abstract Number: 526
SHM Converge 2023
Case Presentation: A 60-year-old male with a history of diabetes, chronic kidney disease, and ventricular tachycardia treated with amiodarone for three total years prior to orthotopic heart transplant one year ago was admitted to the hospital for abdominal pain. He was diagnosed with cholecystitis and underwent uncomplicated laparoscopic cholecystectomy. The postoperative hospital course was complicated […]
Abstract Number: 529
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 51 year-old African American male with a history of chronic kidney disease (baseline creatinine of about 1.5), hypertension, diabetes type II and hyperlipidemia, presented to the ER with severe fatigue, swelling, and difficulty urinating. Two weeks prior to admission, his primary care physician had started the patient on Canagliflozin. About a week […]
Abstract Number: 542
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: We report a case of a 44 year old female with a history of hepatitis C and alcoholic cirrhosis, abstinent from alcohol for about two years, who presented from a nursing facility with few weeks of confusion and bilateral lower extremity weakness and imbalance. Her family reported that she was oriented, communicative and […]
Abstract Number: 542
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 48-year-old male from North Carolina with a history of rheumatoid arthritis presented to the ED with complaints of black tarry melena, nausea, vomiting, and nose bleeds. The patient was found to have stomatitis and severe pancytopenia. He eventually admitted to not understanding his methotrexate dose and stated he accidentally took three times […]
Abstract Number: 545
SHM Converge 2023
Case Presentation: Diclofenac is a routinely prescribed non-steroidal anti-inflammatory agent in hospital with well-recognized hepatotoxic potential. However, there are only two reported cases of topical diclofenac-induced liver injury in literature. Herein, we describe a case of a 94-year-old man with Paget’s disease and osteoarthritis, who developed acute hepatotoxicity after four months of application of topical […]
Abstract Number: 552
SHM Converge 2024
Case Presentation: A 39-year-old male with no significant past medical history presented to the ED with dyspnea on exertion, palpitations, orthopnea, lightheadedness, anxiety, 100-pound weight loss over a 2-year period, and swelling in his left lower extremity. Upon admission, the patient was tachycardic and tachypneic. EKG was significant for new onset atrial fibrillation with RVR, […]
Abstract Number: 563
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 29-year-old Asian male with a one-year history of recurrent generalized muscle weakness presented to the emergency department with whole body paralysis. The patient’s symptoms began abruptly that morning, when he was unable to stand and exit a train due to lower extremity weakness, which generalized over the course of one hour. He […]
Abstract Number: 566
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 47-year-old Hispanic female smoker presented with aone-week history of severe, intermittent substernal chest pain radiating tothe left arm. The pain was associated with palpitations and shortness ofbreath. She was afebrile with a heart rate of 100, a blood pressure of119/59, a fine tremor, and brisk reflexes. No lid lag or proptosis wasappreciated. […]
Abstract Number: 572
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 94-year-old female with a past medical history of cerebrovascular accident (no residual effects) presented with an intertrochanteric fracture of the right proximal femur after a mechanical fall. On arrival, the patient was afebrile, vital signs hemodynamically stable. On exam, the patient was alert and oriented x3 with no focal deficits, extremities warm […]