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Search Results for toxicity
Abstract Number: 481
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 25 year-old man presented with agitation and altered mental status. He was placed in physical restraints and given Ativan due to severe agitation. He was found to be tachycardic, with dilated pupils, erythematous arms, and dry skin. Upon further questioning, the patient endorsed blurred vision, dry mouth, and difficulty urinating. A foley […]
Abstract Number: 498
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 47 year old female with a history of depression and remote Roux-en-Y gastric bypass surgery, presented for an elective laparoscopic gastrectomy due to hypertrophic pyloric stenosis causing complete gastric remnant outlet obstruction. Her home medications included duloxetine, pantoprazole and alprazolam. Vital signs on admission revealed blood pressure 147/83 mm Hg, pulse 80 […]
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: 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: 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 […]
Abstract Number: 582
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 71-year-old woman with poorly differentiated squamous cell carcinoma (SCCA) of the left cheek with recent initiation of nivolumab therapy presented to the Emergency Department with five days of bilateral thigh pain, generalized weakness, and dyspnea. The exam was remarkable for tachycardia, hypotension, tachypnea as well as neck and proximal muscle strength weakness. […]
Abstract Number: 585
SHM Converge 2023
Case Presentation: An 89-year-old female patient with a medical history of atrial fibrillation, TIA, and colon cancer stage IV for which she started Capecitabine three days before her presentation. She presented to the emergency department with intermittent chest pain that started the next day of starting Capecitabine. She was afebrile; her respiratory rate was 18, […]