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Abstract Number: 797
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 66-year-old woman presented as a hospital transfer for further evaluation of 1 week of abdominal pain and jaundice and several months of a worsening dry cough and dyspnea. These were respectively attributed to acute cholecystitis status post unsuccessful ERCP and pulmonary edema. She had no fever, orthopnea, or edema. Her past medical […]
Abstract Number: 800
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69-year-old female with a history of Takotsubo cardiomyopathy, atrial fibrillation on Amiodarone since 2 months prior, type 2 diabetes who presented to the primary care clinic due to shortness of breath. She was diagnosed with community-acquired pneumonia 3 weeks ago that was treated with Doxycycline without improvement. She continued to spike fevers […]
Abstract Number: 815
Hospital Medicine 2020, Virtual Competition
Case Presentation: We present a 65-year-old, woman who had developed pseudomonas bacteremia after a complicated femoral artery thrombosis s/p transcatheter repair of the mitral valve. The patient was discharged home on a 6-week course of IV cefepime for concerns of possible mitral valve endocarditis. Within 2 weeks of discharge, the patient had been brought back […]
Abstract Number: 839
SHM Converge 2023
Case Presentation: A 64-year-old male with a history of spinal cord injury complicated by quadriplegia, neurogenic bladder and bowel presented with an obstructed suprapubic foley catheter, severe localized pain over the suprapubic area, and a blood pressure of 84/56 on arrival. The patient was administered intravenous fluids and started on 4.5g of piperacillin/tazobactam every 8 […]
Abstract Number: 848
SHM Converge 2023
Case Presentation: A 43-year-old woman with general anxiety disorder and benzodiazepine abuse was brought to the emergency department by her husband with nausea, diarrhea, agitation, and altered mental status. She also endorsed restlessness and muscle tension. Examination revealed an agitated, disoriented woman with three days of amnesia. Vitals signs were within normal limits. Drug and […]
Abstract Number: 854
SHM Converge 2024
Case Presentation: A 54-year-old man with congestive heart failure, chronic kidney disease and atrial fibrillation (on digoxin 0.125 mg daily for 3 years) presented to the emergency department with fatigue, weakness, vomiting, poor oral intake and whole body “involuntary sudden movements.” Neurological exam revealed generalized symmetrical choreiform movements more pronounced in the head, upper torso […]
Abstract Number: 875
SHM Converge 2023
Case Presentation: A 71-year-old male with a PMH of CKD stage 3, CAD, BPH, atrial fibrillation, and diabetes mellitus presented to the ER for left foot swelling for the past 2-3 weeks. He had a history of left foot infection requiring debridement and skin grafts. Patient had recently tried a course of doxycycline and Keflex […]
Abstract Number: 901
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 59-year-old male with a past medical history of end-stage renal disease on hemodialysis, hypertension, diabetes mellitus, and a recent diagnosis of multi-microorganism osteomyelitis due to diabetic foot ulcer on intravenous vancomycin and ertapenem for the past 2 weeks presented to the hospital for visual and auditory hallucinations. The symptoms started shortly after […]
Abstract Number: A28
SHM Converge 2022
Case Presentation: A 70-year-old male with medical history significant for rheumatoid arthritis presented to the emergency department with several days of odynophagia, oral ulcers, skin lesions and epistaxis. He was treated for foot cellulitis with TMP-SMX for one week prior to admission. The patient had been receiving 10 mg SQ weekly injectable MTX for Rheumatoid […]
Abstract Number: C37
SHM Converge 2022
Case Presentation: A 78-year-old gentleman with a past medical history of scalp melanoma, renal papillary cell carcinoma, Ewing sarcoma, and end-stage renal disease presented to an outpatient Oncology appointment with bilateral ptosis, diplopia, myalgias, and bilateral proximal leg weakness less than one week following pembrolizumab infusion and influenza vaccination. He was sent to outpatient Neurology […]