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Search Results for uc
Abstract Number: 416
SHM Converge 2021
Case Presentation: A 30 year old woman with a history of alcoholic cirrhosis, episodes of alcoholic hepatitis and pancreatitis, was transferred to a tertiary care hospital from a community hospital for a liver transplant evaluation. On admission, she had a MELD score of 33. The patient was not a candidate for liver transplant due to […]
Abstract Number: 421
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Interhospital transfer is a poorly understood transition of care that is associated with increased length of stay and mortality. The processes and communication between transferring and accepting facilities and providers are not standardized. Purpose: Hospitalist faculty education on triage processes is an area for potential intervention to improve interhospital transfer. New faculty hires are […]
Abstract Number: 422
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: This is a 53-year-old Caucasian female with a history of hypertension, recent stroke, and obesity, who presented with chest pain. She had intermittent chest discomfort as a child and was told she had asthma; however, over the past few months, her chest pressure became more frequent and occurred both with activity and rest. […]
Abstract Number: 423
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospital discharge is a vulnerable time: patients are at risk for readmission, adverse events, and death. Activated patients–those with the knowledge, confidence, and skills to engage in activities that promote self-management–are more likely to execute a safe discharge plan and less likely to be readmitted. Educational videos focused on self-management may increase patient activation […]
Abstract Number: 426
SHM Converge 2024
Background: Clinical handbooks support patient care, with studies demonstrating positive effects in areas such as quality of chart documentation, clinical knowledge, and value of inpatient care. Internal medicine residents rotating through inpatient services are particularly likely to benefit from handbooks, especially when handbooks share local, system-specific, and practical guidance. However, less is known about how […]
Abstract Number: 432
SHM Converge 2021
Case Presentation: A 56-year-old man with a past medical history of hypertension, hyperlipidemia, polysubstance abuse, and perforated appendicitis presented to the emergency department for one-week right lower quadrant abdominal pain. Of note, two-years prior, the patient had one-day of similar pain associated with nausea and emesis. A computed tomography (CT) scan of the abdomen and […]
Abstract Number: 433
SHM Converge 2024
Background: The Accreditation Council for Graduate Medical Education (ACGME) states that residents must participate in quality improvement (QI) and patient safety (PS) initiatives during their residency training. At our institution, we have embedded multiple levels of QI and PS education into our internal medicine residency program. Our longitudinal QIPS curriculum begins in each resident’s intern […]
Abstract Number: 434
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 70 year old man presented with four days of epigastric pain, nausea, vomiting and abdominal distension. He reported 50lbs of weight loss due to decrease in appetite over two months. He denied any hematemesis or melena. Physical exam was unremarkable except for diminished bowel sounds and positive stool guaiac test. CT scan […]
Abstract Number: 434
SHM Converge 2021
Case Presentation: A 77 year old male with history of diabetes mellitus, systolic heart failure and morbid obesity who presented with multiple episodes of falls occurring over a 2 week period. The patient reported bilateral weakness and pain in the lower extremities, in addition to sensation of paresthesias and numbness. He reported a progressive loss […]
Abstract Number: 437
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Over the past 50 years, observation status patients have been cared for in a variety of settings: in the emergency department, on inpatient floors, and in dedicated observation units. At our medical center, inpatient teams have traditionally cared for observation patients on medical wards. Patients were often unaware of their admission status until they […]