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Abstract Number: 459
SHM Converge 2024
Background: Work schedules are an important contributor to clinician satisfaction and wellbeing. Following increased work demands from the pandemic, we implemented a change to our hospitalist service structure from a “standard model” with 12-hour, 7-day on, 7-day off shifts including both rounding and admitting duties to an “admitter rounder model” which consisted of primarily 10-hour […]
Abstract Number: 459
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Regardless of specialty or discipline, healthcare professionals are tasked with addressing high value care (HVC). It is therefore crucial that hospitalists and other members of the interprofessional team have training in addressing HVC, specifically around education and incorporating HVC into clinical practice and health systems improvement activities. Purpose: We developed a longitudinal curriculum at […]
Abstract Number: 462
SHM Converge 2021
Case Presentation: A 60-year-old man with no history of diabetes presented with right sided facial swelling and was found to have HbA1c of 14%. He was treated for sinusitis with augmentin and discharged with close follow-up for new-onset diabetes mellitus type 2. A few days later, he developed new left eye blindness necessitating readmission. On […]
Abstract Number: 467
Hospital Medicine 2020, Virtual Competition
Background: Discharge planning and transition of care (TOC) is a crucial process for inpatient teams hoping to optimize patient experience and outcomes. Feedback from patients prior to leaving the hospital identifies several areas for improvement, as there are often misunderstandings about hospital courses and treatment plans. Such confusion leads to poor TOC. The Hospital Consumer […]
Abstract Number: 470
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 33 year-old female presented to an outside facility with a few days of gradual onset abdominal pain with nausea and vomiting. On presentation, vital signs were notable for tachycardia. Examination showed periumbilical tenderness without rigidity or guarding. Labs were remarkable for leukocytosis and normocytic anemia but normal lipase. CT of the abdomen […]
Abstract Number: 470
SHM Converge 2023
Case Presentation: A 79-year-old woman with a past medical history of uncontrolled hypertension, migraine, and chronic kidney disease stage 3 presented with one week of poor oral intake, nausea, vomiting, vague abdominal pain, and chronic nonproductive cough. Physical exam revealed poor skin turgor, and lungs with crackles bilaterally. Laboratory studies showed Creatinine of 5.31 mg/dl […]
Abstract Number: 476
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 69-year-old woman with metastatic breast cancer, atrial fibrillation (on coumadin) and CKD stage III was admitted after a fall. She was treated for pneumonia with ceftriaxone and azithromycin. On hospital day 2, the patient became encephalopathic, hypotensive and required endotracheal intubation for hypercapneic respiratory failure. Antibiotics were broadened to vancomycin and piperacillin/tazobactam.On […]
Abstract Number: 478
SHM Converge 2023
Case Presentation: A 69-year-old male with history of metastatic prostate cancer on chemotherapy presented with fever for three days. On presentation, he was tachycardic with a heart rate of 130 beats per minute. Physical examination was significant for right upper quadrant tenderness. Initial laboratory workup revealed leukocytosis with a white blood cell count of 17000 […]
Abstract Number: 481
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 24-year-old female without significant medical history was admitted with acute substernal, non-pleuritic chest pain accompanied by dyspnea, palpitations, and restlessness. She denied active illicit drug use, but admitted to taking amphetamine/dextroamphetamine (Adderall), provided by a friend, 6 hours prior to admission. On examination, she was tachycardic, hypertensive, and tachypneic, with an oxygen […]
Abstract Number: 482
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 74-year old-female presented with visual hallucinations. These hallucinations were clear, vivid, episodic, and increasing in frequency. Starting 3 weeks prior to presentation, she saw a little boy in her room that was not there. Symptoms progressed with persistent difficulty seeing bugs, snakes, and a little girl. Her past medical history included type […]