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Meeting
Search Results for withdrawal
Abstract Number: 559
SHM Converge 2021
Case Presentation: A 32-year-old male with a past medical history of hepatitis C, intravenous opioid abuse, and chronic non-healing ulcers of bilateral lower extremities presented to the ED out of concern for possible infection in his legs. He reported open wounds on the anterior surfaces of bilateral lower legs for roughly nine months, starting with […]
Abstract Number: 572
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 65 yo male with insulin-dependent diabetes, chronic kidney disease, and bipolar disorder was referred to hospital due to a rising creatinine level and decreased urine output. Home medications included furosemide, insulin, amlodipine, aspirin, quetiapine, lamotrigine and clonazepam. Patient was diagnosed with acute renal failure with serum BUN/creatinine 125 mg/dL / 6.25 mg/dL […]
Abstract Number: 684
SHM Converge 2021
Case Presentation: A 64-year-old male with a medical history of left-occipital stroke and alcohol use disorder presented with progressively worsening dizziness & weakness of his extremities ongoing for six months. The complaints were associated with numbness of fingertips and toes with gait instability resulting in repeated falls. He correlated the symptoms with starting baclofen (taking […]
Abstract Number: 826
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Loperamide is an over-the counter anti-motility opioid agonist considered to be specific to the intestinal µ receptor, safe for non-prescription use, and to have low abuse potential. However, several cases of fatal cardiac arrhythmias have been reported.1 38-year-old male without prior cardiovascular history, presented to a rural hospital with pre-syncope and lightheadedness. He […]
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: 980
Hospital Medicine 2020, Virtual Competition
Case Presentation: 65-year-old male with chronic alcoholism, hepatitis C, prior GI bleed, and coronary disease was found unresponsive for unknown duration and was evaluated in the ED for alcohol intoxication. Patient was admitted to the hospitalist service for acute encephalopathy, acute renal failure, and alcohol withdrawal. Vital signs were stable on admission and laboratory studies […]
Abstract Number: D10
SHM Converge 2022
Background: Alcohol withdrawal syndrome is a clinical syndrome with clinical manifestations of anxiety, insomnia, irritability, disorientation, hallucinations, seizures, and autonomic hyperactivity. Delirium tremens is the most severe manifestation of alcohol withdrawal. Although benzodiazepines are currently the first line for treatment of alcohol withdrawal, barbiturates are increasingly used for treatment as an alternative[1–3]. We need strong […]
Abstract Number: G24
SHM Converge 2022
Case Presentation: Patient 1:39 week gestation newborn male with a birth weight of 3521 grams. Prenatal course was overall uncomplicated. Mother was a 27 year old G2P2 woman who had used medical cannabis several times a week during pregnancy for PTSD, anxiety and headaches. No other non-prescribed substances were used and umbilical cord toxicology testing […]
Abstract Number: I48
SHM Converge 2022
Case Presentation: 50-year-old female with HTN and hyperlipidemia was brought to the ED after being found unconscious for an unknown duration. She was last seen well 12-hours prior to presentation. On exam, she was disoriented and somnolent but arousable to repeated stimulation. Vital signs were remarkable for tachycardia (P = 120 bpm) and hypertension (BP […]
Abstract Number: 1110
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69-year-old woman presented for an elective multi-level lumbar laminotomy for the treatment of chronic back pain secondary to spinal canal stenosis. Her medical history included hypertension and hypercholesterolemia. She reported a history of depression, which was well controlled on paroxetine. She denied using drugs, stated she quit tobacco decades prior, and reported […]