Clinical Vignettes

//Clinical Vignettes

‘A SIGHT TO BE SEEN’ – OCULAR SYPHILIS IN A PATIENT WITH NEWLY DIAGNOSED HIV

Case Presentation: A 40-year-old man presents with painful, progressive bilateral vision loss which began two months prior, and was described as the patient feeling as if he were “looking through a straw”. He noted excruciating [...]

By | 2019-03-18T17:12:27+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on ‘A SIGHT TO BE SEEN’ – OCULAR SYPHILIS IN A PATIENT WITH NEWLY DIAGNOSED HIV

‘ACHY BREAKY HEART’: A CASE REPORT OF AUTOIMMUNE MYOCARDITIS AND CONSTRICTIVE PERICARDITIS DUE TO SYSTEMIC SCLEROSIS

Case Presentation: 59 year old woman with a history of recently diagnosed rheumatoid arthritis (RA) not on therapy presents with substernal non radiating chest pain and right upper quadrant pain worsening with inspiration and dyspnea [...]

By | 2019-03-11T14:38:42+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ‘ACHY BREAKY HEART’: A CASE REPORT OF AUTOIMMUNE MYOCARDITIS AND CONSTRICTIVE PERICARDITIS DUE TO SYSTEMIC SCLEROSIS

‘CLOSE ENCOUNTER OF THE TICK KIND’: A CASE OF ANAPLASMOSIS MIMICKING SEPTIC SHOCK

Case Presentation: An 87-year-old man with a history of osteoarthritis with recent knee injection presented with malaise, chills, and fever to 102.2°F for three days. He described an abrupt onset of chills and fever at [...]

By | 2019-03-11T14:44:34+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ‘CLOSE ENCOUNTER OF THE TICK KIND’: A CASE OF ANAPLASMOSIS MIMICKING SEPTIC SHOCK

‘HOW A WOMAN WITH RHEUMATOID ARTHRITIS FOUND HERSELF IN A PSYCH WARD’

Case Presentation: A 39 year old Indian female with a medical history of rheumatoid arthritis, maintained on bi-weekly Adalimumab for the past year, presented with anxiety and forgetfulness, which had progressed to extreme paranoia and [...]

By | 2019-03-11T14:41:04+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ‘HOW A WOMAN WITH RHEUMATOID ARTHRITIS FOUND HERSELF IN A PSYCH WARD’

‘ISABEL’ TO THE RESCUE!

Case Presentation: A female of 70-years with a history of osteoarthritis presented with four weeks of fever, weight loss, night sweats, and fatigue. She was hypotensive, febrile, tachycardic and tachypneic. She was initially managed per [...]

By | 2019-03-11T14:45:06+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ‘ISABEL’ TO THE RESCUE!

‘STUCK IN A BAD PLACE’: A RARE CAUSE OF SMALL BOWEL OBSTRUCTION

Case Presentation: A 78-year-old male with a past medical history of atrial fibrillation presented with abdominal pain, nausea, and vomiting. His surgical history includes hernia repair, appendectomy, and cholecystectomy. He endorsed symptoms of anorexia and [...]

By | 2019-03-11T14:39:20+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ‘STUCK IN A BAD PLACE’: A RARE CAUSE OF SMALL BOWEL OBSTRUCTION

‘THE MILKY WAY TO MY HEART’ – A UNIQUE PRESENTATION OF AMYLOID CARDIOMYOPATHY

Case Presentation: A 70-year-old man presented with 5 months of anasarca and recurrent chylous ascites and left chylothorax. He had symptoms of dyspnea, orthostatic hypotension, bloating, early satiety, 20-pound unintentional weight loss, anasarca, and left [...]

By | 2019-03-11T14:32:43+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ‘THE MILKY WAY TO MY HEART’ – A UNIQUE PRESENTATION OF AMYLOID CARDIOMYOPATHY

‘THOSE WORMS DID NOT WANT TO BE EXTRACTED’: A CASE OF ASCARIS LUMBRICOIDES BILIARY OBSTRUCTION AND CHOLANGITIS

Case Presentation: A 24 year old, Chuukese-speaking woman visiting the United States from Micronesia, with no known past medical history, presented with complaint of 24 hours of acute epigastric pain. Patient was on no medications. [...]

By | 2019-03-11T14:37:03+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ‘THOSE WORMS DID NOT WANT TO BE EXTRACTED’: A CASE OF ASCARIS LUMBRICOIDES BILIARY OBSTRUCTION AND CHOLANGITIS

‘WHEN THE STORM COMES BEFORE THE CALM’ – FROM AN OBSCURE NECK MASS TO CORD COMPRESSION

Case Presentation: A 34 year old Filipino male with a past medical history of recently diagnosed Human Immunodeficiency Virus (HIV) and Tuberculosis (TB), presents to the emergency room on October 30th 2018, complaining of intermittent [...]

By | 2019-03-11T14:41:02+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on ‘WHEN THE STORM COMES BEFORE THE CALM’ – FROM AN OBSCURE NECK MASS TO CORD COMPRESSION

“B AWARE”: A CASE OF FULMINANT HEPATIC FAILURE SECONDARY TO ACUTE HEPATITIS B INFECTION

Case Presentation: A 25-year-old man presented with two days of malaise, anorexia, nausea, subjective fever and yellowing of his eyes. He denied travel out of the country, IV drug use, and drank alcohol sparingly. Vitals [...]

By | 2019-03-11T14:37:30+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on “B AWARE”: A CASE OF FULMINANT HEPATIC FAILURE SECONDARY TO ACUTE HEPATITIS B INFECTION

“I THINK I HAVE BEEN POISONED”: DISTINGUISHING KGB ASSASINATION FROM SHOSHIN BERIBERI

Case Presentation: A 54-year-old man presented with confusion, vomiting, and weakness. En route to hospital he received dextrose for a glucose of 40. Admitted to the ICU for severe metabolic acidosis. Past medical history included [...]

By | 2019-03-11T14:31:12+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on “I THINK I HAVE BEEN POISONED”: DISTINGUISHING KGB ASSASINATION FROM SHOSHIN BERIBERI