Finalist Posters – Clinical Vignettes, Adult

////Finalist Posters - Clinical Vignettes, Adult

Abstract Number: 490

TO B OR NOT TO B: CHOOSING THE RIGHT BETA BLOCKER FOR INITIAL MANAGEMENT OF THYROID STORM IN PATIENTS WITH HEART FAILURE

Case Presentation: A 37-year-old-male with no significant past medical history who presents to the hospital with 2 months of progressive exertional dyspnea, palpitations and scrotal pain. He has also noticed some leg swelling and has [...]

By | 2019-03-18T17:25:08+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on TO B OR NOT TO B: CHOOSING THE RIGHT BETA BLOCKER FOR INITIAL MANAGEMENT OF THYROID STORM IN PATIENTS WITH HEART FAILURE

Abstract Number: 489

THIAMINE (VITAMIN B1) DEFICIENCY IN BARIATRIC GASTRIC BYPASS: AN UNDER-RECOGNIZED POTENTIAL DEADLY MISS

Case Presentation: A 43-year-old male with roux-en-y gastric bypass fourteen years ago with complications and multiple adhesions, hiatal hernia associated with nausea and vomiting, and subsequent small bowel resection last year, started to experience cognitive [...]

By | 2019-03-18T17:24:53+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on THIAMINE (VITAMIN B1) DEFICIENCY IN BARIATRIC GASTRIC BYPASS: AN UNDER-RECOGNIZED POTENTIAL DEADLY MISS

Abstract Number: 488

SOMETHING UP HIS SLEEVE: PARVOVIRUS B19 AS A CAUSE OF SEPSIS AND A STOCKING-GLOVE RASH

Case Presentation: A previously healthy 21-year-old man presented to the emergency department with a three-day history of rash, fever, and fatigue. The rash first appeared on his trunk and spread to his arms and hands [...]

By | 2019-03-18T17:23:04+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on SOMETHING UP HIS SLEEVE: PARVOVIRUS B19 AS A CAUSE OF SEPSIS AND A STOCKING-GLOVE RASH

Abstract Number: 487

A CASE OF PARADOXICAL HYPONATREMIA IN UNDIAGNOSED CENTRAL DIABETES INSIPIDUS

Case Presentation: A 70-year-old woman visiting from India with history of hypothyroidism and adrenal insufficiency presented with four days of profuse diarrhea and fever. She was admitted for sepsis secondary to Rotavirus gastroenteritis with initial [...]

By | 2019-03-18T17:14:25+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on A CASE OF PARADOXICAL HYPONATREMIA IN UNDIAGNOSED CENTRAL DIABETES INSIPIDUS

Abstract Number: 486

A RARE, BUT DEVASTATING, COMPLICATION AFTER RADIOFREQUENCY ABLATION

Case Presentation: A 62-year-old male with a history of paroxysmal atrial fibrillation presented with hypotension and 2 week history of chest pain after an ablation with pulmonary vein isolation. Transthoracic echocardiography demonstrated a pericardial effusion. [...]

By | 2019-03-18T17:15:16+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on A RARE, BUT DEVASTATING, COMPLICATION AFTER RADIOFREQUENCY ABLATION

Abstract Number: 485

VISCERAL LEISHMANIASIS AS AN UNEXPECTED CAUSE OF PANCYTOPENIA IN A PATIENT WITH AIDS

Case Presentation: A 29 year-old Hispanic male with past medical history of AIDS and multiple-associated co-infections including CNS toxoplasmosis, CMV retinitis, genital HSV, PCP, noncompliance and multiple substance abuse, presented to the ED with 10 [...]

By | 2019-03-18T17:26:02+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on VISCERAL LEISHMANIASIS AS AN UNEXPECTED CAUSE OF PANCYTOPENIA IN A PATIENT WITH AIDS

Abstract Number: 484

OVARIAN VEIN THROMBOPHLEBITIS IN A TRANSGENDER MALE ON TESTOSTERONE

Case Presentation: This is a case of a 28-year-old transgender male on Testosterone for one year, with no past medical or surgical history, no pertinent family history, and current daily smoker, who presented to the [...]

By | 2019-03-18T17:21:27+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on OVARIAN VEIN THROMBOPHLEBITIS IN A TRANSGENDER MALE ON TESTOSTERONE

Abstract Number: 483

RARE PRESENTATION OF GASTRIC OUTLET OBSTRUCTION DUE TO BREAST CANCER METASTASIS

Case Presentation: Breast cancer accounts for approximately 266,000 cases each year and is responsible for over 40,000 deaths in the United States. The most common sites of metastasis include bone, liver, lungs and brain. The [...]

By | 2019-03-18T17:21:59+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on RARE PRESENTATION OF GASTRIC OUTLET OBSTRUCTION DUE TO BREAST CANCER METASTASIS

Abstract Number: 482

DOCTOR, “I SEE FIRE AND SNAKES ON TREES”: A CASE OF CHARLES BONNET SYNDROME

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 [...]

By | 2019-03-18T17:18:54+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on DOCTOR, “I SEE FIRE AND SNAKES ON TREES”: A CASE OF CHARLES BONNET SYNDROME

Abstract Number: 481

AN UNUSUAL CASE OF SYNCOPE: INEXPLICABLE COR PULMONALE IN A 30-YEAR-OLD-MALE

Case Presentation: A 30-year-old obese male presented with 3 weeks of cough with hemoptysis, recent episode of syncope and decreased exercise tolerance for 6 months. Vitals in the ED: BP 134/84, HR 108, RR 18, [...]

By | 2019-03-18T17:15:59+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on AN UNUSUAL CASE OF SYNCOPE: INEXPLICABLE COR PULMONALE IN A 30-YEAR-OLD-MALE

Abstract Number: 480

CURIOUS CASE OF FLUCTUATING LIVER MASS

Case Presentation: A 56-year-old male with a history of 45 pack-year smoking, peptic ulcer, and cholecystectomy 5 months ago presented with worsening epigastric pain and 70-pound weight loss over the last 3 months, associated with [...]

By | 2019-03-18T17:18:11+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on CURIOUS CASE OF FLUCTUATING LIVER MASS

Abstract Number: 479

TB OR NOT TB: THAT IS THE HIGH CALCIUM QUESTION

Case Presentation: A 49 year-old woman with end stage renal disease on peritoneal dialysis (PD) for the past year, presented with progressively worsening abdominal pain, fevers, and nausea. This was her second presentation as she [...]

By | 2019-03-18T17:24:12+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on TB OR NOT TB: THAT IS THE HIGH CALCIUM QUESTION

Abstract Number: 478

STONE COLD CRAZY: A CASE REPORT OF NEPHROLITHIASIS AND EMPAGLIFLOZIN INDUCED DIABETIC KETOACIDOSIS

Case Presentation: A 53-year-old man with a history of insulin-dependent type 2 diabetes mellitus presented with the complaint of abdominal pain, emesis and poor oral intake for three days. CT scan revealed non-obstructing nephrolithiasis. He [...]

By | 2019-03-18T17:23:38+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on STONE COLD CRAZY: A CASE REPORT OF NEPHROLITHIASIS AND EMPAGLIFLOZIN INDUCED DIABETIC KETOACIDOSIS

Abstract Number: 476

‘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

Abstract Number: 475

WHAT THE GEL? AN UNUSUAL PRESENTATION OF ACUTE DIGITAL ISCHEMIA

Case Presentation: A 25-year-old woman with a remote history of intravenous drug use, last reported seven months prior, presented with two days of progressive cyanosis and pain of the medial right hand with associated paresthesia, [...]

By | 2019-04-17T09:19:09+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019, Winners|Comments Off on WHAT THE GEL? AN UNUSUAL PRESENTATION OF ACUTE DIGITAL ISCHEMIA

Abstract Number: 474

CARDIAC SYNCOPE: PATCHING IT TOGETHER

Case Presentation: A 75-year-old male with a medical history significant for a distant myocardial infarction, hypertension and type 2 diabetes presented after two episodes of sudden loss of consciousness without prodrome. His echocardiogram showed a [...]

By | 2019-03-18T17:17:20+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on CARDIAC SYNCOPE: PATCHING IT TOGETHER

Abstract Number: 473

CLOSTRIDIUM DIFFICILE IN THE JOINT

Case Presentation: After suffering a left-sided middle cerebral artery stroke and subsequent right sided weakness, an 85-year-old female fell and sustained a fracture of her right intertrochanteric femur. She initially had an ORIF at an [...]

By | 2019-04-17T09:21:24+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019, Winners|Comments Off on CLOSTRIDIUM DIFFICILE IN THE JOINT

Abstract Number: 471

UNCOMMON P: A CASE OF SPONTANEOUS BACTERIAL PLEURITIS

Case Presentation: A 38 year-old-male with cirrhosis from hepatitis B and C complicated by recurrent ascites, previous spontaneous bacterial peritonitis (SBP), and recurrent hepatic hydrothorax requiring transjugular intrahepatic portosystemic shunt presented with two days of [...]

By | 2019-03-18T17:25:38+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on UNCOMMON P: A CASE OF SPONTANEOUS BACTERIAL PLEURITIS

Abstract Number: 470

MESENTERIC VENOUS THROMBOSIS MASQUERADING AS SMALL BOWEL OBSTRUCTION

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 [...]

By | 2019-03-18T17:20:34+00:00 March 11th, 2019|Adult, Clinical Vignettes, Finalist Posters - Clinical Vignettes, Adult, Hospital Medicine 2019|Comments Off on MESENTERIC VENOUS THROMBOSIS MASQUERADING AS SMALL BOWEL OBSTRUCTION