Abstract Number: 507

A CURIOUS MITRAL VEGETATION: THE CHALLENGES OF DIAGNOSING AND TREATING FUNGAL ENDOCARDITIS

Case Presentation: A 17 year old male recently diagnosed with high risk B-Precursor ALL and induction failure, was found in clinic to have an acute murmur. Three days prior, he had arm and leg aches, [...]

By | 2019-03-11T14:28:08+00:00 March 11th, 2019|Clinical Vignettes, Hospital Medicine 2019, Pediatric|Comments Off on A CURIOUS MITRAL VEGETATION: THE CHALLENGES OF DIAGNOSING AND TREATING FUNGAL ENDOCARDITIS

Abstract Number: 506

KEEPING UP WITH KIKUCHI-FUJIMOTO DISEASE: A RARE CAUSE OF CERVICAL LYMPHADENOPATHY

Case Presentation: A 9-year-old boy with sickle cell disease (SCD) presented with 5 days of fever and left-sided neck pain. His physical exam was notable for tender cervical lymphadenopathy bilaterally as well as objective fever. [...]

By | 2019-03-11T14:28:06+00:00 March 11th, 2019|Clinical Vignettes, Hospital Medicine 2019, Pediatric|Comments Off on KEEPING UP WITH KIKUCHI-FUJIMOTO DISEASE: A RARE CAUSE OF CERVICAL LYMPHADENOPATHY

Abstract Number: 505

A BIG HEADACHE: HYPERTENSIVE URGENCY AND LARGE VESSEL VASCULITIS IN AN ADOLESCENT

Case Presentation: A previously healthy sixteen-year old Japanese-American female presented to her primary care provider following one week of frontal headache, dizziness, and a feeling of “floating while walking.” Exam revealed upper extremity blood pressure [...]

By | 2019-03-11T14:28:05+00:00 March 11th, 2019|Clinical Vignettes, Hospital Medicine 2019, Pediatric|Comments Off on A BIG HEADACHE: HYPERTENSIVE URGENCY AND LARGE VESSEL VASCULITIS IN AN ADOLESCENT

Abstract Number: 504

LISDEXAMPHETAMINE OVERDOSE INDUCED MYOCARDIAL ISCHEMIA IN AN ADOLESCENT

Case Presentation: The patient is a 13-year-old female with attention-deficit/hyperactivity disorder (ADHD) and depression who presented following an intentional overdose of her lisdexamfetamine (Vyvanse™). She admitted to taking 15 - 40mg tablets in addition to [...]

By | 2019-03-11T14:28:03+00:00 March 11th, 2019|Clinical Vignettes, Hospital Medicine 2019, Pediatric|Comments Off on LISDEXAMPHETAMINE OVERDOSE INDUCED MYOCARDIAL ISCHEMIA IN AN ADOLESCENT

Abstract Number: 502

SULFASALAZINE-INDUCED ACUTE EOSINOPHILIC PNEUMONIA IN A PATIENT WITH JUVENILE ANKYLOSING SPONDYLITIS

Case Presentation: A 14-year-old male with history of juvenile ankylosing spondylitis (JAS) and asthma presented to the hospitalist service with four weeks of fever, weight loss, dyspnea, wheezing and cough. He was admitted one week [...]

By | 2019-03-11T14:28:00+00:00 March 11th, 2019|Clinical Vignettes, Hospital Medicine 2019, Pediatric|Comments Off on SULFASALAZINE-INDUCED ACUTE EOSINOPHILIC PNEUMONIA IN A PATIENT WITH JUVENILE ANKYLOSING SPONDYLITIS

Abstract Number: 501

NOT ALL HEADACHES ARE THE SAME; SOME DIFFERENTIALS CAN GIVE YOU HEADACHE

Case Presentation: A 9-year-old male with 5-day history of headache, fever, somnolence, red eyes and fatigue presented to the ED due to concern for Kawasaki disease. In the ED, frontal headache, fever, photophobia, and neck [...]

By | 2019-03-11T14:27:58+00:00 March 11th, 2019|Clinical Vignettes, Hospital Medicine 2019, Pediatric|Comments Off on NOT ALL HEADACHES ARE THE SAME; SOME DIFFERENTIALS CAN GIVE YOU HEADACHE

Abstract Number: 500

STUMBLING ON THE DIAGNOSIS

Case Presentation: A 3-year-old girl with history of recurrent otitis presented with 2 weeks of gait instability. Her family reported sudden onset of ataxic gait, requiring assistance with balance while ambulating. She had a preceding [...]

By | 2019-03-11T14:27:57+00:00 March 11th, 2019|Clinical Vignettes, Hospital Medicine 2019, Pediatric|Comments Off on STUMBLING ON THE DIAGNOSIS

Abstract Number: 498

INTRACTABLE HICCUPS AND RIGHT-SIDED PARESTHESIAS AS THE PRESENTING SYMPTOM OF A CERVICOMEDULLARY HEMORRHAGIC LESION

Case Presentation: A 17-year-old male presented with 1 month of intractable hiccups, disturbing his sleep, and right-sided paresthesias, starting in his right upper extremity, localized to the 4th and 5th digits, then gradually spread to [...]

By | 2019-03-11T14:27:54+00:00 March 11th, 2019|Clinical Vignettes, Hospital Medicine 2019, Pediatric|Comments Off on INTRACTABLE HICCUPS AND RIGHT-SIDED PARESTHESIAS AS THE PRESENTING SYMPTOM OF A CERVICOMEDULLARY HEMORRHAGIC LESION

Abstract Number: 497

BEFUDDLED BY BRONCHIOLITIS

Case Presentation: A 7-month-old former term female with congenital hypothyroidism was admitted for the third time with a diagnosis of bronchiolitis. Her first admission at 7 weeks of age involved an ICU stay requiring intubation [...]

By | 2019-03-11T14:27:53+00:00 March 11th, 2019|Clinical Vignettes, Hospital Medicine 2019, Pediatric|Comments Off on BEFUDDLED BY BRONCHIOLITIS

Abstract Number: 496

AN EYE-POPPING PRESENTATION OF AN ATYPICAL SINUSITIS

Case Presentation: A 19-year-old Hispanic man presented with 3 weeks of worsening right frontal headache associated with blurred vision and protrusion of right eye. Exam was significant for right eye proptosis with restricted upward gaze. [...]

By | 2019-03-11T14:27:51+00:00 March 11th, 2019|Clinical Vignettes, Hospital Medicine 2019, Pediatric|Comments Off on AN EYE-POPPING PRESENTATION OF AN ATYPICAL SINUSITIS

Abstract Number: 495

INTRACTABLE ABDOMINAL PAIN IN A 9 YR OLD: A DIAGNOSTIC DILEMMA

Case Presentation: 9 year old girl presented with progressively worsening severe abdominal pain, vomiting, headache, difficulty walking, and confusion for 3 weeks. At age 5 and 7 yrs, she presented with nearly identical symptoms and [...]

By | 2019-03-11T14:27:49+00:00 March 11th, 2019|Clinical Vignettes, Hospital Medicine 2019, Pediatric|Comments Off on INTRACTABLE ABDOMINAL PAIN IN A 9 YR OLD: A DIAGNOSTIC DILEMMA

Abstract Number: 493

A RARE CASE OF MOG ANTIBODY POSITIVE ENCEPHALITIS IN A HEALTHY 4-YEAR-OLD

Case Presentation: A 4-year-old presented with persistent fever, headache and vomiting. History was significant for a 5 day febrile illness 1 month earlier and a family history positive for late-onset rheumatoid arthritis in a maternal [...]

By | 2019-03-11T14:27:46+00:00 March 11th, 2019|Clinical Vignettes, Hospital Medicine 2019, Pediatric|Comments Off on A RARE CASE OF MOG ANTIBODY POSITIVE ENCEPHALITIS IN A HEALTHY 4-YEAR-OLD

Abstract Number: 492

BULLAE GALORE

Case Presentation: An 11-year-old obese male of Micronesian descent presented with a pruritic bullous rash and bilateral lower extremity pain. Scattered non-blanching purpura started on both ankles 10 days prior and spread to his legs, [...]

By | 2019-03-11T14:27:45+00:00 March 11th, 2019|Clinical Vignettes, Hospital Medicine 2019, Pediatric|Comments Off on BULLAE GALORE

Abstract Number: 468

ENZYME DEFICIENCY PRESENTING AS NON-ACCIDENTAL TRAUMA

Case Presentation: Almost 3 yo female presented to the ED) with multiple contusions, finger fractures and abrasions. Mother sought care for evaluation of a left occipital swelling that she noticed following the patient’s stay with [...]

By | 2019-03-24T17:12:42+00:00 March 11th, 2019|Clinical Vignettes, Finalist Posters - Clinical Vignettes, Pediatric, Hospital Medicine 2019, Pediatric|Comments Off on ENZYME DEFICIENCY PRESENTING AS NON-ACCIDENTAL TRAUMA

Abstract Number: 467

WHEN LIFE DOESN’T GIVE YOU LEMONS: A RARE CASE OF ACUTE HEART FAILURE

Case Presentation: A five-year-old boy with autism presented to the hospital with two-months of fatigue, lower extremity pain, and a petechial rash. Review of systems was notable for a two-kilogram weight loss, intermittent gingival bleeding [...]

By | 2019-03-24T17:10:02+00:00 March 11th, 2019|Clinical Vignettes, Finalist Posters - Clinical Vignettes, Pediatric, Hospital Medicine 2019, Pediatric|Comments Off on WHEN LIFE DOESN’T GIVE YOU LEMONS: A RARE CASE OF ACUTE HEART FAILURE

Abstract Number: 465

BLOOD, SWEAT AND TEARS: IT CAN BE INFECTIOUS SOMETIMES

Case Presentation: A 12 year-old girl with a history of asthma and migraine headaches presented to the ED with a one week history of headaches and bloody tears. She first developed headache and left eye [...]

By | 2019-03-24T17:08:03+00:00 March 11th, 2019|Clinical Vignettes, Finalist Posters - Clinical Vignettes, Pediatric, Hospital Medicine 2019, Pediatric|Comments Off on BLOOD, SWEAT AND TEARS: IT CAN BE INFECTIOUS SOMETIMES

Abstract Number: 464

SEVERE NUTRITIONAL DEFICIENCY MIMICKING SYSTEMIC DISEASE

Case Presentation: A 14-year-old male presented to an emergency department with 6 days of left thigh pain and inability to bear weight following a fall from bed. Associated symptoms included nausea, diaphoresis and weakness. Review [...]

By | 2019-03-24T17:08:50+00:00 March 11th, 2019|Clinical Vignettes, Finalist Posters - Clinical Vignettes, Pediatric, Hospital Medicine 2019, Pediatric|Comments Off on SEVERE NUTRITIONAL DEFICIENCY MIMICKING SYSTEMIC DISEASE