To learn more about this meeting, visit hospitalmedicine2015.org

HM2015 Abstract Number:

Physician-Nurse Collaboration in a Tertiary Care Academic Medical Center: The Effect of Burnout

Background: Interprofessional collaboration (IPC) between nurses and physicians can be defined as shared responsibility and decision making in working towards the common goal of quality patient care. The positive effect of greater IPC on patient [...]

By | 2015-04-15T14:59:06-04:00 February 28th, 2015|Uncategorized|Comments Off on Physician-Nurse Collaboration in a Tertiary Care Academic Medical Center: The Effect of Burnout

HM2015 Abstract Number:

Eosinophilic Colitis: A Rarity

Case Presentation: A 31-year-old African American woman with past medical history of hypertension (HTN), gastro esophageal reflux disease (GERD), bronchial asthma and a diagnosis of Irritable Bowel Syndrome (IBS) for 10 years presented with complaints [...]

By | 2015-04-15T14:56:58-04:00 February 28th, 2015|Uncategorized|Comments Off on Eosinophilic Colitis: A Rarity

HM2015 Abstract Number:

Are the ‘impact’ Prognostic Models for Traumatic Brain Injury Valid for Use in Elderly Adults?

Background: Through collaborative neurosurgical comanagement services, hospital medicine has had an increasing role in the hospital-based care of the neurosurgical patient.  This care model has evolved with the change in demographics of traumatic brain injury [...]

By | 2015-04-15T14:58:02-04:00 February 28th, 2015|Uncategorized|Comments Off on Are the ‘impact’ Prognostic Models for Traumatic Brain Injury Valid for Use in Elderly Adults?

HM2015 Abstract Number:

Out of Sight, Out of Mind: The Sleeping Beauty Treated for Herpes

Case Presentation: A 75-year-old man with atrial fibrillation and no neurologic history presented to the emergency department with a one day history of somnolence, aphasia, and generalized weakness. He was nonverbal and minimally responsive to [...]

By | 2015-04-15T15:00:36-04:00 February 28th, 2015|Uncategorized|Comments Off on Out of Sight, Out of Mind: The Sleeping Beauty Treated for Herpes

HM2015 Abstract Number:

Impact of Tablet Computers with Embedded Patient Portals on Hospitalized Patients’ Knowledge and Activation

Background: Though commonly used in the outpatient setting, patient portals have not been routinely used in hospital settings and their impact on patients’ knowledge and activation is largely unknown. Methods: We created a patient portal [...]

By | 2015-04-15T15:01:13-04:00 February 28th, 2015|Uncategorized|Comments Off on Impact of Tablet Computers with Embedded Patient Portals on Hospitalized Patients’ Knowledge and Activation

HM2015 Abstract Number:

“Stop Compressions; Hold Injections:” Calling the Code on Overzealous Vte Prophylaxis

Background: On a daily basis, hospitalists prescribe Venous Thromboembolism (VTE) prophylaxis. While of benefit to certain populations, VTE prophylaxis has not been proven to benefit medical patients at low risk for VTE. Pharmacologic prophylaxis may [...]

By | 2015-04-15T15:01:44-04:00 February 28th, 2015|Uncategorized|Comments Off on “Stop Compressions; Hold Injections:” Calling the Code on Overzealous Vte Prophylaxis

HM2015 Abstract Number:

Not Your Average Multiple Myeloma

Case Presentation: A 55 year-old male with no known medical history presented to the emergency department after a fall on both knees. He was found to have bilateral patellar tendon ruptures and multiple femoral lytic [...]

By | 2015-04-15T15:02:14-04:00 February 28th, 2015|Uncategorized|Comments Off on Not Your Average Multiple Myeloma

HM2015 Abstract Number:

Pay Heed to the Contaminant: Invasive Achromobacter Xylosoxidans Pneumonia in an Immunocompromised Host

Introduction: Pneumonia in an immunocompromised host is unique with respect to the organisms involved. The emergence of new pathogens has significant impact on therapy. Achromobacter xylosoxidans (A.xylosoxidans) is an uncommon pathogen known to cause serious infections [...]

By | 2015-04-15T15:02:47-04:00 February 28th, 2015|Uncategorized|Comments Off on Pay Heed to the Contaminant: Invasive Achromobacter Xylosoxidans Pneumonia in an Immunocompromised Host

HM2015 Abstract Number:

Effects of the Intensive Discharge Intervention in Diabetes (Idid) on Medication Adherence, Glycemic Control, and Post-Discharge Healthcare Utilization

Background: Patients with diabetes and comorbid cardiovascular disease may be at particularly high risk for medication non-adherence and adverse outcomes after hospital discharge. The objective of this study was to design, implement, and evaluate an [...]

By | 2015-04-15T15:03:24-04:00 February 28th, 2015|Uncategorized|Comments Off on Effects of the Intensive Discharge Intervention in Diabetes (Idid) on Medication Adherence, Glycemic Control, and Post-Discharge Healthcare Utilization

HM2015 Abstract Number:

Hospital-Aquired Venous Thromboembolism Risks: Comparing In-Hospital and Post-Discharge Events

Background: Venous thromboembolism (VTE) is considered the most common preventable hospital complication and VTE prophylaxis rates are benchmarks of hospital quality. Hospital-acquired VTE (HA-VTE) is defined as VTE that occurs during hospitalization or within 90 [...]

By | 2015-04-15T15:04:01-04:00 February 28th, 2015|Uncategorized|Comments Off on Hospital-Aquired Venous Thromboembolism Risks: Comparing In-Hospital and Post-Discharge Events

HM2015 Abstract Number:

Effect of Preoperative Anemia on Transfusion Requirements in Joint Replacement Surgery

Background: Anemia is the most commonly encountered hematologic abnormality in preoperative evaluations and has been associated with major adverse outcomes in surgical procedures but often ignored during preoperative evaluation.  The purpose of this study is [...]

By | 2015-04-15T15:04:32-04:00 February 28th, 2015|Uncategorized|Comments Off on Effect of Preoperative Anemia on Transfusion Requirements in Joint Replacement Surgery

HM2015 Abstract Number:

Perceptions of Safety, Efficiency, and Education in Holdover Signout: A Qualitative Study

Background: Signout of newly admitted patients from a night admitting physician to a primary team is common, making up roughly 40% of admissions to the inpatient medical service at our hospital. Nevertheless, little is known [...]

By | 2015-04-15T15:04:58-04:00 February 28th, 2015|Uncategorized|Comments Off on Perceptions of Safety, Efficiency, and Education in Holdover Signout: A Qualitative Study

HM2015 Abstract Number:

Perfect Storm of Inpatient Communication: An Innovative Solution

Background: Today’s care of patients in hospitals inevitably involves multiple providers who must coordinate and communicate effectively in an environment that is uncertain and in constant flux. Unfortunately, traditional communication systems, such as pagers or [...]

By | 2015-04-15T15:05:27-04:00 February 28th, 2015|Uncategorized|Comments Off on Perfect Storm of Inpatient Communication: An Innovative Solution

HM2015 Abstract Number:

Yelp for Antibiotics: Effect of Providing Cost Data on Prescription of High-Cost Antibiotics

Background: Physicians frequently prescribe antibiotics to inpatients without knowledge of medication cost. It is not well understood whether providing cost data would change prescribing behavior. Methods: To evaluate the effect of providing cost data alongside [...]

By | 2015-04-15T15:06:06-04:00 February 28th, 2015|Uncategorized|Comments Off on Yelp for Antibiotics: Effect of Providing Cost Data on Prescription of High-Cost Antibiotics

HM2015 Abstract Number:

Rapid Warfarin Reversal: Step Dose Protocol for 4 Factor Pcc

Background: Despite the wide use of warfarin therapy this drug is associated with the largest number of serious adverse event reports by the FDA with 86% of warfarin-associated bleeds resulting in serious outcomes, and 10% [...]

By | 2015-04-15T15:07:09-04:00 February 28th, 2015|Uncategorized|Comments Off on Rapid Warfarin Reversal: Step Dose Protocol for 4 Factor Pcc

HM2015 Abstract Number:

Novice with a Needle: A Six-Year Experience with an Intern-Based, Hospitalist-Supervised Medical Procedures Service

Background: Academic medical procedure services (MPS) arise from the continued need for procedural training in the setting of decreasing procedural opportunities, increasing safety awareness, and increasing demands on inpatient resident time. Prior research has shown [...]

By | 2015-04-15T15:08:42-04:00 February 28th, 2015|Uncategorized|Comments Off on Novice with a Needle: A Six-Year Experience with an Intern-Based, Hospitalist-Supervised Medical Procedures Service

HM2015 Abstract Number:

Variability in Comportment Styles Among Respected Clinicians in Hospital Medicine

Background: One hopes that all hospitals strive for service excellence, and by 2010 there were more than 30,000 hospitalists delivering the lion’s share of inpatient care in our nation’s hospitals. Although patient satisfaction metrics like [...]

By | 2015-04-15T15:09:16-04:00 February 28th, 2015|Uncategorized|Comments Off on Variability in Comportment Styles Among Respected Clinicians in Hospital Medicine

HM2015 Abstract Number:

Physician-Nurse Collaboration in a Tertiary Care Academic Medical Center: Differences by Profession

Background: A lack of effective physician-nurse collaboration has long been recognized to adversely impact patient and organizational outcomes.  Despite substantial efforts towards developing strategies to improve interprofessional collaboration (IPC) in the acute care setting, consistent [...]

By | 2015-04-15T15:09:44-04:00 February 28th, 2015|Uncategorized|Comments Off on Physician-Nurse Collaboration in a Tertiary Care Academic Medical Center: Differences by Profession

HM2015 Abstract Number:

Attitudes Regarding Transitional Care Practices Within a Hospital: Baseline Survey Results from the Partners-Pcori Transitions Study

Background: Transitions from hospitals to the ambulatory setting are high risk periods for patients. The success of efforts to improve transitional care likely depends in part on local attitudes, culture, workload, and training. Prior to [...]

By | 2015-04-15T15:10:14-04:00 February 28th, 2015|Uncategorized|Comments Off on Attitudes Regarding Transitional Care Practices Within a Hospital: Baseline Survey Results from the Partners-Pcori Transitions Study

HM2015 Abstract Number:

5Th Time’s a Charm: Creation of Unit-Based Care Teams in a High Occupancy Hospital

Background: Unit-based care teams offer inherent benefits to hospitalist services, including opportunity for improved efficiency, interdisciplinary collaboration, and enhanced patient experience. However, many barriers exist to creation of these care teams such as high occupancy [...]

By | 2015-04-15T15:10:48-04:00 February 28th, 2015|Uncategorized|Comments Off on 5Th Time’s a Charm: Creation of Unit-Based Care Teams in a High Occupancy Hospital

HM2015 Abstract Number:

The Impact of Provider Identification Cards on Patients Ability to Correctly Identify Their Attending

Background: Effective patient-physician communication is integral for meaningful clinical relationships and patient satisfaction; thus, it is measured by the Hospital Consumer Assessment of Hospitals and Health Systems (HCAHPS) survey.  Unfortunately, such surveys often demonstrate significant [...]

By | 2015-04-15T15:11:30-04:00 February 28th, 2015|Uncategorized|Comments Off on The Impact of Provider Identification Cards on Patients Ability to Correctly Identify Their Attending

HM2015 Abstract Number:

Staphylococcus Lugdunensis: The Bad and the Ugly Coagulase-Negative Staph

Case Presentation: A 31-year-old woman with a history of rheumatic heart disease and a murmur presented with two months of intermittent subjective fevers, diffuse malaise and inability to walk. Physical exam revealed a systolic 2/6 [...]

By | 2015-04-15T15:12:12-04:00 February 28th, 2015|Uncategorized|Comments Off on Staphylococcus Lugdunensis: The Bad and the Ugly Coagulase-Negative Staph

HM2015 Abstract Number:

Implementation of a Clinical Pathway for Pediatric Asthma Exacerbations Reduces Hospital Length of Stay

Background: In an effort to improve pediatric inpatient asthma care, the Joint Commission developed standards for hospital management in 2003. Despite this initiative, inpatient management of asthma exacerbations and adherence to these guidelines varies by [...]

By | 2015-04-15T15:12:39-04:00 February 28th, 2015|Uncategorized|Comments Off on Implementation of a Clinical Pathway for Pediatric Asthma Exacerbations Reduces Hospital Length of Stay

HM2015 Abstract Number:

Non-Uremic Calciphylaxis in the Setting of Alcoholic Liver Disease

Case Presentation: Calciphylaxis is a rare cause of skin necrosis due to calcium deposition within the vasculature, most commonly seen in patients with end stage renal disease.  A 54-year-old male was transferred from a long-term [...]

By | 2015-04-15T15:13:04-04:00 February 28th, 2015|Uncategorized|Comments Off on Non-Uremic Calciphylaxis in the Setting of Alcoholic Liver Disease

HM2015 Abstract Number:

Blind Ultrasound: Confidence, Use, and Knowledge of Point-of-Care Ultrasound Among Internal Medicine Residents

Background: Point-of-care ultrasound (POCUS) has been rapidly adopted by emergency medicine (EM) as a tool for clinical care. There is growing evidence that POCUS may improve care outside of EM, and POCUS has recently seen [...]

By | 2015-04-15T15:15:14-04:00 February 28th, 2015|Uncategorized|Comments Off on Blind Ultrasound: Confidence, Use, and Knowledge of Point-of-Care Ultrasound Among Internal Medicine Residents

HM2015 Abstract Number:

Fatty Formula: Good for the Heart?

Case Presentation: A 27 year-old male called 911 after intentional ingestion of 3g of lamotrigine and 3g of hydroxyzine.   Upon arrival to the ER, approximately one hour after ingestion, the patient had slurred speech and [...]

By | 2015-04-15T15:16:06-04:00 February 28th, 2015|Uncategorized|Comments Off on Fatty Formula: Good for the Heart?

HM2015 Abstract Number:

Development and Implementation of a Six Month Physician Assistant Hospitalist Internship Program

Background:  Per the 2014 State of Hospital Medicine Survey, 94% of adult hospital medicine groups (HMGs) reported financial shortfalls, with a mean of $169,886 in financial support per full time equivalent physician. In addition, many [...]

By | 2015-04-15T15:17:16-04:00 February 28th, 2015|Uncategorized|Comments Off on Development and Implementation of a Six Month Physician Assistant Hospitalist Internship Program

HM2015 Abstract Number:

You Can’t Improve What You Don’t Measure: A Systems Engingeering Approach to Developing Geographically-Matched Patient Provider Teams

Background: Effective health care requires a delivery system that is fully coordinated. To achieve this requires structured communication between physicians and nurses yet an increasingly recognized barrier to efficient care is the geographic dispersion of [...]

By | 2015-04-15T15:17:52-04:00 February 28th, 2015|Uncategorized|Comments Off on You Can’t Improve What You Don’t Measure: A Systems Engingeering Approach to Developing Geographically-Matched Patient Provider Teams

HM2015 Abstract Number:

A Supplemental Case of Hepatotoxicity

Case Presentation: A 37 year old Caucasian man with known peptic ulcer disease and generalized anxiety disorder presented with a three week history of worsening right upper quadrant pain, nausea and generalized malaise.  He denied [...]

By | 2015-04-15T15:19:37-04:00 February 28th, 2015|Uncategorized|Comments Off on A Supplemental Case of Hepatotoxicity

HM2015 Abstract Number:

Not Ready, Not Set…. Discharge: Patient Reported Barriers to Discharge at an Academic Medical Center

Background: Planning for safe discharge should optimally begin early in each patient’s stay, and focus on individual patient’s needs. The aims of our study were to, beginning at the start of hospitalization and continuing until [...]

By | 2015-04-15T15:20:35-04:00 February 28th, 2015|Uncategorized|Comments Off on Not Ready, Not Set…. Discharge: Patient Reported Barriers to Discharge at an Academic Medical Center

HM2015 Abstract Number:

How Wide Is the Digital Divide? A Study of Urban Hospitalized Patients

Background:  As mobile health and technologies to engage patients in self-care gain increasing attention, it is critical to understand not only access to, but also ability and willingness of, underserved populations to use these resources, [...]

By | 2015-04-15T15:21:35-04:00 February 28th, 2015|Uncategorized|Comments Off on How Wide Is the Digital Divide? A Study of Urban Hospitalized Patients

HM2015 Abstract Number:

The Effect of Patient Centered Bedside Rounds on Patient Experience

Background: Interprofessional bedside rounds have been promoted as a strategy to enhance patient engagement; prior studies have been limited by their use of nonvalidated measures and lack of patient and/or family involvement in design of [...]

By | 2015-04-15T15:22:14-04:00 February 28th, 2015|Uncategorized|Comments Off on The Effect of Patient Centered Bedside Rounds on Patient Experience

HM2015 Abstract Number:

A Catastrophic Case of Back Pain in a Patient with Atrial Fibrillation

Case Presentation: We report the case of a 69-year-old Honduran male with a long history of non-valvular atrial fibrillation with a CHA2DS2-VASc Score= 2 (Age > 65 and Hypertension) anticoagulated with Rivaroxaban 20 mg po [...]

By | 2015-04-15T15:22:42-04:00 February 28th, 2015|Uncategorized|Comments Off on A Catastrophic Case of Back Pain in a Patient with Atrial Fibrillation

HM2015 Abstract Number:

Prevalence of Invasive Infections Due to Carbapenem-Resistant Enterobacteriaceae (Cre) Among Adult Patients Across Us Hospitals

Background: There is a growing appreciation of the increasing prevalence of CREs, but limited data exists on the prevalence of invasive infections due to CRE among adult, hospitalized patients in the various geographic regions of [...]

By | 2015-04-15T15:23:25-04:00 February 28th, 2015|Uncategorized|Comments Off on Prevalence of Invasive Infections Due to Carbapenem-Resistant Enterobacteriaceae (Cre) Among Adult Patients Across Us Hospitals

HM2015 Abstract Number:

The Partners-Pcori Transitions Study: Preliminary Results of a Multi-Faceted Intervention to Improve Care Transitions Within a Pioneer Accountable Care Organization

Background: Transitions from hospitals to the ambulatory setting are high risk periods for patients. The advent of the Patient-Centered Medical Home (PCMH) and Accountable Care Organizations (ACOs) provide an opportunity for true collaboration in which [...]

By | 2015-04-15T15:24:30-04:00 February 28th, 2015|Uncategorized|Comments Off on The Partners-Pcori Transitions Study: Preliminary Results of a Multi-Faceted Intervention to Improve Care Transitions Within a Pioneer Accountable Care Organization

HM2015 Abstract Number:

The Effects of a Multi-Faceted Medication Reconciliation Quality Improvement Intervention on Patient Safety: Final Results of the Marquis Study

Background: Unintentional medication discrepancies during hospitalization can contribute to patient harm. Discrepancies can be reduced by performing medication reconciliation; however, effective implementation is challenging. The goals of the Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS) [...]

By | 2015-04-15T15:25:53-04:00 February 28th, 2015|Uncategorized|Comments Off on The Effects of a Multi-Faceted Medication Reconciliation Quality Improvement Intervention on Patient Safety: Final Results of the Marquis Study

HM2015 Abstract Number:

The Light Is on but No One’s Home: Another Cause of Altered Mental Status Without a Fever

Case Presentation: A previously healthy 13-year-old Korean-American girl presented with acute altered mental status. She had fatigue, leg and abdominal pain, and was initially diagnosed with “the flu.” Two days later she progressed to worsening [...]

By | 2015-04-15T15:28:50-04:00 February 28th, 2015|Uncategorized|Comments Off on The Light Is on but No One’s Home: Another Cause of Altered Mental Status Without a Fever

HM2015 Abstract Number:

Double Trouble: Twins with Bulging Fontanelles and Influenza Infection

Case Presentation: 6 month old former 35 week twin Hispanic girls presented to the ED for evaluation of bulging fontanelles for almost one week.  Both twins had been fussy for 24 hours, and Twin A [...]

By | 2015-04-15T15:29:13-04:00 February 28th, 2015|Uncategorized|Comments Off on Double Trouble: Twins with Bulging Fontanelles and Influenza Infection

HM2015 Abstract Number:

Variation in Transitional Care Practices Within a Hospital: Survey Results from the Partners-Pcori Transitions Study

Background: Transitions from hospitals to the ambulatory setting are high risk periods for patients. The success of efforts to improve transitional care practices likely depends in part on baseline practices and local resources, culture, and [...]

By | 2015-04-15T15:30:14-04:00 February 28th, 2015|Uncategorized|Comments Off on Variation in Transitional Care Practices Within a Hospital: Survey Results from the Partners-Pcori Transitions Study

HM2015 Abstract Number:

Closing the Lab Loop: A Streamlined Process to Ensure Lab Result Accountability

Background: Patient safety relies in part on timely review of laboratory and other results by appropriate providers. At our quaternary care, free-standing children’s hospital, providers were directly notified only of “critical” results (<1% of all [...]

By | 2015-04-15T15:30:57-04:00 February 28th, 2015|Uncategorized|Comments Off on Closing the Lab Loop: A Streamlined Process to Ensure Lab Result Accountability

HM2015 Abstract Number:

She’s Just Not That Interested

Background: Patient is a previously healthy 7-week old Hispanic female who presented to an emergency department with cough, congestion and decreased PO intake x 7 days. Baby had an unremarkable prenatal course and normal delivery. [...]

By | 2015-04-15T15:28:14-04:00 February 28th, 2015|Uncategorized|Comments Off on She’s Just Not That Interested

HM2015 Abstract Number:

A Deadly Complication of Peritoneal Dialysis and the Use of Paracentesis As a Palliative Intervention

Case Presentation: A 44-year-old female with end-stage renal disease on hemodialysis presented to the hospital with progressive nausea, vomiting and abdominal pain. The etiology of her renal disease was unknown. She had received a renal [...]

By | 2015-04-15T15:27:40-04:00 February 28th, 2015|Uncategorized|Comments Off on A Deadly Complication of Peritoneal Dialysis and the Use of Paracentesis As a Palliative Intervention

HM2015 Abstract Number:

Increasing Billing Accuracy of Initial Inpatient Visits in a Multispecialty Academic Hospital Group Using Pdsa Methodology

Background: The financial success of a hospital medicine practice is dependent on accurate billing and documentation practices. Academic hospitalists face the additional challenge of educating resident physicians on appropriate documentation. As most patients admitted to [...]

By | 2015-04-15T15:27:09-04:00 February 28th, 2015|Uncategorized|Comments Off on Increasing Billing Accuracy of Initial Inpatient Visits in a Multispecialty Academic Hospital Group Using Pdsa Methodology

HM2015 Abstract Number: 502

It’s Never Lupus…?

Case Presentation: A 27 year-old African American female with a history of bipolar disorder, cocaine abuse, Mixed Connective Tissue Disease with Raynaud’s syndrome presented to the emergency department with acute onset of altered mental status. [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on It’s Never Lupus…?

HM2015 Abstract Number: 505

Beware of Bcg-Osis

Case Presentation: A 78 year male with history of urothelial carcinoma in situ who had undergone bladder resection, presented to the hospital 24 hours after his third weekly intravesicular BCG (Bacillus Calmette-Guerin) therapy due to [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Beware of Bcg-Osis

HM2015 Abstract Number: 506

Gastric Perforation in a Patient with Non-Small Cell Lung Cancer Treated with Bevacizumab

Case Presentation: In June a 53-year old female with a history of NSCLC, chronic obstructive lung disease, initially presented with cough, hemoptysis, and weight loss. Bronchoscopy with trans bronchial biopsy confirmed moderate to poorly differentiated [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Gastric Perforation in a Patient with Non-Small Cell Lung Cancer Treated with Bevacizumab

HM2015 Abstract Number: 504

The Unusual Facial Rash

Case Presentation: A 72-year-old woman with hypertension, Hodgkin's lymphoma status post one dose of chemotherapy with adriamycin/bleomycin/vinblastine/dacarbazine developed an asymptomatic, erythematous, circular rash on her forehead four days after chemotherapy. Patient first presented to a [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Unusual Facial Rash

HM2015 Abstract Number: 498

Docetaxel-Associated Colonic Pseudo-Obstruction

Case Presentation: 59 year old man with history of metastatic prostate cancer and hypertension presented with a week's history of progressive abdominal distension, anorexia, nausea and vomiting. He did not have fevers, abdominal pain, diarrhea or [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Docetaxel-Associated Colonic Pseudo-Obstruction

HM2015 Abstract Number: 499

More Than Just a Viral Hepatitis a Infection

Case Presentation: A 65-year-old healthy man presented with a 4 day history of fatigue and fevers. He denied any cough, chest pain, diarrhea or any recent sick contacts. He did complain of nausea and mild [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on More Than Just a Viral Hepatitis a Infection

HM2015 Abstract Number: 501

Should’ve, Could’ve, Would’ve Filtered: Pe

Case Presentation: A 35 year-old man presents to the emergency department with left sided chest pain. The pain is pleuritic, tender, and nonpositional. It is associated with exertional dyspnea, which is new for him. He [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Should’ve, Could’ve, Would’ve Filtered: Pe

HM2015 Abstract Number: 509

Catastrophic Antiphospholipid Antibody Syndrome

Case Presentation: A 45 yo African American woman with lupus nephritis and a previous episode of myocarditis presents with 5 days of abdominal pain, headache, decreased appetite and acute shortness of breath. She was found [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Catastrophic Antiphospholipid Antibody Syndrome

HM2015 Abstract Number: 554

Seizures and Altered Mental Status in an Organ Transplant Patient

Case Presentation: A 50 year-old man with a history of kidney-pancreas transplant was transferred to our hospital for acute onset right side numbness, twitching and altered mental status. Prior to his presentation, he was hospitalized [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Seizures and Altered Mental Status in an Organ Transplant Patient

HM2015 Abstract Number: 508

Mycobacterium Bovis Bacillus Calmette-Guérin (Bcg) Osteomyelitis of the Distal Tibia After Intravesical Bcg Therapy for Bladder Cancer

Case Presentation: An 83-year-old Caucasian man visited an outpatient clinic with a complaint of right ankle pain and swelling for the past 4 months. The patient had a history of bladder cancer with trans-urethral resection [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Mycobacterium Bovis Bacillus Calmette-Guérin (Bcg) Osteomyelitis of the Distal Tibia After Intravesical Bcg Therapy for Bladder Cancer

HM2015 Abstract Number: 510

Heart of Gold: A Case of Community-Acquired Mrsa Pericarditis with Tamponade

Case Presentation: A 58-year-old man presented with weakness, vomiting, labored breathing, and severe hyperglycemia one week after a previous hospitalization for neck and chest pain. His initial work-up during the prior hospitalization included a neck [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Heart of Gold: A Case of Community-Acquired Mrsa Pericarditis with Tamponade

HM2015 Abstract Number: 535

Essential Thrombocythemia Presenting As Acute Ischemic Stroke: A Case Report

Case Presentation: An 81-year-old male with hypertension and diabetes was brought to the ED after 3 days of immobility secondary to left-sided hemiparesis. Initial labs revealed platelet count of 1.3 M/uL, WBC count 22,000 /uL [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Essential Thrombocythemia Presenting As Acute Ischemic Stroke: A Case Report

HM2015 Abstract Number: 512

“Deadly” Rash of Fusariosis

Case Presentation: A 67-year-old male with acute myelogenous leukemia (AML) with chronic neutropenia presented with acute onset of fevers accompanied by rapidly progressing violaceous lesions with a central eschar within a period of 48-72 hours. [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on “Deadly” Rash of Fusariosis

HM2015 Abstract Number: 558

Multifocal Motor Neuropathy in a 35 Year Old Male

Case Presentation: A 35-year-old Chinese male with no significant past medical history presented to our hospital with a 6 year history of bilateral hand weakness. The patient reported that he first noticed the weakness after [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Multifocal Motor Neuropathy in a 35 Year Old Male

HM2015 Abstract Number: 514

Disseminated Cryptococcal Infection in a Patient on Ruxolitinib

Case Presentation: A 74 year old male with a history of cerebral vascular disease as well essential thrombocythemia that had progressed to myelofibrosis maintained on ruloxitinib for 13 months presented with four months of intermittent [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Disseminated Cryptococcal Infection in a Patient on Ruxolitinib

HM2015 Abstract Number: 511

“Dinner with a Side of Digoxin”

Case Presentation: 58 year old female with no significant past medical history presents to the emergency room with slow heart rate. Patient initially presented to primary care physician with malaise, nausea, and vomiting.  She reported [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on “Dinner with a Side of Digoxin”

HM2015 Abstract Number: 562

Pulmonary Strongyloidiasis in Immunocompetent(Ic) Host

Case Presentation: A 75 year old male from Puerto Rico with past medical history of stage Ia lung adenocarcinoma with bronchoalveolar features treated only with lobectomy, otherwise healthy presented to the ER with non-productive  cough, [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Pulmonary Strongyloidiasis in Immunocompetent(Ic) Host

HM2015 Abstract Number: 540

Pertussis and Postpericardiotomy Syndrome, a Coughing Matter

Case Presentation: A 75 year old male presented with 4 syncopal episodes occurring over the 3 days prior to admission. Each syncope lasted 2-3 minutes and followed a coughing fit.  The patient had an aortic [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Pertussis and Postpericardiotomy Syndrome, a Coughing Matter

HM2015 Abstract Number: 537

Dettol Poisoning: A Case Report and Review of the Literature

Background: Dettol liquid (4.8% chloroxylenol, pine oil, isopropyl alcohol) is a commonly used liquid disinfectant. Various effects have been associated with its ingestion and this includes central nervous system depression, airway obstruction, gastro-esophagitis and cardiac [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Dettol Poisoning: A Case Report and Review of the Literature

HM2015 Abstract Number: 539

You Broke My Heart Honey When You Took Away My Hooch: Stress-Induced Cardiomyopathy During Acute Alcohol Withdrawal

Case Presentation: A 53-year-old man presented with a new-onset seizure. The patient recently quit drinking because his wife would no longer give him money to pay for alcohol. He was treated for acute alcohol withdrawal [...]

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HM2015 Abstract Number: 516

Beyond Biopsy Results: Post-Infectious Iga Glomerulonephritis

Case Presentation: 50-year-old Hispanic man with uncontrolled diabetes mellitus type 2 who presented initially in DKA was found to have an epidural abscess and transferred to our tertiary center for neurosurgical management with laminectomy and [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Beyond Biopsy Results: Post-Infectious Iga Glomerulonephritis

HM2015 Abstract Number: 515

Is It Hot in Here or Is It Just Me? The Difficulty in Diagnosing Pituitary Tumors

Case Presentation: A 38 year-old male with diet controlled diabetes presented with 3 months of unprovoked episodes of sweats. He noted that these episodes would come on at any time of day, last several minutes [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Is It Hot in Here or Is It Just Me? The Difficulty in Diagnosing Pituitary Tumors

HM2015 Abstract Number: 541

The Coma You Can’t Mix Up

Case Presentation: An 85-year-old woman presents with worsening somnolence and altered mental status. Symptoms began one week prior with lethargy progressing to unresponsiveness. Her past medical history is significant for diabetes, hypertension and atrial fibrillation. Medications include carvedilol, lisinopril, and amiodarone. Initial vital [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Coma You Can’t Mix Up

HM2015 Abstract Number: 538

A Case of Right Atrial Obliteration by Direct Extension of Hepatocellular Carcinoma

Case Presentation: A 78 year old man with atrial fibrillation and hemochromatosis complicated by locally advanced hepatocellular carcinoma (HCC) was admitted from a skilled nursing facility with new onset bilateral lower extremity edema.  He was [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Case of Right Atrial Obliteration by Direct Extension of Hepatocellular Carcinoma

HM2015 Abstract Number: 542

A Heart Too Tightly Hugged: A Case of Pericarditis Presenting As Heart Failure

Case Presentation: An 83 year old male with history of uncomplicated cardiac bypass 1 year prior without pericardiectomy presented with symptoms of acute decompensated congestive heart failure despite Lasix therapy and salt- controlled diet. Following [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Heart Too Tightly Hugged: A Case of Pericarditis Presenting As Heart Failure

HM2015 Abstract Number: 544

The Tale of the Regurgitant Liver

Case Presentation: An 81 year old female with chronic kidney disease, severe tricuspid regurgitation and a pacemaker presented after a fall with a completely displaced left femoral neck fracture.  She underwent a left hip hemiarthroplasty [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Tale of the Regurgitant Liver

HM2015 Abstract Number: 545

My-Oh-Ma…It Took My Breath Away

Case Presentation: A 49 year-old, previously healthy woman presented with one day of progressively worsening right-sided body pain and shortness of breath.  She noted her pain started while in bed the previous morning, radiating from [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on My-Oh-Ma…It Took My Breath Away

HM2015 Abstract Number: 543

Nephrotic Syndrome After Ranibizumab

Case Presentation: A 78-year-old male was admitted to the hospital with a one week history of shortness of breath and lower extremity edema. His past medical history was significant for atrial fibrillation, chronic obstructive pulmonary [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Nephrotic Syndrome After Ranibizumab

HM2015 Abstract Number: 536

Catatonia As a Constituent of Sickle Cell Pain Crisis

Case Presentation: A 27-year-old African American female presented to the hospital with generalized body pain. Her medical history included sickle cell disease (SCD) HbSS type, bipolar disorder type 1 with severe depression, anxiety, post-traumatic stress [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Catatonia As a Constituent of Sickle Cell Pain Crisis

HM2015 Abstract Number: 547

A Challenging Presentation of the Internist’s Tumor

Case Presentation: A 78-year-old Caucasian male presented to the emergency department with complaints of persistent loose stools for the past 2 weeks associated with vague diffuse abdominal pain, loss of appetite and 15 pounds weight [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Challenging Presentation of the Internist’s Tumor

HM2015 Abstract Number: 507

A Rare Cause of Abdominal Pain; Epiploic Appendagitis

Case Presentation: A 54 years old female with past medical history of hypertension, frequent UTIs, andhypothyroidism presented with 3 days of sharp LUQ abdominal radiating to the left flank, 8/10in severity and worsened with eating. [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Rare Cause of Abdominal Pain; Epiploic Appendagitis

HM2015 Abstract Number: 503

Approaching the Limits of Acalculous Cholecystitis

Case Presentation: A 40 year-old woman with HIV (CD4 268) on antiretrovirals and pulmonary MAC on treatment presented to the hospital with abdominal pain and diarrhea. She was subsequently admitted to the intensive care unit [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Approaching the Limits of Acalculous Cholecystitis

HM2015 Abstract Number: 560

Skin Hiccups

Case Presentation: A 63-year-old man was admitted to our hospital because of aspiration pneumonia. The patient had long-standing progressive supranuclear palsy (PSP) with dysphagia and he had had placement of percutaneous endoscopic gastrostomy (PEG). After [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Skin Hiccups

HM2015 Abstract Number: 546

Disseminated Opportunistic Infection in a Patient with Fulminant Aids

Case Presentation: A 27-year-old man with recently diagnosed human immunodeficiency virus (HIV) not on antiretroviral therapy presents with several months of cough, fever, abdominal pain, weight loss, gait imbalance, and hallucinations. On presentation, he was [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Disseminated Opportunistic Infection in a Patient with Fulminant Aids

HM2015 Abstract Number: 555

Mind Over Matter – When a Tissue Diagnosis Cannot Be Obtained

Case Presentation: Tissue pathology of a mass is often the gold standard for diagnosis of a malignancy. The dilemma is when the lesion is central and a biopsy cannot be safely obtained. The diagnostic burden [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Mind Over Matter – When a Tissue Diagnosis Cannot Be Obtained

HM2015 Abstract Number: 551

Periampullary Duodenal Diverticulitis: A Rare Cause of Acute Pancreatitis

Introduction: Duodenal diverticula are fairly common and mostly remain asymptomatic but can elicit potential complications including duodenal diverticulitis, hemorrhage, perforation and abscess formation. Pancreatitis secondary to duodenal diverticulitis is a rare clinical entity. We describe a [...]

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HM2015 Abstract Number: 552

Amiodarone Toxicity Presenting As New Ascites and Weight Loss

Case Presentation: An 83-year old woman with a history of atrial fibrillation on amiodarone and warfarin was admitted with a supratherapeutic INR.  She incidentally noted a two month history of fatigue, anorexia, nausea and increase [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Amiodarone Toxicity Presenting As New Ascites and Weight Loss

HM2015 Abstract Number: 549

Clear As Mud: A Case of Peripheral Neuropathy and Weakness in an Hiv Patient

Case Presentation: 31 year-old Hispanic male with history of HIV presented to the hospital with a 5-month history of progressive pain and weakness in bilateral upper and lower extremities. Review of systems was also significant [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Clear As Mud: A Case of Peripheral Neuropathy and Weakness in an Hiv Patient

HM2015 Abstract Number: 557

A Rare Presentation of Sarcoidosis

Case Presentation: A 46 year old female with a history of hypertension presented to the ED with recurrent abdominal pain for a month located in the epigastric region and occasionally radiating to the back. She [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Rare Presentation of Sarcoidosis

HM2015 Abstract Number: 553

The Drug or the Bug? Diagnostic and Therapeutic Implications of Subclinical Myopericarditis in a Patient Taking Clozapine

Case Presentation: A 33 year old man with treatment refractory bipolar disorder was titrated onto clozapine 200mg daily in an inpatient psychiatric facility. 10 days into his course, he was noted to have fevers, diaphoresis, [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Drug or the Bug? Diagnostic and Therapeutic Implications of Subclinical Myopericarditis in a Patient Taking Clozapine

HM2015 Abstract Number: 548

Posterior Reversible Encephalopathy Syndrome–An Insidious Manifestation of Systemic Lupus Erythematosus

Case Presentation: A thirty-five year old African-American female with a history Multiple Sclerosis and uterine fibroids presented with anemia, acute kidney injury (AKI), and lower extremity edema for two weeks. Initially AKI was attributed to [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Posterior Reversible Encephalopathy Syndrome–An Insidious Manifestation of Systemic Lupus Erythematosus

HM2015 Abstract Number: 513

Basilar Artery Stroke in the Setting of Submassive Pulmonary Embolus and Patent Foramen Ovale

Case Presentation: A 45 yo male with PMH of morbid obesity, hypertension, congestive heart failure, diabetes mellitus type II,  and obstructive sleep apnea presented for evaluation of shortness of breath and hemoptysis x24hrs. The patient had completed a 22hr [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Basilar Artery Stroke in the Setting of Submassive Pulmonary Embolus and Patent Foramen Ovale

HM2015 Abstract Number: 550

One in a Million: A Case of Creutzfeldt-Jakob Disease

Case Presentation: A 63 year-old male was evaluated for rapidly progressive dementia. His illness began with flu-like symptoms.  One month later, the patient presented to the hospital for confusion and dizziness. At that time evaluation [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on One in a Million: A Case of Creutzfeldt-Jakob Disease

HM2015 Abstract Number: 559

Herpes Zoster As a Rare Cause of Unilateral Diaphragmatic Paralysis

Case Presentation: A 69 year old male who lives in Michigan with a past medical history significant for chronic pulmonary obstructive disease and hypertension presented with worsening dyspnea that began while vacationing in Florida. Prior [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Herpes Zoster As a Rare Cause of Unilateral Diaphragmatic Paralysis

HM2015 Abstract Number: 556

A Triple Hit for Endocarditis

Case Presentation: A 62-year-old man with a history of ulcerative colitis presented to our institution for evaluation of fever, dyspnea, and positive blood cultures. His ulcerative colitis had been controlled with a regimen of mesalamine [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Triple Hit for Endocarditis

HM2015 Abstract Number: 564

A Rare Case of Granulomatous Interstitial Nephritis Due to Renal Sarcoidosis

Case Presentation: A 26 year old African-American male with past medical history of pancytopenia and hepatosplenomegaly was transferred to our facility for evaluation of his acute kidney injury. Patient presented with nausea, vomiting, anorexia and [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Rare Case of Granulomatous Interstitial Nephritis Due to Renal Sarcoidosis

HM2015 Abstract Number: 563

Acute Pancreatitis Induced by Drug Interaction Between Canagliflozin and Everolimus

Case Presentation: A 52-year-old white female presented to our institution with acute onset of abdominal pain. Physical examination was significant for diffuse tenderness in epigastric region with decreased bowel sounds to auscultation. Pertinent work up [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Acute Pancreatitis Induced by Drug Interaction Between Canagliflozin and Everolimus

HM2015 Abstract Number: 565

Recurrent Strokes in Adult Onset Moyamoya Disease with Heterozygous Hemoglobin C and Delta-Beta-Thalassemia: A Case Report and Review

Case Presentation: 35 yo AAF, PMH of HTN, T2DM, TIA, and L internal carotid stenosis (ICA) on daily ASA presented to the ED with acute dysarthria and a stroke workup was initiated.  CT stroke showed [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Recurrent Strokes in Adult Onset Moyamoya Disease with Heterozygous Hemoglobin C and Delta-Beta-Thalassemia: A Case Report and Review

HM2015 Abstract Number: 568

Cannabinoid Hyperemesis Syndrome- a Classic Case with Compulsive Hot Showering

Case Presentation: A 22 year-old male presented to an academic medical center with complaint of constant, sharp, diffuse abdominal pain with nausea and vomiting of four days duration. Eating worsened symptoms.  He admitted to being [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Cannabinoid Hyperemesis Syndrome- a Classic Case with Compulsive Hot Showering

HM2015 Abstract Number: 566

Streptococcus Strikes Again

Case Presentation: A 46-year-old male with a history of GERD and psoriasis presented with a tender, erythematous right ankle rash.  First noted ten days prior to admission, he did not improve with trimethoprim-sulfamethoxazole and sought [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Streptococcus Strikes Again

HM2015 Abstract Number: 567

Atypical Chest Pain with Neurological Symptoms

Case Presentation: 85 year-old female with history of depression and osteoarthritis presented with right upper and lower extremity weakness with difficulty ambulating. She also complained of transient substernal non radiating chest tightness which resolved upon [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Atypical Chest Pain with Neurological Symptoms

HM2015 Abstract Number: 500

Death by Catfish

Case Presentation: A 70 year-old woman with diabetes and end stage renal disease presented with acute severe left hand pain and swelling. Six hours prior, she incurred a puncture wound from a catfish spine while [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Death by Catfish

HM2015 Abstract Number: 494

Don’t Go Viral! a Rare Cause of Pericardial Pathology

Case Presentation: A 50 year old woman was admitted with generalized fatigue, exertional dyspnea, epigastric discomfort and night sweats. Two months prior she had been to the Pacific coast of Mexico with family. A CT [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Don’t Go Viral! a Rare Cause of Pericardial Pathology

HM2015 Abstract Number: 497

I Do Not Have an Ebola Infection

Case Presentation: A 29 year old gentleman with history of prior malaria infections presented for evaluation after a 3 day history of bodily aches, nausea and bilious vomiting. He had no history of hemetemesis, melena, [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on I Do Not Have an Ebola Infection

HM2015 Abstract Number: 495

Cysts Not Just Cirrhosis

Case Presentation: A 37 year old man presented with complaints of abdominal pain and lower extremity edema. His past medical history was remarkable for an “enlarged liver.” Physical examination revealed muscle wasting, palmar erythema, spider [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Cysts Not Just Cirrhosis

HM2015 Abstract Number: 474

Culture Negative Bartonella Quintana Endocarditis with Mimicking Pauci-Immune Anti-Neutrophil Cytoplasmic Antibody (Anca) Associated Glomerulonephritis in a Homeless Male

Case Presentation: A 55 year-old African American male with a history of homelessness, hepatitis B, and no known history of renal insufficiency presented with complaints of bilateral lower extremity swelling, and hematuria for five days. [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Culture Negative Bartonella Quintana Endocarditis with Mimicking Pauci-Immune Anti-Neutrophil Cytoplasmic Antibody (Anca) Associated Glomerulonephritis in a Homeless Male

HM2015 Abstract Number: 477

A Case of Diabetic Ketoacidosis in Acromegaly

Case Presentation: A 31-year-old Hispanic male, presented to Emergency Department with nausea and vomiting associated with intermittent blurry vision for 4 days. He also noted malaise, epigastric pain, polyuria, polydipsia and about 40lb unintentional weight [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Case of Diabetic Ketoacidosis in Acromegaly

HM2015 Abstract Number: 475

A “Tear”-Ible Culprit

Case Presentation: A 42-year-old man with a history of severe hypertension, chronic kidney disease (stage 3), obesity, and smoking presented with one day of acute onset abdominal pain. The pain awoke him from sleep at 4 AM, starting in [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A “Tear”-Ible Culprit

HM2015 Abstract Number: 476

A B-Symptoms Charade

Case Presentation: A 55-year-old man with hepatitis C was admitted for fevers, night sweats, weight loss, and a swollen inguinal lymph node. He first noticed pain in his right groin one month ago, like someone was burning him [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A B-Symptoms Charade

HM2015 Abstract Number: 470

Nonocclusive Mesenteric Ischemia (Nomi): An Unusual Presentation of an Uncommon Complication

Case Presentation: A 56 year old female presented with intractable pain and a cold right lower extremity. She had End Stage Renal Disease (ESRD) on hemodialysis, hypertension, and severe peripheral vasculature disease (PVD), with bilateral [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Nonocclusive Mesenteric Ischemia (Nomi): An Unusual Presentation of an Uncommon Complication

HM2015 Abstract Number: 473

The Look, the Feel, of Cotton

Case Presentation: A 52 year-old woman presented with two days of chest and back pain. History was significant for treated Cryptococcus fungemia, multi drug resistant urinary tract infection, hepatitis c and intravenous illicit drug use. [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Look, the Feel, of Cotton

HM2015 Abstract Number: 471

It Is Not All in Your Head- an Atypical Presentation of Wilson’s Disease

Case Presentation: An 18 year old male with 1 year of headache, dizziness, mood swings, memory dysfunction, abnormal gait, presented with 2 days of prolonged epistaxis and non-bilious vomiting for few months. He denied use [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on It Is Not All in Your Head- an Atypical Presentation of Wilson’s Disease

HM2015 Abstract Number: 472

A Cryptic Case of Cryptococcal Meningitis

Case Presentation: A 50 year old African-American male presented with 2 weeks of headaches, neck pain, and photophobia. Exam revealed positive meningeal signs and a fever of 101oF. CT head and MRI showed small cerebellar [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Cryptic Case of Cryptococcal Meningitis

HM2015 Abstract Number: 534

Extramedullary Plasmacytoma and Multiple Myeloma Presenting As Chronic Chest Pain: A Rare Case

Case Presentation: A 56 year-old female with no PMH presented to hospital with left sided chest pain of 2 months duration. Chest pain was pleuritic in nature and not associated with exertion. She also had [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Extramedullary Plasmacytoma and Multiple Myeloma Presenting As Chronic Chest Pain: A Rare Case

HM2015 Abstract Number: 468

A Near-Fatal Rush to Judgement: A Case of Cocaine-Induced Chest Pain

Case Presentation: A 59 year-old black male with a past medical history significant for tobacco and polysubstance abuse presented to our Emergency Department with severe left-sided chest pain and pressure beginning 45 minutes after using [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Near-Fatal Rush to Judgement: A Case of Cocaine-Induced Chest Pain

HM2015 Abstract Number: 533

Aspergillus Throws a Curve Ball Again!

Case Presentation: A 37-year old man presented to the hospital for hemoptysis of 4 weeks duration.  He has PMH of Granulomatosis with polyangiitis (GPA) with pulmonary and renal involvement; diffuse alveolar hemorrhage and chronic maxillary [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Aspergillus Throws a Curve Ball Again!

HM2015 Abstract Number: 467

The Worst Herpes of My Life: Zoster Ophthalmicus Presenting As Sentinel Headache

Case Presentation: An 84 year-old man presented to hospital one day after the sudden onset of a severe, right-sided headache.  He was on warfarin therapy following mitral valve replacement. The sharp, stabbing pain had worsened [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Worst Herpes of My Life: Zoster Ophthalmicus Presenting As Sentinel Headache

HM2015 Abstract Number: 469

Blood, Brain, and Now Bone – Learning More About an Often Overlooked Pathogen

Case Presentation: A 30-year-old Caucasian man with a history of uncontrolled diabetes mellitus complicated by peripheral neuropathy, diabetic foot ulcers, methicillin-resistant S. aureus (MRSA) osteomyelitis and amputation of the left 2nd distal phalanx presented to [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Blood, Brain, and Now Bone – Learning More About an Often Overlooked Pathogen

HM2015 Abstract Number: 532

It Was Only a Zit

Case Presentation: A 45-year-old woman, with a medical history of IV drug use and chronic hepatitis C virus infection presented to our institution with a complaint of right eye pain and inability to see. She [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on It Was Only a Zit

HM2015 Abstract Number: 531

An Atypical Presentation of Upper Gastrointestinal Bleeding in the Setting of an Acute Pulmonary Embolism: Lessons in Acute Care Gastroenterology, Anticoagulation, and Overuse of Diagnostic Testing

Case Presentation: A 75 year old woman with past medical history of hypertension, diabetes mellitus, Barrett’s esophagus, and chronic constipation presented to the hospital complaining of one week of dyspnea after an international flight. CT [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on An Atypical Presentation of Upper Gastrointestinal Bleeding in the Setting of an Acute Pulmonary Embolism: Lessons in Acute Care Gastroenterology, Anticoagulation, and Overuse of Diagnostic Testing

HM2015 Abstract Number: 529

Rheum for One More on the Differential Diagnosis: Fibromuscular Dysplasia in the Context of Renal Infarct

Case Presentation: 45 year old quadriplegic female with history of hypertension, SLE (APLS negative) with vasculitis on chronic steroids, CAD status post bare metal stents on chronic anti-platelet therapy, and suprapubic catheter presented with two [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Rheum for One More on the Differential Diagnosis: Fibromuscular Dysplasia in the Context of Renal Infarct

HM2015 Abstract Number: 530

Neurosyphilis: Keep in Mind for Patients with Strokes

Case Presentation: An 80 year-old man with history of hypertension, remote cerebrovascular accidents (CVA), and multiple admissions for syncope and orthostatic hypotension presented with sudden syncope, hypotension, and acute respiratory failure requiring intubation. Vital signs [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Neurosyphilis: Keep in Mind for Patients with Strokes

HM2015 Abstract Number: 465

The Bite of Death: Case of Ehrlichiosis

Case Presentation:  An 89-year-old man was transferred to our facility for altered mental status, fever, acute renal failure, and thrombocytopenia. He was in his usual state of health until a week prior when his children [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Bite of Death: Case of Ehrlichiosis

HM2015 Abstract Number: 463

Pancreatitis-Oh Schistocytes!

Case Presentation: A 66 year -old woman presented with three days of worsening abdominal pain.  She described the pain as severe sharp epigastric pain which radiated to her back and both lower abdominal quadrants.  She [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Pancreatitis-Oh Schistocytes!

HM2015 Abstract Number: 462

Complements to Your Presentation

Case Presentation: A 40 year-old female with no significant past medical history presented with nausea, vomiting, easy bruising, dyspnea on exertion, and presyncope. She had been treated with Levofloxacin for a urinary tract infection one week [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Complements to Your Presentation

HM2015 Abstract Number: 464

Pheochromocytoma in Pregnancy: Evaluation and Management

Case Presentation: A 25-year-old female at 29 weeks gestation presented to the inpatient obstetrics service with hypertension, gestational diabetes and concerns for preeclampsia.  Physical exam was significant for a blood pressure of 151/93 and a [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Pheochromocytoma in Pregnancy: Evaluation and Management

HM2015 Abstract Number: 461

Direct Thrombin Inhibitor Resistance

Case Presentation: A nineteen year old male with a history of hypertrophic obstructive cardiomyopathy, and status post implantable cardioverter defibrillator for non-sustained ventricular tachycardia, presented to the hospital after cardiac arrest. Prior to transfer to [...]

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HM2015 Abstract Number: 460

I Did Not See That Coming! an Unexpected Cause of Eye Pain

Case Presentation: A 34 year old man presented with five days of severe right eye pain. Hours after popping a pimple on the supraorbital ridge of his right eye, he developed fevers, chills, headache, blurry [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on I Did Not See That Coming! an Unexpected Cause of Eye Pain

HM2015 Abstract Number: 528

One Million Platelets and Transient Ischemic Attack: How Do You Manage?

Case Presentation: We report a case of 48 year old male with no significant past medical history, presented to hospital with complaint of left arm weakness and dysarthria that started 2-3 hours before. He had [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on One Million Platelets and Transient Ischemic Attack: How Do You Manage?

HM2015 Abstract Number: 527

Wake Me Up: Thalamic Stroke with Hypersomnolence

Case Presentation: A 62-year-old right-handed female with a past medical history significant for hypertension, hyperlipidemia, and diabetes mellitus presented to the emergency department with a one week history of perioral numbness, gait imbalance and increased [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Wake Me Up: Thalamic Stroke with Hypersomnolence

HM2015 Abstract Number: 526

Cystic Bone Lesions; Not Always Malignancy

Case Presentation: A 74 year-old male with end-stage renal disease (ESRD) on hemodialysis (HD) for the past 10 years due to autosomal-dominant polycystic kidney disease (ADPKD) presented with progressive left leg pain and sudden inability [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Cystic Bone Lesions; Not Always Malignancy

HM2015 Abstract Number: 525

Big Heads, Bigger Problems; from Goiter to Genetic Disorder

Case Presentation: A 32 year-old Caucasian female with history of asthma, hypothyroidism, and renal cell carcinoma (RCC) status-post right nephrectomy, presented with a progressively enlarging goiter causing solid food dysphagia. She had been diagnosed with [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Big Heads, Bigger Problems; from Goiter to Genetic Disorder

HM2015 Abstract Number: 459

The Clue Is in the Tattoo: A Case of Cutaneous Sarcoidosis

Case Presentation: A 45-year-old male with a history of asthma and diabetes presented to a New York hospital complaining of fevers, night sweats, dyspnea with non-productive cough and bilateral joint pains for two days.  The [...]

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HM2015 Abstract Number: 458

Early Diagnosis in Cardiac Amyloidosis Matters

Case Presentation: A 50 year old man with a past medical history of coronary artery disease and COPD presented with complaints of recurrent syncope.  These episodes occurred about 5 to 7 times weekly.  Additional symptoms [...]

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HM2015 Abstract Number: 496

Case Report on Amiodarone Hepatotoxicity: One More Cause of “Failure to Thrive”

Case Presentation: An 81-year-old white male with history of hypertension, coronary artery disease, atrial fibrillation, ulcerative colitis and cryptogenic cirrhosis was readmitted with generalized weakness, persistent leukocytosis and weight loss.  He was recently discharged with [...]

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HM2015 Abstract Number: 490

Always Work Up a Significant Globulin Gap

Case Presentation: A 58 year old male with a history of NASH cirrhosis, diabetes mellitus, and obstructive sleep apnea presented due to multiple symptoms that had been present for the past 3 months, including severe [...]

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HM2015 Abstract Number: 493

Recognizing Xanthogranulomatous Pyelonephritis: A Rare Condition Associated with Urinary Tract Obstruction

Case Presentation: A 76 year old male presented to the Emergency Department with weakness 2 days after discharge from a hospitalization in which he was treated for pyelonephritis. His urine culture from that admission revealed [...]

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HM2015 Abstract Number: 491

Ptx in the Setting of Pcp: An Unusual Chronology

Case Presentation: A 36 year-old woman presented with three days of progressive shortness of breath and chest pain.  Her symptoms began while walking in the mall.  She had a history of HIV/AIDS (CD4 count 34) [...]

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HM2015 Abstract Number: 524

A Not so Common Cause of Abdominal Pain

Case Presentation: A 38-year-old Caucasian male presented to our emergency room (ER) with left-sided abdominal pain that has been progressively worsening for 2 days. He reported that the pain started gradually in the left lower [...]

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HM2015 Abstract Number: 492

Everolimus Effective in Treating Psoriasis in Patient with Renal Clear Cell Carcinoma

Case Presentation: A 60 year-old Asian man with a five year history of psoriasis presented to the ER with painless hematuria. Subsequent imaging and biopsy confirmed renal cell carcinoma with metastasis to the lungs. In [...]

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HM2015 Abstract Number: 521

‘Double Hit’ Anemia in a Patient with Hiv

Case Presentation: A 59-year-old woman with HIV (CD4 1064 cells/mm3), chronic HCV, hypertension and peripheral vascular disease presented with progressive dyspnea on exertion over the past month. Her medication regimen was stable and included Lamivudine/zidovudine, [...]

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HM2015 Abstract Number: 523

When the Coventional Regimen Fails – Romiplostim for the Treatment of Severe Hiv-Associated-Thrombocytopenia

Case Presentation: A 22-year-old African American male presented to our hospital with a 2-day history of bleeding gums while brushing and “swollen glands” on the neck.  He denied any fevers, chills, night sweats, weight loss [...]

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HM2015 Abstract Number: 522

Expecting the Expected at an Unexpected Time

Case Presentation: A 51 year-old man with untreated HCV (HCV-RNA 460978 IU/ML, Genotype 3a), prior heroin abuse on methadone maintenance presented with hematuria and right upper quadrant pain for 2 days. The exam was significant for [...]

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HM2015 Abstract Number: 520

Quickly Reversible Cushing’s Reflex in a Rare Case of Elevated Intracranial Pressure: A Case Report

Case Presentation: A 50 year old African American male presented to the Emergency Room with headache, nausea, vomiting, and three seizures in the past 24 hours.  The patient was recently discharged from a hospitalization for [...]

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HM2015 Abstract Number: 517

A Peculiar Cause of Encephalopathy

Case Presentation: A 31 year old male was admitted to the critical care unit following status epilepticus (precipitated by recent antiepileptic dose reduction) requiring intubation and mechanical ventilatory support. He was a known epileptic since [...]

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HM2015 Abstract Number: 519

A Deep-Seated Time Bomb

Case Presentation: A 38 year-old man presented with left upper quadrant (LUQ) pain radiating to the shoulder. Two weeks prior, he was evaluated for arthralgias, malaise, and intermittent “black spots” in his vision. Physical exam [...]

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HM2015 Abstract Number: 518

A Case of Headache, Neck Pain and Rash:”What’s in Your Differential”

Case Presentation: A 63 year old gentleman with a history of throat cancer and hypertension was transferred from a community hospital with a diagnosis of meningitis. Ten days prior, the patient awakened with a severe [...]

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HM2015 Abstract Number: 456

A Challenging Diagnosis of Granulomatosis with Polyangiitis (Gpa, Wegner’s Granulomatosis)

Granulomatosis with Polyangiitis (GPA) is a multi-system, immune-mediated disorder characterized by necrotizing vasculitis. Diagnosis can be difficult since symptoms are nonspecific and often hard to distinguish from non-vasculitic processes. We present a diagnostic dilemma for [...]

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HM2015 Abstract Number: 457

Hemophagocytic Lymphohistiocytosis Induced by Epstein-Barr Virus: A Potentially Deadly Case of Mono?

Case Presentation: A 39 year-old Ecuadorian man with no past medical history presented with one month of fevers and nausea. Two weeks prior to admission, the patient presented to the emergency department with these symptoms. [...]

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HM2015 Abstract Number: 454

What’s That Eating My Liver?

Case Presentation: A 33 year-old woman with no known medical history presented with one week of sharp, stabbing right upper quadrant abdominal pain along with fever to 103 degrees Fahrenheit. She had also noticed a [...]

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HM2015 Abstract Number: 455

Poetry in Diagnosis: A Case of Poems Syndrome

Case Presentation: A 77-year-old male with systolic heart failure (EF 28%), hypothyroidism, and CKD stage 3 presented with dyspnea on exertion and paresthesias in all four extremities. Physical exam revealed anasarca. CT scan of chest/abdomen/pelvis [...]

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HM2015 Abstract Number: 486

Getting to the Heart of the Matter

Case Presentation: A 62 year old Chinese male was admitted for 2-month history of left sided hemiparesis. Brain imaging showed multiple lesions suspicious of brain metastases. Otherwise asymptomatic, he was noted to be febrile at [...]

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HM2015 Abstract Number: 487

Spindled Out of Control: A Rare, Aggressive Form of Lung Cancer

Case Presentation: A 79-year-old man with a 40 pack-year smoking history presented with progressive right hip pain. During the two months prior to his admission, he noted generalized fatigue, poor appetite, and an unintentional weight [...]

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HM2015 Abstract Number: 488

When Lung Meets Thyroid: An Unusual Site for Metastasis

Case Presentation: A 73-year-old male with a history of small cell lung cancer with metastases to the brain and left adrenal gland was admitted for progressive fatigue and dysphagia. Physical examination disclosed a non-tender thyroid [...]

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HM2015 Abstract Number: 482

Bullous Pemphigoid and Endocarditis: A Case of Mrsa Gone Awry

Case Presentation: A 78 year old female with pulmonary hypertension and diastolic congestive heart failure presented to the emergency room secondary to shortness of breath and a rash. The shortness of breath began three days [...]

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HM2015 Abstract Number: 569

Tick…tock? A Rhythm Problem

Case Presentation: A 31-year-old man with no past medical history presented after a pre-syncopal event. He felt increasingly unwell over the four weeks prior to admission with decreased appetite, fatigue, and intermittent night sweats. Several [...]

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HM2015 Abstract Number: 483

Splenic Infarct As the Primary Presentation of Lymphoma

Case Presentation: A 79 year old Hispanic male with a past medical history of prostate cancer in remission, hypertension and hyperlipidemia presented with fever and left upper quadrant pain. The left upper quadrant pain began [...]

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HM2015 Abstract Number: 484

Squamous Cell Carcinoma of De Novo Kidney Allograft: An Extremely Rare Tumor

Case Presentation: A 68 year old Egyptian male came with complaints of nausea, non-bilious, non-bloody vomiting, mild right lower quadrant abdominal pain and generalized weakness for one week associated with decreased appetite and 15 pounds [...]

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HM2015 Abstract Number: 478

Thyrotoxic Periodic Paralysis in a Hispanic Woman

Case Presentation: A 23-year-old Hispanic woman, presented to the Emergency Department with periodic bilateral lower extremities flaccid weakness and numbness for 3 months. She reported her symptoms had worsened in severity over the last 2 [...]

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HM2015 Abstract Number: 481

Gastro-Bronchial Fistula in Recurrent Pneumonia

Case Presentation: A 50-year-old Caucasian male presented with complaints of worsening shortness of breath, cough productive of thick, yellow colored phlegm and fever for three days. His past history was significant for adenocarcinoma esophagus requiring [...]

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HM2015 Abstract Number: 479

More Than Meets the Eye: Metastatic Uveal Melanoma

Case Presentation: A 61-year-old man with no known medical history presented to the Emergency Department with two weeks of increasing abdominal distension. He also reported having progressive left eye pain and vision loss since a [...]

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HM2015 Abstract Number: 480

Nonspecific Symptoms Due to Rapid Weight Loss: Sma Syndrome

Case Presentation: A 31 year old Caucasian female, with a history of cyclical vomiting presented with abdominal pain and intractable nausea and vomiting for 4 days. Abdominal pain was 10/10 in severity, diffuse, pressure type, [...]

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HM2015 Abstract Number: 453

Off the Beaten Path: Cardiac Involvement in an Aids Patient with Burkitt’s Lymphoma

Case Presentation: A 55 year-old Hispanic female with a history of human immunodeficiency virus (HIV) (recently started on highly active antiretroviral therapy, CD4 count of 213 cells/mm3, viral load of 69,835 copies/mL), and non-pulmonary tuberculosis [...]

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HM2015 Abstract Number: 452

Where Two Channels Meet

Case Presentation: A 32-year-old male patient, Jehovah’s Witness, of no known medical history presented with a 3-month duration of intermittent bloody diarrhea, fatigue and progressive 14 kg weight loss. He denied any fever, chills, night sweats, [...]

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HM2015 Abstract Number: 450

Pernicious Anemia: A Rare Cause of Pancytopenia and Hemolysis

Case Presentation: A 48 year-old woman with past medical history of Graves’ disease and vitiligo was referred to the emergency department after she presented to clinic with worsening dizziness and generalized malaise over several weeks. [...]

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HM2015 Abstract Number: 448

Calciphylaxis Secondary to Alcoholic Cirrhosis

Case Presentation: A 45-year-old female presented with a two-week history of painful skin lesions on both inner thighs. Her medical history was significant for alcoholic cirrhosis and hypothyroidism. On physical exam, several tender violaceous plaques [...]

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HM2015 Abstract Number: 451

Picc Line Can Pick the Heart!

Case Presentation: A 59 year old white male was transferred from an outside hospital with back pain, fever and neurological deficits and found to have an epidural abscess with MRSA positive blood cultures. Emergent debridement [...]

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HM2015 Abstract Number: 447

Conns Syndrome Presenting As Hemorrhagic Stroke: A Clinical Conundrum

Case Presentation: A 43 year-old man presented to emergency room with 3 days of altered mental status and aphasia. A friend checked on him and called 911 after 3 consecutive days of non response to [...]

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HM2015 Abstract Number: 449

Bee Aware…And Your Heart Will Thank You

Case Presentation: A 73-year-old female, with a history of hypertension, dyslipidemia, diabetes, and peripheral arterial disease presented with generalized weakness, nausea and vomiting after an Africanized Bee attack receiving more than 50 bee stings. Vital [...]

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HM2015 Abstract Number: 445

Doctor, I’m Coughing Up a Lung

Case Presentation: A 25 year old man was recently diagnosed with HIV/AIDS and had a CD4 count of 29 and a viral load of 85 thousand. At the time of his initial presentation, he was [...]

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HM2015 Abstract Number: 446

Hepatic Artery Aneurysm: A Diagnostic Enigma for Upper GI Bleed

Case Presentation:  76 year-old man presented with multiple episodes of vomiting and melena for 1 day. He was postop day 11 after laparoscopic cholecystectomy. His PMH included gall stone pancreatitis, partial gastrectomy in remote past, [...]

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HM2015 Abstract Number: 444

Hemolytic Uremic Syndrome, a Rare Manisfestation of Clostridium Difficile Colitis

Case Presentation: A 32 year old Hispanic female with a history of IV drug use presented with a 3 day history of fever, bloody diarrhea and abdominal pain. She denied recent antibiotic use, sick contacts, [...]

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HM2015 Abstract Number: 443

Presumed Metformin Associated Lactic Acidosis with Normal Kidney Function

Case Presentation: A 76–year-old white male, with type 2 diabetes mellitus (DM), presented with three days history of confusion and difficulty finding words which started after aggressive vomiting of two days duration. His medications list [...]

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HM2015 Abstract Number: 441

Sepsis Due to Listeria Bacteremia As Initial Presentation of Hodgkin Lymphoma

Case Presentation: A 53-year-old man with past medical history of alcohol use presented to the emergency room with a 1-month history of fatigue, night sweats, high fevers, and 20-pound weight loss over 3 months. Physical [...]

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HM2015 Abstract Number: 442

Sympathetic Paraganglioma As an Uncommon Cause of Secondary Hypertension

Case Presentation: A 28-year-old female with a history of hypertension presented with difficult to control hypertension after sustaining a motor vehicle accident. She initially developed asymptomatic hypertension at age 21 denying paroxysms of headache, sweating, [...]

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HM2015 Abstract Number: 440

Pseudomonas Osteomyelitis of Skull Base Presenting As Intractable Headache and Nasopharyngeal Abscess:

Case Presentation: A 71 Year old Hispanic female with significant history of coronary artery disease status post coronary artery bypass grafting, chronic mastoditis with mastoidectomy few years ago, type 2 diabetes mellitus, hypertension and hyperlipidemia [...]

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HM2015 Abstract Number: 439

Aspergillosis Carries High Mortality in Heart Transplant Patients

Case Presentation: A 49 year old Caucasian female presented to the emergency department (ED) with increasing shortness of breath of one week. She had an initial orthotopic heart transplantation for giant cell myocarditis followed by [...]

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HM2015 Abstract Number: 435

The Use of Subcutaneoous Icd for Unusual Clinical Presentation

Introduction: The use of an entirely subcutaneous implantable Cardioverter defibrillator (S-ICD) is a better alternative for patients who have limitations to placing pacemaker leads intravenously. We report a case of S-ICD use because of presence [...]

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HM2015 Abstract Number: 434

Pituitary Origin of Cirrhosis – a Surprising Link

Case Presentation:  A 19 year old African American male presented with progressive shortness of breath over one month. Associated symptoms were dry cough and forty pound weight loss. Past medical history was pertinent for meningitis [...]

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HM2015 Abstract Number: 438

Rare Bug, Rare Infection: P. Multocida Endopthalmitis and Endocarditis in an Immunocompromised Patient

Case Presentation: A case of Pasturella multocida infection, which manifested as sepsis, endopthalmitis, and native mitral-valve endocarditis, in an older patient on imatinib for a recently diagnosed gastrointestinal stromal tumor (GIST). Discussion: The patient is [...]

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HM2015 Abstract Number: 436

Cutaneous Lupus Erythematosus Induced by Rheumatoid Arthritis Medication (Abatacept)

Case Presentation: 80-year-old male with Rheumatoid Arthritis (RA). He was confirmed seropositive with Rheumatoid factor positive, Anti- Citrullinated protein positive as well as a high titer ANA positive. He was started on Abatacept for symptom [...]

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HM2015 Abstract Number: 433

An Unusual Case of Recurrent Nausea and Vomiting in a Patient with Mesenteric Vascular Disease

Case Presentation: A 66-year-old woman with multiple comorbidities including chronic mesenteric ischemia, chronic respiratory failure status post tracheostomy, and end-stage renal disease on dialysis presented with intermittent nausea and large-volume emesis. For several weeks prior [...]

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HM2015 Abstract Number: 432

A Case of Septic Arthritis in a Patient with Colon Cancer

Case Presentation: An 88 year-old female initially presented to an outside hospital five days ago with concern for nausea, dizziness, and lightheadedness of one day duration. At the time, the patient was found to have hemoglobin [...]

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HM2015 Abstract Number: 431

Cef ‘lysing’ Triaxone, an Uncommon Act of a Common Drug

Case Presentation: A 61 year old male with a history of multiple knee replacements for osteoarthritis and septic arthritis presented to the hospital with symptoms of fevers, chills, and generalized malaise. He had recently been [...]

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HM2015 Abstract Number: 430

Cam: This Kind Is Not Complementary

Case Presentation: 52 year old male with no past medical history presents to the emergency department with 3 months of increasing fatigue, upper extremity weakness, and oropharyngeal dysphagia. Review of systems was notable for fevers, [...]

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HM2015 Abstract Number: 428

Goldmark?

Case Presentation: A 67 year-old man presented with shortness of breath that began three days prior to presentation. He reported an acute onset of dyspnea with no change in exertion. His past medical history included [...]

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HM2015 Abstract Number: 429

General Paralysis of the Insane

Case Presentation: A 53 year-old man with HIV (CD4 51/10%) presents with progressive confusion and weakness over two months. He had previously been employed and able to perform all activities of daily living. He is [...]

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HM2015 Abstract Number: 426

An Atypical Case of West Nile Virus

Case Presentation: 69-year-old male with past medical history of hyperlipidemia, gout and eczema brought in to the emergency department in early fall for altered mental status. Patient was found unresponsive on the floor with non-bloody [...]

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HM2015 Abstract Number: 427

A Rare Case of Mitochondrial Myopathy: A Challenging Diagnosis!

Case Presentation: 32-year-old woman with a past medical history of Hashimoto's thyroiditis and fibromyalgia was admitted to the hospital with frequent episodes of muscular weakness and pain. The patient noted to have a life long [...]

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HM2015 Abstract Number: 425

Cocaine – Another Nocuous Effect

Case Presentation: A 51-year-old female with past medical history of chronic renal insufficiency, insulin dependent diabetes mellitus, asthma and active nicotine dependence presented to the hospital with nausea, vomiting and abdominal pain for five days. [...]

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HM2015 Abstract Number: 424

“Wheezing from the Gut! Gerd: A Forgotten Diagnosis”

Case Presentation: A 58-year-old woman with PMH significant for asthma, COPD, history of breast cancer s/p mastectomy on Tamoxifen, OSA, RA and a recent admission 3 weeks ago for asthma exacerbation; presented to the Emergency [...]

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HM2015 Abstract Number: 422

Omental Torsion Mimicking Acute Appendicitis

Case Presentation: A 6 year old male with no past medical history presented to the emergency room (ER) with six hours of right lower quadrant (RLQ) pain. The pain was described as sharp and non [...]

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HM2015 Abstract Number: 423

Trimethoprim -Sulfamethoxazole Induced Sepsis Like Syndrome

Case Presentation: 85 year old woman with history of bio-prosthetic mitral valve presented with fever and rigors few days after dental work for which she took trimethoprim-sulfamethoxazole (TMP-SMZ). On physical examination, she had maculopapular rash [...]

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HM2015 Abstract Number: 420

Occam’s Back Pain: A 6 Year Old with Leukemia

Case Presentation: A healthy 6-year-old boy with an unremarkable family history sustained a minor trampoline injury accompanied by mild back and neck pain. The neck pain resolved within several days, but back pain persisted for [...]

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HM2015 Abstract Number: 421

Mysterious “Myositis”: Engaging the Family in a Diagnostic Dilemma

Case Presentation: A 4 month-old female presented with decreased movement of the right lower extremity. Exam revealed a flexed, abducted right leg and pain with passive motion. CBC, inflammatory markers and CK were normal and [...]

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HM2015 Abstract Number: 419

Mystery Edema in an Infant During Prolonged Hospitalization

Case Presentation: A 5-week-old previously healthy male presented to an ER with 2 days of fever. He was lethargic with a sunken fontanel. Labs revealed a WBC of 13.5 with 15% bands, c-reactive protein of [...]

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HM2015 Abstract Number: 626

Gastric Heterotopic Pancreas Presenting As Acute Pancreatitis

Case Presentation: A 22-year-old man with a history of a Meckel’s diverticulum resected 10 years prior presented with diffuse abdominal pain and nausea for five days. The pain was sharp and stabbing in nature with [...]

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HM2015 Abstract Number: 628

Paraganglioma Causing Resistant Hypertension in a Twenty One Year Old Female

Case Presentation: A 21 year old woman had recently delivered a healthy male infant. This was her first pregnancy, it was complicated in the third trimester by pre eclampsia due to which she underwent a [...]

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HM2015 Abstract Number: 627

The Answer Is Skin Deep

Case Presentation: A 79-year-old man presented with 4 months of progressive muscle weakness, shortness of breath, and anorexia associated with a 25 lb weight loss.  His exam was notable for hypoxemia requiring 4 liters of [...]

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HM2015 Abstract Number: 629

Bortezomib Associated Ttp

Case Presentation: A 73 y/o F was admitted with new onset seizure and altered mental status. PMH was significant for HTN and recently diagnosed multiple myeloma (MM). She had received bortezomib 4 days prior to [...]

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HM2015 Abstract Number: 630

“Crossfit: Not Just Forging Elite Fitness”

Case Presentation: A 29 year old male with a history of Crigler–Najjar syndrome and working out with CrossFit, a high intensity core strength and conditioning exercise program, presented with two days of bilateral arm swelling.  [...]

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HM2015 Abstract Number: 632

Isolated Left Ventricular Non-Compaction Cardiomyopathy in Adults

Case Presentation: A 55-year-old male admitted with a diagnosis of pulmonary embolism and complaints of several episodes of intermittent palpitations was referred for cardiac evaluation for supraventricular tachycardia. Family history was significant for heart failure [...]

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HM2015 Abstract Number: 631

Sarcoidosis: The Other Great Mimicker

Case Presentation: A 76-year-old female with past medical history of Paroxysmal Atrial Fibrillation, HTN, CAD, and cholangiocarcinoma (in remission since 2002) presented after a mechanical fall and also complained of increasing abdominal distention. Initial labs [...]

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HM2015 Abstract Number: 633

Spontaneous Coronary Artery Dissection: A Rare Cause of Myocardial Infarction

Case Presentation: A 45-year-old Caucasian female with insignificant medical history presented to a community medical center with typical 8/10 left-sided chest pain radiating to left arm. It resolved with sublingual nitroglycerin, only to present with [...]

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HM2015 Abstract Number: 634

Intrapartum Inverted Takotsubo’s Cardiomyopathy Associated with Spinal Anesthesia During Cesarean Section

Case Presentation: A 31-year-old Caucasian female presented in active labor during her second pregnancy. She was planned for a cesarean section under spinal anesthesia with bupivacaine, morphine and fentanyl. Immediately, post-delivery she reported severe headache [...]

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HM2015 Abstract Number: 636

Probable Hydrochlorothiazide-Induced Myopericarditis: First Case Reported

Case Presentation: A 71-year-old African American woman with history of coronary artery disease, hypertension and sulfa allergy, presented with indolent onset retrosternal chest discomfort which was positional, pleuritic, and unresponsive to sublingual nitroglycerin. Her medications [...]

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HM2015 Abstract Number: 635

Hodgkin’s Lymphoma Presenting As Gastrointestinal Hemorrhage

Case Presentation: A 61-year-old Caucasian male presented with melena, dizziness and anemia with hemoglobin of 6.0 gm/dL. He received appropriate hemodynamic resuscitation including six units of packed red blood cells. Urgent gastrointestinal tract evaluation was [...]

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HM2015 Abstract Number: 637

Skeletal Sarcoidosis and Hypercalcemia

Case Presentation: : A 70-year-old woman presented to the emergency department with general malaise and fatigue.  She has a history of diabetes mellitus type 2, hypertension and dyslipidemia for which she takes Metformin, Nifedipine and [...]

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HM2015 Abstract Number: 638

A Catastrophic Presentation of Thrombotic Thrombocytopenic Purpura (Ttp): Large Vessel Infarction of the Right Middle Cerebral Artery

Case Presentation: 67 year old right-handed female with past medical history of morbid obesity, hirsutism and pre diabetes mellitus presented to the Emergency Department with a chief complaint of acute onset of slurred speech. Notably [...]

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HM2015 Abstract Number: 640

Pulmonary Mycobacterium Kansasii Infection –A Tale of a Right Upper Lobe Cavitary Lesion

Case Presentation: A 57 year old male with past medical history of COPD and schizophrenia presented with complaints of shortness of breath. The patient was discharged from a different hospital a day prior to the [...]

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HM2015 Abstract Number: 641

Be Still Thy Beating Heart

Case Presentation: A 36 year-old-male with a history of seizure disorder presented to the hospital with high-grade fevers, chest pain, and sore throat. At the time of presentation, he had a fever of 38.3°C, a [...]

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HM2015 Abstract Number: 642

2, 2, 82? A Late Presentation of Meckel’s Diverticulum

Case Presentation: An 82 year old female with history of perforated appendicitis with open appendectomy at age 15, presented with 3 years of episodic abdominal pain and distention associated with nausea and vomiting. Prior episodes [...]

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HM2015 Abstract Number: 644

A Rare Case Report on Simultaneous Occurrence of Mpo-Vasculitis and Rheumatoid Arthritis

Case Presentation: A 58 year-old male guitarist presented to the hospital with worsening generalized weakness for a week. He also had sore throat and generalized malaise with diarrhea and decreased oral intake. Past medical history [...]

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HM2015 Abstract Number: 643

A Wolf in Sheep’s Clothing: A Case of Sepsis Caused by Coagulase-Negative Staphylococci

Case Presentation: A 62  year old man with a history of end stage liver disease secondary to Hepatitis C and alcohol,  chronic obstructive pulmonary disease,  and benign prostate hyperplasia  presented to the hospital with a [...]

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HM2015 Abstract Number: 645

Acute Liver and Renal Failure : A Rare Adverse Effect Exclusive to Intravenous Form of Amiodarone

Case Presentation: 65 years old male with past medical history of ischemic cardiomyopathy with Automatic Implantable Cardioverter Difibrillator (AICD) presented with complaints of multiple AICD shocks. Lab works at presentation were within normal limits. AICD [...]

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HM2015 Abstract Number: 646

A Hematological Menace : Multiple Venous Thrombosis Complicated by Acquired Factor Viii Deficiency

Case Presentation: A 21 year old African-American male with no medical history presented with multiple organ injuries secondary to gunshot . He had exploratory laparotomy with repair of abdominal wall , colonic resection, splenectomy, and [...]

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HM2015 Abstract Number: 648

This Is Not Vasculitis, Do You C?

Case Presentation: A 25 year-old man presented with one month of progressively painful, bruised, and swollen bilateral calves. Symptoms started as bilateral feet and ankle pain followed by the development of bruising over the posterior [...]

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HM2015 Abstract Number: 647

Collapsing Fsgs Caused by Acute Epstein- Barr Virus Infection: A Case Report

Case Presentation: A 20 year old African American Male presented with 1 day history of bilateral throbbing headache , nausea , vomiting .On further questioning, he reported experiencing flu like symptoms 2-3 weeks ago with [...]

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HM2015 Abstract Number: 649

Acquired Hemophagocytic Lymphohistiocytosis : It’s Not Just in the Genes

Case Presentation: A 71 year old woman with a history of transformed diffuse large B-cell Non-Hodgkin’s Lymphoma, currently in remission, was transferred to our hospital for several days of malaise and persistent fevers. She was [...]

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HM2015 Abstract Number: 650

An Underperforming Basketball Player

Case Presentation: A 37 year old African-American man presented with numbness in the hands and weakness of both the upper and lower extremities for a month's duration. Patient stated that the proximal muscle weakness has [...]

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HM2015 Abstract Number: 652

“Heart” to Stomach the Headaches

Case Presentation: 39 year old man with a PMH of testicular seminoma s/p orchiectomy presents with intermittent, sharp, left-sided abdominal pain in the subcostal region with radiation to the left flank and back of 2 [...]

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HM2015 Abstract Number: 651

He Probably Had Dinner at Mary’s

Case Presentation: 85-year-old man with hypertension and prostate cancer presents with five days of fever, chills, poor oral intake, constipation and a non-productive cough. Patient had just completed a course of Azithromycin provided by his primary [...]

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HM2015 Abstract Number: 653

Rhabdomyolysis with Kidney Injury in a Patient with Uncontrolled Hypothyroidism

Case Presentation: A 40-year-old woman with postablative hypothyroidism from Graves Disease presented with 3 weeks of fatigue and myalgias. She reported severe constipation and worsening bilateral anterior thigh pain exacerbated by movement. Physical examination revealed [...]

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HM2015 Abstract Number: 654

Dic from Spider Bite Mimicking Hemophagocytic Lymphohistiocytosis

Case Presentation: 23 y.o. female with no significant PMH presented to OSH ED 1 week post brown recluse spider bite. She had fever of 102.4 and was started on abx. Over the next several days, [...]

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HM2015 Abstract Number: 656

Perplexing Apoplexy

Case Presentation: 85 year old female presented to the ED with the worst headache of her life for four days. Past medical history was significant for migraines, diabetes mellitus, and recent zoster involving CN VII. [...]

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HM2015 Abstract Number: 655

Dying from Sunshine

Case Presentation: A 77 year-old Caucasian male with a history of recently diagnosed myelodysplastic syndrome (MDS), hypertension, hyperlipidemia, atrial fibrillation, lung cancer treated with resection, and amyloidosis of the kidneys, presented to the ED with [...]

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HM2015 Abstract Number: 657

Stuck in the Heart: Embolized Strut Fracture of Ivc Filter

Case Presentation: A 38-year-old male admitted for gastroenteritis was found to have an incidental finding of linear density in right ventricle (RV) on abdominal x-ray. He had a history of lower extremity deep venous thrombosis [...]

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HM2015 Abstract Number: 658

Sweet’n Low: Fever, Diffuse Rash, Anemia, and Thrombocytopenia

Case Presentation:  A 39-year-old man with no past medical history presented to an outside hospital with several weeks of fevers, chills, night sweats, vomiting, diffuse abdominal pain and a 7 kg weight loss. Vital signs [...]

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HM2015 Abstract Number: 660

An Unusual Case of Sloughing Esophagitis Due to Histoplasmosis in an Immune Competent Patient

Introduction:Esophagitis dissecans superficialis (EDS) is a rare although likely underreported endoscopic finding characterized by sloughing of large fragments of esophageal mucosal lining.   It is commonly seen in immune suppressed patients and those with multiple comorbidities. [...]

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HM2015 Abstract Number: 659

A Presentation of Paranoia

Case Presentation: A 61 year old woman was brought into the emergency department by her brother for evaluation of confusion, hallucinations, and paranoia.  Her medical comorbidities included anxiety, hypertension, and stage III chronic kidney disease.  [...]

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HM2015 Abstract Number: 661

Use of Anti-Il6 Receptor Antibody (Tocilizumab) for Induction Therapy in Secondary Hemophagocytic Lymphohistiocytosis/macrophage Activation Syndrome (Hlh/mas)

Case Presentation: A 61-y.o. woman with pulmonary sarcoid presented with 3 weeks of fever, malaise, and 15-lb weight loss. Social, travel, and family history was unremarkable. Initial exam noted diffuse lymphadenopathy. Labs revealed leukopenia, anemia, [...]

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HM2015 Abstract Number: 662

Kounis Syndrome, Acute Myocardial Infarction in the Setting of Anaphylacitc Reaction

Case Presentation: A 62 years old male presented to the emergency department with soft tissue swelling, urticarial skin rash and acute respiratory failure. He was diagnosed with acute anaphylactic reaction with angioedema. He was given [...]

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HM2015 Abstract Number: 664

Fibrolamellar Hepatocellular Carcinoma; a Rare Cause of Liver Mass

Case Presentation: A 26 year old male with past medical history significant for gastroesophageal reflux disease, presented with complaints of ongoing right upper quadrant and epigastric abdominal pain over the previous 6 months. He reported [...]

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HM2015 Abstract Number: 663

Recurrent Hemosuccus Pancreaticus Requiring Coil Embolization

Case Presentation: A 34 year old African American male with history of alcoholism, chronic pancreatitis, recurrent upper GI bleeding with unknown etiology presented with acute onset of epigastric and LUQ abdominal pain, hematemesis and melena. [...]

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HM2015 Abstract Number: 665

A Case of Co-Infection with Hiv and Chagas Disease with Improvement of Chagoma After Treatment with Benznidazole

Case Presentation: A 22 year-old man presented to the emergency department in Cochabamba, Bolivia, with headache and left-sided weakness.  Both were present for three weeks, both progressively worsening.  The patient was from Aiquile, a rural [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Case of Co-Infection with Hiv and Chagas Disease with Improvement of Chagoma After Treatment with Benznidazole

HM2015 Abstract Number: 666

Pylephlebitis: A Rare but Serious Complication of Crohn’s Disease

Case Presentation: A 27 yo female with biopsy-proven Crohn’s disease presented with fever, chills, abdominal pain and diarrhea occurring intermittently for the past year. Previously, she had been maintained on TNF inhibitor alone with antibiotics [...]

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HM2015 Abstract Number: 668

A Case of Invasive Klebsiella Pneumoniae Liver Abscess Syndrome

Introduction: Invasive Klebsiella Pneumoniae Liver Abscess Syndrome (IKPLAS) consists of liver abscess findings on imaging with blood cultures or aspirate positive for Klebsiella Pneumoniae, in the absence of hepatobiliary disease.  This entity is ominous from [...]

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HM2015 Abstract Number: 667

A Case of Lower Extremity Paralysis

Introduction:  Thyrotoxic Periodic Paralysis (TPP) is complication of hyperthyroidism, characterized by recurrent episodes of flaccid paralysis associated with hypokalemia. This unusual but serious complication of hyperthyroidism can lead to paralysis, cardiac arrhythmias and respiratory failure. [...]

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HM2015 Abstract Number: 669

An Evolving Diagnosis: Altered Mental Status to Henoch-Schlonein Purpura in an Adult

Case Presentation: A 58 year old male is sent from a behavioral health unit for altered mental status, lethargy, and vomiting for one day. He has a history of hypertension and schizoaffecive disorder, for which [...]

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HM2015 Abstract Number: 670

Don’t Always Trust Your Heart

Case Presentation: A 39 year-old woman presented with 4 months of progressive dyspnea on exertion and chest tightness.  Her symptoms first began near the end of her usual 2 mile walk, resolving with rest after [...]

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HM2015 Abstract Number: 672

Radiation-Induced Organizing Pneumonia: A Rare Case of Recurrent Cough and Shortness of Breath

Case Presentation: A 50 year old woman with history of left breast cancer, treated with lumpectomy and eight weeks of radiation therapy completed four months ago, presented with one month of dyspnea, dry cough, and low grade [...]

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HM2015 Abstract Number: 671

Back Reconstruction Leading to Cement Embolism

Case Presentation: A 79 year old female with history of osteoporosis, remote breast cancer s/p mastectomy and radiation therapy, and history of multiple vertebral compression fractures presented to the hospital three days after kyphoplasty of [...]

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HM2015 Abstract Number: 673

Pained Prostate Spreading the Blues

Case Presentation: An 82-year old male presented to emergency department with complaints of severe “prostate” pain with movement, defecation, and micturition for several months, with increase in pain severity 2 weeks prior to presentation. He [...]

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HM2015 Abstract Number: 674

Recurrent Aseptic Meningitis in Herpes Simplex Virus-2 (Hsv-2) Uncovers Behcet’s Disease

Case Presentation: A 42-year-old African American female presented to the emergency room complaining of dizziness, headache, nausea, fever and chills for 3 days. The patient reported at least 3 similar episodes in the past 5 [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Recurrent Aseptic Meningitis in Herpes Simplex Virus-2 (Hsv-2) Uncovers Behcet’s Disease

HM2015 Abstract Number: 675

Did Asplenia Lead Astray?

Case Presentation: A 43-year-old Caucasian man with a history of asplenia, nephrolithiasis, and prior mesenteric lymphadenitis presented with fevers, headache, and rash in areas of prior tattoos and scars. Review of systems revealed two months [...]

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HM2015 Abstract Number: 677

Vasoplegic Syndrome in a Postoperative Patient

Case Presentation: A 63 year-old Caucasian male with a history of severe symptomatic aortic insufficiency and coronary artery disease was seen in the intensive care unit status-post aortic valve replacement and single vessel coronary artery bypass graft (CABG). The patient tolerated the [...]

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HM2015 Abstract Number: 678

Got Platelets? A Clumping Conundrum with an Unexpected Outcome

Case Presentation: A 21 year-old woman with acquired immune deficiency syndrome (CD4 count 22) and chronic platelet clumping was admitted with a sore throat of 24 hours duration. She had enlarged, erythematous tonsils bilaterally; no [...]

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HM2015 Abstract Number: 680

Recurrent Cardioinhibitory Reflex Cardiac Arrest Due to Infection of the Neck and Spine

Case Presentation: A 51 year old male patient with a history of injection drug use was admitted with MRSA bacteremia and lumbar epidural abscesses.  He reported developing new neck pain on hospital day two.  Urgent cervical MRI [...]

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HM2015 Abstract Number: 679

Chyloperitoneum and Chylothorax Due to Lymphoma

Case Presentation: A 78-year-old woman presented to an outside facility with dyspnea and abdominal distension. Abdominal examination revealed distension and a fluid wave. Pulmonary examination revealed decreased breath sounds and dullness to percussion in the [...]

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HM2015 Abstract Number: 681

Incidental Diagnosis of Cholangiocarcinoma

Case Presentation:  A 40 year old man with history of hyperlipidemia and elevated transaminases and alkaline phosphatase for the last 10 years, which he attributed to statin use, presented with dark urine, pruritus, scleral icterus, and [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Incidental Diagnosis of Cholangiocarcinoma

HM2015 Abstract Number: 682

Getting to the Heart of It: An Unexpected Metastasis of a Common Malignancy

Case Presentation: A 51 year old woman presented with one month of progressive dyspnea on exertion, increasing abdominal girth and 20 lbs weight gain. She denied fevers, night sweats, nausea, vomiting, chest pain, orthopnea, paroxysmal [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Getting to the Heart of It: An Unexpected Metastasis of a Common Malignancy

HM2015 Abstract Number: 684

A Rare Case of Abdominal Pain Due to Spontaneous Celiac Artery Dissection

Case Presentation: A 46-year-old gentleman presented to the ED with one day history of acute onset epigastric pain. He is a nonsmoker and nonalcoholic, with past medical history of hypertension. His abdominal pain was sharp [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Rare Case of Abdominal Pain Due to Spontaneous Celiac Artery Dissection

HM2015 Abstract Number: 683

“Ring Around the Heart”: A Case of Metastatic Primary Gastric Signet Ring Cell Carcinoma Presenting As Cardiac Tamponade

Case Presentation: 55-year-old Hispanic female with no significant past medical history who was in her usual state of health presented with complaints of multiple syncopal episodes that were preceded by nausea and vomiting for three [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on “Ring Around the Heart”: A Case of Metastatic Primary Gastric Signet Ring Cell Carcinoma Presenting As Cardiac Tamponade

HM2015 Abstract Number: 685

Abdominal Cocoon As a Rare Presentation of Adenocarcinoma of Colon

Case Presentation: A 58 year old gentleman  with no known past medical or surgical history, or history of smoking or alcohol intake, presented to the ED with abdominal pain, nausea, vomiting ,constipation with generalized weakness [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Abdominal Cocoon As a Rare Presentation of Adenocarcinoma of Colon

HM2015 Abstract Number: 686

Superior Vena Cava Syndrome Caused by Aspergillus

Case Presentation: A 66-year-old man with a history of Small Lymphocytic Lymphoma/Chronic Lymphocytic Leukemia(SLL/CLL) in remission, hypogammaglobulinemia and atrial fibrillation presented to an outside hospital with shortness of breath, facial swelling and bilateral upper extremity edema.Computed tomography scanning done prior to [...]

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HM2015 Abstract Number: 688

An Example of the Swiss Cheese Model of Error Leading to Hypoglycemia

Case Presentation: A 54y man with history of DM2 on insulin and ESRD on HD presented to the ER with worsening bilateral foot pain. The patient was admitted 1 month prior for osteomyelitis of the [...]

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HM2015 Abstract Number: 687

Sle or Not Sle? That Is the Question!

Case Presentation: A 32 year-old African American man with a history of asthma was admitted to the ICU with acute respiratory failure due to diffuse alveolar hemorrhage (DAH), diagnosed by bronchoscopy, requiring intubation and blood [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Sle or Not Sle? That Is the Question!

HM2015 Abstract Number: 689

Myxedema Madness: An Unusual Manifestation of Hypothyroidism

Case Presentation: An 85 year old man with a history of HCV, hypothyroidism on levothyroxine, and anemia presented with a 1 day history of total body pain. He stated that he was in his usual [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Myxedema Madness: An Unusual Manifestation of Hypothyroidism

HM2015 Abstract Number: 690

Severe Refractory Hypoglycemia Following Sulfonylurea Overdose

Case Presentation: A 48 year-old Chinese man with background history of major depression, presented 7 hours after ingestion of unknown amount of multiple drugs including immediate-release gliclazide, simvastatin, fluvoxamine and pacofen (paracetamol, codeine and caffeine). [...]

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HM2015 Abstract Number: 691

Sepsis with Transaminitis: More Than Shock Liver

Case Presentation: A 57 year old female with a past medical history of Lyme  disease was admitted to the hematology service with DIC. Acute promyelocytic leukemia was diagnosed and a PICC line was placed for [...]

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HM2015 Abstract Number: 570

An Uncommon Cause of Weakness: Acute Intermittent Porphyria Presenting As Quadriparesis

Case Presentation: A 59 year old man with a history of acute intermittent porphyria was admitted with weakness and subjective chills. Exam revealed severe proximal muscle weakness and areflexia.  Blood cultures grew E. coli, treated [...]

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HM2015 Abstract Number: 572

Syndrome of Irreversible Lithium-Effectuated Neurotoxicity (Silent): Break the Silence

Case Presentation: A 60 y/o African American Female with history of Manic-depressive disorder was brought to emergency room for altered mental status of three day duration. Her home medications included Lithium, Trazadone, Paliperidone. She had [...]

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HM2015 Abstract Number: 571

Levamisole Lesions: The Perils of Tainted Cocaine

Case Presentation: A 48 year old woman presented to the ED with painful skin lesions on thighs, nose, and ears which appeared after smoking cocaine the night prior. The patient reported at least five previous [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Levamisole Lesions: The Perils of Tainted Cocaine

HM2015 Abstract Number: 573

The Hunter’s Trap: A Fatal Case of Tularemia

Case Presentation: A 49 year old man with a medical history significant for hypertension and hyperlipidemia presented to the ER with worsening shortness of breath, cough and malaise. His initial work-up revealed normal lab values [...]

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HM2015 Abstract Number: 574

A Case of Chronic Flecainide Toxicity

Case Presentation: A 78 year old lady with recent pacemaker placement for sick sinus syndrome, and paroxysmal atrial fibrillation on flecainide (150 mg bid) for the past one year, presented to the ER with nausea [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Case of Chronic Flecainide Toxicity

HM2015 Abstract Number: 576

A Breathtaking Defect

Case Presentation:  A 63 year-old female presented with a fall and presyncope. A year ago, the patient had transient dysarthria with progressive confusion, cognitive decline, and several falls. The patient denied recent headache, SOB, palpitations, [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Breathtaking Defect

HM2015 Abstract Number: 575

A Rare Neoplasm with a Large Impact-Cmml Case Report

Case Presentation: 64-year-old man with a history of remote IV drug abuse, untreated hepatitis C, and poor medical follow-up presented with two months of increasing weakness. One week prior to presentation, he reported a flu-like illness with neck swelling, presumed lymphadenopathy, after which his weakness acutely [...]

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HM2015 Abstract Number: 577

Serotonin Syndrome Induced by Lamotrigine, Aripiprazole and Cocaine Use: A Case Report

Case Presentation: A 24 year old female with a history of bipolar disorder was admitted for nausea, dizziness and jitteriness that started after intentional ingestion of 4 gm of lamotrigine and 80 mg of aripiprazole, [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Serotonin Syndrome Induced by Lamotrigine, Aripiprazole and Cocaine Use: A Case Report

HM2015 Abstract Number: 578

A “Pain in the Neck” Diagnosis: Retropharyngeal Calcific Tendonitis with Bacteremia

Case Presentation: A 54-year-old male with type 2 diabetes mellitus presented to the emergency department with occipital headache, neck pain, fevers, and dysuria for three days. He was diagnosed with a urinary tract infection and [...]

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HM2015 Abstract Number: 580

Afferent Limb Syndrome Presenting As Pancreatitis Due to Obstructing Gastric Stump Carcinoma

Case Presentation: A 69 year old male with history of Gastro esophageal reflux disease and Billroth type II procedure for peptic ulcer disease, presented to the hospital with sudden onset of abdominal pain, nausea and [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Afferent Limb Syndrome Presenting As Pancreatitis Due to Obstructing Gastric Stump Carcinoma

HM2015 Abstract Number: 579

An Uncommon Case of Genital Ulcer

Case Presentation: A 25 year old Ethiopian female presented with a four week history of painful genital ulcer, oral lesions and intermittent back pain with dysuria. Ulcer initially started as painless bumps that progressively became [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on An Uncommon Case of Genital Ulcer

HM2015 Abstract Number: 581

The Hidden Bleeder

Case Presentation: 66 years old male with past medical history of Hypertension, chronic kidney disease, active smoker and alcohol abuse, presented with two episodes of hemoptysis. Patient was admitted initially with working diagnosis of possible [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Hidden Bleeder

HM2015 Abstract Number: 582

Microscopic Carcinoid

Case Presentation: 51 year old Caucasian male with history of hyperlipidemia presented with complain of melena. Patient had noticed one episode of bright red blood per rectum. On questioning patient also complained of feeling tired [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Microscopic Carcinoid

HM2015 Abstract Number: 584

Sorry to Burst Your Bubble: It’s an Emergency!

Case Presentation: A 63 year old man with poorly controlled diabetes presented to his primary care physician with fevers, chills, urinary frequency, and back pain. He was referred to the Emergency Room (ER) for presumed [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Sorry to Burst Your Bubble: It’s an Emergency!

HM2015 Abstract Number: 585

Total Eclipse of the Heart: A Case of Unexplained Chest Pain Syndrome in a Diabetic Patient

Case Presentation: A 46 year old male with hypertension and uncontrolled type 2 diabetes mellitus presented with sharp, non-radiating sub sternal chest pain.  EKG showed diffuse ST elevations, transthoracic echocardiogram (TTE) showed no abnormalities and [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Total Eclipse of the Heart: A Case of Unexplained Chest Pain Syndrome in a Diabetic Patient

HM2015 Abstract Number: 586

This Headache Is Killing Me!

Case Presentation: A 41 year old Hispanic female with history of methylenetetrahydrofolate reductase deficiency and migraines presented with worsening right sided retro-orbital headache, new onset diplopia, right facial numbness and right facial droop. She presented [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on This Headache Is Killing Me!

HM2015 Abstract Number: 588

Laxative-Induced Magnesium Toxicity

Case Presentation: A 59-year-old man with end-stage renal disease (ESRD) on hemodialysis presented to the hospital with six days of progressive, symmetric, bilateral, lower extremity weakness and paresthesias, and imbalance. At baseline he could ambulate [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Laxative-Induced Magnesium Toxicity

HM2015 Abstract Number: 587

Is It a Lyme Neuroborreliosis, Neurosarcoidosis or Neuroepithelial Tumor? – a Case Report

Case Presentation: A 50 year-old male with no past medical history presents with 3 months of worsening headache (HA), neck stiffness, photophobia, nausea and vomiting. Patient was evaluated by neurology 2 weeks prior to admission. [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Is It a Lyme Neuroborreliosis, Neurosarcoidosis or Neuroepithelial Tumor? – a Case Report

HM2015 Abstract Number: 589

Beware of Wild C-Ards: Blastomycosis

Case Presentation: A previously healthy 58 year old male presented with increasing dyspnea for three days. On admission, his heart rate was 110, respiratory rate was 19, and his oxygen saturation was 85% on room [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Beware of Wild C-Ards: Blastomycosis

HM2015 Abstract Number: 590

A Rare and Forgotten Cause of Hypermagnesemia

Case Presentation: A 58-year-old African-American woman with multiple sclerosis and history of recent left thalamic stroke presented with six days of generalized weakness and fatigue.  One week prior, she was hospitalized for a transient episode [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Rare and Forgotten Cause of Hypermagnesemia

HM2015 Abstract Number: 592

Tramadol: A Rare Cause of Acute Interstitial Nephritis

Case Presentation: A 44 year old man with history of obesity and hyperlipidemia presents to the ER with two week history of right ankle pain, found to have acute kidney injury warranting admission. He presented [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Tramadol: A Rare Cause of Acute Interstitial Nephritis

HM2015 Abstract Number: 591

Difficult Diagnosis: Mycobacterium Marinum

Case Presentation: A 60 year-old Chinese man with a seven-month history of two ulcerative lesions in the dorsal surfaces of the right forearm and the right fourth proximal interphalangeal (PIP) joint presented with diffuse pruritic [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Difficult Diagnosis: Mycobacterium Marinum

HM2015 Abstract Number: 593

A Case of Invasive Pulmonary Aspergillosis in a Patient on Crizotinib for Alk Mutation-Positive Non-Small Cell Lung Cancer

Case Presentation: A 60 year-old Polish woman with stage IV adenocarcinoma of the lung (ALK fusion oncogene positive) on crizotinib, with a recent history of steroid use, presented with one week of malaise.  In the [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Case of Invasive Pulmonary Aspergillosis in a Patient on Crizotinib for Alk Mutation-Positive Non-Small Cell Lung Cancer

HM2015 Abstract Number: 594

Uncommon Cause of Bilateral Lower Limb Weakness

Case Presentation: A 64 years old Chinese female, with background of hypertension and diabetes mellitus, presented with progressive bilateral lower limb weakness over 3 weeks. Examination revealed normal upper limbs, bilateral foot drop and absent [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Uncommon Cause of Bilateral Lower Limb Weakness

HM2015 Abstract Number: 596

An Extremely Rare Case of Spontaneous Tumor Lysis Syndrome

Case Presentation: A 43 year-old gentleman with a history of obesity, hypertension, obstructive sleep apnea, and recently diagnosed stage IV gastric adenocarcinoma treated only with 2000 centigrays of radiotherapy to his stomach one week prior [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on An Extremely Rare Case of Spontaneous Tumor Lysis Syndrome

HM2015 Abstract Number: 595

Looking Beyond the Lone Peak

Case Presentation: A 66 year-old man presented with six months of migratory body aches, slowed walking and twenty-pound weight loss. He had no neurological deficits. Labs showed hemoglobin 10.5 g/dL, creatinine 1.2 mg/dL, and normal [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Looking Beyond the Lone Peak

HM2015 Abstract Number: 597

Borrelia Cervicalgia: A Case of Non-Compressive Cervical Radiculopathy

Case Presentation: A 63 year-old woman presented with one-week history of severe neck pain radiating to the left arm, along with two days of weakness and numbness of both upper limbs, left greater than right. [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Borrelia Cervicalgia: A Case of Non-Compressive Cervical Radiculopathy

HM2015 Abstract Number: 598

Straining to Diagnose

Case Presentation: A 50-year-old physician presented to the emergency department with waxing and waning fevers, chills, and sweats. Nine days prior to presentation he developed a sore throat, fevers, night sweats, and chills, which resolved [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Straining to Diagnose

HM2015 Abstract Number: 600

Making Wrong Connections: The ‘Tale’ of an Angry Organ

Case Presentation: A 23 year old male presented to the emergency department with left sided pleuritic chest pain radiating to the back, mild cough, clear sputum and shortness of breath for 2 days. He had [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Making Wrong Connections: The ‘Tale’ of an Angry Organ

HM2015 Abstract Number: 599

Hashimoto’s Encephalopathy Presents with Psychosis

Case Presentation: A 48 year-old man presented with disorientation, mumbling speech, aggressive behavior, and visual hallucinations.  He was healthy until two months prior when he developed hallucinations.  He had been given a diagnosis of schizophrenia [...]

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HM2015 Abstract Number: 602

Ralstonia: Crossing the Line

Case Presentation: A 49 year old man with stage IIIB colon cancer currently undergoing chemotherapy with 5-fluorouracil and oxaliplatin was referred to the emergency department (ED) for gram negative rod bacteremia. The day prior to [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Ralstonia: Crossing the Line

HM2015 Abstract Number: 604

Rapidly Progressive Diffuse Large B-Cell Lymphoma Presenting As Innumerable Pulmonary Nodules in an Aids Patient: A Fatal Case Report

Case Presentation: A 52 yo AA female presented with SOB, cough productive of green sputum and a 12lb weight loss over 3 months.  PMH: AIDS (CD4 180), hx pulm TB (treated, yrs ago), DM2, ex-IVDU [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Rapidly Progressive Diffuse Large B-Cell Lymphoma Presenting As Innumerable Pulmonary Nodules in an Aids Patient: A Fatal Case Report

HM2015 Abstract Number: 603

A Mysterious Cause of Aseptic Meningitis

Case Presentation:    A 32 year old woman presented to the emergency department with a 2 day history of headache, fever, stiff neck, and photophobia. Her past medical history was significant for 5 episodes of [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Mysterious Cause of Aseptic Meningitis

HM2015 Abstract Number: 606

Lupus Hiding in the Shadows of Anti-Gbm Disease

Case Presentation: A 21 year old man presented with severe shortness of breath and hypoxia. He had history of Anti-GBM disease (Goodpasture’s syndrome), living related donor renal transplant, failed renal transplant due to medication non-adherence [...]

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HM2015 Abstract Number: 608

The Elusive Palindromic Rheumatism

Case Presentation: A 59 year-old woman with a history of diabetes presented with one day of right shoulder pain. The pain was sudden, severe, and woke her in the night. She denied recent joint trauma. [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Elusive Palindromic Rheumatism

HM2015 Abstract Number: 607

Nephrotic-Range Proteinuria in a Patient with Multiple Sclerosis, What Is the Connection?

Case Presentation: A 47 year-old African American female who presented for routine annual check-up, was found to have abnormal labs; Creatinine(Cr) of 4.7 and Blood urea nitrogen(BUN) of 37. Her creatinine was 0.8, 6 years [...]

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HM2015 Abstract Number: 609

Group a Streptococcal Septic Arthritis

Case Presentation: A 44 year-old woman with a history of untreated rheumatoid arthritis (RA) initially presented to an outpatient gynecologist with several days of vaginal discharge and itching, which was diagnosed as bacterial vaginosis. Examination [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Group a Streptococcal Septic Arthritis

HM2015 Abstract Number: 610

Beta Testing: Checking for Complications

Case Presentation: A 33-year-old man with history of beta thalassemia major and cirrhosis due to multiple blood transfusions presented with two months of increased frequency of urinary incontinence. He sustained a fall four months ago [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Beta Testing: Checking for Complications

HM2015 Abstract Number: 612

Temperate Pyomyositis – a Smoldering Dust Devil

Case Presentation:  A 61 year-old uncontrolled diabetic complicated by bilateral femoral- femoral bypasses due to peripheral vascular disease presented with intractable left leg pain after a fall.  In the Emergency Department, he was noted to [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Temperate Pyomyositis – a Smoldering Dust Devil

HM2015 Abstract Number: 611

Pernicious Anemia Presenting As Pancytopenia

Case Presentation: A 50-year-old man with no prior history presented with one month of progressively worsening shortness of breath, now occurring with minimal exertion. He endorsed nausea and bilious vomiting, but denied hemoptysis, hematemesis, hematochezia, [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Pernicious Anemia Presenting As Pancytopenia

HM2015 Abstract Number: 613

A Common Diagnosis from an Uncommon Etiology: Traumatic Superior Gluteal Artery Rupture Presenting As Anemia and Knee Pain

Case Presentation: A 63 yr old gentleman with a history of ischemic stroke and hypertension presented to the ED from his assisted living center for evaluation of R hip & knee pain. The patient reported [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Common Diagnosis from an Uncommon Etiology: Traumatic Superior Gluteal Artery Rupture Presenting As Anemia and Knee Pain

HM2015 Abstract Number: 614

New Onset Dvt and Chronic Cough: A Subacute Mystery

Case Presentation: A 51-year-old man with no prior history presented with a 2-day complaint of right leg pain and swelling. He was undergoing an outpatient work up for a 6-month history of chronic cough and [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on New Onset Dvt and Chronic Cough: A Subacute Mystery

HM2015 Abstract Number: 616

Eczema Herpeticum: A Severe Manifestation of Herpes Simplex Infection

Case Presentation: A 57-year-old African-American man presented with a pruritic rash and fever for two days. Past history was significant for chronic dermatitis for 9 months that initially involved the head and neck, which was [...]

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HM2015 Abstract Number: 615

Recurrent Drug-Induced Liver Injury Related to Oral Contraceptive Use

Case Presentation: A 23 year-old woman with history of acute liver injury three years ago with use of an oral contraceptive pill (OCP) presented complaining of severe generalized itching and diffuse yellow discoloration of her [...]

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HM2015 Abstract Number: 617

When a Physical Examination Becomes Unreliable; Complication of Inferior Myocardial Infarction

Case Presentation:  A 74-year-old woman with morbid obesity presented with chest pain for three hours. Chest pain was constant, pressure sensation, located in her left chest and accompanied with shortness of breath. Her blood pressure [...]

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HM2015 Abstract Number: 618

Pneumococcal Sepsis Presenting with Acute Aortic Occlusion

Case Presentation: A 52-year-old female with history of hypertension and smoking presented with increasing dyspnea for five days. She also reported numbness in her legs and inability to walk for few days. She was cachectic, [...]

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HM2015 Abstract Number: 620

Eosinophilic Granulomatosis with Polyangiitis (Egpa) Presenting As Chronic Diarrhea, Stroke, Neuropathy and Endomyocarditis – a Case for Hospitalists

Case Presentation: A 56 year-old Hispanic female with a history of asthma, chronic sinusitis, and nasal polyps presents with diarrhea and abdominal pain for 6 months. Patient had previously been admitted twice with a diagnosis [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Eosinophilic Granulomatosis with Polyangiitis (Egpa) Presenting As Chronic Diarrhea, Stroke, Neuropathy and Endomyocarditis – a Case for Hospitalists

HM2015 Abstract Number: 619

A Common Virus As a Rare Cause of Hepatitis

Case Presentation: A 22-year-old male with a history of pancytopenia and peptic ulcer disease presented with one week of fevers, chills, and night sweats and was found to have elevated transaminases and worsening thrombocytopenia. Over [...]

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HM2015 Abstract Number: 621

Bilateral Renal Infarction Associated with Oxaliplatin-Based Chemotherapy for Colon Carcinoma: A Case Report

Case Presentation: A 62 year old male with colon carcinoma and liver metastasis presented to emergency department after developing right flank pain while undergoing 6th cycle of oxaliplatin infusion. He was on FOLFOX (Folinic acid, [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Bilateral Renal Infarction Associated with Oxaliplatin-Based Chemotherapy for Colon Carcinoma: A Case Report

HM2015 Abstract Number: 622

Functional Vitamin B12 Deficiency: An Unusual Consequence of Recreational Nitrous Oxide Use

Case Presentation: A 42 year old female noticed numbness and a tingling sensation over her feet bilaterally. This sensation progressed to involve the entire lower extremities and was accompanied by unsteady gait and weakness over [...]

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HM2015 Abstract Number: 624

A Case of Levamisole Induced Vasculitis

Case Presentation: A 53 year-old woman with unspecified arthritis presented with recurrent rash. She reported frequent episodes of skin tenderness that escalated to pruritic, ulcerating blisters containing dark fluid and necrotic ecchymoses throughout her extremities [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Case of Levamisole Induced Vasculitis

HM2015 Abstract Number: 623

A Case of Severe Myocarditis and Pericarditis Complicated with Drug Reaction with Eosinophilia and Systemic Symptoms Syndrome

Case Presentation: A 33-year-old Japanese man, with no significant past medical history, presented to our hospital with a two-day history of fever, diarrhoea and diffuse maculopapular rash. Four weeks before, he had taken cefaclor, and [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Case of Severe Myocarditis and Pericarditis Complicated with Drug Reaction with Eosinophilia and Systemic Symptoms Syndrome

HM2015 Abstract Number: 625

23-Year-Old with Lymphadenopathy and “B Symptoms”

Case Presentation: A 23-year-old previously healthy African-American female presented with one month history of progressive symptoms: first fever, night sweats, sore throat, malaise and body aches; then poor oral intake, severe fatigue, lower abdominal pain [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on 23-Year-Old with Lymphadenopathy and “B Symptoms”

HM2015 Abstract Number: 694

Rifampin Induced Dress

Case Presentation: An 86-year-old male with hypertension, diabetes, and pulmonary tuberculosis on therapy presented to the ED with fever and a rash. He developed an erythematous rash over his body two months prior to admission. [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Rifampin Induced Dress

HM2015 Abstract Number: 695

Unicuspid Aortic Valve – a Classic Presentation

Case Presentation: A 26 year old male with no relevant past medical history, had presented to the hospital after two episodes of syncope with diaphoresis and lightheadedness. On physical examination his blood pressure and pulse [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Unicuspid Aortic Valve – a Classic Presentation

HM2015 Abstract Number: 696

Not Just Another Tick-Borne Illness

Case Presentation: A 69 year-old man presented with pleuritic chest pain for several hours.  Prior to admission he had hiked throughout the northeast United States.  Five days prior to presentation he noticed a small, non-painful, [...]

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HM2015 Abstract Number: 697

Extraintestinal Recurrence of Clostridium Difficile Infection Without Diarrhea

Case Presentation: A 61 year-old man with cryptogenic cirrhosis, type 2 diabetes mellitus, hypertension, and chronic kidney disease presented with worsening abdominal pain for 3 weeks. He had discontinued oral vancomycin two months earlier for [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Extraintestinal Recurrence of Clostridium Difficile Infection Without Diarrhea

HM2015 Abstract Number: 698

The Klebsiella Liver Abscess: Recognizing the Patient Profile of an Emerging Domestic Disease

Case Presentation: A 62 year-old native Filipino woman with poorly controlled diabetes mellitus presented with three days of fevers and one day of confusion. Her last visit to the Philippines was 14 years ago. She [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Klebsiella Liver Abscess: Recognizing the Patient Profile of an Emerging Domestic Disease

HM2015 Abstract Number: 699

Adult-Onset Still’s Disease: Still a Challenging Diagnosis

Case Presentation: A 28-year-old woman presented with two weeks of fever. She had been healthy until three months prior, when she developed an episodic pink macular rash over her upper arm that gradually spread to [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Adult-Onset Still’s Disease: Still a Challenging Diagnosis

HM2015 Abstract Number: 700

Twisted Cyster

Case Presentation: A 21 year old Spanish-speaking male immigrant from Guatemala with no significant past medical history presented to the emergency department (ED) with nausea, vomiting, neck pain, and vertigo. He was noted to have [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Twisted Cyster

HM2015 Abstract Number: 701

Leave No Stone Unturned

Case Presentation: A 37-year-old man presented with 10 days of right flank pain.  It was of variable intensity, but never completely went away after onset.  He had episodic nausea and vomiting and several episodes of [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Leave No Stone Unturned

HM2015 Abstract Number: 703

Hyperammonemia: Its Not Always Liver

Case Presentation: This is the case of a 68-year-old Hispanic woman with a history of hypertension, non-insulin dependent diabetes mellitus and dyslipidemia who presented to the ED with AMS for 1 day. Collateral history from [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Hyperammonemia: Its Not Always Liver

HM2015 Abstract Number: 704

When the Treatment Becomes the Problem

Case Presentation: A 61-year-old male with traumatic brain injury, paraplegia and HCV cirrhosis presented with hematemesis secondary to esophageal varices. His course was complicated by aspiration pneumonia and Vancomycin, Aztreonam and Metronidazole were started. On [...]

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HM2015 Abstract Number: 705

Triple Coronary Artery Aneurysms from Incomplete Kawasaki Disease

Case Presentation: Coronary artery aneurysms (CAA) are incidental findings during coronary angiography noted during 0.15-4.9% of patients[1]. These are usually a consequence of atherosclerotic coronary disease, the absence of which should raise the suspicion of [...]

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HM2015 Abstract Number: 707

Diffuse Alveolar Hemorrhage (Dah) Secondary to Amiodarone and Apixaban Use: A Case Report

Research Topic: Diffuse alveolar hemorrhage is a clinical syndrome resulting from pulmonary capillaritis, bland pulmonary hemorrhage, or diffuse alveolar damage.1 DAH has been reported as a rare adverse event with amiodarone therapy, warfarin therapy, and [...]

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HM2015 Abstract Number: 708

An Unusual Presentation of Obstructive Jaundice That Is Steroid Responsive

Case Presentation: A 56-year-old woman presented with jaundice and abdominal bloatedness, associated with poor appetite for the last 2 weeks. She has a past history of chronic sclerosing sialadenitis, with immunoglobulin G4 (IgG4) predominant lymphoplasmacytic inflitrate [...]

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HM2015 Abstract Number: 709

Dengue Related Pancreatitis: An Uncommon Association

Case Presentation: Dengue fever (DF) presents with a myriad of symptoms. Abdominal pain is uncommon in DF. We report a case of DF presenting as pancreatitis. A 44 year old male presented to our hospital [...]

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HM2015 Abstract Number: 710

Mind the Gap

Case Presentation: A 49 year old male, diagnosed with Human Immunodeficiency Virus infection 6 months ago, and initiated on anti-retroviral therapy (ART); was admitted with 2-day history of fever and cough productive of green sputum. [...]

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HM2015 Abstract Number: 711

Ocular and Mucocutaneous Sequelae in Stevens-Johnson Syndrome/toxic Epidermal Necrolysis Overlap Syndrome Associated with Mycoplasma Pneumoniae Infection

Case Presentation: A 23-year-old female presented with 7-day history of rash and oral ulcers. The blisters started from the face then spread to neck, left arm and rest of her body. She also complained of [...]

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HM2015 Abstract Number: 712

Ease the Pressure

Case Presentation: A 25-year-old African-American man with history of AIDS CD4 79 and partially treated cryptococcal meningitis presented with headache and blurred vision. Physical exam demonstrated bilateral cranial nerve six palsies. CT head on arrival [...]

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HM2015 Abstract Number: 713

The M.O. of N.M.O

Case Presentation: A 19-year-old African-American woman with history of neonatal meningitis with baseline mental retardation, left hemiparesis and seizure disorder presented with altered mental status, decreased responsiveness, new right hemiparesis and aphasia. Brain and spine [...]

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HM2015 Abstract Number: 714

Francis Bacon Was Right: An Unusual Cause of Bleeding in Liver Disease

Case Presentation: A 54 year old man with Hepatitis C without cirrhosis, complicated by porphyria cutanea tarda (PCT), presented with painful bruising and swelling of his legs and arms. There was no inciting trauma, he [...]

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HM2015 Abstract Number: 715

A Patient with an Acute Stroke…should We Blame the Indomethacin?

Case Presentation: A 66-year-old Hispanic male with hypertension presented with slurred speech, dizziness and blurred vision. One day prior to admission, he was diagnosed with gout, involving his right toe and started on indomethacin 50 mg [...]

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HM2015 Abstract Number: 716

An Unusual Cause of Hematemesis

Case Presentation: A 70 year old man with lung cancer presented from home to the emergency department after a bout of massive hematemesis. Four months ago, he was diagnosed with lung cancer spreading to mediastinal [...]

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HM2015 Abstract Number: 717

Aseptic Meningitis Secondary to Ehrlichia Chaffeensis

Case Presentation: A 47year old Caucasian man came to the emergency room with of fever, severe headaches, severe body aches and pain for 4days. Headaches worsened and he developed photophobia on day 5. He was taking Bactrim [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Aseptic Meningitis Secondary to Ehrlichia Chaffeensis

HM2015 Abstract Number: 718

Clostridium Difficile Colitis and Reiter’s Syndrome

Case Presentation: A 69year old Caucasian female who presented to the emergency room after 3 weeks of diarrhea preceded by constipation and 1 weeks of abdominal pain. Abdominal pain was severe colicky and generalized, with [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Clostridium Difficile Colitis and Reiter’s Syndrome

HM2015 Abstract Number: 719

Acute Axonal Motor Neuropathy Following Acute Pancreatitis

Case Presentation:      A  26 year old man without significant medical history presented  on October 10, 2014 with 24 hours of severe abdominal pain. He was found to have severe pancreatitis with multiorgan failure requiring [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Acute Axonal Motor Neuropathy Following Acute Pancreatitis

HM2015 Abstract Number: 720

Are We Missing Diagnosis of Large Vessel Vasculitis? Role of 18F-Fluorodeoxyglucose Pet-Ct Scan

Case Presentation: A 69 years old male with past medical history of C5-C6 quadriplegia and atrial fibrillation presented to clinic complaining of left temporal area discomfort for 2 weeks associated with visual alteration. He denied [...]

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HM2015 Abstract Number: 721

Something on My Mind: A Rare Case of Worsening Neurological Symptoms and Rapid White Matter Demyelination

Case Presentation: A 53 year old gentleman presented to the emergency department with acute left arm weakness and altered mental status with difficulty with memory and performing activities of daily living. His past medical history [...]

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HM2015 Abstract Number: 722

A Case of Clozapine-Induced Myocarditis

Case Presentation: A 23-year-old male with schizoaffective disorder was admitted to the psychiatry service with acute psychosis and treated with clozapine.  Low-grade fever developed after 23 days, prompting medical consultation.   He reported chest discomfort [...]

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HM2015 Abstract Number: 723

Stones, Groans, and an Atypical Presentation(E)

Case Presentation: A 61-year-old woman with a 9-month history of an asymptomatic parathyroid nodule presented to the hospital with three weeks of malaise, constipation, unsteady gait, and confusion. Over the three weeks, she described how [...]

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HM2015 Abstract Number: 724

Hidden Histoplasmosis

Case Presentation: A 78 year old man presented with right upper quadrant abdominal pain to the emergency department. He had no signs of acute abdomen. Labs were significant for low platelet count, elevated alkaline phosphatase. [...]

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HM2015 Abstract Number: 725

The Woman Who Won’t Wake Up: A Case of Hypoactive Delirium

Case Presentation: An 89-year-old woman with history of hypothyroidism, hyponatremia, and hypertension presented with unresponsiveness and myoclonic jerking of the lower extremities.  At baseline, she was alert and oriented to person, place and time,  and [...]

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HM2015 Abstract Number: 726

Acute Onset Dystextia

Case Presentation: A 20 year old woman presented with a 5 day history of a right sided abnormal facial sensation and a 1 day history of right hand ataxia. She described the right side of [...]

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HM2015 Abstract Number: 727

Allergic Angina: Capecitabine-Induced Coronary Artery Vasospasm

Case Presentation: The patient is a 63-year-old male with history of colon cancer (status post resection, on adjuvant capecitabine/oxaliplatin chemotherapy) who presented with chest pain and inferolateral ST segment elevations on his EKG. The chest [...]

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HM2015 Abstract Number: 728

Radiation and Osteomyelitis: A Real Pain in the Neck

Case Presentation: A 78 year old man presented with neck pain, fever, and malaise for 3 days. He noted progressively worsening pain and stiffness of the anterior neck bilaterally. He reported right- sided headache and [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Radiation and Osteomyelitis: A Real Pain in the Neck

HM2015 Abstract Number: 729

When Denture Cream Poisons Your Bone Marrow

Case Presentation: A 57 year old female presented to our institution for evaluation of progressive dyspnea.  Symptoms were present for three months prior to presentation. She was seen in the emergency department and initial laboratories [...]

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HM2015 Abstract Number: 730

More Than Meets the Eye: Heuristics Gone Haywire

Case Presentation: An 82-year-old woman with dementia, right eye blindness, prior right retinal surgery, atrial fibrillation, and prior stroke presented to an outside hospital with a six-month history of weakness, confusion, ataxia, and falls.  A [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on More Than Meets the Eye: Heuristics Gone Haywire

HM2015 Abstract Number: 731

It’s Not a Tumor, Redux. an Unexpected Cause of Mesenteric Mass: Al Amyloidosis

Case Presentation: A 53-year-old man presented with nine months of abdominal pain, nausea, constipation, dizziness and syncope with standing, weight loss, and edema.  He had anasarca, persistent orthostatic hypotension, anemia, hypoalbuminemia, and nephrotic-range proteinuria.  BNP [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on It’s Not a Tumor, Redux. an Unexpected Cause of Mesenteric Mass: Al Amyloidosis

HM2015 Abstract Number: 732

Mercury Instead of Insulin

Case Presentation: A 51-year-old man with a past medical history of diabetes mellitus, polysubstance abuse, chronic kidney disease stage 3a and major depressive disorder presented to a Texas hospital after a suicide attempt using liquid [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Mercury Instead of Insulin

HM2015 Abstract Number: 733

Questioning the Surgical Consultation: Who Actually Saw the Patient?

Case Presentation: 65 year-old woman with a history of essential thrombocythemia presents with four months of left upper quadrant abdominal pain. The patient was admitted to an outside hospital two weeks prior to the current [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Questioning the Surgical Consultation: Who Actually Saw the Patient?

HM2015 Abstract Number: 734

A Case of Wegner with C-Anca, Anti Gbm+ with Preserved Kidney Function in a 22 Year Old

A case of wegner with C-ANCA, anti GBM+ with preserved kidney  function in a 22 year old Case Presentation: 22 years old male, Jehovah's witness  with no past medical history. He was in a normal [...]

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HM2015 Abstract Number: 735

Brain Hiccups

Case Presentation: A 67-year-old man with a history of type 2 diabetes and hypertension was referred to our hospital for evaluation of persistent hiccups and fever. The patient developed hiccups seven days before the admission, [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Brain Hiccups

HM2015 Abstract Number: 736

Ultrasonography-Assisted Liposuction (Ual) for a Hiv Patient with Respiratory Failure Associated Severe Cervical Lipodystrophy

Case Presentation: A 57 year old female presented to the ER with complaints of worsening dyspnea for three weeks. Immediate arterial blood gas revealed: pH 7.26 PO2 79.5 PCO2 55 HCO3 30.5 with Sa02 87% on 6L O2. There was [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Ultrasonography-Assisted Liposuction (Ual) for a Hiv Patient with Respiratory Failure Associated Severe Cervical Lipodystrophy

HM2015 Abstract Number: 737

Schwannomatosis (Neurofibromatosis Type 3, Nf3): A Case Report and Literature Review

Case Presentation: A 53 year old female presented to the ER complaining of one month of progressive lower back pain with radiation to her right leg, and associated severe bilateral tight hamstrings. The patient was unable [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Schwannomatosis (Neurofibromatosis Type 3, Nf3): A Case Report and Literature Review

HM2015 Abstract Number: 738

Acquired Acrodermatitis Enteropathica

Case Presentation: A 78 year- old female was admitted with progressive rash. The rash began as a pruritic eruption in between her fingers one month ago. Her primary care physician advised her to use moisturizing [...]

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HM2015 Abstract Number: 739

Super Morbid Obesity and Vte

Case Presentation: A 41-year-old super morbidly obese man (245.4 kg, BMI= 82 kg/m2) presented to the emergency room 9 days after  laparoscopic sleeve gastrectomy complaining of sudden dyspnea, dry cough, palpitations, and painful left lower [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Super Morbid Obesity and Vte

HM2015 Abstract Number: 740

Mad As a Hatter

Case Presentation: Patient is a previously healthy 11-year old Hispanic female who presented to an emergency department with altered mental status, opus-myoclonus movements, aphasia, hallucinations and slurred speech. Six weeks prior to presentation, patient had [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Mad As a Hatter

HM2015 Abstract Number: 741

Restrictive Eating in an Adolescent Girl: Is It an Eating Disorder?

Case Presentation: A 12-year-old girl presented with restrictive eating, weight loss (BMI 12.17 kg/m2; -4.10 SD), and orthostatic hypotension. She was admitted to a tertiary referral children’s hospital and placed on an eating disorder protocol [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Restrictive Eating in an Adolescent Girl: Is It an Eating Disorder?

HM2015 Abstract Number: 742

The Diagnosis Has Me on Pins and Needles

Case Presentation: A 16-year-old male presented with a petechial rash and paresthesias for three weeks. Three weeks prior, he developed a petechial rash on the lateral aspects of both feet that progressively spread to the [...]

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HM2015 Abstract Number: 743

Fever, Rash, and Palatal Petechiae in a Healthy 5 Year Old

Case Presentation:             A five year old Hispanic female presented with a five day history of high grade fevers and generalized rash.  She also had bilateral anterior and posterior cervical [...]

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HM2015 Abstract Number: 744

Fulminant Cerebellitis Secondary to Viral Encepahlitis

Case Presentation: A 4 y.o. African American male presented with headache x 4 days and decreased level of consciousness.  He was very sleepy with decreased po intake, sore throat, photophobia, loss of balance, and weakness.  [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Fulminant Cerebellitis Secondary to Viral Encepahlitis

HM2015 Abstract Number: 745

An Uncommon Presentation of Respiratory Distress

Case Presentation: A 21 mo old female with respiratory distress and decreased fluid intake for 3 days presented to our pediatric ED. She was previously healthy, no fever, cough, or wheeze.  Upon initial exam she [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on An Uncommon Presentation of Respiratory Distress

HM2015 Abstract Number: 747

Lemierre’s Syndrome: A Rare but Lethal Complication of Pharyngitis

Case Presentation: We report a 14 year old boy who presented with acute pharyngitis, complicated with multifocal pneumonia and an epidural abscess collection with bilateral frontal and sphenoidal sinus abscesses. He did not have any [...]

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HM2015 Abstract Number: 749

Paralyzed by Fear: A Confusing Case of Ascending Paralysis After a Spider Bite

Case Presentation: A 15 year-old boy presented to a referring facility with right lower extremity weakness, numbness and urinary retention following a spider bite. The weakness subsequently spread to the contralateral leg with ascending numbness [...]

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HM2015 Abstract Number: 750

When a Fever Gets Cross-Eyed

Case Presentation: A 3 year old girl with no significant past medical history presented with fever of unknown origin (FUO). Ten days prior to hospital presentation she began having daily fevers with mild URI symptoms. [...]

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HM2015 Abstract Number: 751

Malnutrition Obscures the Diagnosis in a 10 Year Old Male with Developmental Regression and Seizures

Case Presentation: A 10 year old boy presented to an outside Emergency department with increased seizure activity. The boy was a recent immigrant from Guatemala.  Additional history revealed that the boy was born in the [...]

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HM2015 Abstract Number: 752

7 Year Old Male with Fever and Neck Swelling

Case Presentation: RM is a 7-year-old African American male seen twice in 2 days in the emergency department. He had a 3 day history of fever to 39.7°C, right neck pain and swelling, vomiting, and [...]

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HM2015 Abstract Number: 753

The Great Masquerader: A Meningitis Case Report

Case Presentation: A 14yo female presented with fever, altered mental status and seizure.  Her primary care provider had seen her several times in the preceding two months with complaints of chronic cough and headaches.  In [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Great Masquerader: A Meningitis Case Report

HM2015 Abstract Number: 754

The Forgotten Disease: A Case of Lemierre’s Syndrome

Case Presentation: A 16 year old, otherwise healthy female presented with five days of intermittent fever, progressive neck pain and swelling. Prior to admission, she had been seen by her primary care physician and started [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Forgotten Disease: A Case of Lemierre’s Syndrome

HM2015 Abstract Number: 755

Multifocal Nontuberculous Mycobacteria Infection in an Immunocompetent Adolescent

Case Presentation: A 15-year-old boy was transferred to the hospital with a 10 month history of a left cervical mass and 6 months of right calf swelling. The neck mass appeared after the patient sustained [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Multifocal Nontuberculous Mycobacteria Infection in an Immunocompetent Adolescent

HM2015 Abstract Number: 756

The Toxic Avenger

Case Presentation: A 13 y/o female presented with a 1 month history of painless left inguinal swelling and a 2 day history of worsening inguinal pain, diffuse pruritis, myalgias and fever.  On presentation she was [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Toxic Avenger

HM2015 Abstract Number: 757

A Perplexing Case of Henoch Schonlein Purpura

Case Presentation: A 17 year old female presented with 4 days of worsening epigastric pain, persistent bilious emesis, one episode of diarrhea, anorexia and fever for two days. Initial examination revealed an ill appearing, tachycardic [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Perplexing Case of Henoch Schonlein Purpura

HM2015 Abstract Number: 758

Skin Deep: Investigations Beyond the Diaper Rash

Case Presentation: AR is a 3-week-old full term, previously healthy girl, who presented to the Emergency Department (ED) with a rash involving the perianal skin and gluteal crease. The rash began at 1 week of [...]

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HM2015 Abstract Number: 759

Avoiding Bias, a Hospitalist Headache

Case Presentation: A 12-year-old male presented with right-sided headache for 5 weeks described as constant, throbbing, and radiating to his neck, waking him from sleep.  There was a reported 11 pound weight loss and right-sided [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Avoiding Bias, a Hospitalist Headache

HM2015 Abstract Number: 760

The Vanishing Boy: A Rare Cause of Progressive Weight Loss

Case Presentation: A 5-year-old previously healthy boy was referred from his new primary care provider for hospital admission after presenting with 8 months of progressive weight loss and 2 months of new-onset torticollis. He had recently [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Vanishing Boy: A Rare Cause of Progressive Weight Loss

HM2015 Abstract Number: 761

Recurrent Neck Abscess: More Than Meets the Eyes

Case Presentation: An 8 year old girl with no past medical history presented to the emergency department with sore throat, fever and nonspecific neck pain that was initially diagnosed as viral pharyngitis.  Recurrent episodes of [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Recurrent Neck Abscess: More Than Meets the Eyes

HM2015 Abstract Number: 762

True Detective: Revealing the Uncommon Source Behind the Common Symptoms

Case Presentation: A 5 month old girl presented with 5 day history of fever and swelling of the right side of her neck.  Physical examination denoted a febrile, well appearing infant with a 3cm X [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on True Detective: Revealing the Uncommon Source Behind the Common Symptoms

HM2015 Abstract Number: 763

Hyponatremia… Can You Smell It?

Case Presentation: A 13-year-old female was admitted for hyponatremia in the setting of unremitting bilious emesis.  Within one week, her sodium level decreased from 131 mmol/L to 116 mmol/L.  In addition to vomiting, she complained [...]

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HM2015 Abstract Number: 764

An Oddball Among Us

Case Presentation: A 3 hour old male infant born via spontaneous vaginal delivery at 39 weeks gestational age presented due to an enlarged scrotum and associated skin lesion.  Maternal medical history was significant for a [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on An Oddball Among Us

HM2015 Abstract Number: 765

Not Your Typical Case of Pharyngitis

Case Presentation: A 9 year old male presented to the emergency department (ED) with a 3 day history of fever to 103°F, sore throat, and decreased oral intake due to throat pain.  On the day [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Not Your Typical Case of Pharyngitis

HM2015 Abstract Number: 766

Teenagers: A Pain in the Neck?

Case Presentation: A 13 year old female presents with 2 months of progressive right neck swelling, right ear pain, and fatigue.  Two months prior to presentation, she hit her right side of the neck on [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Teenagers: A Pain in the Neck?

HM2015 Abstract Number: 767

Incomplete Kawasaki Disease Followed by Systemic Onset Juvenile Idiopathic Arthritis: A Diagnostic Conundrum

Case Presentation: A 12 month old female was admitted with 8 days of intermittent fever and rash; she had also developed bilateral hand swelling the day of admission. She had marked elevations in her WBC [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Incomplete Kawasaki Disease Followed by Systemic Onset Juvenile Idiopathic Arthritis: A Diagnostic Conundrum

HM2015 Abstract Number: 768

Finding a Foal Amongst the Zebras: An Uncommon Presentation of Lemierres Syndrome

Case Presentation: An 8 year old previously healthy Hispanic boy was admitted with a prolonged history of fever for about 14 days with vague right upper quadrant abdominal pain. He had been seen at an [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Finding a Foal Amongst the Zebras: An Uncommon Presentation of Lemierres Syndrome

HM2015 Abstract Number: 769

Poststreptococcal Glomerulonephritis Presenting As Posterior Reversible Encephalopathy Syndrome

Case Presentation: An 11-year-old girl presented to the Emergency Department with one week history of sore throat, 3 days of abdominal pain, headache, diarrhea and increasing dizziness over the last day.  She had been seen [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Poststreptococcal Glomerulonephritis Presenting As Posterior Reversible Encephalopathy Syndrome

HM2015 Abstract Number: 770

Cytomegalovirus Cholestatsis a Cause for Prolonged Conjugated Hyperbilirubinemia

Case Presentation: A 6-day old male newborn was transferred to our institution for evaluation of conjugated hyperbilirubinemia. Examination was significant for jaundice and hepatomegaly. All anthropometric measurements plotted at the 3rd percentiles. He was born [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Cytomegalovirus Cholestatsis a Cause for Prolonged Conjugated Hyperbilirubinemia

HM2015 Abstract Number: 771

A Great New Imitator? Nonspecific Symptoms in an Adolescent

Case Presentation: A 14 year-old male with Shone Complex and a history of a pulmonary valve replacement presented with 3 months of nausea and vomiting, a 45-pound weight loss, and fatigue. He endorsed night sweats, [...]

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HM2015 Abstract Number: 772

Sticks and Stones Can Break Her Bones

Case Presentation: A 6-year-old girl with spina bifida, chiari II malformation, and shunted hydrocephalus presented with persistent discomfort of the left leg and one day of knee swelling. She has had intermittent bilateral leg pain after [...]

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HM2015 Abstract Number: 773

Kids Get Into the Darndest Things

Case Presentation: A 7-year-old boy with moderate persistent asthma presented with increased lethargy, poor oral intake, and two days of emesis with hematemesis noted on day of admission. His pediatrician recently noted pallor and started [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Kids Get Into the Darndest Things

HM2015 Abstract Number: 774

The Curious Case of a Bulging Fontanelle

Case Presentation: A 3 month old, former term male with a history of NICU admission for persistent pulmonary hypertension and SVT, presents to our emergency room with new-onset bulging fontanelle. Mother noticed this persistent “bump” [...]

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HM2015 Abstract Number: 775

A Case of Autoimmune Hepatitis Presenting As Menorrhagia and Anemia

Case Presentation: A 16 year old female with a history of bipolar disorder presented with worsening fatigue and acute on chronic menorrhagia. Over the past 4 to 6 weeks, her periods were regular, but with [...]

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HM2015 Abstract Number: 776

A Reclusive Diagnosis

Case Presentation: A 17 year-old boy presented with 5 days of left arm pain.   He was visiting relatives in Texas when symptoms began.  Pain began abruptly, waking him while he was sleeping on the floor.  [...]

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HM2015 Abstract Number: 777

Shes Just Not That Interested

SHM Clinical Abstract‘She’s Just Not That Interested’Case Presentation: Patient is a previously healthy 7-week old Hispanic female who presented to an emergency department with cough, congestion and decreased PO intake x 7 days. Baby had [...]

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HM2015 Abstract Number: 778

A Shot in the Darkfield

Case Presentation: A four month-old boy presented with abdominal distension.  His parents had noted increasing abdominal size over several weeks.  They also reported a diaper rash for two months and nasal congestion for one month. [...]

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HM2015 Abstract Number: 779

Foraging for Trouble

Case Presentation: A 13-year-old male with a history of Graves' disease was admitted with 24 hours of vomiting and diarrhea. The patient awoke at 4:30 AM on the day prior to admission with non-bloody, non-bilious [...]

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HM2015 Abstract Number: 780

Hemoglobin Hammersmith – Second Reported Male Case

Case Presentation: Unstable hemoglobins occasionally occur as de novo mutations, often causing diagnostic dilemmas[1-3]. We herein present the 18th case and only the second recorded male case of Hemoglobin Hammersmith (HbHS)[4]. A 14-year-old Caucasian male [...]

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HM2015 Abstract Number: 781

Prenatal Ultrasounds Aren’t Perfect

Case Presentation: A 3 month old male was referred to the ED by his PMD for failure to thrive (FTT), reflux and noisy breathing with feeds. He was the term product of a normal pregnancy [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Prenatal Ultrasounds Aren’t Perfect

HM2015 Abstract Number: 782

When Eosinophils Try to Conquer All

Case Presentation: A 10-year-old male from China with prior history of a presumed parasitic infection was admitted for abdominal pain, vomiting, and diarrhea. Ten days prior to admission, he traveled to the United States and [...]

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HM2015 Abstract Number: 783

The Unexpected Culprit: A Mass with a Life of Its Own

Case Presentation: A 5 year old boy from Saudi Arabia without past medical history presented with 3 months of fevers, weight loss, and a large abdominal mass. 3 months prior to presentation, while living in [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Unexpected Culprit: A Mass with a Life of Its Own

HM2015 Abstract Number: 784

The Curious Case of the Missing Thymus

Case Presentation: An 8 week old female born 33 4/7 weeks was referred by her primary care provider (PCP) for evaluation of failure to thrive (FTT).  At birth, she required a 2 week NICU stay [...]

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HM2015 Abstract Number: 785

There’s a New Ddt in Town: Pediatric Organophosphate Poisoning

Case Presentation: A 15 year old male presented to the ED after being found unresponsive in his yard. He had defecated, urinated, and had suspected seizure activity. Initial assessment revealed altered mental status, normotension, excessive [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on There’s a New Ddt in Town: Pediatric Organophosphate Poisoning

HM2015 Abstract Number: 786

A Cold Case of Pediatric Lupus

Case Presentation: A 10-year-old Hispanic girl with a history of UTIs presented to our ED with seven days of facial rash and dysuria. She had been taking cephalexin for an E. coli UTI as prescribed [...]

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HM2015 Abstract Number:

What Are the Best Ways to Improve Medication Reconciliation Practices? An On-Treatment Analysis of the Marquis Study

Background: Many hospitals have tried to improve their medication reconciliation processes, with mixed results. Currently, there are insufficient data to guide hospitals in the best ways to improve their practices. In the Multi-Center Medication Reconciliation [...]

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HM2015 Abstract Number:

Can We Eliminate Preoperative Coagulation Testing?

Background: Routine preoperative coagulation tests continue to be ordered despite the lack of evidence supporting their use or ability to predict bleeding complications. This may delay surgery, cause unnecessary concern if "abnormal", and increase cost. [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Can We Eliminate Preoperative Coagulation Testing?

HM2015 Abstract Number:

Cutting Our ‘Los’ses: Hospitalist & Emergency Medicine Multidisciplinary Partnership to Improve Ed Throughput

Background: Emergency department (ED) crowding is a widespread national issue which has been shown to negatively impact patient experience and the quality and safety of care delivery.  A community hospital within our academic health system [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Cutting Our ‘Los’ses: Hospitalist & Emergency Medicine Multidisciplinary Partnership to Improve Ed Throughput

HM2015 Abstract Number:

Characteristics of Inpatient Glycemic Control Among Top Performing Hospitals

Background:  Successful inpatient glycemic control programs achieve both improved glycemic control and low rates of hypoglycemia.  Using results from the analysis of performance in glycemic control and hypoglycemia, we identified top performers and those demonstrating [...]

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HM2015 Abstract Number:

A Valuable Lesson: Implementing the Value Improves Quality (Viq) Curriculum for Internal Medicine Housestaff

Background: Both the ACP through its High Value, Cost-Conscious Care Initiative, and the ABIM through its Choosing Wisely campaign, have called on clinicians to engage in efforts to improve the value of the care we [...]

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HM2015 Abstract Number:

Childhood Obesity: And Now for Some Bad News

Background: Pediatric obesity is a major public health and economic burden in the US. Recent reports suggest a possible crest in the pediatric obesity epidemic. Many researchers have focused on childhood obesity epidemic and comorbidities [...]

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HM2015 Abstract Number:

International Multicenter Validation of the “Hospital” Score to Predict 30-Day Potentially Avoidable Readmissions in Medical Patients

Background: Efficiently improving transitions in care requires hospitals to target discharge interventions at those patients at high risk of potentially avoidable readmission (PAR). We previously derived the “HOSPITAL” score, an easy to use prediction model [...]

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HM2015 Abstract Number:

Getting Back to the Bedside (With Time to Spare): A Time-Motion Analysis of the Effects of a Care Redesign Initiative on Morning Rounds

Background: Ward rounds at our hospital traditionally have been performed by a team of physicians and medical students outside of patients’ rooms, with minimal involvement of nursing staff and limited time spent with patients. As [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Getting Back to the Bedside (With Time to Spare): A Time-Motion Analysis of the Effects of a Care Redesign Initiative on Morning Rounds

HM2015 Abstract Number:

Effect of Medicare Penalties on 30-Day Excess Readmission Rates

Background: As a requirement of the Affordable Care Act, the Center for Medicare and Medicaid Services (CMS) established the Hospital Readmissions Reduction Program (HRRP) and started reduced payments to hospitals with excess 30-day readmissions on [...]

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HM2015 Abstract Number:

Portability and Success of a Clinical Microsystem Model in Improving Safety, Quality, and Cost at a Community Teaching Hospital

Background:    There is little evidence that systemic improvements in hospital quality, safety, and cost of care have occurred in the U.S over the last 15 years despite calls to action and intense local efforts.1,2 [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Portability and Success of a Clinical Microsystem Model in Improving Safety, Quality, and Cost at a Community Teaching Hospital

HM2015 Abstract Number:

Functional Impairment – an Overlooked Driver of Post-Acute Costs in Medicare Seniors

Background:  Hospitalization identifies patients who are particularly costly to the Medicare system and current policy efforts to reduce costs focus on the 30 days after discharge; however, much less is known about which patients will [...]

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HM2015 Abstract Number:

Creation of a Mobile Patient Dashboard: Leveraging Technology to Improve Care

Background: Caring for patients involves multitudes of moving parts – from teams of physicians, nurses and radiologists to tests, medications and an array of electronic health record (EHR) systems. However, as medical care has evolved, [...]

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HM2015 Abstract Number:

Association Between ICU Transfer Delay and Hospital Mortality: A Multicenter Investigation

Background: Previous research has explored the impact of delayed ICU transfer on patient outcomes, but the subjective nature in defining onset of critical illness in many of these studies has made it difficult to accurately [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Association Between ICU Transfer Delay and Hospital Mortality: A Multicenter Investigation

HM2015 Abstract Number:

Reduction of Daily Lab Testing Among General Medicine Services Is Associated with Significant Cost Savings and Lab Free Days

Background: As part of the ABIM Choosing Wisely initiative, the Society of Hospital Medicine has emphasized repetitive complete blood count (CBC) and chemistry testing among its top 5 practices that physicians and patients should question. [...]

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HM2015 Abstract Number:

The Impact of the Affordable Care Act on Payer Mix and Hospitalist Reimbursement at an Academic Medical Center

Background: Beginning January 1, 2014, under the Affordable Care Act (ACA), 28 states expanded Medicaid eligibility to include additional low-income individuals aged 19-65 years. As a result, an estimated 10.5 million low-income Americans newly gained [...]

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HM2015 Abstract Number:

Linking Physician Schedules to the Electronic Health Record to Provide Real-Time, Individualized Data Feedback

Background: To maximize its effectiveness, performance feedback must be personalized, accurate, timely, and visually appealing. In the clinical environment, effective feedback must therefore extract accurate data from an electronic health-record system, link patient care activity [...]

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HM2015 Abstract Number:

Setting New Standards: A Novel Approach to Large Volume Paracentesis

Background: A recent nationwide recall for large glass evacuated containers has led to new innovations performing large volume paracentesis (LVP). Compared to the individually manufactured evacuated containers traditionally used in the past, wall suction systems [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Setting New Standards: A Novel Approach to Large Volume Paracentesis

HM2015 Abstract Number:

Comparison of Continuous Vs Intermittent Proton Pump Inhibitor (Ppi) Dosing for Acute Upper GI Bleeding: A Cost Minimization Analysis

Background: Acute upper GI bleed (UGIB) is a major cause of hospital admissions, with peptic ulcers being the most common cause.  In addition to pre-endoscopic PPI and urgent endoscopic intervention, current consensus guidelines recommend intensive [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Comparison of Continuous Vs Intermittent Proton Pump Inhibitor (Ppi) Dosing for Acute Upper GI Bleeding: A Cost Minimization Analysis

HM2015 Abstract Number: 1

Pilot Study of Nurse:doctor:patient “Trio” Bedside Rounding and Impact on Patient Experience Scores

Background: Structured interdisciplinary rounds improve communication between healthcare team members, improve patient safety, decrease costs and improve length of stay.  The impact of interdisciplinary rounds on patient satisfaction is less clear.  Our patient experience scores [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Pilot Study of Nurse:doctor:patient “Trio” Bedside Rounding and Impact on Patient Experience Scores

HM2015 Abstract Number: 2

Interdisciplinary Communication Facilitates Early Discharges on an Academic General Medicine Service

Background: The general medicine service at the Hospital of the University of Pennsylvania has recently undergone a significant restructuring with the addition of new teams and redesign of rounding workflow.  Bedside interdisciplinary rounds now include [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Interdisciplinary Communication Facilitates Early Discharges on an Academic General Medicine Service

HM2015 Abstract Number: 3

A Multimodal Program to Train Internal Medicine Interns Code Status Discussion Skills

Background: Code status discussions can be an almost daily occurrence for residents in the hospital. Published literature supports the fact that residents are lacking in knowledge and confidence in having these crucial discussions. Medical students [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Multimodal Program to Train Internal Medicine Interns Code Status Discussion Skills

HM2015 Abstract Number: 4

Creating a Culture of Patient-Centered Care Team Communication at a Large Academic Medical Center

Background:   A precursor to improving patient-centered communication is accurate and reliable identification of all the members of the care team. Providers must quickly identify other providers caring for specific patients, and increasingly patients and [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Creating a Culture of Patient-Centered Care Team Communication at a Large Academic Medical Center

HM2015 Abstract Number: 5

Building a Patient Centered Hospitalist Culture

Background: The impact of hospitalists on the patient experience has gained attention with the advent of the HCAHPS survey. Hospitalists face multiple challenges in establishing quick rapport with new, acutely ill patients, possibly amplified in [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Building a Patient Centered Hospitalist Culture

HM2015 Abstract Number: 6

Faces of All Clinically Engaged Staff- the Faces Study

Background: A fundamental aspect of patient care is the therapeutic relationship between the patient and his or her healthcare team. Previous studies have shown that many physicians fail to introduce themselves when meeting patients and [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Faces of All Clinically Engaged Staff- the Faces Study

HM2015 Abstract Number: 7

How Often Are Hospitalized Patients and Providers “On the Same Page” with Regard to the Patient’s Primary Recovery Goal?

Background: In order to deliver patient-centered care, healthcare organizations are focusing heavily on efforts to engage patients and caregivers. Fundamental to this effort is involving patients in establishing the primary goal for recovery after hospitalization. [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on How Often Are Hospitalized Patients and Providers “On the Same Page” with Regard to the Patient’s Primary Recovery Goal?

HM2015 Abstract Number: 8

Whiteboard Completion and Patient Satisfaction- Is There a Correlation?

Background: Hospitalized patients frequently relate that they feel poorly informed about their treatment, which may contribute to lower patient satisfaction scores. Whiteboards placed in the patients rooms may facilitate communication between healthcare providers and patients. [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Whiteboard Completion and Patient Satisfaction- Is There a Correlation?

HM2015 Abstract Number: 9

“Who’s My Doctor, Anyway?” Impact of a Hospitalist Pamphlet on the General Medicine Service

Background: Hospitalized patients are visited by numerous health care professionals daily and are often unable to identify the attending physician who is in charge of their care. Methods: We asked alert and oriented patients on [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on “Who’s My Doctor, Anyway?” Impact of a Hospitalist Pamphlet on the General Medicine Service

HM2015 Abstract Number: 10

Paradoxical High Levels of Satisfaction Among Hospitalized Limited English Proficient Patients Despite Suboptimal Use of Professional Interpreters

Background: Patients with limited English proficiency (LEP) report greater satisfaction when professional interpreters are used as compared with ad-hoc (family members or friends) or no interpreters in the ambulatory setting, but the impact of professional [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Paradoxical High Levels of Satisfaction Among Hospitalized Limited English Proficient Patients Despite Suboptimal Use of Professional Interpreters

HM2015 Abstract Number: 11

Asking the Right Question: Cross-Discipline Appreciative Inquiry to Priortize Patient-Provider Communication Improvement Strategies

Background: Effective communication between providers and patients in the hospital is essential for high-quality care. Communication quality metrics, including HCAHPS scores, are increasingly tied to hospital reimbursement, and public reporting of these metrics has raised [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Asking the Right Question: Cross-Discipline Appreciative Inquiry to Priortize Patient-Provider Communication Improvement Strategies

HM2015 Abstract Number: 12

No Body Told Me Anything: Reflections on the Incorporation of Ask Me 3 Into Inpatient Rounds

Background: According to the 2003 National Assessment of Adult Literacy 88% of adults do not have the health literacy skills needed to adequately manage their own health care.  Low health literacy is associated with poorer [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on No Body Told Me Anything: Reflections on the Incorporation of Ask Me 3 Into Inpatient Rounds

HM2015 Abstract Number: 13

Shared Decision-Making During Inpatient Rounds: Dissimilar yet Correlated Perspectives of Patients/guardians and Physician Observers

Background: Educating and empowering patients to actively participate in their own care through shared decision-making (SDM) can improve patient satisfaction as well as health outcomes. Prior work has led to the development and validation of [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Shared Decision-Making During Inpatient Rounds: Dissimilar yet Correlated Perspectives of Patients/guardians and Physician Observers

HM2015 Abstract Number: 14

The Patient Passport: Enabling Patients to Organize Their Health Information and Prepare for Discharge

Background: Health care teams provide patients and families with large amounts of written information during their hospitalization. This includes discharge information that is often provided immediately prior to discharge leaving patients and families with insufficient [...]

By | 2015-04-07T11:32:46-04:00 February 27th, 2015|Uncategorized|Comments Off on The Patient Passport: Enabling Patients to Organize Their Health Information and Prepare for Discharge

HM2015 Abstract Number: 15

Impact of Regionalized Care on Preventable Adverse Events on General Medicine Services

Background: Failures in communication among healthcare personnel are known threats to patient safety. Inpatient medical units are particularly vulnerable to ineffective communication given the varied work structure of each care team member. The goal of [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Impact of Regionalized Care on Preventable Adverse Events on General Medicine Services

HM2015 Abstract Number: 16

Implementation of a “Four C’s” Real-Time Feedback Tool to Assess Patient Satisfaction and Provider Communication

Background: Under Medicare Value Based Purchasing incentives, patient satisfaction scores comprise about one-third of a hospital’s total performance score. Standard patient satisfaction assessment instruments, such as the Hospital Consumer Assessment of Healthcare Providers and Systems [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Implementation of a “Four C’s” Real-Time Feedback Tool to Assess Patient Satisfaction and Provider Communication

HM2015 Abstract Number: 17

Shared Decision Making During Inpatient Rounds: Opportunities for Improvement

Background: Shared decision-making (SDM) improves patient engagement and health care outcomes. Evidence indicates that patients are both willing and able to engage in SDM with their providers. Despite the demonstrated value of SDM across disciplines, [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Shared Decision Making During Inpatient Rounds: Opportunities for Improvement

HM2015 Abstract Number: 18

Improving Communication of the Patient Daily Care Plan

Background: High-quality communication between physicians and patients is necessary to provide effective care. Hospital settings present unique challenges to the patient-physician relationship, including numerous dynamic care teams and fast pace of clinical care. A substantial [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Improving Communication of the Patient Daily Care Plan

HM2015 Abstract Number: 19

Team Facecards Improve Patient Identification of Physicians but Have Little Impact on Patient Satisfaction

Background: Caring for patients in the hospital requires the efforts of many physicians, with multiple handoffs. Several studies have highlighted that most inpatients are unable to identify the physician(s) responsible for their care, which may [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Team Facecards Improve Patient Identification of Physicians but Have Little Impact on Patient Satisfaction

HM2015 Abstract Number: 20

The Effect of Unit Based Teams on Provider Communication

Background: Numerous studies have shown that hospitalists may spend as little as 12-17% of their time at the patient bedside. In contrast, hospitalists may spend between 64-69% of their time engaged in indirect patient care [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Effect of Unit Based Teams on Provider Communication

HM2015 Abstract Number: 21

What Can Hospitalist Teach the Teaching Service?: Comparing Patient Experiences on Housestaff and Hospitalist Services

Background: It is recommended that hospitalized patients understand and know who is in charge of their care. Yet the complex system of physician teams in academic teaching hospitals may interfere with current recommendations that patients [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on What Can Hospitalist Teach the Teaching Service?: Comparing Patient Experiences on Housestaff and Hospitalist Services

HM2015 Abstract Number: 22

Improving Trauma Patient Care Through Trauma Surgery and Hospitalist Co-Management

Background: Due to their higher incidence of pre-existing medical conditions, a growing number of older trauma patients require increased involvement of medical providers.  Trauma patients most often are admitted by a trauma surgeon or surgical [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Improving Trauma Patient Care Through Trauma Surgery and Hospitalist Co-Management

HM2015 Abstract Number: 23

Perioperative Systems of Care Curriculum for Hospitalist Residents

Background:  The Society of Hospital Medicine considers perioperative medicine a core competency in hospital medicine.  It also challenges hospitalists to lead, coordinate, and participate in multidisciplinary efforts to improve perioperative care within their organizations.  Hospitalist [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Perioperative Systems of Care Curriculum for Hospitalist Residents

HM2015 Abstract Number: 24

A Dedicated Bedside Procedure Team Enhances Resident Education and Patient Care: A Survey of Internal Medicine Residents

Background: There are few procedures which internal medicine residents must be able to perform competently to become ABIM certified. However, residents are concerned that the elimination of these requirements may have affected their procedural training and [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Dedicated Bedside Procedure Team Enhances Resident Education and Patient Care: A Survey of Internal Medicine Residents

HM2015 Abstract Number: 25

A Brief Educational Intervention During the Internal Medicine Clerkship to Increase Medical Student Confidence with Cost-Effectiveness Analysis and Patient Financial Counseling

Background: The United States spends more on healthcare than other nations but often has worse outcomes.1,2 Healthcare costs place a substantial burden on American families and are a leading cause of bankruptcy.3 Patient access to healthcare [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Brief Educational Intervention During the Internal Medicine Clerkship to Increase Medical Student Confidence with Cost-Effectiveness Analysis and Patient Financial Counseling

HM2015 Abstract Number: 26

Family Centered Rounds Simulation and Medical Students’ Perceptions

Background: Studies show that family centered rounds (FCR) improve family satisfaction by involving the families in their children’s care (Pediatrics, 2003).  Medical students consistently find FCR beneficial to families but have differing attitudes regarding benefits [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Family Centered Rounds Simulation and Medical Students’ Perceptions

HM2015 Abstract Number: 27

Language Barriers in Caring for Patients with Limited English Proficiency: Are Residents Prepared?

Background: As the racial/ethnic diversity of the US population continues to increase, the proportion of patients with limited English proficiency (LEP) expands. Language barriers can pose as a significant obstacle to receiving high-quality health care [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Language Barriers in Caring for Patients with Limited English Proficiency: Are Residents Prepared?

HM2015 Abstract Number: 28

A Safe and Effective Discharge Curriculum Implemented in 11 Internal Medicine Programs

Background: The transition out of the hospital is a vulnerable time for patients and families and is ripe for physician training.  We implemented a discharge curriculum focusing on the competence of a ‘Safe and Effective [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Safe and Effective Discharge Curriculum Implemented in 11 Internal Medicine Programs

HM2015 Abstract Number: 29

Development and Pilot Implementation of Interprofessional Training, Education, and Awareness for Medical Students- Iteams

Background: The Liaison Committee on Medical Education (LCME) developed a recent accreditation standard requiring medical schools “must prepare medical students to function collaboratively on health care teams that include health professionals from other disciplines as [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Development and Pilot Implementation of Interprofessional Training, Education, and Awareness for Medical Students- Iteams

HM2015 Abstract Number: 30

How “Informed” Are Graduating Students in Obtaining Consent?

Background: Hospitalized patients are consented for procedures on a daily basis, and obtaining informed consent is a core competency in professionalism and medical ethics for hospitalists.  This provides an opportunity for academic hospitalists to evaluate [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on How “Informed” Are Graduating Students in Obtaining Consent?

HM2015 Abstract Number: 31

Providing Feedback on Clinical Performance to Hospitalists: Experience Using a New Metric, Tool to Assess Inpatient Satisfaction with Care from Hospitalists (Taisch)

Background: While studies have shown that physicians are limited in their ability to accurately self-assess, many continue to believe that they have reasonably good insight into their own capacity and performance. Because of this incongruence, [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Providing Feedback on Clinical Performance to Hospitalists: Experience Using a New Metric, Tool to Assess Inpatient Satisfaction with Care from Hospitalists (Taisch)

HM2015 Abstract Number: 32

Development and Pilot of a Discharge Curriculum for First-Year Residents

Background: Safe and effective coordination of care within and across health care delivery systems is a national patient safety priority and an important competency for Internal Medicine residents. Residents are expected to work in teams [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Development and Pilot of a Discharge Curriculum for First-Year Residents

HM2015 Abstract Number: 33

Merging Geriatric and Hospital Medicine: The Geriatric Hospitalist Team (Ght)

Background: Medicare patients account for over 50% of hospital days and over 30% of all hospital discharges in the United States. The number of healthcare providers with specialized geriatric training dedicated to the care of [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Merging Geriatric and Hospital Medicine: The Geriatric Hospitalist Team (Ght)

HM2015 Abstract Number: 34

Geographically Assigned Hospitalists with a Multi-Disciplinary Approach: Can Unit-Based Rounding Decrease Length of Stay in a Non-Academic Setting?

Background: Increased scrutiny of length of stay (LOS) and readmission rates has led to a changing landscape for hospital medicine. Geographic rounding has been studied in academic settings with good results, including a decrease in [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Geographically Assigned Hospitalists with a Multi-Disciplinary Approach: Can Unit-Based Rounding Decrease Length of Stay in a Non-Academic Setting?

HM2015 Abstract Number: 35

The Question: Do Residents Impact Hospital Patient Satisfaction Scores?

Background: In many teaching hospitals, internal medicine residents participate in a majority of patient interactions. However, the impact of trainees on patient satisfaction and the care experience is unknown. We sought to determine how resident [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Question: Do Residents Impact Hospital Patient Satisfaction Scores?

HM2015 Abstract Number: 36

Does Discontinuity of Care Affect Patient Satisfaction?

Background: Continuity of care—one provider caring for an individual patient throughout an episode of care—is a highly valued ideal in healthcare. However with the complexity of inpatient care involving hospitalists, consultants, and trainees, it is [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Does Discontinuity of Care Affect Patient Satisfaction?

HM2015 Abstract Number: 37

Effect of Hcahps Reporting on Patient Satisfaction with Physicians

Background: HCAHPS is a nationally standardized, publically reported survey of patients' perspective of healthcare. However, the effect of HCAHPS reporting on hospitals with baseline low versus baseline high patient satisfaction with physicians has not been [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Effect of Hcahps Reporting on Patient Satisfaction with Physicians

HM2015 Abstract Number: 38

Do Self-Reported Provider Etiquette Behaviors Correlate with Patient Satisfaction?

Background: Provider etiquette behaviors at the bedside may be important determinants of patient satisfaction. However, the degree to which providers are able to assess their own etiquette-based behaviors and the degree to which these self-assessed [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Do Self-Reported Provider Etiquette Behaviors Correlate with Patient Satisfaction?

HM2015 Abstract Number: 39

Prevalence and Appropriateness of Fasting Orders in the Hospital: “Doctor, When Can I Eat?”

Background: Patients are often kept fasting by nil per os (NPO) orders during hospitalization. This practice may lead to patient dissatisfaction or affect their nutrition status. However, the prevalence and appropriateness of these orders are [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Prevalence and Appropriateness of Fasting Orders in the Hospital: “Doctor, When Can I Eat?”

HM2015 Abstract Number: 40

Creating a Palliative Sedation Therapy Guideline at a Community Hospital

Background: A 42 year old male with know stage IV rhabdomyosarcoma of the neck presented to the ED from subacute rehab with severe dyspnea.  He had already undergone chemotherapy and radiation therapy, and had planned [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Creating a Palliative Sedation Therapy Guideline at a Community Hospital

HM2015 Abstract Number: 42

Therapeutic Hypothermia to 33Oc: The Dark Side

Background: Recent studies have called into question the net efficacy of post arrest hypothermia therapy to 33°C. To better understand the risks of hypothermia to 33°C, we specifically focused on the clinical complications of such [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Therapeutic Hypothermia to 33Oc: The Dark Side

HM2015 Abstract Number: 43

Impact of Prolonged Hospitalizations on Overall Length of Stay for General Medicine Patients

Background:  Hospital length of stay (LOS) is an important indicator of the quality, safety, efficiency, and cost of inpatient care.  Hospitalists are often charged with identifying the root causes for excess LOS in order to [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Impact of Prolonged Hospitalizations on Overall Length of Stay for General Medicine Patients

HM2015 Abstract Number: 44

Using Hospital Designation to Identify Unplanned Pediatric Readmissions

Background: Hospitalizations are disruptive, stressful, and costly for patients and families. Readmissions are costly for payers. Readmissions within 30 days occur in 13% of pediatric hospitalizations; prior studies estimate 30-day unplanned readmission rates to children’s [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Using Hospital Designation to Identify Unplanned Pediatric Readmissions

HM2015 Abstract Number: 45

Interdisciplinary Admissions and Rounding to Improve Patient Outcomes

Background: Christiana Care’s medicine service line previously implemented Interdisciplinary Admission (IDA) and Inter Disciplinary Rounding (IDR) to enhance team-based care of our patients. IDA included an admissions team comprised of attending physician, nurse, pharmacist, case [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Interdisciplinary Admissions and Rounding to Improve Patient Outcomes

HM2015 Abstract Number: 46

The Influence of a Medical Legal Partnership on the Healthcare of a Cohort of San Francisco Community Clinic Patients

Background: Social and environmental factors negatively affect the healthcare of low-income, vulnerable populations. Such determinants of health are often manifested as unmet basic needs that may be remedied through legal mediation, most commonly regarding housing, [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Influence of a Medical Legal Partnership on the Healthcare of a Cohort of San Francisco Community Clinic Patients

HM2015 Abstract Number: 47

Delaying the Inevitable? A Case Series of Lower Extremity Mrsa Osteomyelitis

Background: MRSA osteomyelitis in adults is a challenging disease to treat with a high rate of amputation. Patients often undergo prolonged antibiotic therapy and multiple debridements with varied success. In our study, we examine outcomes [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Delaying the Inevitable? A Case Series of Lower Extremity Mrsa Osteomyelitis

HM2015 Abstract Number: 48

Rates of Hospitalization Among Patients with Deep Vein Thrombosis Before and After the Introduction of Rivaroxaban

Background: Compared to warfarin, the new target-specific oral anticoagulant rivaroxaban may have advantages in treating patients with venous thromboembolism because injectable bridging therapy and routine laboratory monitoring are not required. The objective of this study [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Rates of Hospitalization Among Patients with Deep Vein Thrombosis Before and After the Introduction of Rivaroxaban

HM2015 Abstract Number: 49

Evaluating How Patient Satisfaction Affects Patient’s Willingness to Change Their Primary Care Physicians

Background: Continuity of care and good doctor-patient relationships are valued by patients and may improve outcomes. The Comprehensive Care Program (CCP) is a care delivery model in which physicians focus their practice on caring for [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Evaluating How Patient Satisfaction Affects Patient’s Willingness to Change Their Primary Care Physicians

HM2015 Abstract Number: 50

Lean A3 Intervention – a Handy Tool for Physician Leaders

Background: Pain management is an important part of patient satisfaction. We set out to apply the A3 approach in our hospital to improve our patient’s perception of pain control. The A3 LEAN method, derived from [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Lean A3 Intervention – a Handy Tool for Physician Leaders

HM2015 Abstract Number: 51

Advanced Illness Initiative: Transforming the Experience of Patients with Dementia

Background:   Patients with dementia are more likely to be hospitalized as compared to those without dementia. Once hospitalized this population has a higher rate of developing complications such as delirium and falls, often leading [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Advanced Illness Initiative: Transforming the Experience of Patients with Dementia

HM2015 Abstract Number: 52

Changes in Hospitalized Anemic Patients’ Fatigue with Red Blood Cell Transfusions

Background: Current guidelines recommend transfusing red blood cells in hospitalized patients at “restrictive” hemoglobin (Hb) concentrations and for symptoms of anemia. However, there is little data on how the symptoms of anemia, specifically fatigue, are [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Changes in Hospitalized Anemic Patients’ Fatigue with Red Blood Cell Transfusions

HM2015 Abstract Number: 53

Does Bisphosphonate Therapy Delay the Progression of Calcific Aortic Stenosis? – a Meta Analysis and Systematic Review

Background: Calcification and inflammation have been shown to have a prominent role in the progression of Aortic Stenosis (AS). Experimental data from patients suggest that bisphosphonates (BPT) may limit vascular and valvular calcifications. However, studies [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Does Bisphosphonate Therapy Delay the Progression of Calcific Aortic Stenosis? – a Meta Analysis and Systematic Review

HM2015 Abstract Number: 54

Causes of New Onset Fever Among Hospitalized Patients and Predictors for In-Hospital Mortality in a Teaching Hospital in Japan

Background: New onset fever is a common symptom among hospitalized patients and it may be a manifestation of fatal illnesses such as infection. However, its epidemiology and predictors for mortality have not been determined in [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Causes of New Onset Fever Among Hospitalized Patients and Predictors for In-Hospital Mortality in a Teaching Hospital in Japan

HM2015 Abstract Number: 55

Effect of Contact Precautions on Adverse Events by Patient Report and Chart Review

Background: Contact precautions have been reported to decrease healthcare worker visits and increase the number of medical harms. Contact precautions may also lead to increased adverse events. Our objective was to determine the association between [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Effect of Contact Precautions on Adverse Events by Patient Report and Chart Review

HM2015 Abstract Number: 56

The Effect of Merging Two Infectious Disease Units on Hand Hygiene Adherence in Italy

Background: Healthcare-associated infections (HAIs) are estimated to affect 1 in every 25 patients admitted to an acute care hospital in the United States. Despite the major consequences associated with HAIs, suboptimal adherence to hand hygiene [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Effect of Merging Two Infectious Disease Units on Hand Hygiene Adherence in Italy

HM2015 Abstract Number: 57

Directed Patient Education for Refusal of Venous Thromboembolism Prophylaxis

Background: Hospitalized medical patients who are at risk for venous thromboembolism (VTE) require pharmacologic prophylaxis. However, patients often refuse the administration of the prophylactic anticoagulant.  The primary objective of our study was to determine if [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Directed Patient Education for Refusal of Venous Thromboembolism Prophylaxis

HM2015 Abstract Number: 58

The Use of Sleep Sacks to Improve Safe Sleep Practices in an Inpatient Unit

Background: The American Academy of Pediatrics (AAP) published updated guidelines for safe sleep environments for infants in 2001. The guidelines note that parents who observe unsafe sleep practices performed by a healthcare provider are significantly [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on The Use of Sleep Sacks to Improve Safe Sleep Practices in an Inpatient Unit

HM2015 Abstract Number: 59

Resident Initiated Team-Based Approach to Patient Safety

Background: Recognizing that residents are at the forefront of patient care, New York- Presbyterian Hospital/Weil Cornell Medical Center developed the Housestaff Quality Council in 2008 to facilitate resident involvement in hospital wide patient care and [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Resident Initiated Team-Based Approach to Patient Safety

HM2015 Abstract Number: 60

Putting Humpty Together Again: Mitigating Harm from Inpatient Falls

Background: Falls among hospitalized patients are common, difficult to prevent, and potentially harmful. Each year between 700,000 and 1 million falls occur among patients at US hospitals. In the past three years, our large urban [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Putting Humpty Together Again: Mitigating Harm from Inpatient Falls

HM2015 Abstract Number: 61

Compassionate Extubation in a Non-Intensive Care Unit Setting

Background: Compassionate extubation is the withdrawal of mechanical ventilation at end of life (EOL) ensuring a comfortable and peaceful experience for the patient and family.  EOL care encompasses instances when a decision is made to [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Compassionate Extubation in a Non-Intensive Care Unit Setting

HM2015 Abstract Number: 62

Patient Address As a Universally Available Social Screen in Children Hospitalized with Asthma

Background: Many hospitalized children have ongoing social stressors and strains.  Universal routine social screening is often impractical in clinical practice; however, information on where a child resides is universally available. We sought to determine the [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Patient Address As a Universally Available Social Screen in Children Hospitalized with Asthma

HM2015 Abstract Number: 63

Family Centered Rounding: A Look Into the Room a Decade Later

Background: Family Centered Rounds (FCR) is recommended by the American Academy of Pediatrics as a process for improving communication between the health care team and families, increasing efficiency of rounds, providing a positive learning environment [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Family Centered Rounding: A Look Into the Room a Decade Later

HM2015 Abstract Number: 64

Hemorrhaging: The Health Care System Versus the Patient. the Utility of Pre-Operative Laboratory Evaluation in the Pediatric Emergency Department

Background: We have an obligation as a healthcare system to eliminate irrelevant, expensive, and painful procedures if they do not change our clinical management. Previous research demonstrated a lack of evidence in the utility and [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Hemorrhaging: The Health Care System Versus the Patient. the Utility of Pre-Operative Laboratory Evaluation in the Pediatric Emergency Department

HM2015 Abstract Number: 65

Improving Patient Experience of Peri-Operative Care Through Standardized Communication

Background: Rapid, frequent handoffs between multiple parties within the peri-operative unit pose communication challenges for patients and their healthcare providers. Miscommunication creates a suboptimal patient experience and can compromise patient safety and quality of care. [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Improving Patient Experience of Peri-Operative Care Through Standardized Communication

HM2015 Abstract Number: 66

Reducing Length of Stay by Using Standardized Admission Process: Retrospective Analysis of 11,249 Patients

Background: Increasing cost is one of the biggest challenges for present day health care systems. Standardized admission processes help in reducing length of stay (LoS) which in turn can reduce health care cost significantly. We [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Reducing Length of Stay by Using Standardized Admission Process: Retrospective Analysis of 11,249 Patients

HM2015 Abstract Number: 67

Building a Culture of Quality: Performance Improvement As a Critical Component in Our Medical Education Mission

Background: Increasing emphasis has been placed on teaching medical residents the importance of cost conscious management while maintaining the focus on patient centered care. Classroom lectures on performance improvement methods are often dry and rarely [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Building a Culture of Quality: Performance Improvement As a Critical Component in Our Medical Education Mission

HM2015 Abstract Number: 68

Use of Lean to Re-Engineer the Discharge Process at a Tertiary Care Pediatrics Hospital

Background: Despite the efforts of many projects and the creation of internal benchmarks, data suggest that delays in patient discharges continue to negatively affect patient throughput in many hospitals. Lean six sigma has been shown to improve [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Use of Lean to Re-Engineer the Discharge Process at a Tertiary Care Pediatrics Hospital

HM2015 Abstract Number: 69

Move for 20: Making Strides Towards Better Outcomes

Background: Many patients admitted to hospitals develop hospitalization-associated disability, or the loss of the independence in performing one or more activities of daily living during a hospitalization and it is well-known that restricted mobility during [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Move for 20: Making Strides Towards Better Outcomes

HM2015 Abstract Number: 70

Clinical Outcomes of a Multidisciplinary Copd Inpatient and Transition Pathway

Background: Patients hospitalized for acute exacerbations of chronic obstructive pulmonary disease (AECOPD) are at high risk for readmission. In September 2012, a COPD longitudinal inpatient pathway and transition (CLIPT) was implemented at a 552-bed academic [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on Clinical Outcomes of a Multidisciplinary Copd Inpatient and Transition Pathway

HM2015 Abstract Number: 71

A Multifaceted Hospitalist Quality Improvement Intervention: Decreased Frequency of Common Labs

Background: Common labs such as a daily complete blood count (CBC) or a daily basic metabolic panel (BMP) represent possible waste and have been targeted by professional societies and the Choosing Wisely campaign for critical [...]

By | 2015-02-27T01:00:14-05:00 February 27th, 2015|Uncategorized|Comments Off on A Multifaceted Hospitalist Quality Improvement Intervention: Decreased Frequency of Common Labs