Encephalopathy

/Tag:Encephalopathy

Abstract Number: 989

HYPERAMMONEMIC ENCEPHALOPATHY IN ROUX-EN-Y GASTRIC BYPASS WITH AFFERENT LOOP SYNDROME

Case Presentation: A 33-year-old female with liver fibrosis, elective gastric bypass surgery 10 years prior (Roux-en-Y, complicated by afferent loop syndrome requiring subsequent small bowel resection), untreated Hepatitis C (but persistently negative RNA titers), bipolar [...]

By | 2019-03-11T14:41:58-04:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on HYPERAMMONEMIC ENCEPHALOPATHY IN ROUX-EN-Y GASTRIC BYPASS WITH AFFERENT LOOP SYNDROME

Abstract Number: 893

A NEARLY-MISSED OPPORTUNITY: DIAGNOSING EPIDURAL ABSCESS DURING RESOLVING ENCEPHALOPATHY

Case Presentation: A 59 year-old woman with uncontrolled diabetes mellitus and end-stage kidney disease on hemodialysis presented with altered mental status and a suprapatellar abscess. Following irrigation and debridement, her course was complicated by septic [...]

By | 2019-03-11T14:39:03-04:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on A NEARLY-MISSED OPPORTUNITY: DIAGNOSING EPIDURAL ABSCESS DURING RESOLVING ENCEPHALOPATHY

Abstract Number: 623

WILD WILD WEST NILE: FEVER AND ENCEPHALITIS IN AN ELDERLY PATIENT

Case Presentation: An 86-year-old woman with history of EBV encephalitis four years prior presented for altered mental status and emesis in September. Previously, the patient was able to perform all activities of daily living. A [...]

By | 2019-03-11T14:31:21-04:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on WILD WILD WEST NILE: FEVER AND ENCEPHALITIS IN AN ELDERLY PATIENT

HM2018 Abstract Number: 425

MISS UNDERSTOOD: A CASE OF HASHIMOTO’S ENCEPHALOPATHY

Case Presentation: A 75-year-old African-American female with a past medical history of hypothyroidism, hypertension, and Alzheimer’s dementia presented to the emergency room with altered mental status and concern for possible stroke; family also reported new [...]

By | 2018-03-19T15:43:54-04:00 March 19th, 2018|Adult, Clinical Vignettes, Uncategorized|Comments Off on MISS UNDERSTOOD: A CASE OF HASHIMOTO’S ENCEPHALOPATHY

HM2018 Abstract Number: 738

EARLY RECOGNITION AND TREATMENT OF A PATIENT WITH AN ATYPICAL PRESENTATION OF HASHIMOTO ENCEPHALOPATHY

Case Presentation: Hashimoto encephalopathy is a poorly understood and rare complication of Hashimoto thyroiditis. Patients can present with seizures, movement disorders, or cognitive decline that improves with steroid therapy. The disease is a diagnosis of [...]

By | 2018-03-19T13:12:06-04:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on EARLY RECOGNITION AND TREATMENT OF A PATIENT WITH AN ATYPICAL PRESENTATION OF HASHIMOTO ENCEPHALOPATHY

HM2018 Abstract Number: 532

STEROIDS FOR TREATMENT OF CONFUSION IN AN OLDER FEMALE PATIENT

Case Presentation: The patient is a 70 y.o. female with a history of hypertension, bilateral lower extremity deep vein thrombosis (DVT), and peripheral neuropathy, who was brought to the emergency room (ER) by EMS due [...]

By | 2018-03-19T13:11:24-04:00 March 19th, 2018|Adult, Clinical Vignettes, Hospital Medicine 2018|Comments Off on STEROIDS FOR TREATMENT OF CONFUSION IN AN OLDER FEMALE PATIENT

HM2017 Abstract Number: 486

HASHIMOTO’S ENCEPHALOPATHY: A RARE CAUSE OF ALTERED MENTAL STATUS

Case Presentation: A 60-year old female with past medical history significant for diabetes, hypertension, and hypothyroidism presented with acute onset confusion progressing over the course of 5 hours. On exam, patient’s vitals were significant for [...]

By | 2017-04-20T16:28:25-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on HASHIMOTO’S ENCEPHALOPATHY: A RARE CAUSE OF ALTERED MENTAL STATUS

HM2017 Abstract Number: 392

ACUTE ONSET OF ATAXIA IN A YOUNG FEMALE

Case Presentation: The patient is a 34 y.o. female with a past medical history significant only for morbid obesity. She had a gastric sleeve placed 3 months ago, in order to promote weight loss. Two [...]

By | 2017-04-20T16:36:33-04:00 April 20th, 2017|Adult, Clinical Vignette Abstracts|Comments Off on ACUTE ONSET OF ATAXIA IN A YOUNG FEMALE

HM2016 Abstract Number: 458

The Evil Side of Ertapenem

Case Presentation: A 90 year old female, with diabetes mellitus type 2, hypertension and osteoporosis presented to our emergency room with altered mental status for 5 days. The patient had been treated for jaw osteonecrosis [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on The Evil Side of Ertapenem

HM2016 Abstract Number: 667

Take Your Vitamins

Case Presentation: A 36-year-old woman with medical history only significant for obesity presents with confusion and difficulty ambulating one week prior to our evaluation. Two months ago, she underwent an uneventful laparoscopic sleeve gastrectomy for [...]

By | 2017-04-17T12:10:01-04:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on Take Your Vitamins

HM2016 Abstract Number: 873

Hashimoto’s Encephalitis Presenting As Suicidal Ideation

Case Presentation: An 82 year old usually high functioning male with a history of hypothyroidism, hypertension and depression presented with failure to thrive and confusion for 6 weeks. EMS was called when the patient began [...]

By | 2016-02-01T08:00:34-05:00 February 1st, 2016|Adult, Clinical Vignettes Abstracts|Comments Off on Hashimoto’s Encephalitis Presenting As Suicidal Ideation