Clinical Vignettes

The Clinical Vignettes category of the Society of Hospital Medicine’s (SHM’s) Research, Innovations and Clinical Vignettes (RIV) poster competition features posters reporting on one or more cases that illustrate a new disease entity or prominent or unusual clinical feature of an established disease, or highlight an area of clinical controversy in hospital medicine or a unique patient safety issue. The Clinical Vignettes are also permitted to include a summary of pertinent patient history, physical findings, laboratory data or a management description.

A total of 491 Clinical Vignettes posters were submitted this year, of which 369 were accepted and 45 chosen as finalists. Clinical Vignettes are judged on originality, organization, writing ability and relevance to hospital medicine. A winner is chosen in the adult category and in the pediatrics category.

Vignettes Poster Winners


SOMETHING FISHY IN DIXIE (Adult Category)
Leslie Anne Cassidy 1 , Sarah Lofgren 2 , Praneetha Thulasi 3 , Laurence Beer 4 ,
Daniel Dressler 5
1 Emory University School of Medicine, Atlanta, GA
2 Emory University School of Medicine, Atlanta, GA
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YOU CAN'T HaNDL THE TRUTH: ANOTHER CAUSE
OF HEADACHE WITH NEUROLOGIC DEFICITS
(Pediatric Category)
Richard Bloomfield, MD 1 , Eric Edwards, MD 2
1 University of North Carolina School of Medicine, Chapel Hill, NC
2 University of North Carolina School of Medicine, Chapel Hill, NC
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Vignettes Poster Finalists

A “HOLE” LOT OF PROBLEMS
Kenneth Cerreta, MD1, Varsha Somasekharan, MD2,
Peter Reynaud, MD3;
1Tulane University Health Sciences Center, New Orleans, LA;
2Tulane University Health Sciences Center, New Orleans, LA;
3Tulane University Health Sciences Center, New Orleans, LA
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A BLAST FROM THE PAST SENT STRAIGHT TO THE HEART
Matthew Peters, MD1, Morgan Katz, MD2 , Meredith Barnes, MD3, Ryan Brown, MD4, Chad Miller, MD5;
1Tulane University Health Sciences Center, New Orleans, LA;
2Tulane University Health Sciences Center, New Orleans, LA;
3Tulane University Health Sciences Center, New Orleans, LA
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A RARE AND UNUSUAL CAUSE OF SYNCOPE
Yogita Segon, MD1, Ankur Segon, MD2;
1Medical College of Wisconsin, Milwaukee, WI;
2Medical College of Wisconsin, Milwaukee, WI
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A RARE CASE OF CANDIDA BRAIN ABSCESS IN A PATIENT WITH CIRRHOSIS
Nicolette Oleng, MD1, Gweneth Francis, DO2 , Malka Krupka, MD3, Rebecca Calabrese, MD4, Tessa Gomez, MD5;
1Beth Israel Medical Center, New York, NY;
2Beth Israel Medical Center, New York, NY;
3Beth Israel Medical Center, New York, NY
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A SUBACUTE PRESENTATION OF STAPHYLOCOCCUS LUGDUNENSIS ENDOCARDITIS
David Rubio, MD1, Jeffrey Bates, MD2;
1Baylor College of Medicine, Houston, TX;
2Baylor College of Medicine, Houston, TX
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A SUBTLE SUBURBAN POISONING: PALYTOXIN
Gene Decastro, MD1, Farheen Hasan, MD2;
1Hofstra North Shore–LIJ School of Medicine,
New Hyde Park, NY;
2Hofstra North Shore–LIJ School of Medicine,
New Hyde Park, NY
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A SURPRISE FROM BEHIND
Anita Hart, MD11, Stephanie Chen, BS2;
1University of Michigan, Ann Arbor, MI;
2University of Michigan, Ann Arbor, MI
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A YOUNG FEMALE PRESENTING WITH ACUTE ONSET PSYCHOSIS
Marc Braunstein, MD, PhD1, Evelyn Kwok, MD2;
1Hofstra North Shore–LIJ School of Medicine,
Manhasset, NY;
2Hofstra North Shore–LIJ School of Medicine,
Manhasset, NY
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ACUTE ATAXIA WITH NEGATIVE NEUROIMAGING: CONSIDER AN UNCOMMON POLYNEUROPATHY
Mark Grohman, DO1, Claudia Geyer, MD2, Daniel Bobker, MD3;
1Central Maine Medical Center, Lewiston, ME;
2Central Maine Medical Center, Lewiston, ME;
3Central Maine Medical Center, Lewiston, ME
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ACUTE RENAL FAILURE, URINARY OBSTRUCTION AND ELEVATED PSA: SLAM DUNK DIAGNOSIS?
Fakhar Khan, MD1;
1Wake Forest University School of Medicine,
Winston Salem, NC
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ACUTE STROKE AFTER LOW VOLTAGE ELECTRIC SHOCK INJURY

Abstract not available

AN IMPERFECT UNION: PITFALLS OF ELECTRONIC MEDICATION RECONCILIATION

Abstract not available

AN INTERESTING CASE OF ACUTE DELIRIUM
Kinza Gul, MD1, Saad Muhammad, MD2;
1University of Illinois at Urbana Champaign, Urbana, IL;
2University of Illinois at Urbana Champaign, Urbana, IL
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AUTOIMMUNE POLYGLANDULAR SYNDROME TYPE II: AN UNUSUAL CAUSE OF SYNCOPE
John Cunningham, MD1;
1Denver Health, Denver, CO
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BABESIOSIS IN THE ABSENCE OF TICK EXPOSURE: A CASE REPORT IN QUEENS
David Almeleh, MD1, Robert Dugger, BA2, Daniel Sammartino, BA3, Eugene DeCastro, BA4;
1North Shore University Hospital, Manhasset, NY;
2Stonybrook University School of Medicine, Stony Brook, NY;
3North Shore University Hospital, Manhasset, NY
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BLOOD IS NOT THE ONLY OPTION: MANAGING LIFE-THREATENING ANEMIA IN A JEHOVAH'S WITNESS
D'Anna Saul, MD1;
1University of Michigan, Ann Arbor, MI
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BUGS, DRUGS, OR IMMUNE SYSTEM FLUBS, WHAT CAUSES LIMBIC ENCEPHALITIS? MOREOVER, WHAT CAUSES ANTI-N-METHYL-D-ASPARTATE RECEPTOR ENCEPHALITIS?
Camille Ladanyi, MS III1, Paul Brittain, MD2, Jane Park, MS IIII3, Anthony Kahr, MD4, Maria Frank, MD5;
1University of Colorado Denver, School of Medicine, Aurora, CO
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CHRONIC DIARRHEA IN A VIETNAM WAR VETERAN
Alisa Thamwiwat, MD1, Jeffrey Bates, MD, FACP2;
1Baylor College of Medicine, Houston, TX;
2Baylor College of Medicine, Houston, TX
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COMMON CAN BE COMMONLY MISSED: COMMON VARIABLE IMMUNODEFICIENCY IN HOSPITAL MEDICINE
Torie Grant, MD1;
1University of Maryland Medical Center, Baltimore, MD
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DIAGNOSE OR DIE: LOOK NO FURTHER THAN THE NAME
Matthew Peters, MD1, Morgan Katz, MD2, Alison Egan, MD3, Chad Miller, MD4;
1Tulane University Health Sciences Center, New Orleans, LA;
2Tulane University Health Sciences Center, New Orleans, LA;
3Tulane University Health Sciences Center, New Orleans, LA
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DRUGS SMARTER THAN THE BUGS: MIRTAZAPINE AND MEFLOQUINE FOR NON-AIDS RELATED PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY
Narendranath Epperla, MD1, Steven Yale, MD2;
1Marshfield Clinic, Marshfield, WI;
2Marshfield Clinic, Marshfield, WI
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DYSPNEA, WHEEZES, AND COUGH: NOT ALWAYS THE USUAL SUSPECT
Juan Barbastefano, MD1, Natalie Ferris Barbastefano, MSN, ACNP2;
1Cleveland Clinic, Cleveland, OH;
2Cleveland Clinic, Cleveland, OH
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ECULIZUMAB IN A CASE OF SEVERE , REFRACTORY HEMOLYTIC UREMIC SYNDROME(HUS).
Sumaira Malik, MBBS1, Nauman Chaudary, MBBS2, Luis Juncos, MD3, Catherine Bigelow, MD4;
1University of Mississippi Medical Center, Jackson, MS;
2University of Mississippi Medical Center, Jackson, MS;
3University of Mississippi Medical Center, Jackson, MS
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HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS: TWO PATIENTS WITH THIS INCREASINGLY RECOGNIZED SECONDARY PHENOMENON
Amanda Ulrich, BS1, James Snider, MD2, 3, Robert Reid, MD, FACP4, Rui He, MD5;
1Virginia Commonwealth University School of Medicine, Fairfax, VA;
2Georgetown University, Washington DC, DC;
3Virginia Cancer Specialists, Fairfax, VA
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HYPERCALCEMIA DUE TO SARCOIDOSIS OF THE BONE MARROW.
Kwame Dapaah‐Afriyie, MD1, Arkadiy Finn, MD2;
1Alpert Medical School of Brown University, Providence, RI;
2Alpert Medical School of Brown University, Providence, RI
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HYPEREOSINOPHILIC SYNDROME: A CASE REPORT OF THE RARE CAUSE OF CARDIAC AND PULMONARY DISEASE IN A 40 YEAR OLD MALE.
Allison Heacock, MD1, Jennifer Saultz, DO2, Montoya Taylor, MD3;
1The Ohio State University, Columbus, OH;
2The Ohio State University, Columbus, OH;
3The Ohio State University, Columbus, OH
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ITS ALL IN THE RASH: THE ASSOCIATION OF PARVOVIRUS B 19 AND TYPE-1 CRYOGLOBULINEMIA
Narendranath Epperla, MD1, Steven Yale, MD2;
1Marshfield Clinic, Marshfield, WI;
2Marshfield Clinic, Marshfield, WI
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KEEP YOUR EYES ON THE EYES: A RARE MANIFESTATION OF SJöGREN'S SYNDROME

Abstract not available

LARYNGEAL MASS AND PNEUMOMEDIASTINUM - AN UNUSUAL CASE OF T-CELL LYMPHOMA
Joseph Shin, MD1, Nicole Adler, MD2;
1New York University School of Medicine, New York, NY;
2New York University School of Medicine, New York, NY
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LIVIN' WITH LIVEN (LEVAMISOLE INDUCED VASCULOPATHY ECCHYMOSIS/ NECROSIS)
Samantha Shams, MD1, Lorenzo DiFrancesco, MD2;
1Emory University School of Medicine, Atlanta, GA;
2Emory University School of Medicine, Atlanta, GA
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MAGIC SYNDROME WITH VISION THREATENING KERATITIS
Lingling Du, MD1, Anil Reddy Anumandla, MD2, Gaurav Kistangari, MD3;
1Cleveland Clinic Foundation, Cleveland, OH;
2Cleveland Clinic Foundation, Cleveland, OH;
3Cleveland Clinic Foundation, Cleveland, OH
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MAKING A LIST, CHECKING IT TWICE, AN EARLY DIAGNOSIS OF ARVC IS AWFULLY NICE
Matthew Peters, MD1, Morgan Katz, MD2, Chad Miller, MD3;
1Tulane University Health Sciences Center,
New Orleans, LA;
2Tulane University Health Sciences Center,
New Orleans, LA;
3Tulane University Health Sciences Center,
New Orleans, LA
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MORE THAN SKIN DEEP: ONE NOSOCOMIAL INFECTION NOT TO MISS
Mary Anderson, MD1, Yunjiao Wang, MD2;
1University of Colorado Denver, Aurora, CO;
2University of Colorado Denver, Aurora, CO
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PAINFUL POSITION
Ashley Duckett, MD1, Pamela Pride, MD2, Theresa Cuoco, MD3;
1MUSC, Charleston, SC;
2MUSC, Charleston, SC;
3MUSC, Charleston, SC
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PANCREATIOPLEURAL FISTULA, A RARE CAUSE OF RECURRENT PLEURAL EFFUSION

Abstract not available

PREPATELLAR BURSITIS DUE TO BRUCELLA MELITENSIS
Weijen Chang, MD1;
1UC San Diego, San Diego, CA
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RESPIRATORY DISTRESS AND ABDOMINAL PAIN: ARE THEY LINKED?
Gina Ney, MD1, Heather Lesage‐Horton, MD2, Claire Northway, BS3, Jennifer Stojan, MD4;
1University of Michigan, Ann Arbor, MI;
2University of Michigan, Ann Arbor, MI;
3University of Michigan, Ann Arbor, MI
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SILICONE BUT NOT SMOOTH
Ralph Blair, MD1;
1Brigham and Women's Hospital, Boston, MA
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SMOKING MIRRORS: SHIFT TO THE LEFT?
Bhuvnesh Aggarwal, MD1, Ashish Aggarwal, MD2, Moises Auron, MD3;
1Cleveland, Cleveland, OH;
2Cleveland, Cleveland, OH;
3Cleveland, Cleveland, OH
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SOMETHING FISHY IN DIXIE
Leslie Anne Cassidy, BA1, Sarah Lofgren, MD2, Praneetha Thulasi, MD3, Laurence Beer, MD4, Daniel Dressler, MD, MSc5;
1Emory University School of Medicine, Atlanta, GA;
2Emory University School of Medicine, Atlanta, GA;
3Emory University School of Medicine, Atlanta, GA
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THE WORM IN THE APPLE
Ralph Blair, MD1;
1Brigham and Women's Hospital, Boston, MA
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TYPE B LACTIC ACIDOSIS IN CHRONIC LYMPHOCYTIC LEUKEMIA
Marcel Collazo, MD1, Rebecca Calabrese, MD2;
1Beth Israel Medical Center, New York, NY
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WHEN FAILURE TO MEET DIAGNOSTIC CRITERIA IS NOT A DIAGNOSTIC FAILURE
Jennifer Melvin, MD1, John Livingston, MD2, Alyssa Stephany, MD3;
1Duke University Medical Center, Durham, NC;
2Duke University Medical Center, Durham, NC;
3Duke University Medical Center, Durham, NC
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WHY CAN'T I MOVE? A CASE OF HYPOKALEMIC PARALYSIS AS THE INITIAL PRESENTATION OF SJOGREN'S SYNDROME
Ali Chaudhry, MD1, Evangelos Loukas, DO2;
1North Shore Long Island Jewish Health System, Manhasset, NY;
2North Shore Long Island Jewish Health System, Manhasset, NY
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YOU CAN’T HANDL THE TRUTH: ANOTHER CAUSE OF HEADACHE WITH NEUROLOGIC DEFICITS
Richard Bloomfield, MD1, Eric Edwards, MD2;
1University of North Carolina School of Medicine, Chapel Hill, NC;
2University of North Carolina School of Medicine, Chapel Hill, NC
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