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Search Results for ART
Abstract Number: I30
SHM Converge 2022
Case Presentation: Our patient is a 62 year-old gentleman with PMH significant for HTN, moderate-severe bilateral RAS and stage IIIa CKD who was transferred to our hospital for AKI requiring dialysis. 1 month prior to presentation, spironolactone was added to his antihypertensive medications of amlodipine, carvedilol, azilsartan and furosemide. He was in his usual state […]
Abstract Number: I32
SHM Converge 2022
Case Presentation: 56-year-old woman with past medical history of hypertension, cerebrovascular accident, coronary artery disease, atrial fibrillation on apixaban presented with worsening left arm weakness. Patient was on full dose anticoagulation with apixaban 5 milligram(mg) every 12 hours and antiplatelet therapy with aspirin 81 mg. On physical examination patient had ischemic left upper extremity. Computed […]
Abstract Number: I46
SHM Converge 2022
Case Presentation: We present a case of 71 year old male with a history of advanced non-small cell lung cancer with metastasis to the brain, recurrent deep venous thrombosis on anticoagulation, and prostatomegaly who was initially admitted for dyspnea and subsequently diagnosed with community acquired pneumonia. His chest x-ray on admission also showed heavy burden […]
Abstract Number: J29
SHM Converge 2022
Case Presentation: A 44-year-old woman presented with five days of intermittent fevers and headaches. Her medical history included hypothyroidism, uterine fibroids, and migraines. The patient lives in East Africa and had traveled to Europe for work within the past month. Three days after flying to NYC, she began to experience subjective daily fevers in the […]
Abstract Number: K16
SHM Converge 2022
Background: Emergency room crowding has been proven to lead to poor outcomes (e.g., mortality) and has worsened during the COVID-19 pandemic. Novel clinics that work collaboratively with emergency departments (ED) to transfer lower acuity patients to receive care in ambulatory settings rather than the ED have emerged. Our innovative ED Surge program cares for these […]
Abstract Number: K47
SHM Converge 2022
Case Presentation: A 62-year-old male with no significant medical history presented to our clinic after new diagnosis of atrial fibrillation. He had no associated symptoms and endorsed great exercise tolerance. Transthoracic echocardiogram (TTE) was ordered and he was started on metoprolol 25 milligram two times daily. TTE demonstrated normal global systolic function with severely dilated […]
Abstract Number: M46
SHM Converge 2022
Case Presentation: 46-year-old male presented with sudden onset epigastric abdominal pain for 8 days at an outside hospital. He described pain as 6/10 intensity, dull in character, radiating in a band like pattern across the abdomen. Review of system was otherwise negative. CT scan of abdomen was done which showed no acute findings and was […]
Abstract Number: N31
SHM Converge 2022
Case Presentation: A 49-year-old male with a history of OSA on CPAP, Parkinson’s disease, hyperlipidemia, and obesity presented to the emergency department with a three-week history of progressive dyspnea on exertion (DOE) and abdominal pain on exertion that radiated into his chest, neck, and jaw that resolved after rest. He had an intentional 50-lb weight […]
Abstract Number: O14
SHM Converge 2022
Background: There are more than 1.2 million annual emergency department (ED) visits for syncope in the United States. Prior studies have demonstrated that many associated admissions and diagnostic studies, including echocardiogram, carotid ultrasound and head computed tomography (CT), may be unnecessary. Our objective was to determine the effectiveness of a novel protocol for syncope care […]
Abstract Number: O16
SHM Converge 2022
Background: Pulmonary B-lines are a highly sensitive sonographic sign of pulmonary edema in patients with Acute Decompensated Heart Failure (ADHF) (3). When found prior to discharge, this finding has been shown to accurately predict re-admission and mortality on short term follow up (4,5,6). Inferior vena cava (IVC) diameter and collapsibility can be used as a […]