Session Type
Meeting
Search Results for Pain
Abstract Number: 270
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hospitals are compelled by a variety of factors to optimize patient satisfaction. Pain management has been identified as an important determinant of overall inpatient satisfaction. However, effective pain management may be more challenging in the current climate of more cautious opioid use. Purpose: The 32-item Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) […]
Abstract Number: 273
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Opiates, frequently used to provide analgesia, are associated with post-analgesia related tolerance effects such as hyperalgesia and hyperkatifeia, which lead to worsening of the pain experience. Patients can subsequently experience dissatisfaction with their care and seek further opiate use as a solution, worsening their experience further. Due to pharmacologic and healthcare-associated operational factors, the […]
Abstract Number: 343
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Opioids are widely prescribed for cancer and non-cancer related pain in hospitalized patients. The opioid usage increased roughly three times in the past two decades. Pain is a feeling of distress evoked by sensory stimuli with/without organ damage and an associated emotional experience. Considering the subjective nature of pain, the need for medication is […]
Abstract Number: 371
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 15 year old female with a history of severe persistent asthma, allergic rhinitis, and eczema presented with a two day history of cough, shortness of breath, and chest pain. She was diagnosed with asthma at age 13 and had eight presumed exacerbations and five diagnoses of pneumonia since that time. She was […]
Abstract Number: 387
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 50 year old male with no past medical history presented with severe chest pain that progressively worsened over 2 days. His chest pain was described as left sided, non-radiating, and constant. He reported sore throat, headaches, and subjective fevers for the past 5 days. The patient also reported multiple family members received […]
Abstract Number: 450
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 64-year-old woman with a history of cholecystectomy and chronic intermittent abdominal pain presented with acute onset of right upper quadrant pain and vomiting. On admission, she was afebrile and nontoxic appearing with mild epigastric tenderness. Labs showed an elevated AST/ALT, total bilirubin, and alkaline phosphatase. Abdominal ultrasound showed a dilated common bile […]
Abstract Number: 537
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 29 year old male with a history of known dental caries and HIV with a CD4 count of 871/uL and an undetectable viral load presented with one month of right-sided jaw pain and facial numbness. He was initially treated for Bell’s palsy and dental abscess without improvement. It was recommended that he […]
Abstract Number: 587
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 60-year-old woman with a twelve-year history of presumed gastroparesis of unclear etiology, was admitted for worsening chronic abdominal pain, nausea and vomiting with unintentional weight loss of over 80 pounds over a year. Evaluation included normal laboratory findings and abdominal imaging. Upper endoscopy showed mild mucosal erythema with normal biopsies of the stomach. […]
Abstract Number: 647
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 19 year-old man presented with two days of non-radiating left testicular pain. He denied associated symptoms or trauma. His past medical and surgical histories were unremarkable. He denied sexual activity and denied use of drugs or alcohol. Family history was negative for rheumatologic conditions and malignancy. Vital signs were normal. He had […]
Abstract Number: 663
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 76-year-old male with a recent diagnosis of low-grade MDS presented to the hospital with complaints of severe fatigue, anorexia, abdominal pain and a 60 pound weight loss over six months. He also had a history of right foot drop 2 months prior with unclear etiology. He was subsequently hospitalized 1 month before presenting […]