Session Type
Meeting
Search Results for Heart Failure
Abstract Number: 455
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Hospitalized patients are complex and often receive concurrent treatment for multiple diseases. Patients presenting with shortness of breath and infiltrates on chest x-ray may be treated for pneumonia, congestive heart failure (CHF) or both. Fluid and blood pressure management may be particularly challenging for these patients. Our goal was to define the impact of […]
Abstract Number: 467
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A five-year-old boy with autism presented to the hospital with two-months of fatigue, lower extremity pain, and a petechial rash. Review of systems was notable for a two-kilogram weight loss, intermittent gingival bleeding and refusal to walk for one week. On admission he was afebrile with a heart rate of 160 beats per […]
Abstract Number: 490
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 37-year-old-male with no significant past medical history who presents to the hospital with 2 months of progressive exertional dyspnea, palpitations and scrotal pain. He has also noticed some leg swelling and has a nonproductive cough. For the past 6 months, he has had ongoing diarrhea and unintentional weight loss of about 20 […]
Abstract Number: 596
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 76 year-old African American female with no past medical history presented with new onset shortness of breath and substernal chest pressure of three week duration. She noted that she had been previously healthy without any issues prior to this incident. On presentation, the patient was afebrile and normotensive (125/76) but tachycardic (110 […]
Abstract Number: 600
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 66 year old female with a history of RA, diabetes mellitus, and deep vein thrombosis, presented to ED with tachycardia and hypoxic respiratory failure requiring 5 liters of oxygen. Physical exam was notable for somnolence, decreased bilateral lower lobe breath sounds, swan neck deformity of the digits, and ulnar deviation. Chest radiograph revealed […]
Abstract Number: 656
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 36 years old female with past medical history of IV drug abuse, presented with dyspnea, nasal congestion, tactile disturbances, diarrhea, body aches and generalized weakness for 1 day. She was recently treated for tricuspid valve endocarditis. A Transthoracic Echocardiogram (TTE) obtained at that time showed ejection fraction (EF) of 55-60%. On presentation, […]
Abstract Number: 683
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 38-year-old male patient with a history of intravenous drug use was transferred from an outside hospital after initial presentation with persistent fevers, episodic flushing and swelling in right hand and forearm. Workup at the other hospital included blood cultures positive for unspeciated yeast, and a transthoracic echocardiogram with normal ejection fraction (65%) […]
Abstract Number: 698
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 49-year-old male presented with progressive lower extremity edema, exertional dyspnea and orthopnea for three weeks. Past medical history significant for non-ischemic cardiomyopathy, systolic heart failure and moderate aortic regurgitation (AR) diagnosed one year ago. Physical exam was significant for jugular vein distention, bibasilar crackles, loud 3/6 diastolic murmur in the aortic area […]
Abstract Number: 747
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 65 year old male with ischemic cardiomyopathy, EF of 25% and NYHA III symptoms despite optimal medical therapy, severe mitral regurgitation (MR) and left bundle branch block (LBBB) with QRS>150ms (figure 1) was referred for cardiac resynchronization therapy-defibrillator (CRT-D) implantation. The right atrial pacing and right ventricular defibrillator leads were successfully implanted, […]
Abstract Number: 808
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 64-year-old woman with a history of heart failure (HF) and end stage renal disease on dialysis presented with three days of abdominal pain. She was lethargic, hypothermic to 34.5 C, with jugular venous pulsations (JVP) to the earlobe, a systolic murmur at the left sternal border, and right upper quadrant tenderness. Laboratory […]