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Search Results for Chest Pain
Abstract Number: 90
Hospital Medicine 2020, Virtual Competition
Background: Chest pain and related symptoms are the number two reason patients visit emergency departments in the United States, often leading to routine hospitalization or observation. Improving utilization management of patients presenting to the emergency department with chest pain is an important goal for hospitals. Use of 5th generation troponins and risk stratifying tools can […]
Abstract Number: 123
Hospital Medicine 2020, Virtual Competition
Background: Unstable Angina (UA) is a common subset of Acute Coronary Syndrome (ACS) and presents as atypical chest pain without the presence of cardiac biomarkers. It accounts for nearly 550,000 hospital admissions each year in the United States [1]. Management of UA can vary depending on the physician and/or intensity of symptoms. Prior studies have […]
Abstract Number: 215
Hospital Medicine 2020, Virtual Competition
Background: Recent literature supports risk stratifying patients presenting to the Emergency Department (ED) with undifferentiated chest pain based upon the HEART score. Our institution utilizes the HEART score in a chest pain pathway. Patients with scores of 0 to 3 are typically discharged home after two negative troponins while those with intermediate scores of 4 […]
Abstract Number: 803
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 57-year old man was found down at home one day prior to admission. Three days prior, he experienced intermittent “stabbing” chest pain and dizziness. Past medical history was significant only for multiple sclerosis treated with Copaxone. On admission, he was afebrile, heart rate 113bpm, blood pressure 104/71 mmHg, respiratory rate 19 breaths […]
Abstract Number: 931
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 78 year old woman with a PMH of asthma, sinusitis, CAD with stents and recent influenza presents with chest pain. Her EKG was without ST changes and troponin was 0.08 ng/mL. Other labs were significant for WBC of 10,900 cells/uL, and absolute eosinophil count 2800 cells/uL. She was diagnosed with NSTEMI and […]
Abstract Number: 948
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 29 year old female with past medical history significant for hyperemesis gravidarum requiring total parenteral nutrition (TPN) presented to the Emergency Department (ED) with chest pain. She had been having intermittent chest pain for the last 3-4 years, which she had always attributed to the scar from her infusion port. An infusion […]
Abstract Number: 1125
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 64 year old female with a past medical history of coronary artery disease and coronary artery bypass graft, heart failure with reduced ejection fraction, diabetes mellitus, peripheral arterial disease, hyperlipidemia and a strong smoking history presented to the emergency department with exertional dyspnea worsening over the past 1 month and substernal chest […]
Abstract Number: 1166
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 48-year-old female with an unremarkable past medical history presented with intermittent, dull, substernal chest pain for several hours, associated with diaphoresis and bilateral arm paresthesia, worse with exertion. Patient’s symptoms improved with sublingual nitroglycerin in the Emergency Department. EKG showed subtle ST-segment elevations inferiorly. Troponin was initially negative at 0.01, trended to […]
Abstract Number: 1174
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 12-year-old boy presents with 8 days of chest pain. He describes the pain as sudden onset, stabbing, located over his left chest with radiation to his right chest and left flank. The pain initially lasts between 5 to 10 minutes, but has been increasing in duration to span the entire day. The […]