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Meeting
Search Results for RTA
Abstract Number: 117
SHM Converge 2021
Background: Serum levels of pro-B-type natriuretic peptide (BNP) and N-terminal (NT) proBNP are measured at admission to assess likelihood of acutely decompensated heart failure (ADHF). Pro-BNP, released by myocardium due to cardiac wall distention, is cleaved into the active BNP and inactive NT-proBNP forms. Elevated NT-proBNP levels on initial presentation are a reliable marker of […]
Abstract Number: 118
SHM Converge 2021
Background: Sickle cell disease (SCD) is an autosomal recessive disease resulting in a broad range of functional and structural renal and cardiac alterations. Chronic kidney disease is with associated proteinuria, microalbuminuria and hemoglobinuria. Cardiac complications include diastolic heart disease, dysrhythmia and sudden death. In patients with advancing age, cardio-renal dysfunction can have substantial effects on […]
Abstract Number: 120
SHM Converge 2021
Background: The knowledge regarding the association between increased blood pressure variability (BPV) and risk of subsequent clinical outcomes following acute ischemic stroke is not entirely clear. We constructed a cohort of patients hospitalized for new AIS to examine the effect of systolic BPV (SBPV) on the risk of dependency at discharge and 1 year readmission […]
Abstract Number: 121
SHM Converge 2021
Background: Among survivors of ischemic stroke (IS), the cumulative long-term burden of readmissions, determinants of readmission, and clinical consequence of hospital readmission remain poorly understood. we aimed to investigate 1) the cumulative incidence of readmission; 2) at-risk patient for readmission, 3) the effect of readmission on subsequent mortality; and 4) whether the days spent in […]
Abstract Number: 171
SHM Converge 2021
Background: Physician shortage and healthcare access is a serious issue especially in a rural state like Arkansas and the dearth of physicians has further worsened during the COVID-19 pandemic. Many US trained International Medical Graduates (IMGs) serve the underserved communities of Arkansas to fill in the physician gap. However, the uncertainties surrounding immigration policies, especially […]
Abstract Number: 259
SHM Converge 2021
Background: The diagnostic process is fraught with diagnostic uncertainty. Typically, discussions about diagnostic uncertainty occur upon admission and during rounds, which are increasingly conducted virtually during the COVID-19 pandemic. Furthermore, key dimensions in the diagnostic process (history taking, physical examination, interpretation of diagnostic tests) are affected by breakdowns in communication between patients and clinicians, physical […]
Abstract Number: 260
SHM Converge 2021
Background: Preclerkship medical education promotes the concept of clinical certainty through multiple choice testing and diagnostic reasoning curricula focused on System 1 thinking, namely illness scripts and pattern recognition (1). Clerkship medical education reinforces this concept via diagnosis driven didactic sessions and limited physician-led discussions of management uncertainty (2). Yet, clinical uncertainty is an inherent […]
Abstract Number: 371
SHM Converge 2021
Case Presentation: This is a 52 year old Hispanic male with a history of bioprosthetic aortic valve replacement four years prior who presented with chest pain and abdominal pain. The patient was recently treated for aortic valve endocarditis with long-term intravenous antibiotic therapy lasting six weeks. The patient admitted to a one month history of […]
Abstract Number: 530
SHM Converge 2021
Case Presentation: AS is a 39-year-old female with a history of menorrhagia and iron deficiency anemia presenting with stomach cramps. She had a couple of days of nausea, non-bilious, emesis and stomach cramps not associated with menstrual cycles. AS was not experiencing dry mouth, dysphagia or decreased tear production. There was no family history of […]
Abstract Number: 750
SHM Converge 2021
Case Presentation: We describe a case of new-onset unknown ascites due to atraumatic bladder rupture. A 56 year-old female with past medical history of functional urinary retention (prolonged urine holding due to phobia of public restrooms) and remote surgical history of TAH/BSO and C-section presented with recurrent ascites of unknown etiology. She initially presented to […]