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Meeting
Search Results for Arrhythmia
Abstract Number: 925
SHM Converge 2024
Case Presentation: A 73-year-old woman with type II diabetes presented with right eye pain and decreased vision. On exam, she had right eye periorbital edema, conjunctival injection, and corneal opacification. Laboratory studies revealed Streptococcus pneumoniae bloodstream infection and meningitis. Imaging demonstrated leptomeningeal enhancement, debris in the occipital horns and fourth ventricle consistent with ventriculitis, and […]
Abstract Number: A34
SHM Converge 2022
Case Presentation: A 35-year-old female presented to the emergency department after an episode of syncope. She takes methadone (180 mg/day) for opioid dependency. She had a recent relapse and returned to illicit drug use after a period of sobriety. Vital signs were notable for tachycardia, blood pressure and respiratory rate were normal. On physical exam […]
Abstract Number: C36
SHM Converge 2022
Case Presentation: AB is a 48-year-old patient with a medical history significant for undifferentiated inflammatory polyarthritis and anaphylaxis to numerous food and medications. Ten minutes after sampling a new cracker flavor, AB noted dysphonia, dysphagia, and difficulty handling her secretions. She self-administered epinephrine 0.3mg intramuscularly (IM). Fifteen minutes later, her symptoms continued to progress, so […]
Abstract Number: D31
SHM Converge 2022
Case Presentation: We present an 80-year-old female with a medical history significant for atrial fibrillation and heart failure with preserved ejection fraction. She underwent pulmonary vein isolation in 2017 and had reportedly been on flecainide 150 mg twice daily and atenolol 100 milligram twice daily since then. She presented to the emergency department with dyspnea […]
Abstract Number: G26
SHM Converge 2022
Case Presentation: A 25-year-old male with no significant past medical and family history presented with a one-week history of fever, productive cough, intermittent shortness of breath, diffuse muscle aches and one episode of syncope on the day of presentation. Initial workup in the emergency department was positive for COVID-19. Inflammatory markers, D-dimer and Fibrinogen levels […]
Abstract Number: O25
SHM Converge 2022
Case Presentation: A 21-year-old previously healthy female presented with a myriad of symptoms including one month of unintentional 20-pound weight loss, dyspnea with minimal exertion, syncopal episodes, palpitations, nausea, and vomiting. Prior to this, she had occasional syncopal episodes throughout her life but was athletic and participated in track in high school. Three months ago, […]
Abstract Number: 1005
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 24-year-old gentleman gentleman presented to the emergency room complaining of left precordial discomfort and syncopal event at work. His system review was negative. He acknowledged using marijuana with the last usage being the morning of presentation. His initial EKG revealed sinus bradycardia (Figure A). His preliminary blood work revealed normal chemistry, TSH. […]
Abstract Number: 1183
Hospital Medicine 2020, Virtual Competition
Case Presentation: 1 year old otherwise healthy twins present to the ED after Twin A became acutely unresponsive. The twins had been ill with a GI virus with fever, vomiting, and decreased activity for a week. The night of presentation, Twin A started vomiting, developed perioral cyanosis, and became unresponsive. On arrival to the ED, […]
Abstract Number: 1253
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 16 y/o male presented with an acute onset of palpitations, generalized chest pain, and rash (Figure 1). In light of recent camping exposure and targetoid lesions compatible with erythema chronicum migrans (ECM), Lyme disease was suspected. An EKG demonstrated 1st degree AV block with a PR interval of 384 msec. Echocardiogram and […]