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Search Results for Back Pain
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: 418
SHM Converge 2023
Background: Nearly 80% of adults will experience non-specific low back pain at some point in their life.(1) In the absence of concerning features such as saddle anesthesia, imaging studies are not indicated and can lead to a downstream cascade of services which can result in undue physical, emotional, and financial harm to the patient.(2-6) As […]
Abstract Number: 502
SHM Converge 2023
Case Presentation: A 27-year-old male with a past medical history of HIV, poorly adherent to antiretroviral therapy (ART), presented with a 1-month history of worsening lower back pain. Pain was described as 10/10 in intensity, radiated to upper back, unrelieved by Ibuprofen, aggravated by lying flat and associated with a frontal headache. He denied fever, […]
Abstract Number: 525
Hospital Medicine 2020, Virtual Competition
Case Presentation: 60-year-old African American male with history of polyarticular tophaceous gout, chronic back pain related to DDD, HTN, CKD stage III, HIV on HAART, COPD presented with worsening back pain of 1-week duration associated with progressive lower extremity weakness and inability to walk. Low back pain was noted as sharp, stabbing in nature radiating […]
Abstract Number: 526
SHM Converge 2021
Case Presentation: 87-year-old female presented with chronic low back pain for one month and a new onset fever for 2 days. Patient denied recent travel history, sick contact, chest pain, shortness of breath, urinary symptoms, abdominal pain, diarrhea, or weight loss. She denied lower extremity weakness, sensory abnormality, urinary or bowel incontinence, gait disturbance or […]
Abstract Number: 582
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 63- year-old man with a history of seizures, hepatitis C infection and multiple spinal fusion surgeries presented to the emergency room (ER) for the evaluation of back pain. Back pain was said to have commenced 3 days prior to presentation. Pain was mainly located in the lumbar region, dull in nature, rated […]
Abstract Number: 606
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: 39 YO WM presented to PCP with lower back pain that he initially attributed to pulling muscles after playing golf. Pain persisted and got worse. His PCP ordered lumbar spine CT when he started to have cauda equina compression symptoms which showed intradural sacral mass. Initial labs revealed 45% eosinophilia and mild leukocytosis. […]
Abstract Number: 606
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 40-year-old male presented to the emergency department with complaints of back pain for 3 weeks. He described the pain as aching and circumferential involving the sternum, right ribs, shoulders, and back. His previous medical history was unremarkable and he never had any prior imaging studies. Plain radiographs of the spine did not […]
Abstract Number: 665
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 34-year old male with no past medical history presented to the emergency room with 1 day of low back pain associated with fever and chills. He reported the pain as constant and 10/10 in severity, partially relieved by ibuprofen. He denied any trauma. There was no loss of bowel or bladder function […]
Abstract Number: 685
SHM Converge 2023
Case Presentation: A 42-year-old female presented with two days of fever, dysuria, and hematuria, associated with upper and lower back pain, body aches, and anorexia. She had no significant past medical history and no recent surgical procedures. She denied tobacco, alcohol, and intravenous drug use. The exam was significant for suprapubic pain and left costovertebral […]