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Search Results for Bleeding
Abstract Number: 777
Hospital Medicine 2020, Virtual Competition
Case Presentation: 56-year-old man with past medical history of abdominal aortic aneurysm surgery was brought to the Emergency Room for change in mental status and having bloody vomitus and melenic stool. On admission, abdominal exam was unremarkable, blood pressure was 110/77 mmHg, heart rate 103/min, Temperature 99.8 °C, Respiratory rate 20 per minute, hemoglobin 11.1 […]
Abstract Number: 807
SHM Converge 2024
Case Presentation: Heyde syndrome is a rare multisystem disorder characterized by the triad of aortic stenosis (AS), gastrointestinal bleeding, and acquired von Willebrand syndrome (AVWS). The pathophysiology of AVWS in Heyde syndrome is thought to be due to the increased circulatory shear forces resulting from AS, leading to cleavage of large VWF multimers and loss […]
Abstract Number: 812
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 59-year old male with a history of hypertension, chronic kidney disease, and Stanford Type A aortic dissection (treated six years prior by open followed by endovascular repair) presented with a four-day history of hematemesis associated with midsternal chest pain. He reported taking a nifedipine tablet, which felt like it was “stuck in […]
Abstract Number: 817
Hospital Medicine 2020, Virtual Competition
Case Presentation: An 80-year-old man with prostate cancer and radical prostatectomy with an indwelling Foley catheter presented from his nursing home with three days of hematuria and a hemoglobin of 5.2 mg/dL (baseline 7-9 mg/dL). Initial vital signs were normal. Exam was significant for pink-tinged urine, copious melena, and no abdominal pain. A repeat hemoglobin […]
Abstract Number: 825
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 56 year-old man with a history of psoriasis on adalimumab, coronary artery disease with prior stents, presented with chest pressure, dizziness, and dyspnea on exertion after noticing three days of melena and crampy abdominal pain. He denied nausea, vomiting, hematemesis, or bright red blood per rectum. Other than taking aspirin 81mg once […]
Abstract Number: 826
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 39-year-old Bulgarian man, recently diagnosed with non ischemic cardiomyopathy was transferred to our hospital due to upper gastrointestinal bleeding. The patient reports seven months of intermittent hematemesis that worsened after two significant episodes of vomiting bright red blood. The patient became hemodynamically unstable in spite of aggressive fluid resuscitation and blood transfusion, […]
Abstract Number: 833
SHM Converge 2024
Case Presentation: A sixty-six-year-old male with a history of Monoclonal Gammopathy of Undetermined Significance (MGUS), Atrial Fibrillation, and Rheumatic Heart Disease requiring aortic and mitral valvuloplasty, was on warfarin with an INR goal of 3.5-4 due to multiple hypercoagulable factors and recurrent Transient Ischemic Attacks (TIAs) at INR 2.5-3.5. Post prostate cancer radiation, he developed […]
Abstract Number: A48
SHM Converge 2022
Case Presentation: A 79-year-old patient with a history of esophageal cancer status post esophagectomy six years prior with neo-esophagus creation and chemotherapy currently in remission, was admitted for upper tract gastrointestinal (GI) bleeding. An esophagogastroduodenoscopy (EGD) demonstrated several non-bleeding gastric ulcers. Given stability and resolution of the bleeding, the patient was discharged home. Later that […]
Abstract Number: H11
SHM Converge 2022
Background: Medical providers are often hesitant to perform bedside procedures in patients with an INR >2 or in patients who have received chemoprophylaxis or therapeutic anticoagulation, despite previously conducted studies suggesting cirrhotic patients with elevated INRs are not at higher risk for complications from a paracentesis or thoracentesis (1)(2). The Hospital Medicine Advanced Practice Provider […]
Abstract Number: O31
SHM Converge 2022
Case Presentation: 46 year-old-female with past medical history of hypertension, Factor VII(FVII) deficiency, morbid obesity, thoracic spine stenosis presented with bilateral lower extremity weakness. Computed Tomography (CT) myelogram showed severe canal stenosis with spinal cord compression at Thoracic(T)10-11 and T11-12 levels and the spine team was planning surgery. Pre-operative labs showed prothrombin time(PT) of 21.2 […]