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Search Results for Cardiac
Abstract Number: 757
Hospital Medicine 2020, Virtual Competition
Case Presentation: Radiation associated cardiac disease (RACD) is an important adverse effect which may not present until years to decades following therapy. Presentations include arrhythmias, acute coronary syndromes, heart failure and valvular pathologies, as seen in this presentation. A 50-year-old female with past medical history of breast cancer treated with chemo-radiation eight years prior presented […]
Abstract Number: 770
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 60-year-old man presented with several days of diarrhea, fevers, and syncope. Past medical history was significant for recurrent syncopal episodes, all of which occurred during febrile illnesses. Review of systems was negative for chest pain or other cardiac symptoms. His vital signs were normal except for a temperature of 39°C. ECG showed […]
Abstract Number: 779
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 52 y.o with a past medical history of uncontrolled, untreated hypertension presented to our hospital with a 3 week history of progressively worsening lower extremity edema and shortness of breath. Review of systems was positive for hoarse voice x6 months, unintentional weight gain, cold intolerance, abdominal fullness, and cough productive of white […]
Abstract Number: 785
SHM Converge 2023
Case Presentation: A 91-year-old male with history of coronary artery disease & heart failure with reduced ejection fraction presented with unresponsiveness. The patient collapsed onto the floor when he came into the kitchen for dinner. His wife could not feel a pulse, so she called emergency medical services (EMS) and started CPR. When EMS arrived, […]
Abstract Number: 785
Hospital Medicine 2020, Virtual Competition
Case Presentation: 72 yo male with history of cerebral artery aneurysm, COPD, and Stage 3 CKD presented to the hospital for elective angiography of a cerebral aneurysm. He developed PEA arrest in the preprocedural setting and ROSC was achieved after 5 minutes of CPR. Patients condition improved initially but prior to planned discharge he developed […]
Abstract Number: 832
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 53 years old woman presented to the outside hospital with altered mental status. She was found to have acute liver failure on lab investigations and was transferred to our institution for further work up and management. Patient had significant past medical history of scoliosis, COPD, Bipolar disorder and recent motor vehicle accident […]
Abstract Number: 877
SHM Converge 2024
Case Presentation: A 73-year-old woman with past medical history of hypertension was discovered unresponsive at home, prompting initiation of CPR during transportation to the Emergency Department, resulting in the restoration of spontaneous circulation (ROSC). A chest x-ray indicated the presence of left-sided tension pneumothorax, necessitating the placement of a chest tube. Initial electrocardiogram (EKG) findings […]
Abstract Number: 896
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 66-year-old female presented to the hospital with two days of acute chest pressure which occurred at rest. It was intermittent in nature but had persisted over the past two days which prompted her to present to the hospital. She had a past medical history of diabetes mellitus, hypertension, and heart failure with […]
Abstract Number: 897
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 47-year-old African-American man with obstructive sleep apnea presented to the emergency department after being called-back due to evidence of complete atrioventricular (AV) block on routine electrocardiogram. Patient reported a 6-month history of fatigue and exertional dyspnea. On physical examination, he was afebrile and in no acute distress. Vital signs were BP: 142/92 […]
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 […]