Session Type
Meeting
Search Results for Chest Pain
Abstract Number: 546
SHM Converge 2021
Case Presentation: Spontaneous coronary artery disease (SCAD)—an uncommon cause of coronary syndrome and sudden cardiac death—has been studied and described in greater detail in recent years. However, it still represents a diagnostic challenge with a high degree of uncertainty for proper management.A 37-year-old Hispanic female presented to the emergency department at another facility for sudden […]
Abstract Number: 583
SHM Converge 2021
Case Presentation: We introduce you to a 57-year-old woman with a past medical history of one pack per day of smoking for 20 years, and a premature history of CAD in her father. The patient presented to the emergency department with severe, pleuritic chest pain that began 4 days prior to admission. The patient described the pain as sudden […]
Abstract Number: 590
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 70 year-old female with hypertension and diabetes presented to the hospital with a one-day history of non-positional, left-sided chest pain associated with shortness of breath and subjective fevers. Physical exam and vitals were unremarkable. Work up included three negative troponins, EKG in normal sinus rhythm (Figure 1), and D-Dimer of 1100 ng/mL. […]
Abstract Number: 599
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 26 year old male with a prior history of asthma, DVT, and PE presented to the ER with severe, constant, pressure-like, left sided chest pain after smoking K2 the night before. The pain was associated with palpitations and shortness of breath. Initial vital signs demonstrated a heart rate of 104 bpm and a […]
Abstract Number: 627
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 62-year-old female with no known past medical history presented with 3-days of multiple episodes of vomiting after consuming Chinese food.She was in atrial fibrillation with a rapid ventricular response.Significant lab analyses included lactate of 13 mg/dL,WBC of 26,000 /µL with left shift, Cr of 3.4 mg/dL,BUN of 48 mg/dL, and Troponin of […]
Abstract Number: 761
SHM Converge 2021
Case Presentation: A 15-year-old female was transferred to our facility with a complaint of worsening chest pain for the previous two weeks. The pain initially started in her shoulders and then spread to her substernal area. She had initially presented to the same facility three days previously and was discharged with a diagnosis of musculoskeletal […]
Abstract Number: 786
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 44 year-old female with a history of essential hypertension presented with one month of progressive chest pain, dyspnea and fevers. These symptoms were associated with a dry cough, sore throat and symmetric joint pains with swelling and morning stiffness of the hands and wrists. Her chest pain was left sided and knife-like, […]
Abstract Number: 787
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: We report a case of a 38-year-old African American male with history of dysphagia who presented with complaint of acute chest pain. He described it as pressure like mid-sternal chest pain, radiating to his left arm associated with palpitations, worse on exertion and diaphoresis. On presentation, he was found to have atrial fibrillation […]
Abstract Number: 803
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 57-year old man was found down at home one day prior to admission. Three days prior, he experienced intermittent “stabbing” chest pain and dizziness. Past medical history was significant only for multiple sclerosis treated with Copaxone. On admission, he was afebrile, heart rate 113bpm, blood pressure 104/71 mmHg, respiratory rate 19 breaths […]
Abstract Number: 821
SHM Converge 2024
Case Presentation: A 21-year-old male with no past medical history presented to the emergency room with sudden onset chest pain, bradycardia, and hypotension. He described feeling chest “pressure” that led to shallow breaths. His pain was substernal, pleuritic, non-radiating, and associated with palpitations. He had mild relief when sitting up. Symptoms started that morning and […]