Session Type
Meeting
Search Results for Coagulation
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: 847
SHM Converge 2023
Case Presentation: An 84-year-old woman with a medical history of asthma and hypertension presented with generalized weakness and poor oral intake. Initial vital signs showed heart rate of 108 beats/minute, blood pressure 146/77 mmHg, temperature of 105.5 F and respiratory rate of 15 breaths/minute. Admission labs showed a leukocytosis (78.56 K/uL cells) with blasts, thrombocytopenia […]
Abstract Number: 870
SHM Converge 2024
Case Presentation: A 55-year-old patient with history of Crohn s disease complicated by small bowel obstruction s/p resection and ileocolonic anastomosis, and transition to Upadacitinib from infliximab, a month prior to the admission, presented with a three-day duration of worsening abdominal pain, non-bloody diarrhea, and intermittent fevers. Vital signs notable for temperature of 102.2F and […]
Abstract Number: B28
SHM Converge 2022
Case Presentation: A 51-year-old female with no significant medical history presented to the hospital after a ground-level fall with severe thoracic back pain, paresthesia, paresis of both lower extremities and urinary incontinence. Exam revealed thoracic spine tenderness, bilateral diminished sensation up to two inches above the umbilicus and 1/5 bilateral lower extremity strength. Spinal MRI […]
Abstract Number: E41
SHM Converge 2022
Case Presentation: An 82 year old male with unknown PMH presented with worsening dry cough and dyspnea. 1 week course of antibiotics provided minimal relief. Patient was febrile/tachycardic on arrival with rhonchi appreciated on bilateral lower lung field auscultation. His oxygen saturation was found to be dipping below 90% on room air for which he […]
Abstract Number: I27
SHM Converge 2022
Case Presentation: A 46-year-old white male with a history of prior MI (at age 37) presented to ED with left-sided weakness, facial droop, and decreased left-arm sensation. He did not have a history of obesity, hypertension, smoking, excess alcohol consumption, or hyperlipidemia but had a family history of a sister who had a stroke in […]
Abstract Number: I32
SHM Converge 2022
Case Presentation: 56-year-old woman with past medical history of hypertension, cerebrovascular accident, coronary artery disease, atrial fibrillation on apixaban presented with worsening left arm weakness. Patient was on full dose anticoagulation with apixaban 5 milligram(mg) every 12 hours and antiplatelet therapy with aspirin 81 mg. On physical examination patient had ischemic left upper extremity. Computed […]
Abstract Number: L34
SHM Converge 2022
Case Presentation: A 82-year-old male patient with a past medical history of Coronary Artery Bypass Graft (CABG) and severe mitral regurgitation with repair presented at 6 weeks after bioprosthetic mitral valve replacement with a two-day history of sudden onset of dyspnea, that was associated with exertion and orthopnea. Vitals upon evaluation were as follows: Initial […]
Abstract Number: L48
SHM Converge 2022
Case Presentation: Implanted central venous port catheters (ports) are widely used for chemotherapy, total parenteral nutrition and blood monitoring. If placed in the subclavian vein, up to 15% of patients who receive implanted ports have immediate complications, including venous injury, pneumothorax and pneumomediastinum. Long-term ports are associated with delayed complications, including thrombosis, occurring in 1.9-21.5% […]
Abstract Number: M23
SHM Converge 2022
Background: Symptomatic venous thromboembolism (VTE) occurs in about 1% of patients within 3 months after admission to a medicine ward.1,2 The 9th Edition American College of Chest Physicians Guidelines recommends the use of pharmacologic VTE prophylaxis in acutely ill hospitalized medical patients at increased risk of thrombosis and suggests against its use in low risk […]