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Search Results for Crowned Dens Syndrome
Abstract Number: 41
PAINFUL LIES THE CROWN
SHM Converge 2024
Case Presentation: An 89-year-old man with coronary artery disease, hypertension, and osteoarthritis presented with acute-onset severe posterior neck pain, with no viral prodrome. The patient reported experiencing generalized weakness and associated headache, but denied any fevers, chills, cough, myalgia, joint pain, ulcers or rashes. Additionally, he did not report any photophobia, phonophobia, changes in vision, [...]
Abstract Number: 440
A CASE OF CROWNED DENS SYNDROME IN AN ELDERLY FEMALE PATIENT
SHM Converge 2021
Case Presentation: A 71-year-old woman with a past medical history of hypertension, hyperlipidemia, and osteoarthritis presented with four days of fevers, intermittent confusion, subjective weakness, and pain in the neck and left shoulder. On examination, she exhibited tenderness to palpation of the neck with significantly limited rotational range of motion. The left shoulder was also [...]
Abstract Number: 476
CROWNED DENS SYNDROME: A RARE PRESENTATION OF CPPD
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation:   A 76-year-old female was admitted from an outside hospital for concern for osteomyelitis of her cervical spine.  She had previously had a week of neck pain with limited range of motion due to pain.  She was treated for E. coli sepsis following positive blood and urine cultures, but her neck pain persisted.  Upon transfer, [...]
Abstract Number: 661
A Royal Pain in the Neck
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 81 year old Asian woman with past medical history of diabetes, hypertension, coronary artery disease, and arthritis presented with fever and five days of worsening neck stiffness and pain, worsened by neck movement. Laboratory examination revealed mild leukocytosis, CRP 28 and ESR 114. Broad spectrum antibiotics were started for possible meningitis. Lumbar [...]
Abstract Number: 668
The Crystalline Fever : Crowned Dens Syndrome Masquerading As Meningitis
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: This is a 77/F with Diabetes Mellitus, Hypertension and severe osteoarthritis who was admitted with 1 day history of mental status change, headache and neck pain with progressive pain in her hands, wrist and knee. Vitals signs revealed fever to 103F, BP 142/72, HR 72 and RR 16. Patient was lethargic but arousable, [...]
Abstract Number: 867
UNVEILING THE CROWN: CASE OF CROWNED DENS SYNDROME MIMICKING INFECTION
SHM Converge 2024
Case Presentation: A 95-year-old man with hypertension, benign prostatic hyperplasia, irritable bowel syndrome, and a recent herpes zoster ophthalmicus infection presented to the emergency department (ED) with fevers. The patient had been well until 3 days prior, when he developed a temperature of 103°F followed by severe pain in the neck radiating to both shoulders. [...]
Abstract Number: 1008
A CROWNED DIAGNOSIS
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 66-year-old female with a history of Cerebrovascular accident, diabetes, hypertension, chronic kidney disease, and osteoarthritis, presents to the hospital for worsening acute neck pain which had woken her up in the night a week prior. She had had minimal to no relief with Tylenol or Flexeril and her neck pain had continued [...]
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