Session Type
Meeting
Search Results for Dissection
Abstract Number: 785
SHM Converge 2024
Case Presentation: A 22-year-old woman, gravida 1, para 1, with an unremarkable medical history, presented with sharp left-sided chest pain radiating to the left arm, two weeks postpartum. Initial evaluation revealed stable vital signs, T wave inversions on lateral leads in the EKG, and elevated troponin levels (23.271 and 23.173). Coronary catheterization exposed near 100% […]
Abstract Number: 809
SHM Converge 2024
Case Presentation: A healthy 18-year-old male presented to the emergency department with headache, confusion, projectile vomiting, blurring of vision, and gait imbalance which he developed three days prior while working out at the gym doing “shoulder shrugs”. Imaging revealed a large evolving acute left cerebellar infarct with obstructive hydrocephalus and vertebral artery dissection at the […]
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: 814
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 63 year-old man with diabetes mellitus, hypertension, and GERD presented from an outside hospital with bilateral upper extremity paralysis, paresthesias, and neck pain which started minutes after sneezing. Vital signs were stable and neurologic examination was remarkable for bilateral upper extremity strength of 0/5 with absent reflexes and reduced sensation to pinprick. […]
Abstract Number: 849
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 57-year-old African-American male, with past medical history of nonischemic cardiomyopathy, moderate aortic insufficiency, HTN, and cocaine abuse presented to the emergency room with complaints of shortness of breath (SOB), and chest pain (CP). He admitted to using cocaine on his birthday party, which was 5 days ago. After using cocaine he started […]
Abstract Number: 892
SHM Converge 2024
Case Presentation: We have a 63 year old female with a history of spontaneous coronary artery dissection (SCAD) of the left anterior descending artery (LAD) 2 years prior that was found on a left heart catheterization after she presented to the ER with a complaint of chest pain with associated dyspnea. On a physical exam, […]
Abstract Number: 984
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 39-year-old woman presented with 15 minutes of sharp, substernal chest pain four days after an uncomplicated vaginal delivery. Blood pressure was 158/84 mmHg, and the rest of the vitals were within normal limits. Labs and physical exam did not meet diagnostic criteria for preeclampsia. EKG and serial troponins were normal. CT scan […]
Abstract Number: 1004
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40-year-old woman with a history of asthma presented with progressive shortness of breath and acute onset chest pain. Following a severe asthma exacerbation, she reported increasing dyspnea on exertion that slowly worsened over the subsequent 2 weeks, which she attributed to her asthma. On the day of presentation, she reported mild, asthma […]
Abstract Number: 1034
Hospital Medicine 2020, Virtual Competition
Case Presentation: Spontaneous renal artery dissection (SRAD) is a rare disorder that has been reported to occur in middle-aged men. It often presents similar to nephrolithiasis, making it’s presentation non-specific and easily missed. Including SRAD in the differential for renal colic type-pain is important to decrease morbidity and improve the chance of renal recovery. Discussion: […]
Abstract Number: 1121
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 33-year-old male presented to the emergency department (ED) after abrupt onset left anterior chest pain with associated diaphoresis, nausea, and abdominal pain one hour prior to arrival. He denied aggravating or relieving factors. Vital signs were stable and physical exam, including cardiac and respiratory exam, were unremarkable. Patient denied a history of […]