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Search Results for ECHO
Abstract Number: 420
SHM Converge 2024
Background: Transthoracic echocardiography (TTE) is a clinical tool for cardiac evaluation of hospitalized patients but is frequently associated with a greater hospital length of stay.1 At our institution, delays in TTE completion have been attributed to a shortage of sonographers and overutilization by inpatient teams for certain clinical conditions. From January to October 2023, only […]
Abstract Number: 461
SHM Converge 2023
Case Presentation: Stress cardiomyopathy, also known as takutsubo cardiomyopathy, is a syndrome that causes transient cardiac apical akinesis or hypokinesis with concurrent basal hyperkinesis. This phenomenon occurs in the absence of angiographic evidence of obstructive coronary artery disease, often induced by emotional stress, and usually reverses within a few weeks to months. A rare variant […]
Abstract Number: 538
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 55-year-old female presented with headaches and intermittent fevers. On initial examination, she had left hand weakness. Laboratory findings revealed leukocytosis; brain MRI demonstrated multiple bilateral cerebral infarcts. Initial workup was concerning for embolic stroke which initiated our search for a cardioembolic source. No significant abnormalities were seen on transthoracic echo (TTE) and […]
Abstract Number: 596
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 76 year-old African American female with no past medical history presented with new onset shortness of breath and substernal chest pressure of three week duration. She noted that she had been previously healthy without any issues prior to this incident. On presentation, the patient was afebrile and normotensive (125/76) but tachycardic (110 […]
Abstract Number: 650
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: 60 y/o African American male with h/o chronic esophageal strictures s/p multiple esophageal dilations presented to the ER with complaints of weakness and dizziness. He met criteria for sepsis with possible source as aspiration pneumonia and was started on broad spectrum antibiotics. Two sets of blood cultures done from admission grew Streptococcus mitis/oralis. […]
Abstract Number: 656
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 36 years old female with past medical history of IV drug abuse, presented with dyspnea, nasal congestion, tactile disturbances, diarrhea, body aches and generalized weakness for 1 day. She was recently treated for tricuspid valve endocarditis. A Transthoracic Echocardiogram (TTE) obtained at that time showed ejection fraction (EF) of 55-60%. On presentation, […]
Abstract Number: 695
Hospital Medicine 2020, Virtual Competition
Case Presentation: 77-year-old Caucasian male presents to the ER due to progressive shortness of breath impacting his activities of daily activity. Shortness of breath started 2 weeks ago and was associated with a hacking cough and minimal sputum production for which he visited his physician’s office and received a steroid shot for “bronchitis”. On further […]
Abstract Number: 698
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 49-year-old male presented with progressive lower extremity edema, exertional dyspnea and orthopnea for three weeks. Past medical history significant for non-ischemic cardiomyopathy, systolic heart failure and moderate aortic regurgitation (AR) diagnosed one year ago. Physical exam was significant for jugular vein distention, bibasilar crackles, loud 3/6 diastolic murmur in the aortic area […]
Abstract Number: 720
SHM Converge 2023
Case Presentation: A 62-year-old white male, without significant past medical history or risk factors, was referred to our clinic for arrhythmia evaluation. The patient had several brief episodes of palpitations for the last two months. On physical examination blowing systolic murmur at the apex and irregularly irregular rhythm were noticed. The 12-lead ECG demonstrated atrial […]
Abstract Number: 738
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: The patient is a 64-year-old male, BMI 35.6 kg/m2, with a history of diabetes mellitus II, hypertension, hyperlipidemia, and recent CAD after syncope, who was under going CABG. A cardiac tumor was incidentally found intraoperatively (Figure 1). The pre-operative transthoracic echocardiogram (TTE) was negative for signs of tumor (Figure 2), however, when it […]