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Search Results for ENT
Abstract Number: 738
SHM Converge 2024
Case Presentation: A 48-year-old male with a past medical history of deep vein thrombosis (DVT) and pulmonary embolism (PE) presented with one day of severe chest pain, dizziness, and brief loss of consciousness resulting in a head injury. EKG showed T wave inversions in inferior leads and elevated troponin to 625 within a few hours. […]
Abstract Number: 740
SHM Converge 2024
Case Presentation: A 33-year-old male with alcohol use disorder presented with progressive bilateral proximal arm weakness and muscle twitching for months. MRI of his brain and cervical spine were unremarkable. Electromyography (EMG) demonstrated mild diffuse fasciculations and changes consistent with denervation, which were attributed to alcohol-related polyneuropathy. The patient planned to abstain from alcohol and […]
Abstract Number: 740
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 80-year-old female with a past medical history of diabetes mellitus, hypertension and coronary artery disease status post stenting 4 years ago presented with coffee ground emesis, epigastric pain, dysphagia and melena. On examination, her vital signs showed a heart rate of 92 beats/minute and blood pressure of 89/55 mm Hg. Her abdomen […]
Abstract Number: 741
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 61-year-old male with past medical history of hypertension, hyperlipidemia and coronary artery disease presented with sustained tachycardia. His history was remarkable for ST segment elevation myocardial infarction (MI) and had a stent placed in right coronary artery (RCA) 1 month ago. He was non-compliant with antiplatelet therapy and his RCA re-occluded within […]
Abstract Number: 743
SHM Converge 2024
Case Presentation: A 65-year-old male presented to his primary care clinic with a one-week history of right-sided facial pain radiating around his jaw with a negative dental workup. Patient had progressive neck pain and CT scan found an ill-defined soft tissue in the superior mediastinum encasing the proximal left common carotid artery, concerning for lymphoproliferative […]
Abstract Number: 744
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 53-year-old female with no medical history presented with worsening mental status for 3 months. All history was given by family. Three months prior to presentation she began experiencing a generalized, persistent headache. A neurologist prescribed nortriptyline for presumed migraines, with improvement. In the month prior to presentation, the patient had become less […]
Abstract Number: 744
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 60-year-old man with no comorbidities presented with multiple episodes of substernal chest pressure and reduced exercise tolerance. Cardiac catheterization was notable for severe systolic dysfunction with left ventricular dilatation without coronary disease. Echocardiography was significant for an ejection fraction (EF) of 20% with global hypokinesis and extensive left ventricular (LV) trabeculations consistentwith […]
Abstract Number: 745
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Case1: A 72- year old male with a diagnosis of stage four non-small cell Lung carcinoma who was treated with Pembrolizumab, presented two weeks after his first dose with generalized body aches and weakness. Labs showed elevated creatinine Kinase, increased serum creatinine with hyperkalemia to 5.6 and elevated troponins to as high as […]
Abstract Number: 747
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 65 year old male with ischemic cardiomyopathy, EF of 25% and NYHA III symptoms despite optimal medical therapy, severe mitral regurgitation (MR) and left bundle branch block (LBBB) with QRS>150ms (figure 1) was referred for cardiac resynchronization therapy-defibrillator (CRT-D) implantation. The right atrial pacing and right ventricular defibrillator leads were successfully implanted, […]
Abstract Number: 749
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 44-year-old male with a history of i cirrhosis of liver secondary to chronic hepatitis C,and Illicit drug use presented from a jail to a regional medical center with abdominal discomfort and jaundice which started 2 weeks ago. The patient was diagnosed with acute hepatitis A infection by positive HAV IgM and treated […]