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Meeting
Search Results for ESOPHAGEAL
Abstract Number: 623
SHM Converge 2023
Case Presentation: A 60-year-old male presented to the emergency department with a one day history of emesis, dysphagia, and odynophagia. He endorsed pain in the middle thoracic esophageal region which was worse with swallowing. Initially, his emesis was non-bloody, then subsequent episodes resulted in small amounts of bright red blood. Past medical history was pertinent for alcohol […]
Abstract Number: 638
SHM Converge 2024
Case Presentation: The patient is a 50-year-old male with a past medical history of type 2 diabetes mellitus, hypertension, heavy alcohol use, and one pack per day tobacco use who presented with epigastric abdominal pain, an episode of hematemesis, and a three-week history of nosebleeds and bloody sputum. After admission, the patient described the pain […]
Abstract Number: 647
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69 year-old Mexican man with a history of polysubstance abuse presented to the hospital for fever and dysphagia of 4 weeks duration. CT of the chest taken at an outside facility showed a large esophageal mass with right hilar and left supraclavicular lymphadenopathy (Figure 1). Given concern for malignancy, an EGD with […]
Abstract Number: 669
SHM Converge 2023
Case Presentation: A 99-year-old female presented to the emergency department due to new onset, post-prandial abdominal pain, nausea, and vomiting. History was significant for atrial fibrillation (AFib), heart failure with preserved ejection fraction (HFpEF), diabetes, and hypertension. Physical exam was significant for chronic bilateral lower extremity edema without JVD or rales. On admission, her electrocardiogram […]
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: 713
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 51 year old woman with lichen planus presented with dysphagia to solids and liquids, excess oral secretions, and globus sensation for three days. Her history included hypothyroidism, GERD, and episodic dysphagia for two years. Surgical history included a prior endoscopy revealing nonspecific esophagitis. The patient had no toxic habits and family history […]
Abstract Number: 725
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Acute esophageal necrosis (AEN) is a rare condition which presents as acute-onset gastrointestinal bleeding. AEN is associated with vasculitis, coronary artery disease, malignancy, and other conditions which impair maintenance of the esophageal protective barrier. Complications of AEN include esophageal rupture, perforation, stricture formation, and mediastinitis. A 64-year-old Caucasian female with an extensive past […]
Abstract Number: 728
SHM Converge 2024
Case Presentation: 59 year old male with past medical history of paroxysmal atrial fibrillation status post radiofrequency ablation x2 who presents with fever, chills, left sided weakness, and hematemesis 2 weeks after a redo radiofrequency (RF) ablation. The patient initially presented to the outside hospital Emergency Department after developing fever, rigors, and nausea about 9 […]
Abstract Number: 772
SHM Converge 2023
Case Presentation: A 47 y/o male with history of known esophageal adenocarcinoma and end-stage renal disease on dialysis presented to the hospital with abdominal pain and melena. The patient was diagnosed with esophageal adenocarcinoma one year prior and has had gastrointestinal bleeding in the recent past. He had an upper endoscopy one month prior which […]
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 […]