Session Type
Meeting
Search Results for Gastrointestinal Bleed
Abstract Number: 712
SHM Converge 2021
Case Presentation: A 33-year-old female was initially admitted to the ICU for septic shock secondary to complicated Pseudomonas aeruginosa urinary tract infection and methicillin-sensitive Staphylococcus aureus bacteremia. CT of the abdomen showed fluid in the left paracolic gutter. Aspiration and culture of the fluid was positive for Staph aureus and attributed to seeding from bacteremia. […]
Abstract Number: 713
SHM Converge 2021
Case Presentation: A 73-year-old male with chronic kidney disease stage 4 from polycystic kidney disease, diabetes, and hypertension presented 2 days after having a peritoneal dialysis catheter placed complaining of dysphagia, dyspnea, abdominal pain, and worsening lower extremity edema. He was not known to have any prior heart or lung disease. His baseline creatinine was […]
Abstract Number: 718
Hospital Medicine 2020, Virtual Competition
Case Presentation: 57-year-old male patient with past medical history of major depression, essential hypertension and coronary artery disease status post drug-eluting stent placement who presented to the Genitourinary Medical Oncology Clinic due to marked swelling of his left scrotum. Ultrasound showed a hypoechoic solid mass with large left hydrocele. Tumor markers were negative. Computed tomography […]
Abstract Number: 735
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 55 year-old woman with past history of antiphospholipid syndrome complicated by multiple deep vein thromboses and miscarriages, prior hemorrhagic stroke, chronic slow GI bleed with iron deficiency anemia, thrombocytopenia, and CKD stage 3 presents to the ED with two-month history of progressively worsening shortness of breath and chest discomfort with exertion, which […]
Abstract Number: 807
SHM Converge 2024
Case Presentation: Heyde syndrome is a rare multisystem disorder characterized by the triad of aortic stenosis (AS), gastrointestinal bleeding, and acquired von Willebrand syndrome (AVWS). The pathophysiology of AVWS in Heyde syndrome is thought to be due to the increased circulatory shear forces resulting from AS, leading to cleavage of large VWF multimers and loss […]
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: 815
SHM Converge 2024
Case Presentation: 73 year old male veteran with hypertension and stroke presents with progressive anasarca and dyspnea. The patient’s blood albumin level was < 1 g/dL, and his urine protein to creatinine ratio was > 5.5 grams per day, leading to a diagnosis of nephrotic syndrome. Renal biopsy revealed Immunoglobulin Light-Chain (AL) Amyloidosis. He responded […]
Abstract Number: 826
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 39-year-old Bulgarian man, recently diagnosed with non ischemic cardiomyopathy was transferred to our hospital due to upper gastrointestinal bleeding. The patient reports seven months of intermittent hematemesis that worsened after two significant episodes of vomiting bright red blood. The patient became hemodynamically unstable in spite of aggressive fluid resuscitation and blood transfusion, […]
Abstract Number: 833
SHM Converge 2024
Case Presentation: A sixty-six-year-old male with a history of Monoclonal Gammopathy of Undetermined Significance (MGUS), Atrial Fibrillation, and Rheumatic Heart Disease requiring aortic and mitral valvuloplasty, was on warfarin with an INR goal of 3.5-4 due to multiple hypercoagulable factors and recurrent Transient Ischemic Attacks (TIAs) at INR 2.5-3.5. Post prostate cancer radiation, he developed […]
Abstract Number: A48
SHM Converge 2022
Case Presentation: A 79-year-old patient with a history of esophageal cancer status post esophagectomy six years prior with neo-esophagus creation and chemotherapy currently in remission, was admitted for upper tract gastrointestinal (GI) bleeding. An esophagogastroduodenoscopy (EGD) demonstrated several non-bleeding gastric ulcers. Given stability and resolution of the bleeding, the patient was discharged home. Later that […]