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Search Results for Head
Abstract Number: 675
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 62 year old male with history of rapidly progressive glomerulonephritis due to anti-glomerular basement membrane (anti-GBM) disease who remains dialysis dependent after failing to respond to steroids and plasmapheresis eight months ago presented with two months of worsening vision and frontal headaches. The patient also has chronic systolic heart failure with an […]
Abstract Number: 699
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27-year-old pregnant woman with no significant medical history presented to the hospital in labor and underwent spontaneous vaginal delivery. Shortly after epidural analgesia and delivery of her child, she started having a severe, shooting headache radiating from her back to her temporal and frontal regions. She reported that the headache was worse […]
Abstract Number: 730
SHM Converge 2024
Case Presentation: A 23-year-old man presents with progressively debilitating headaches since a fall 1 year ago. Headaches were worsening, exacerbated by exercise and lying flat, and localized to the occipital region. He had been taking finasteride and topical minoxidil for 3 years to treat chronic alopecia. After 3-6 months of use, two cystic, nontender, mobile […]
Abstract Number: 740
SHM Converge 2023
Case Presentation: A 41 year old female with a history of Hypertension, Hyperlipidemia, Morbid obesity, and Prediabetes presented with a six week history of daily, frontal, pressure-like, positional headaches exacerbated by standing with associated nausea and vomiting. Patient’s medication list included Metformin, Semaglutide, Losartan, and Fexofenadine. Given minimal resolution with over the counter analgesics Magnetic […]
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: 757
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 41- year old female with history of hypertension was admitted to our hospital with complaints of intermittent diffuse abdominal pain, diarrhea, and generalized rash. Vital signs were normal. Physical examination was notable for diffuse maculopapular rash. Laboratory investigations showed pancytopenia and acute renal failure. Further investigations were positive for a speckled pattern ANA, […]
Abstract Number: 909
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 73-year-old male with a medical history of hypertension presented with vomiting of 5 days. Vomitus was non-bloody, non-bilious in nature and was associated with headache. The headache was sudden in onset, bifrontal, 8/10 on a numerical rating pain scale.Initial vitals were remarkable for BP of 68/54 mm Hg which improved to 94/55 […]
Abstract Number: 911
Hospital Medicine 2020, Virtual Competition
Case Presentation: 23-year-old female was admitted with thunderclap headaches of 2 days. She had a history of quadriplegia and autonomic dysreflexia from a remote cervical spinal cord injury and has been on midodrine for 2 years. She also reported blockage of the urinary catheter and experienced recurrent headaches when she attempted to flush the catheter. There […]
Abstract Number: 978
Hospital Medicine 2020, Virtual Competition
Case Presentation: Intracranial subdural hematoma (ISH) is a rare and fatal complication of spinal anesthesia (SA); therefore a high index of suspicion for ISH should be considered when a case of suspected postdural puncture headache (PDPH) does not improve with conservative management. A 36-year-old female presented to the emergency room complaining of worsening headache of […]
Abstract Number: A32
SHM Converge 2022
Case Presentation: A 63-year-old woman was initially admitted for sore throat and dysphagia. At that time, workup revealed right parapharyngeal cellulitis, and she completed a 10-day course of levofloxacin. One month after discharge, the patient presented with a bilateral frontotemporal headache, blurred vision OS, and right otalgia for 2 days. Physical exam was remarkable for […]