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Search Results for Heart
Abstract Number: 878
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient is a 64-year-old male, history of ischemic cardiomyopathy, chronic right ventricular failure, arrhythmia, and new infarcts, status post cardiac transplant. While recovering in the cardiac ICU, the patient started experiencing confusion and personality changes, and was unable to recognize his mom. On CT scan, the patient was shown to have a […]
Abstract Number: 880
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 30 year-old female presented postpartum day 1 following a normal vaginal delivery from an outside hospital after chest CT angiography (CTA) identified a 2.5 cm pericardial effusion. Review of systems was positive for dry cough, left sided chest pain, dyspnea on exertion, recent post-partum abdominal pain, chills, and diaphoresis. On arrival to […]
Abstract Number: 884
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 77-year-old female with a history of hypertension and diabetes, presented to the ER with sudden syncope. She reported severe retrosternal chest pain, associated with nausea and vomiting. She stated she has been under extreme emotional stress due to sudden death of a family member. Examination was remarkable for hypotension (70/40 mmhg), cold […]
Abstract Number: 921
Hospital Medicine 2020, Virtual Competition
Case Presentation: Inflammatory bowel disease (IBD) is a chronic disease affecting the gastrointestinal (GI) tract consisting of Crohn’s disease (CD) and ulcerative colitis (UC). Patients typically have GI symptoms such as abdominal pain, rectal bleeding, and weight loss. However, the extra-intestinal presentation of IBD is not an uncommon occurrence. Here, we describe a case of […]
Abstract Number: 961
Hospital Medicine 2020, Virtual Competition
Case Presentation: 63y old female with history of CHF, HTN, and hypothyroidism presented from primary care physician’s office for lab abnormalities. Review of systems was positive for decreased urine output, fatigue, and sinus congestion. Vitals were within normal limits and physical exam was non-contributary. Lab workup was significant for hypokalemia (2.9) and elevated Cr (4.0). […]
Abstract Number: 970
Hospital Medicine 2020, Virtual Competition
Case Presentation: Patient was a 37 year-old gentleman with history of recently diagnosed heart failure, hypertension, non-Hodgkin’s lymphoma s/p chemotherapy and prior methamphetamine use who presented with chest pain. He reported a history of heart failure but had never had cardiac imaging. This diagnosis had been made clinically based on lower extremity edema. He had […]
Abstract Number: 984
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 39-year-old woman presented with 15 minutes of sharp, substernal chest pain four days after an uncomplicated vaginal delivery. Blood pressure was 158/84 mmHg, and the rest of the vitals were within normal limits. Labs and physical exam did not meet diagnostic criteria for preeclampsia. EKG and serial troponins were normal. CT scan […]
Abstract Number: A33
SHM Converge 2022
Case Presentation: A 63 year old African American female with history of hypertension was admitted to the hospital for COVID-19 and hypoxia. She was treated with Remdesivir, dexamethasone and convalescent plasma in January 2021. Symptoms improved and she was discharged on steroids and anticoagulation. Six weeks later she started complaining of shortness of breath. CTA […]
Abstract Number: B41
SHM Converge 2022
Case Presentation: A 34-year-old female with a history of hypertension, hyperlipidemia, and SLE presented with acute substernal tightness associated with nausea and vomiting. She denied fever, chills, diaphoresis, or palpitations. Her EKG showed sinus rhythm with new T wave inversions in anterior leads. Troponin elevation was noted with a peak of 4.48. Echocardiogram showed normal […]
Abstract Number: F26
SHM Converge 2022
Case Presentation: A 49-year-old man with known history of class III obesity (body mass index 43), hypertension, hyperlipidemia, and insulin dependent diabetes presented to the emergency department with bilateral lower extremity swelling and dyspnea on exertion of two weeks duration. Pertinent vitals included blood pressure 161/74 mmHg, heart rate 99 beats per minute, and saturation […]