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Search Results for Hypercoagulability
Abstract Number: 191
COVID-19 RELATED HYPERCOAGULABILITY
SHM Converge 2021
Background: The first reports of COVID-19 came from Wuhan, China, associated with high rates of mortality and end organ damage1. As the virus rapidly spread across the globe, many large tertiary centers found a strong association between COVID-19 and venous thrombus events. One of the first studies in Italy analyzed blood samples from COVID-19 patients [...]
Abstract Number: 203
EFFECTIVENESS OF CLINICAL DECISION SUPPORT FOR REDUCING UNNECESSARY HYPERCOAGULABILITY EVALUATIONS IN A LARGE COMMUNITY HOSPITAL
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Venous Thromboembolism (VTE) is a potentially life-threatening disorder and in some cases, is related to underlying hypercoagulability which may be congenital or acquired. Guidelines suggest performing extensive work -up for hypercoagulability only in select patients: those with close family history of VTE at young age ( < 45), young age at first VTE (<45), [...]
Abstract Number: 549
THYROID STORM: CLOTTY WITH A CHANCE OF CHEST PAIN
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 38-year-old man with untreated hyperthyroidism presented with two-week history of progressively worsening weakness and dyspnea along with a six-month history of unintentional 38 pound weight loss, diarrhea, and palpitations.  Exam was notable for confusion, cachexia, diffuse thyromegaly, jugular venous distension, exophthalmos, thyroid bruit, bilateral rales, and tachycardia (HR to 150s).  A transthoracic [...]
Abstract Number: 564
BILATERAL STROKE AND PULMONARY EMBOLISM IN COVID-19 PATIENT
SHM Converge 2021
Case Presentation: A 64-year-old woman with a past medical history of hypertension presented with a sudden onset of slurred speech, right gaze preference, and left-sided body weakness while at a hair salon. In the Emergency Department, she was afebrile, blood pressure 110/70 mmHg, and heart rate 105 beats per minute. CT head without contrast revealed [...]
Abstract Number: 644
INITIAL PRESENTATION OF MEMBRANOUS NEPHROPATHY AS ACUTE PYELONEPHRITIS – A CASE REPORT
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Our patient is a 35-year-old male with a history of hypertension who was transferred from an outside hospital (OSH) for renal vein, and inferior vena cava (IVC) thrombosis. A month prior to presentation to the OSH, he had developed acute, right-sided flank pain with nausea. At the OSH, he was diagnosed with nephrolithiasis, [...]
Abstract Number: 650
CAVERNOUS SINUS THROMBOSIS IN A 20-YEAR-OLD COVID-19 PATIENT
SHM Converge 2024
Case Presentation: A 20-year-old male presented with a one-week history of high fevers, headaches and nasal congestion, and he was diagnosed with Covid-19. Over the following three days, he developed left eye proptosis, altered mental status and photophobia. Prior to infection, the patient was in good health, did not smoke and had no family history [...]
Abstract Number: 703
TWO DAY OLD STEMI? WITH LUPUS ANYTHING IS POSSIBLE.
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 37 year old female with a past medical history of Hypertension, Ischemic Cardiomyopathy (EF=40-45%), Systemic Lupus Erythematosus, and Antiphospholipid Antibody Syndrome presented to the Emergency Department with complaints of pleuritic chest pain that had been persistent for two days duration which radiated down her left arm. Initial laboratory workup noted a normal [...]
Abstract Number: 706
CATASTROPHIC ANTI-PHOSPHOLIPID SYNDROME WITH PATENT FORAMEN OVALE
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 44-year-old man with thrombocytopenia and hypertension was admitted with acute left pontine ischemic stroke. One week later, he underwent computed tomography (CT) of abdomen for persistent abdominal pain and fever, revealing multiple emboli involving the pulmonary, mesenteric and splenic artery. Doppler studies revealed right lower extremity deep vein thrombosis (DVT) and arterial [...]
Abstract Number: 736
WHEN ANTICOAGULATION IS NOT ENOUGH- COVID-19
SHM Converge 2021
Case Presentation: A 59-year-old male with a past medical history remarkable for obesity, asthma, and anxiety sought medical attention for the chief complaint of dyspnea for approximately 10 days. Computed tomography with angiogram of the thorax on admission was negative for any pulmonary emboli, but did demonstrate central and peripheral ground glass opacities throughout both [...]
Abstract Number: 0480
ATYPICAL PRESENTATION OF CATASTROPHIC ANTIPHOSPHOLIPID ANTIBODY SYNDROME IN AN ELDERLY PATIENT” DIAGNOSTIC CHALLENGES AND MANAGEMENT CONSIDERATIONS
SHM Converge 2025
Case Presentation: An 82-year-old female with history of dementia, hypertension, and diabetes, presented with nausea, 2 episodes of nonbilious vomiting, and generalized weakness for 1 day. She was hypotensive (73/52 mmHg) and hypoxic, requiring 4L nasal cannula oxygen to maintain saturations, but without any respiratory distress. Influenza and COVID testing was negative, but chest imaging [...]
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