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Meeting
Search Results for Hypertension
Abstract Number: 291
SHM Converge 2021
Background: Acute severe hypertension without evidence of end-organ damage (previously defined as hypertensive urgency) is a relatively common occurrence in the inpatient setting that can be frustrating and worrisome to both physicians and floor staff alike. Hypertensive urgencies have not been shown to be associated with increased short-term cardiovascular risk or mortality(1). Chronic hypertension is […]
Abstract Number: 321
Hospital Medicine 2020, Virtual Competition
Background: Current guidelines recommend oral (PO) medications as first line therapy for management of hypertensive urgency. However, patients without end-organ damage who are symptomatic or have extremely high blood pressure (BP) may be classified as either “hypertensive urgency” or “emergency” by treating physicians.Objective: In a cohort of hospitalized patients with severe hypertension but no organ […]
Abstract Number: 360
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hypertensive crisis is classified as either hypertensive emergency or hypertensive urgency, distinguished by presence or absence of end-organ damage, respectively. Guidelines recommend treating hypertensive emergency with intravenous (IV) antihypertensive medications for immediate blood pressure reduction. On the other hand, management of hypertensive urgency involves gradual reduction of blood pressure over hours to days using […]
Abstract Number: 381
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 46 year-old man with a past medical history of untreated hypertension presented with right ptosis and miosis. The patient was in his usual state of health until one month prior to presentation, when he developed right retrobulbar pain in the absence of additional upper airway or constitutional symptoms. The patient subsequently noticed […]
Abstract Number: 422
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 15 year-old female with developmental delay presents with intermittent abdominal pain, decreased appetite, and vaginal discharge. Parents disclose a 30 lbs weight loss over 2 years, along with vaginal discharge that was evaluated by self-swab testing and deemed a “normal variant” from menses. When she presented to her PCP’s office, she was […]
Abstract Number: 455
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: An 18 year old Spanish speaking male from Honduras presented following a motor vehicle accident. Initial assessment in the ED included a CXR and bedside Echocardiogram which noted cardiomegaly and a reduced EF of 15%. Patient reports experiencing headaches, blurry vision, palpitations, and non-radiating left sided chest pressure intermittently over the last four […]
Abstract Number: 467
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A five-year-old boy with autism presented to the hospital with two-months of fatigue, lower extremity pain, and a petechial rash. Review of systems was notable for a two-kilogram weight loss, intermittent gingival bleeding and refusal to walk for one week. On admission he was afebrile with a heart rate of 160 beats per […]
Abstract Number: 469
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 64-year-old year old woman with no personal or family history of HTN was diagnosed with right renal angiomyolipoma incidentally on work up for latent TB and referred to interventional radiology for partial right RAE. On routine follow up one week post procedure, she was noted to be normotensive. One-month post procedure while […]
Abstract Number: 471
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 65-year-old woman was admitted to our hospital because of episodes of altered mental status and high blood pressure. Forty days prior to admission, the patient was taken to the emergency department with an altered mental status and hypertension. Her blood pressure was 226/129 mmHg, while her blood glucose level was 48 mg/dL. […]
Abstract Number: 473
SHM Converge 2024
Case Presentation: Systemic lupus erythematosus (SLE), commonly known as lupus, is a multifaceted autoimmune disorder characterized by a myriad of clinical manifestations, including but not limited to fatigue, joint pain and swelling, and malar rash. Although a common cardiac manifestation of SLE is pericarditis, often accompanied by pericardial effusion, pulmonary arterial hypertension (PAH) is not […]