Session Type
Meeting
Search Results for Hypertension
Abstract Number: 503
SHM Converge 2023
Case Presentation: We present the case of a 32-year-old woman with past medical history of anxiety/depression, previous heroin abuse, hepatitis C who presented with tremors, chest pain, and vomiting. In the ER, her vitals were HR 94, RR 22, BP 117/83, SpO2 95% on room air. Initial labs showed elevated troponin 1.38, 4.44, 9.15. EKG […]
Abstract Number: 503
SHM Converge 2021
Case Presentation: A previously healthy 25-year-old woman presented with 3 weeks of headache. Headaches were bilateral, daily, of a severe squeezing quality, and were described as the worst pain of her life. She reported associated fever to 102°F, pressure behind her eyes, photophobia, neck stiffness, nausea, and vomiting. Temperature was 99.7°F, heart rate 99 beats […]
Abstract Number: 510
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 14-year-old previously healthy male presented to a community hospital for sudden repeated episodes of initially non-bloody, and then grossly bloody, emesis. He denied sick contacts, travel, significant NSAID use, alcohol consumption, and caustic ingestions. On presentation, he had normal vital signs, mild epigastric tenderness, and heme-positive dark stool. His labs were notable […]
Abstract Number: 515
SHM Converge 2021
Case Presentation: A 48-year-old female with no known medical history presented after a syncopal episode and one week of malaise and fatigue. She was diagnosed with high output heart failure complicating severe pulmonary hypertension. Hemoglobin was 2.7 g/dL with MCV of 50 fL. She denied menorrhagia, melena, hematuria or hematemesis as well as weight loss […]
Abstract Number: 519
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 46 year-old man with bipolar disorder and hypertension presented to the emergency department (ED) with total body pain. He had been at the local airport when he had sudden onset total body throbbing sharp pain. He collapsed on the floor and a bystander called EMS who transported him to our ED. His […]
Abstract Number: 536
SHM Converge 2021
Case Presentation: This is a 37-year-old Cambodian male with a past medical history of chronic untreated hypertension and recent methamphetamine use presents with acute onset “tearing” chest pain. Physical exam was remarkable for tachycardia and tachypnea with increased work of breathing. In addition, the patient appeared in severe distress. CT examination showed that he had […]
Abstract Number: 551
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 56-year-old male with WHO Group I/III pulmonary hypertension (PH), Gold Stage III COPD, and right ventricular failure presented with several weeks of gradually worsening dyspnea. One month prior, he was hospitalized for an acute exacerbation of PH and was discharged on an increased dose of ambrisentan after excluding intra-atrial shunting. On the […]
Abstract Number: 558
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 72 year old male presented with worsening shortness of breath and increasing oxygen requirement for six weeks. The patient had been on supplemental oxygen for the past 2 years for hypoxia. As an outpatient, right heart catheterization revealed a pulmonary arterial pressure (PAP) of 76/24 mmHg, mean PAP of 41 mmHg, wedge […]
Abstract Number: 569
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 46-year-old woman presented with left hemiparesis following elective hip replacement. Past medical history noted essential hypertension currently untreated and bilateral hip dysplasia corrected as a child. She took ibuprofen and hydrocodone-acetaminophen for pain. She was adopted at age two. She smoked a half pack of cigarettes daily. Right total hip arthroplasty was […]
Abstract Number: 586
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 74-year-old female with a past medical history of chronic pulmonary emboli, left ventricular heart failure, and hypertension presented with shortness of breath on exertion and bilateral lower extremity edema for one week. On examination, she was found to have jugular venous distention, crackles in bilateral lung bases, and 3+ pitting peripheral edema. […]