Session Type
Meeting
Search Results for Hypotension
Abstract Number: 451
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: Hypotension in the hospital setting is a common finding with a broad differential diagnosis. The workup includes evaluation for cardiac and infectious etiologies, among others. We present an infrequent cause of hypotension to demonstrate the importance of manually measuring blood pressure. A 62 year-old woman with impaired fasting glucose and hyperlipidemia was admitted […]
Abstract Number: 462
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 61-year-old man presented to the emergency department with one-month history of intermittent lightheadedness and dizziness. His symptoms were worse when standing from sitting position. He denied vomiting, diarrhea, and his appetite was stable. His past medical history was remarkable for IgM multiple myeloma for which he underwent stem cell transplant a year […]
Abstract Number: 539
SHM Converge 2023
Case Presentation: A 26-year-old female refugee from Afghanistan with a history of menorrhagia presented after a near syncopal episode and two days of fever, chills, and tooth pain. Per cultural preference, history was obtained from the patient’s husband using interpretive services. He reported that the patient developed cold extremities, fatigue, decreased appetite, weight loss, and […]
Abstract Number: 550
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 46 year old male patient with history of Hodgkin’s lymphoma in remission, and hypercoagulable state, status post IVC-F placement in 2005 and anticoagulation. He presented with hypotension and dizziness. He has been suffering from dizziness for several months but it has been getting progressively worse, to a level that he is unable […]
Abstract Number: 630
SHM Converge 2024
Case Presentation: introduction:Pseudohypotension, a phenomenon where blood pressure readings falsely suggest hypotension, poses a significant diagnostic challenge, especially when associated with subclavian artery stenosis. The condition can lead to misleading interpretations of a patient’s hemodynamic status, impacting clinical decision-making and therapeutic interventions. In this presentation, we explore a case of pseudohypotension due to subclavian artery […]
Abstract Number: 633
SHM Converge 2024
Case Presentation: A 36-year-old G9P9 Jehovah’s Witness female with no significant past medical history, presented to the emergency department with a 2-week history of postural headaches and double vision. Neurological examination was normal except for left abducens nerve palsy. CTA of the head was unremarkable, but an MRI of the head revealed diffuse smooth dural […]
Abstract Number: 643
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 68 year-old man with prior Agent Orange exposure in Vietnam presents with 6 months of progressive orthostatic hypotension (OH), syncope, 60 lb weight loss, and lower extremity weakness, parasthesias, and allodynia.Prior workup found mildly elevated troponin and BNP, but a normal stress test. Midodrine had no improvement in OH, and BP on […]
Abstract Number: 677
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 79-year-old woman was found minimally responsive in her home and brought to the hospital for evaluation. On arrival, she was bradycardic (32/min) and hypotensive (75/40) without fever, tachypnea (16/min), or oxygen needs (98% room air). Her initial exam was notable for somnolence, conjunctival injection with normal pupils, dry oral mucosa, slightly cool […]
Abstract Number: 730
Hospital Medicine 2020, Virtual Competition
Case Presentation: 64-year-old man with history of schizoaffective disorder, hypertension, cigarette smoker (quit recently) was admitted to the hospital with acute onset recurrent falls in the last 2 weeks. Medications include buspirone 10mg, amlodipine 2.5 mg, metoprolol 50 mg, clozapine 450 mg. He had hypotension on presentation, which improved with fluids. Symptomatic orthostatic hypotension persisted […]
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 […]