Session Type
Meeting
Search Results for Infarction
Abstract Number: 469
SHM Converge 2021
Case Presentation: A 52-year-old male with type-2 diabetes mellitus, hypertension, and tobacco use presented to the emergency department due to chest pain radiating to the left shoulder that began 24-hours prior. Upon arrival, he was afebrile, heart rate was 71 bpm, blood pressure was elevated to 193/117 mm Hg and had a normal oxygen saturation […]
Abstract Number: 475
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 64-year-old man with a past medical history of coronary artery disease, type 2 diabetes, hyperlipidemia, and hypertension presented to the Emergency Department with severe, sharp, crampy abdominal pain. The pain was associated with nausea and vomiting and had progressively worsened over the last 7 days. He denied any chest pain or shortness […]
Abstract Number: 495
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 68-year-old woman with a history of hypertension and possible interstitial lung disease presented with one week of worsening midsternal chest pain, diaphoresis and nausea. Initial vitals were unremarkable. Exam revealed bibasilar crackles but no murmur, gallop, elevated jugular venous pressure or abdominal tenderness. An electrocardiogram showed no acute ischemic changes. Initial troponin […]
Abstract Number: 499
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 21 year old male with no significant past medical or surgical history presented to the hospital with sudden onset of bilateral lower extremity paralysis and paresthesia. He was lifting heavy boxes at work when he felt severe lower back pain that eventually radiated to his legs. The pain was followed by bilateral […]
Abstract Number: 508
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 23-year-old male college student with no PMH or significant FH presented to the ER with a 12hr history of recurrent substernal chest pain associated with diaphoresis, dyspnea, nausea and vomiting. Initial vitals were BP 129/82mmHg, HR 94 bpm, RR 18 breaths/min, SpO2 100% on RA and afebrile. No significant findings on examination. […]
Abstract Number: 514
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 68-year-old man with a history of atrial flutter and recurrent gastrointestinal (GI) bleeds (GIBs) with no clear etiology identified presented for planned direct current synchronized cardioversion. Patient had failed multiple rate and rhythm control regimens as well as radiofrequency ablations. He was placed on unfractionated heparin prior to cardioversion but developed recurrent […]
Abstract Number: 538
SHM Converge 2023
Case Presentation: A 70-year-old woman with a past medical history of CKD stage IV, nephrolithiasis, Crohn’s disease presented to the Emergency department for two weeks of nausea, anorexia, dehydration, fever, chills, lightheadedness with right upper quadrant pain. Upon admission the patient was in shock, differentials included septic vs cardiogenic. BNP was 354 pg/mL and troponin […]
Abstract Number: 566
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 47-year-old Hispanic female smoker presented with aone-week history of severe, intermittent substernal chest pain radiating tothe left arm. The pain was associated with palpitations and shortness ofbreath. She was afebrile with a heart rate of 100, a blood pressure of119/59, a fine tremor, and brisk reflexes. No lid lag or proptosis wasappreciated. […]
Abstract Number: 573
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 57 year old female with history of systemic mastocytosis, hypertension and dyslipidemia presented to the emergency department with complaints of intermittent sub-sternal chest pain for 7 days. On presentation, vital signs were normal. Electrocardiogram (EKG) was done which revealed ST segment elevation in the anterior leads. Patient’s serum troponin I and CK-MB […]
Abstract Number: 631
SHM Converge 2024
Case Presentation: A 63-year-old female with a past medical history of hypertension, atrial fibrillation, type 2 diabetes, multiple strokes with residual left sided deficit, and chronic kidney disease, who presented with altered mental status (AMS) after losing consciousness for 20 minutes during which family noticed left sided facial droop and dysarthria. The patient denied chest […]