Session Type
Meeting
Search Results for Infarction
Abstract Number: 811
SHM Converge 2024
Case Presentation: Dolichoectasia is a rare disorder of the cerebral arteries known to causes tortuosity, elongation, and dilation of the affected vessel. Most commonly involved vessels are those of the vertebrobasilar circulation, with an elevated risk of ischemic infarct. Here we have a case of such a rare presentation of ischemic stroke in the setting […]
Abstract Number: 814
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 63 year-old man with diabetes mellitus, hypertension, and GERD presented from an outside hospital with bilateral upper extremity paralysis, paresthesias, and neck pain which started minutes after sneezing. Vital signs were stable and neurologic examination was remarkable for bilateral upper extremity strength of 0/5 with absent reflexes and reduced sensation to pinprick. […]
Abstract Number: 892
SHM Converge 2024
Case Presentation: We have a 63 year old female with a history of spontaneous coronary artery dissection (SCAD) of the left anterior descending artery (LAD) 2 years prior that was found on a left heart catheterization after she presented to the ER with a complaint of chest pain with associated dyspnea. On a physical exam, […]
Abstract Number: 979
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 77-year-old caucasian man with a known history of hypertension, hyperlipidemia and tobacco abuse initially presented to the hospital with chest pain for five days. He was diagnosed with an anterior wall ST elevation myocardial infarction (STEMI). He underwent cardiac catheterization with drug-eluting stent placement to the left anterior descending coronary artery. Subsequent […]
Abstract Number: 980
Hospital Medicine 2020, Virtual Competition
Case Presentation: 65-year-old male with chronic alcoholism, hepatitis C, prior GI bleed, and coronary disease was found unresponsive for unknown duration and was evaluated in the ED for alcohol intoxication. Patient was admitted to the hospitalist service for acute encephalopathy, acute renal failure, and alcohol withdrawal. Vital signs were stable on admission and laboratory studies […]
Abstract Number: 984
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 39-year-old woman presented with 15 minutes of sharp, substernal chest pain four days after an uncomplicated vaginal delivery. Blood pressure was 158/84 mmHg, and the rest of the vitals were within normal limits. Labs and physical exam did not meet diagnostic criteria for preeclampsia. EKG and serial troponins were normal. CT scan […]
Abstract Number: D38
SHM Converge 2022
Case Presentation: An 80-year-old woman with a history of hypertension, pre-diabetes, chronic kidney disease (stage 3b), and remote ischemic stroke without residual deficits presented to the emergency department complaining of several hours of epigastric discomfort and malaise. An EKG revealed >1 mm ST segment elevation in leads V4-6 (Fig. 1). The troponin I was elevated […]
Abstract Number: F10
SHM Converge 2022
Background: COVID-19 cases first emerged in China in December 2019. An air of fear and anxiety engulfed the globe as it rapidly spread across borders affecting the entire human race. Media outlets started reporting information containing rising death tolls and horrific visuals generating a global hysteria(1). Stress is a well-known trigger for acute coronary syndromes […]
Abstract Number: I40
SHM Converge 2022
Case Presentation: 72-year-old male with h/o HTN, DM, obesity, polymyalgia rheumatica (on steroids), CKD stage IV, ankylosing spondylitis, and HFrEF (LVEF 45-50%) underwent total knee arthroplasty with removal of prior implant and distal femur replacement for osteosarcoma. Cut to close time was 9 hours. Intraoperatively, the SBP dipped to 90s for about 10-15 minutes after […]
Abstract Number: J39
SHM Converge 2022
Case Presentation: A 49-year-old vegetarian male (on supplements with vitamin B12) with recent myocardial infarction (MI) presented with 8-months of worsening neurological symptoms beginning as paresthesias progressing to cognitive decline and gait instability. Physical exam was significant for poor recall, inability to perform basic calculations, impaired proprioception in the right lower extremity, sensory ataxia in […]