Session Type
Meeting
Search Results for Myopathy
Abstract Number: 552
SHM Converge 2024
Case Presentation: A 39-year-old male with no significant past medical history presented to the ED with dyspnea on exertion, palpitations, orthopnea, lightheadedness, anxiety, 100-pound weight loss over a 2-year period, and swelling in his left lower extremity. Upon admission, the patient was tachycardic and tachypneic. EKG was significant for new onset atrial fibrillation with RVR, […]
Abstract Number: 555
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 78-year-old female with a past medical history of diabetes, hypertension, and vascular dementia was brought to the hospital by her family for worsening dementia, behavioral disturbances including agitation, insomnia, hallucinations and delusions. Her lab workup showed hemoglobin of 11.5 g/dl, troponin of 0.09 ng/ml, CK of 88 u/l, CK-MB of 2.25 ng/ml. Electrocardiogram […]
Abstract Number: 575
SHM Converge 2024
Case Presentation: A 71-year-old female patient with a medical history of coronary artery disease (CAD), hypertension (HTN), and mixed hyperlipidemia presented to our medical facility, reporting chest pain. She underwent a left heart catheterization, revealing significant stenosis in the proximal right coronary artery (RCA), which was successfully treated with percutaneous transluminal coronary angioplasty (PTCA) and […]
Abstract Number: 591
SHM Converge 2023
Case Presentation: This case describes a 72-year-old female with previous left pontine cerebrovascular accident (CVA) in 2019, hypertension and hyperlipidemia who presented to the Emergency Department with worsening bilateral shoulder pain and progressive weakness. Two years prior, statin therapy was started for secondary CVA prevention, however, the statin was discontinued because the Patient developed muscle […]
Abstract Number: 593
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 56 y/o African American male with a history of paroxysmal atrial fibrillation presented with “pounding” chest pain after being assaulted. On presentation, the patient was afebrile and normotensive but significantly tachycardic (heart rate 140). Physical exam revealed an irregular rhythm with a s3 gallop and a 2/6 systolic murmur in the left […]
Abstract Number: 603
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 54-year-old woman presented to the emergency department with a 1-week history of exertional dyspnea and chest heaviness. Review of systems was remarkable for bilateral leg swelling and a 7-lbs weight gain over one week without orthopnea or PND. Physical examination revealed an irregularly irregular heart rhythm with pulse deficit, elevated JVP at […]
Abstract Number: 607
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Patient is a 71 year old female with hypertension and chronic obstructive pulmonary disease who presented after syncopal episodes and falls. She denied chest pain but did have lightheadedness and shortness of breath (SOB). She was started on transcutaneous pacing by EMS due to severe bradycardia. Admission EKG (fig 1) showed 3rd degree […]
Abstract Number: 608
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 21 year old Caucasian female with an unremarkable medical history presented with sudden onset of throat, lip and tongue angioedema. Due to concern for complications, she was given intravenous (IV) diphenhydramine, solumedrol and epinephrine (0.3mg of 1:1000 concentration). Patient developed acute hypoxic respiratory failure and hypotension. She required mechanically assisted ventilation and […]
Abstract Number: 621
SHM Converge 2021
Case Presentation: 66-year-old Caucasian male with history of type 2 diabetes mellitus and prostate cancer presented to the emergency department with 6-week history of progressive weakness. Initially, he noted difficulty arising from a chair signifying weakness in his proximal lower extremity musculature. It then progressed to involve bilateral proximal upper extremities causing difficulty with brushing […]
Abstract Number: 622
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A sixty-eight year-old woman presented with two days of confusion and lethargy following two weeks of worsening abdominal pain, nausea and emesis. Medical history was significant for chronic pain, depression, hypertension, and a remote history of alcohol withdrawal seizures. There was no reported dyspnea, cough, or chest pain. She was a one pack […]