Session Type
Meeting
Search Results for Pain
Abstract Number: B33
SHM Converge 2022
Case Presentation: A 40-year-old Hispanic male with a history of diabetes mellitus presented with recurrent febrile episodes. His temperature on admission was 41.6oC associated with seizure-like activity requiring intubation. Labs were significant for WBC 1,800, platelets 85,000, creatinine 1.53, AST 178, ALT 199, ALP 254, and HA1c 10.3%. RUQ ultrasound showed a hepatic lesion concerning […]
Abstract Number: B37
SHM Converge 2022
Case Presentation: A 31-year-old female with no pertinent past medical history presented first with right upper quadrant (RUQ) abdominal discomfort a year after giving birth to her first child in 2018. Prior to pregnancy, patient was taking oral contraceptives for nine years. The pregnancy was complicated by severe preeclampsia and associated nephrotic syndrome and LFT […]
Abstract Number: B39
SHM Converge 2022
Case Presentation: A 53-year-old male with a past medical history of hypertension who recently emigrated from El Salvador presented to an ambulatory clinic for evaluation of substernal chest pain that started eight days earlier. He described the chest pain as intermittent, non-radiating, and associated with palpitations, chills, shortness of breath, and diaphoresis. He denied fever, […]
Abstract Number: D43
SHM Converge 2022
Case Presentation: A 68 year-old Spanish-speaking female with PMH of type 2 diabetes mellitus, GERD, and tobacco use presented to the Emergency Department (ED) with one day of acute-onset substernal chest pain associated with nausea/vomiting and bilateral arm numbness L>R. Initial workup revealed CXR with mass-like opacity in the right upper lobe, high sensitivity troponin […]
Abstract Number: E26
SHM Converge 2022
Case Presentation: An 82-year-old female with a past medical history of type II diabetes mellitus, prior CVA with residual right-sided weakness, CKD, and hyperlipidemia treated with atorvastatin presented to the ED for generalized weakness. The patient was previously hospitalized for weakness and received physical therapy as an inpatient before being discharged to a sub-acute rehabilitation […]
Abstract Number: F38
SHM Converge 2022
Case Presentation: A Caucasian male in his early 60s with metastatic pancreatic cancer presented to the urgent care with complaints of neck pain. He recently underwent kyphoplasty at the level of T3-T4 two weeks prior. He noticed a growing lump in his neck that grew over the last two days and associated with excruciating pain. […]
Abstract Number: H36
SHM Converge 2022
Case Presentation: A 41 year-old female with a history significant for end stage renal disease (ESRD) secondary to focal segmental glomerulosclerosis (FSGS) on peritoneal dialysis for two years, uremic pericardial effusion with pericardiocentesis three years prior, and polyarticular gout on allopurinol presented as a transfer from an outside hospital for evaluation due to concerns for […]
Abstract Number: I46
SHM Converge 2022
Case Presentation: We present a case of 71 year old male with a history of advanced non-small cell lung cancer with metastasis to the brain, recurrent deep venous thrombosis on anticoagulation, and prostatomegaly who was initially admitted for dyspnea and subsequently diagnosed with community acquired pneumonia. His chest x-ray on admission also showed heavy burden […]
Abstract Number: K23
SHM Converge 2022
Background: Chest pain is a common chief complaint among adult patients presenting to emergency departments. An assessment of chest pain management at the institution noted significant variability in provider treatment patterns for chest pain. While a NSTE-ACS protocol existed, there was varied use and inconsistent adoption. Review of pre-intervention data demonstrated that some emergency medicine […]
Abstract Number: K40
SHM Converge 2022
Case Presentation: A 64-year-old woman with a history of right kidney transplant and Crohn’s disease in remission presented to the emergency department with five days of severe abdominal pain. Her pain was accompanied by nausea, vomiting, and chills. Physical examination was notable for an abdomen that was distended and diffusely tender to palpation, but not […]