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Meeting
Search Results for Pain
Abstract Number: L24
SHM Converge 2022
Case Presentation: Our vignette is of a 14-year-old female who presented to the emergency room for complaints of right elbow pain and swelling. Patient underwent open reduction internal fixation (ORIF) for right elbow fracture when she was 2-years old. The hardware was removed successfully after the fracture healed. Since then, the patient had 3 fractures […]
Abstract Number: P12
SHM Converge 2022
Background: Pain is ubiquitous; the 2019 National Health Survey indicated that 20.4% of adults had chronic pain and that for 7.4% of adults, pain limited work or life activities. Earlier research found racial disparities in the management of pain and opioid prescriptions in emergency department and surgical settings, but research has been more limited in […]
Abstract Number: P37
SHM Converge 2022
Case Presentation: We present a case of a 63 year old man who came in with a left sided neck mass and blue discoloration of his left upper extremity. Patient had left side limb discoloration for a month, he woke up with a large left sided neck mass that prompted him to come to the […]
Abstract Number: P39
SHM Converge 2022
Case Presentation: A 28-year-old male patient presented to the hospital with central, non-radiating, moderate-intensity chest pain that started four days after his second dose of Pfizer-BioNTech COVID-19 vaccine. The patient had neither any prior history of SARS-COV2 infection nor known exposure to a symptomatic patient. He denied any fever, chills, diaphoresis, upper or lower respiratory […]
Abstract Number: 1000
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Severe peripheral disease with arterial thrombosis can present as bilateral leg paralysis and extreme pain. Caution must be exercised to exclude vascular pathology ( in addition to neurologic differentials), to avoid premature closure of diagnosis and to avoid catastrophic outcomes. One such rare disorder is Leriche syndrome, whereby, patients develop aortoiliac thrombotic occlusion, […]
Abstract Number: 1091
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27-year-old male with no significant medical history presented with a 3-day history of peri-umbilical pain localized to the right iliac fossa. Pain was sharp in nature, constant and aggravated by movement. No bowel or urinary symptoms and no previous abdominal surgeries. No history of inflammatory bowel disease or sarcoidosis. Upon admission, had […]
Abstract Number: 1122
Hospital Medicine 2020, Virtual Competition
Case Presentation: The patient is a 20-year-old male without past medical history. He began to feel depressed about 3 weeks prior to admission, and his dietary intake decreased. Concomitantly, he experienced diarrhea once to twice per day. He noticed pain in both the thighs when waking up the day before the admission. The pain persisted […]
Abstract Number: 1125
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 64 year old female with a past medical history of coronary artery disease and coronary artery bypass graft, heart failure with reduced ejection fraction, diabetes mellitus, peripheral arterial disease, hyperlipidemia and a strong smoking history presented to the emergency department with exertional dyspnea worsening over the past 1 month and substernal chest […]
Abstract Number: 1138
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 22-year-old female with a past medical history of cholecystectomy and bipolar disorder presented with left upper quadrant spastic abdominal pain 9/10 in intensity, radiating to the epigastrium for the last 5 days, along with intermittent nausea, vomiting, and diarrhea. The patient described her bowel movements as a green ribbon-like consistency with no […]
Abstract Number: 1166
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 48-year-old female with an unremarkable past medical history presented with intermittent, dull, substernal chest pain for several hours, associated with diaphoresis and bilateral arm paresthesia, worse with exertion. Patient’s symptoms improved with sublingual nitroglycerin in the Emergency Department. EKG showed subtle ST-segment elevations inferiorly. Troponin was initially negative at 0.01, trended to […]