Session Type
Meeting
Search Results for Pain
Abstract Number: N2
SHM Converge 2022
Case Presentation: A 45-year-old female with no significant medical history presented to the ED with three days of sharp epigastric pain radiating to the right lower quadrant associated with fever, chills, and multiple episodes of non-bilious, non-bloody emesis. She denied chest pain, shortness of breath, or bruising. Physical examination revealed normal vital signs except a […]
Abstract Number: 123
Hospital Medicine 2020, Virtual Competition
Background: Unstable Angina (UA) is a common subset of Acute Coronary Syndrome (ACS) and presents as atypical chest pain without the presence of cardiac biomarkers. It accounts for nearly 550,000 hospital admissions each year in the United States [1]. Management of UA can vary depending on the physician and/or intensity of symptoms. Prior studies have […]
Abstract Number: 129
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Chronic pain is a healthcare problem that significantly affects the physical and mental health of patients and impact their quality of life. It can complicate many disorders and represents a common symptom of rheumatologic diseases. Patients with Scleroderma report pulmonary and gastrointestinal symptoms as the limiting factor on their daily functioning, however pain remains […]
Abstract Number: 131
SHM Converge 2024
Background: Epipericardial fat necrosis (EFN) presents as acute chest pain with the potential to mimic life-threatening conditions. It is unclear whether this is truly a rare condition, or simply underdiagnosed by low threshold of suspicion. The literature suggests an estimated prevalence of 2% of EFN as the cause of chest pain in all patients presenting […]
Abstract Number: 145
SHM Converge 2023
Background: Pain is assessed by nurses through either reported or observed intensity. Self-reported assessments, specifically a numeric score, are the gold standard and preferred to behavioral assessments. Disparities in the assessment and management of pain across race, ethnicity, and language status are prevalent, but we do not know how actual numeric pain scores vary and […]
Abstract Number: 155
SHM Converge 2023
Background: Assessing and treating pain in older adults is challenging. Although having patients self-report pain on a numeric scale is the recommended approach, age-associated conditions such as dementia, delirium, and impaired vision or hearing can prevent patients from effectively communicating their symptoms. Older patients are also at risk of adverse effects from commonly used analgesics […]
Abstract Number: 158
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Sickle cell disease (SCD) causes frequent painful episodes from vaso-occlusion. As hospitalists, we identified that SCD patients occupied a large number of hospital days. Undertreatment and lack of standardization of pain management was a likely reason for this. Many of these patients are opiate dependent at baseline. Varying levels of comfort amongst hospitalists in […]
Abstract Number: 188
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Administering opiates safely in hospitalized patients with acute on chronic pain is challenging. There is limited data to guide pain management in this population due to high prevalence of opiate tolerance and variance in daily opiate exposure. There is a need to establish a safe and effective pain medicine regimen in the hospital that stratifies opiates based on […]
Abstract Number: 215
Hospital Medicine 2020, Virtual Competition
Background: Recent literature supports risk stratifying patients presenting to the Emergency Department (ED) with undifferentiated chest pain based upon the HEART score. Our institution utilizes the HEART score in a chest pain pathway. Patients with scores of 0 to 3 are typically discharged home after two negative troponins while those with intermediate scores of 4 […]
Abstract Number: 216
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Despite the importance of sleep to recovery from acute illness and the patient experience, hospitalizations are far from restful. Currently, Medicare focuses on noise, but other disruptions to patient sleep such as lab draws, vitals and pain must also be considered. In order to improve in-hospital sleep via a patient-centered approach, it is important […]