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Meeting
Search Results for Paradox
Abstract Number: C1
SHM Converge 2022
Background: Obesity is associated with many cardiopulmonary comorbidities independently associated with worse health outcomes in acute illness, yet the physiological mechanisms potentially making obese patients more susceptible to COVID-19 remain uncertain. Adiposity-derived immunosuppression, increased thrombogenic potential, and predilection towards inflammatory hyperreactivity have all been postulated as potential mediators of this phenomenon. Yet, the most obvious […]
Abstract Number: J8
SHM Converge 2022
Background: Obesity is associated with overall higher mortality risk in the general population however, some authors have noted patterns to suggest a survival advantage in a certain clinical subpopulation. Obesity paradox is reported for stroke, myocardial infarction, heart failure, renal disease, and diabetes. Clostridium difficile infection (CDI) is the most common nosocomial infection in the […]
Abstract Number: 162
Hospital Medicine 2020, Virtual Competition
Background: The obesity paradox describes a counterintuitive observation of improved outcomes in patients with obesity. Analysis of the association among overweight/obesity and leading causes of inpatient mortality in a systemic manner has not been conducted. Methods: We used STATA (StataCorp, College Station, Texas) to analyze the 2016 National Inpatient Sample (NIS). We recognized patients with […]
Abstract Number: 183
SHM Converge 2023
Background: Patent Foramen Ovale (PFO) is a common abnormality that affects between 25% and 34% of the general population. For most people, it is a benign finding; however, in some, the PFO can be wider, allowing a paradoxical embolus to transit from the venous to the arterial circulation, which is associated with cryptogenic stroke, migraine, […]
Abstract Number: 257
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: The Obesity Paradox postulates that obesity is a protective factor against mortality in certain chronic conditions such as chronic kidney disease (CKD) and congestive heart failure. Although this paradox is established in CKD, few studies have analyzed the paradox in acute kidney injury (AKI). There are both short and long term ramifications to AKI […]
Abstract Number: 701
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 20-year-old otherwise healthy male presented with a three day history of fever, sore throat, and myalgias. He was given supportive care and discharged home after testing negative for strep. He returned three days later with pleuritic chest pain, neck and ear pain, and had developed trismus. On arrival, his heart rate was […]
Abstract Number: 897
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 41-year-old Hispanic man presented for reevaluation of the swellings on his forearms newly associated with Raynaud’s phenomenon on his fingers. He initially presented 5 years prior with swellings on his forearms and groin, red eyes, dry eyes and dry mouth all worsening over a 6-month period. On initial physical exam, he was found […]
Abstract Number: 1139
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 51-year-old female with pseudomyxoma peritonei was admitted to the hospital for surgical debulking. She was started on Lovenox post-operatively. A week later she became hypotensive with acute hypoxic respiratory failure. She was intubated and started on vasopressor therapy with an improvement in her hemodynamics. CT angiogram of the chest depicted a pulmonary […]