Session Type
Meeting
Search Results for Scleroderma
Abstract Number: 84
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Select studies in the past have described significantly increased risk of acute myocardial infarction (AMI) in patients with systemic sclerosis (SSc). Increased atherosclerosis as well as microvascular involvement with recurrent focal ischemia and subsequent fibrosis are the proposed mechanisms. Our study aims to shed further light on SSc as an independent risk factor for […]
Abstract Number: 448
SHM Converge 2023
Case Presentation: A 50-year-old African American female with a history of mixed connective tissue disorder with positive ANA titer, speckled pattern 1:1280, and spindle apparatus pattern 1:640, presented with worsening dyspnea, numbness, and weakness of both lower extremities. Two days prior she received the first dose of COVID-19 mRNA vaccine and later developed nausea, vomiting, diarrhea, and anorexia. In the emergency department, patient was found to have an elevated blood pressure of […]
Abstract Number: 483
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 47-year-old woman with a history of alcohol abuse presented to the emergency department with one week of altered mental status. Review of systems was significant for involuntarily 100 lbs. weight loss over one year with no change in appetite. She reported no prescribed or over-the-counter medication use. Vital signs on presentation were […]
Abstract Number: 558
SHM Converge 2021
Case Presentation: A 33-year-old female with a history of limited Scleroderma diagnosed in 2015 and prescribed Methotrexate but non-adherent to same, presented to the Emergency Room with one day of acute onset dizziness associated with nausea and vomiting. An urgent CT head was performed, which was negative for acute intracranial pathologies. The patient was discharged […]
Abstract Number: 568
Hospital Medicine 2020, Virtual Competition
Case Presentation: This patient was a 44-year-old female with a past medical history of localized scleroderma (morphea) of the breast diagnosed by punch biopsy. She presented to the emergency department with right upper quadrant pain and nausea. At that time, a CT scan showed a heterogeneous liver without a definitive underlying mass. Her workup revealed […]
Abstract Number: 682
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 44-year-old male presented to the Emergency Department after having a witnessed seizure. There were no precipitating events and previous blood tests were normal. His blood pressure (BP) on arrival was 255/154 mmHg. Labs showed a creatinine (Cr) of 2.2 mg/dL, hemoglobin 9 g/dl, platelet 553 k/uL, low-normal haptoglobin of 31 mg/dL, and […]
Abstract Number: 737
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 46-year-old female presented for evaluation of two days of nausea and vomiting. She also described swelling in her legs and decreased urination over that time. Exam revealed blood pressure of 150/100 (baseline blood pressure 90/50), pitting lower extremity edema, taut skin of both hands, and bibasilar crackles. Labs revealed creatinine of 3.2 […]
Abstract Number: L28
SHM Converge 2022
Case Presentation: The patient is a 52 year old female with a history of Scleroderma, Raynaud’s, and APLS who presented to the emergency department for new onset chest pressure for 1 day. On physical exam, vital signs were 99 F, 152/99, 109, and 96% on RA and no cardiac murmurs, crackles on lungs, or pitting […]
Abstract Number: O24
SHM Converge 2022
Case Presentation: A 37-year-old female with Systemic Sclerosis (SSc) presented with new-onset elevated blood pressure. She was on medium to high dose Corticosteroids (CS) a month prior to admission. Her significant vitals on admission included a heart rate of 103 and blood pressure of 193/97. Labs showed hemoglobin 9.6, sodium 130, BUN 63, creatinine (Cr) […]