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Search Results for Sickle cell
Abstract Number: 310
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Vaso-occlusive acute pain crises are the leading cause for hospitalization in adult sickle cell patients. For our academic hospitalist group at a quaternary care center in New York, acute pain crises in 2017 accounted for 65 admissions, with an average length of stay (LOS) of 10.28 days, and readmission index (observed-over-expected ) of 1.10. […]
Abstract Number: 320
SHM Converge 2021
Case Presentation: A 30-year-old man with sickle cell anemia presented to the ED with pain in his left hip similar to prior vasooclussive crisis (VOC). There was no identifiable trigger and his review of symptoms was negative. Past medical history included sickle cell anemia complicated by acute chest syndrome (ACS), avascular necrosis of the right […]
Abstract Number: 339
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Hydroxyurea is an FDA approved medication for use in adults with sickle cell disease. Clinical guidelines, based on high quality evidence, recommend its use in all adults with sickle cell anemia and 3 or more moderate to severe pain crises within one year. Studies suggest its use to be inappropriately low. We assessed local […]
Abstract Number: 381
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Sickle cell crisis is a acute medical emergency, which may require management in the ICU. Sickle cell anemias are remarkable in their clinical heterogeneity. Some people remain asymptomatic in their adult life, whereas others suffer repeated crisis; requiring multiple hospitalizations. In this study, we determine the demographic factors associated with a high readmission rate […]
Abstract Number: 408
SHM Converge 2024
Background: Care of hospitalized patients with Sickle Cell Disease (SCD) presents unique challenges due to variability in care, the interplay of acute and chronic pain, and the complex social determinants of health among patients with SCD. Despite comprising only a small percentage of admissions at our academic medical center, admissions for acute SCD-related illnesses have […]
Abstract Number: 431
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: A vaso-occlusive episode (VOE) is a common complication of sickle cell disease (SCD). The most common presentation of VOE is pain that, if undertreated, can lead to life-threatening complications. Nearly all persons with SCD will have a VOE, however, data show that patients frequently receive inadequate analgesia when being treated for acute pain related […]
Abstract Number: 494
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: An 18 year-old Hispanic female presented to a tertiary care center with six days of left-sided flank pain and gross hematuria. Upon further questioning, she additionally endorsed two to three months of generalized malaise and unprovoked weight loss totaling eight pounds. She had been discharged from a nearby hospital one day prior to […]
Abstract Number: 568
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: We describe a 54-year-old male with past medical history of sickle cell disease, who initially presented with worsening dyspnea over the span of two weeks. He had no history of fevers, chills, chest pain, or lower extremity edema, but he did report a chronic dry cough for approximately one year. The patient’s oxygenation […]
Abstract Number: 588
SHM Converge 2024
Case Presentation: A 28-year-old Caucasian male of European descent presented to the emergency department with a four day history of left upper quadrant abdominal pain that occurred following a day of skiing at 11,000 feet. On initial examination, he was afebrile, hemodynamically stable, and in distress from abdominal pain that localized to his left upper […]
Abstract Number: 734
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: We present a case of 26-year-old female presented with acute ischemic stroke. She presented with altered mental status from Rehabilitation center. She has history of sickle cell and recurrent strokes in the past. Extensive prior work up for recurrent strokes was done and she was thought to have Moyamoya disease. Before this presentation, […]