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Search Results for Spontaneous
Abstract Number: 26
SHM Converge 2023
Case Presentation: Spontaneous spinal epidural hematoma (SSEH) is a hematoma that happens without an insult. Although a rare entity, it can result in spinal cord compression. Etiologies include anticoagulant therapies, coagulopathies, blood dyscrasias, pregnancy, and vascular malformations (1). We present a case of SSEH in the setting of heparin and clopidogrel use during a vascular […]
Abstract Number: 74
Hospital Medicine 2020, Virtual Competition
Background: The relation of a patient’s age to survival in cardiac arrest is often discussed at the bedside when clinicians, patients, and families are faced with the question of whether CPR is medically appropriate for elderly individuals. Few studies are available to help guide this conversation. This study sought to evaluate in-hospital cardiac arrest (IHCA) […]
Abstract Number: 117
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Spontaneous bacterial peritonitis (SBP) is a life-threatening infection in patients with cirrhosis. Depending on the clinical setting, the prevalence and mortality rates of SBP in cirrhosis range between 1.5-30% and 10-46%, respectively. The purpose of this study was to assess the yearly trend in SBP prevalence, length of stay and mortality among hospitalized cirrhosis […]
Abstract Number: 158
Hospital Medicine 2020, Virtual Competition
Background: Ceftriaxone or cefotaxime has been the drug of choice to treat spontaneous bacterial peritonitis (SBP) for many years, but little is known about microbiology, resistance rate to cephalosporines, and clinical outcomes over the last few decades. Our study aimed to describe the clinical and microbiological characteristics of culture-positive SBP at University of Kentucky Hospital. […]
Abstract Number: 159
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Spontaneous Bacterial Peritonitis (SBP) is associated with high mortality. A recent article[1] showed that, in the setting of SBP, delayed paracentesis was associated with increased mortality. Because of the clinical ramifications of this association, we attempted to recreate this finding using our local patient population. Methods: Similar to the study that prompted this inquiry, […]
Abstract Number: 209
Hospital Medicine 2020, Virtual Competition
Background: Spontaneous bacterial peritonitis (SBP) is a commonly encountered complication of end stage liver disease that carries a high morbidity and mortality. Risk factors for SBP are defined by the American Association for the Study of Liver Diseases (AASLD) as a prior history of SBP, active gastrointestinal bleeding, and low ascites total protein (< 1.5 […]
Abstract Number: 340
SHM Converge 2021
Case Presentation: The patient was a 54yo male with history of alcoholic cirrhosis, CKD, and depression who originally presented to the hospital for a fall, L orbital fracture, and also developed rhabdomyolysis. His hospitalization was complicated by an NSTEMI and he underwent cardiac catheterization with PCI of an anomalous circumflex artery and placement of an […]
Abstract Number: 439
SHM Converge 2023
Case Presentation: We report a case of a 49-year-old Caucasian male presenting with sudden chest pain worsened by inspiration. Patient reports Birt-Hogg-Dubé Syndrome (BHDS) diagnosis via skin biopsy 5 years ago. Examination is significant for 2-4 mm flesh-colored, dome-shaped papules on the head and neck. No murmurs, chest wall tenderness, wheezing or rhonchi were appreciated. […]
Abstract Number: 450
SHM Converge 2023
Case Presentation: 74 year old female with past medical history of end stage renal disease on hemodialysis, hypothyroidism and atrial fibrillation on anticoagulation therapy with Apixaban presented to emergency department (ED) after an episode of near-syncope following her dialysis session. In the ED she was hypotensive and tachycardic. Electrocardiogram findings showed Atrial fibrillation(AF) with rapid […]
Abstract Number: 458
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 40 year old woman (G4P4A0) with hypertension and hypothyroidism presented with sudden onset, severe, substernal chest pain while lifting heavy garbage bag. She was diagnosed with NSTEMI in the context of typical ischemic chest pain with trending troponins and EKG with T wave inversions in anterior leads. Transthoracic echocardiography revealed apical and […]