Session Type
Meeting
Search Results for Spontaneous Coronary Artery Dissection
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 […]
Abstract Number: 551
SHM Converge 2023
Case Presentation: A 63-year-old woman with a history of Lynch Syndrome who presented with acute chest pain. Her Lynch Syndrome manifested with invasive moderately differentiated adenocarinoma of the sigmoid colon managed with hemicolectomy as well as 9 cycles of Leuocoverin, 5-Fluorouriacil (5-FU) and oxaliplatin (FOLFOX) and prophylactic total hysterectomy and bilateral salpingo-oophorectomy. She completed her […]
Abstract Number: 602
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 33-year-old woman with no cardiac risk factors, who was 8-weeks post-partum with an unremarkable peripartum course, suddenly collapsed at a park. Bystander CPR was initiated and the initial cardiac rhythm, which was ventricular fibrillation (VF), converted to sinus rhythm after defibrillation. While in the emergency department, she had another episode of VF, […]
Abstract Number: 926
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 36 year old female with no past medical history presented to hospital with acute onset of severe midsternal chest pain radiating to back, throat and jaw that lasted approximately 20 minutes and resolved spontaneously. Her EKG showed T wave inversion in inferior leads with elevated troponin for which she was started on heparin […]
Abstract Number: 984
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 39-year-old woman presented with 15 minutes of sharp, substernal chest pain four days after an uncomplicated vaginal delivery. Blood pressure was 158/84 mmHg, and the rest of the vitals were within normal limits. Labs and physical exam did not meet diagnostic criteria for preeclampsia. EKG and serial troponins were normal. CT scan […]
Abstract Number: 1004
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40-year-old woman with a history of asthma presented with progressive shortness of breath and acute onset chest pain. Following a severe asthma exacerbation, she reported increasing dyspnea on exertion that slowly worsened over the subsequent 2 weeks, which she attributed to her asthma. On the day of presentation, she reported mild, asthma […]
Abstract Number: 1121
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 33-year-old male presented to the emergency department (ED) after abrupt onset left anterior chest pain with associated diaphoresis, nausea, and abdominal pain one hour prior to arrival. He denied aggravating or relieving factors. Vital signs were stable and physical exam, including cardiac and respiratory exam, were unremarkable. Patient denied a history of […]
Abstract Number: 1166
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 48-year-old female with an unremarkable past medical history presented with intermittent, dull, substernal chest pain for several hours, associated with diaphoresis and bilateral arm paresthesia, worse with exertion. Patient’s symptoms improved with sublingual nitroglycerin in the Emergency Department. EKG showed subtle ST-segment elevations inferiorly. Troponin was initially negative at 0.01, trended to […]
Abstract Number: 1236
Hospital Medicine 2020, Virtual Competition
Case Presentation: 52-year-old male with no past medical history, presents to the emergency room for complaints of worsening diffuse abdominal discomfort of one-day duration. Pain was located in lower part of abdomen, dull in character, non-radiating, 10/10 in intensity associated with nausea, and subjective fever .Vital signs were significant with a temperature of 101.1 degrees […]