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Search Results for Stemi
Abstract Number: 457
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 29-year-old African-American female presented with two weeks of left neck swelling and fever. Over four months, she had noted fatigue, cough, night sweats, and an unintentional 12-pound weight loss. Two empiric courses of antibiotics effected no clinical change. She had no toxic habits and was sexually active with one male partner. […]
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: 459
SHM Converge 2021
Case Presentation: We present an unusual case of a previously healthy patient presenting with a demyelinating polyneuropathy, which was determined to be the initial presentation of systemic lupus erythematosus (SLE).This was a 36 year-old female with an unremarkable past medical history who presented with leg weakness that progressively spread to her arms with associated tingling […]
Abstract Number: 464
SHM Converge 2023
Case Presentation: 57-year-old male, with history of recurrent idiopathic hypothermic episodes, HFrEF on carvedilol, T2DM on no medication for 3 months, and stage 4 CKD, presented to the ED for altered mentation. Vitals were unremarkable except for hypothermia (86.4°F). Patient was hypoglycemic (62 mg/dL). WBC count was low (1.26 10^3/uL). Urine WBCs were elevated (31-50/HPF). […]
Abstract Number: 470
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Cardiac involvement in systemic lupus erythematosus (SLE) is very common. Despite the relative frequency of pericarditis and pericardial effusions which occur in more than 50% of SLE patients, cardiac tamponade is rare and is seen in less than 3%. Additionally, there have been no consistent reliable predictors of tamponade development in such patients. We report […]
Abstract Number: 471
SHM Converge 2021
Case Presentation: A 29-year-old female with history of systemic lupus erythematous (SLE), hypertension, and cirrhosis presented to the ED with altered mental status and generalized weakness for 3 days. Physical exam revealed tachycardia, abdominal distension and tenderness, and weakness of her lower extremities. Labs showed WBC 17.2, total bilirubin 19.8, AST 106, ALT 19, and […]
Abstract Number: 473
SHM Converge 2024
Case Presentation: Systemic lupus erythematosus (SLE), commonly known as lupus, is a multifaceted autoimmune disorder characterized by a myriad of clinical manifestations, including but not limited to fatigue, joint pain and swelling, and malar rash. Although a common cardiac manifestation of SLE is pericarditis, often accompanied by pericardial effusion, pulmonary arterial hypertension (PAH) is not […]
Abstract Number: 475
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 64-year-old man with a past medical history of coronary artery disease, type 2 diabetes, hyperlipidemia, and hypertension presented to the Emergency Department with severe, sharp, crampy abdominal pain. The pain was associated with nausea and vomiting and had progressively worsened over the last 7 days. He denied any chest pain or shortness […]
Abstract Number: 475
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: An 84 year old female with a past medical history significant for systemic lupus erythematous (SLE) presented to the emergency department with fatigue and dizziness. She had recently been admitted to the same hospital with acute kidney injury secondary to lupus nephritis. During that admission, she was started on high dose prednisone, a […]
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 […]