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Search Results for Stemi
Abstract Number: 488
SHM Converge 2023
Case Presentation: The patient is a 27-year-old male with lupus anticoagulant with hypoprothrombinemia syndrome (LAHPS)/triple positive antiphospholipid syndrome (APLS) in the setting of systemic lupus erythematous (SLE) and immune thrombocytopenia (ITP) on hydroxychloroquine, mycophenolate mofetil (MMF), and prednisone for immunosuppression, who presented to the ER with worsening right upper quadrant and epigastric pain. RUQ US […]
Abstract Number: 498
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 30 year old African American female with history of Systemic Lupus Erythematosus and secondary Lupus nephritis presented with painful erythematous blisters on her hands and feet along with dysphagia and oral ulcers. It was discovered that 2 weeks prior she was started on mycophenolate mofetil for treatment of her lupus […]
Abstract Number: 506
SHM Converge 2023
Case Presentation: A 33-year-old G2P1011 woman who was 6 days postpartum from an uncomplicated vaginal delivery presented to the emergency department with acute right flank pain, hypotension (BP 88/60), tachycardia (HR 125) and new onset anemia with hemoglobin 9g/dL. CT abdomen/pelvis (CT AP) revealed a 21.5cm right renal angiomyolipoma (AML) with an associated bleeding pseudoaneurysm […]
Abstract Number: 508
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 23-year-old male college student with no PMH or significant FH presented to the ER with a 12hr history of recurrent substernal chest pain associated with diaphoresis, dyspnea, nausea and vomiting. Initial vitals were BP 129/82mmHg, HR 94 bpm, RR 18 breaths/min, SpO2 100% on RA and afebrile. No significant findings on examination. […]
Abstract Number: 510
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: We describe a rare case of a nephrotic syndrome (NS) as a complication of secondary syphilis (SS), which resolved with appropriate treatment of the infection. This is a 54 year-old male with no pertinent medical history, who presented to clinic with bilateral palmar rash. He was diagnosed of secondary syphilis with positive Venereal […]
Abstract Number: 511
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 56-year-old Caucasian female with history of mechanical aortic and mitral valves on chronic warfarin therapy, atrial fibrillation, and questionable history of SLE was admitted to the intensive care unit for emergent splenectomy following a motor vehicle accident. After initially being sent home from a regional hospital, she was diagnosed five days later […]
Abstract Number: 514
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 68-year-old man with a history of atrial flutter and recurrent gastrointestinal (GI) bleeds (GIBs) with no clear etiology identified presented for planned direct current synchronized cardioversion. Patient had failed multiple rate and rhythm control regimens as well as radiofrequency ablations. He was placed on unfractionated heparin prior to cardioversion but developed recurrent […]
Abstract Number: 532
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 66-year-old female with a history of hypertension presented to the emergency department with one week of lower extremity edema, nausea, and vomiting. On admission, the patient was found to be hyponatremic, hypoalbuminemic, with nephrotic range proteinuria (urine protein-to-creatinine ratio of 8.5 g/g) and acute kidney injury. During the hospital course, the patient’s […]
Abstract Number: 534
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 32-year-old woman with history of lupus not on steroid or immunosuppressive therapy for more than 10 years presented with headache, generalized weakness, abdominal pain, nausea, vomiting, and malaise. On exam, the patient was afebrile with tachycardia and hypotension. She was ill-appearing with a diffusely tender abdomen, mild hepatomegaly, and enlarged axillary and […]
Abstract Number: 549
SHM Converge 2024
Case Presentation: A 62-year-oldwoman with heart failure with preserved ejection fraction (HFpEF) presented with one week of worsening shortness of breath, bilateral lower extremity edema, and poor oral intake. Over the past year, the she had increasing early satiety resulting in a 93-pound weight loss and progressively decreasing exercise tolerance. She noted dry eyes, dry […]