Session Type
Meeting
Search Results for Stroke
Abstract Number: N32
SHM Converge 2022
Case Presentation: An 85-year-old male with a history of untreated hypertension, on aspirin, presented to the emergency department with transient right upper and lower extremity weakness. Upon presentation the National Institutes of Health (NIH) Stroke Scale was 0. Symptoms had started three days prior with right leg weakness which resolved after a few minutes of […]
Abstract Number: 1018
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27-year-old man with metastatic gastroesophageal junction adenocarcinoma presents with five weeks of progressively worsening bilateral thigh pain. Admission exam is notable for a normal neurological exam. Labs are notable for CSF with malignant cells. Brain and spine MRI reveal diffuse leptomeningeal carcinomatosis. During his hospitalization, the patient develops dizziness and leg weakness […]
Abstract Number: 1023
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 27-year-old man with metastatic gastroesophageal junction adenocarcinoma presents with five weeks of worsening thigh pain. Labs are notable for CSF with malignant cells. Brain and spine MRI reveal diffuse leptomeningeal carcinomatosis. His course is complicated by severe pain that requires increasing doses of opioids. During his hospitalization, the patient develops worsening headaches, […]
Abstract Number: 1098
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 42-year-old woman was admitted for recurrent multifocal cerebral infarction. She had five episodes of consecutive strokes involving different vascular territories over 8 months resulting in expressive aphasia, visual deficits, and extremity weakness. All laboratory and urine studies, including autoimmune and hypercoaguable workup were unremarkable. Treponema and HIV serologies were negative. Initial cerebral […]
Abstract Number: 1139
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 51-year-old female with pseudomyxoma peritonei was admitted to the hospital for surgical debulking. She was started on Lovenox post-operatively. A week later she became hypotensive with acute hypoxic respiratory failure. She was intubated and started on vasopressor therapy with an improvement in her hemodynamics. CT angiogram of the chest depicted a pulmonary […]
Abstract Number: 1227
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 37 year old man with history of alcohol abuse presented to the emergency department for a one month history of jaundice, nausea, vomiting and weight loss. Physical exam was significant for mild diffuse abdominal tenderness and jaundice. Labs were remarkable for a total bilirubin of 34.1, direct 17.5, alkaline phosphatase of 203, […]