Session Type
Meeting
Search Results for Thoracic
Abstract Number: 293
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Lung ultrasound (LUS) is emerging as a useful diagnostic tool for several lung pathologies. Some studies have found its accuracy in diagnosing pulmonary edema surpasses that of chest x-ray (CXR) but the available evidence is conflicting. CXR currently receives a Class I recommendation by the AHA in the evaluation of decompensated heart failure. Given […]
Abstract Number: 294
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Lung ultrasound (LUS) is emerging as a useful diagnostic tool for several lung pathologies including pulmonary edema. The number of sonographic B-lines on LUS has been used as a test to detect pulmonary congestion in patients with chronic heart failure. However, its ability to detect elevated left-sided filling pressures relative to accepted noninvasive measure […]
Abstract Number: 323
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Guidelines recommend in-hospital evaluation with cardiac monitoring and transthoracic echocardiogram (TTE) to assess syncope in patients that are considered high-risk for major adverse cardiovascular events. We sought to identify variables associated with performing TTE in patients presenting with syncope. Methods: We abstracted demographic and clinical data from all patients evaluated for syncope at the […]
Abstract Number: 416
Hospital Medicine 2020, Virtual Competition
Background: Unnecessary hospitalizations and testing for syncope remain common (1), and physician attitudes continue to favor overuse for syncope (2). Structured protocols, specialized units, and decision support algorithms may reduce health service use, but lack of data precludes the ability to advocate for use of a specific decision support algorithm (3). Purpose: Our primary aim […]
Abstract Number: 473
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 33-year-old nulliparous female with no past medical history presented with 10 months of postmenstrual umbilical pain. She denied vomiting or bowel habit changes, but noted recent orthopnea and nocturnal wheezing. She had regular, monthly menstrual cycles associated with dysmenorrhea since menarche at age 11. She had not been sexually active for 4 […]
Abstract Number: 502
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 37-year-old woman with a history of endometriosis, fibroids status post fibroidectomy, and previous spontaneous pneumothorax presented with 3 days of progressively worsening right pleuritic chest pain and dyspnea on exertion. She had a similar presentation nine months prior at an outside hospital and was found to have a spontaneous right pneumothorax requiring […]
Abstract Number: 512
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: Xanthogranulomatous Pyelonephritis (XGP) is an uncommon sequelae of chronic renal inflammation whose process may invade local structures. We present a rare case of an invasive Xanthogranulomatous Pyelonephritis (XGP) extending into the thoracic cavity in a 48 year-old female presenting with chronic productive cough. This previously healthy patient presented with dyspnea, productive cough, and […]
Abstract Number: 534
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 92-year-old women with a medical history of hypertension, type 2 diabetes, and surgical resection of colon and renal cancer presented to the emergency department with high-grade fever and purulent sputum. She visited her primary care physician with the complaint of fever 5 days prior to visiting our hospital and was prescribed antibiotics […]
Abstract Number: 550
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 72-year-old-female presented to the ED with an 8-month history of intermittent, progressive, substernal chest pain. EKG showed normal sinus rhythm without ischemic changes and troponin was negative. CT Angiogram showed a moderate pericardial effusion and mild wall thickening of the thoracic aorta concerning for vasculitis. Cardiac MRI showed aortitis with mild pericarditis […]
Abstract Number: 578
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: An 80 year old man with pauci-immune glomerulonephritis for one year presented with fatigue and dyspnea. He had been treated with cyclophosphamide and corticosteroids in the last year; at presentation he was taking prednisone, mycophenolate, and rituximab for the past three months. He denied cough, hemoptysis, chest pain, fevers, chills, and weight loss. […]