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Search Results for hematoma
Abstract Number: 26
SHM Converge 2023
Case Presentation: Spontaneous spinal epidural hematoma (SSEH) is a hematoma that happens without an insult. Although a rare entity, it can result in spinal cord compression. Etiologies include anticoagulant therapies, coagulopathies, blood dyscrasias, pregnancy, and vascular malformations (1). We present a case of SSEH in the setting of heparin and clopidogrel use during a vascular […]
Abstract Number: 422
SHM Converge 2021
Case Presentation: A 57 year-old male with history of alcoholic cirrhosis, hypertension, and stage IV chronic kidney disease (CKD) presented to the hospital with bilateral lower extremity edema and shortness of breath. He was diagnosed with worsening CKD meeting criteria for hemodialysis, acute decompensated cirrhosis, severe sepsis due to spontaneous bacterial peritonitis complicated by pansensitive […]
Abstract Number: 450
SHM Converge 2023
Case Presentation: 74 year old female with past medical history of end stage renal disease on hemodialysis, hypothyroidism and atrial fibrillation on anticoagulation therapy with Apixaban presented to emergency department (ED) after an episode of near-syncope following her dialysis session. In the ED she was hypotensive and tachycardic. Electrocardiogram findings showed Atrial fibrillation(AF) with rapid […]
Abstract Number: 484
SHM Converge 2023
Case Presentation: A 54-year-old male with no past medical history presented with chief complaint of generalized weakness, fatigue, headache, loss of appetite and intermittent fever and chills for 5 days. On arrival to the ED, his vitals were notable for temperature was 102.3F.. Labs notable for a hemoglobin 12.5 g/dL, platelets 55×109/L, sodium 128 mmol/L, […]
Abstract Number: 544
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 59-year-old man with a history of a chronic provoked bilateral pulmonary embolism with left lower extremity deep vein thrombosis (DVT), Non-ST-elevation myocardial infarction and hypercholesterolemia presented to the emergency department with acute, severe, constant left calf pain and swelling, exacerbated by standing. He stated that “I think I have another blood clot […]
Abstract Number: 640
SHM Converge 2021
Case Presentation: An 83 year-old female with history of hypertension presented to the emergency department with altered mental status for the past 2 days. Family reported patient to have a low impact fall, 2 weeks prior. In route, patient was noted to be febrile at 101.7˚F. Upon arrival, vitals were stable. Patient was found to […]
Abstract Number: 721
SHM Converge 2023
Case Presentation: A 29-year-old woman with a history of two first trimester losses, spontaneous hematoma and deep vein thrombosis was hospitalized for the management of acute anemia. Six weeks prior, she was hospitalized for a spontaneous right calf hematoma. Four weeks later, she was diagnosed with an unprovoked acute right popliteal vein thrombus and was […]
Abstract Number: 743
SHM Converge 2021
Case Presentation: We present the case of a 49-year-old woman who presented with two days of right-sided abdominal pain radiating to the right groin and right flank. She had been seeing a chiropractor for cervical neck pain poorly controlled on daily acetaminophen, with improvement in her pain following these chiropractic sessions. At her most recent […]
Abstract Number: 751
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 62-year-old male presenting to the hospital for left sided abdominal pain. His past medical history is significant for chronic obstructive pulmonary disease (COPD) requiring six liters of oxygen via nasal cannula daily, hypertension and hyperlipidemia. He states that he had a cough attack and then proceeded to have sudden onset of severe left […]
Abstract Number: 821
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 74-year-old female missionary without any past medical history was found unresponsive on the floor and brought to the emergency room. On initial physical exam she was encephalopathic but without any focal neurological deficits and an otherwise normal physical exam. Laboratory results including toxicology were all normal. CT scan of the head showed […]