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Meeting
Search Results for shock
Abstract Number: 606
SHM Converge 2023
Case Presentation: An 86 year old man with hypertension, COPD, and a 100 pack year smoking history presented to the emergency department with 1 week of dyspnea and neck pain. He had a blood pressure of 104/74, heart rate 85, respiratory rate 27, and SpO2 95% on 3 liters nasal cannula. Labs were significant for […]
Abstract Number: 607
SHM Converge 2021
Case Presentation: A 74 year-old man with coronary artery disease and hypertension, who was two weeks post-admission for cholangitis with biliary-tube placement and ATN, re-presented to our institution with weakness, subacute progressive abdominal distension, and diffuse abdominal pain in the setting of serosanguineous biliary tube output. He was febrile with a leukocytosis and started on […]
Abstract Number: 618
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 63-year-old woman with multiple sclerosis, hypertension, and venous insufficiency was admitted with shock and diffuse rash. Two months earlier, she had a confluent, erythematous, pruritic, painful, bilateral foot rash that spread from the dorsi to the ankles with associated swelling. Clotrimazole resulted in mild improvement. Two weeks prior to admission, she developed […]
Abstract Number: 630
SHM Converge 2021
Case Presentation: A 31-year-old male with a past medical history of dilated cardiomyopathy (ejection fraction 20%) presented with shortness of breath. Initial blood pressure was 83/53 mmHg. His breathing became agonal and therefore he was intubated. Physical examination demonstrated jugular venous distention and cold extremities. Chest radiography (Figure 1) revealed diffuse and complete opacification of […]
Abstract Number: 630
SHM Converge 2024
Case Presentation: introduction:Pseudohypotension, a phenomenon where blood pressure readings falsely suggest hypotension, poses a significant diagnostic challenge, especially when associated with subclavian artery stenosis. The condition can lead to misleading interpretations of a patient’s hemodynamic status, impacting clinical decision-making and therapeutic interventions. In this presentation, we explore a case of pseudohypotension due to subclavian artery […]
Abstract Number: 670
SHM Converge 2024
Case Presentation: 37 y/o M with a past medical history of SARS-CoV-2 infection one month prior presented after a syncopal episode and complained of inability to move his lower extremities. On exam he was hypotensive and had 0/5 motor strength in his bilateral lower extremities, decreased rectal tone, and absent patellar reflexes. Sensation to light […]
Abstract Number: 675
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A healthy 48-year-old male presented to the emergency department with fever, joint pain, fatigue, malaise, and oliguria. One week prior he had been seen at an urgent care clinic for fevers, chills, nasal congestion, and sore throat and was formally diagnosed with influenza B and strep pharyngitis. At that office visit he was […]
Abstract Number: 712
SHM Converge 2023
Case Presentation: A 78-year-old man with atrial fibrillation on amiodarone and rivaroxaban, heart failure with reduced ejection fraction (HFrEF) on metoprolol and furosemide, hypertension on amlodipine and lisinopril, type 2 diabetes on metformin, and chronic kidney disease, presented with several weeks of progressive lethargy and confusion in the setting of chronic functional and cognitive decline.He […]
Abstract Number: 728
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 19 year old female with a history of systemic lupus was found at home unresponsive by family and brought to a local ED. At the ED she was hyperthermic to 106F and hypotensive then transferred to Vidant Medical Center fevers and septic shock. Of note she had recently been discharged from Duke […]
Abstract Number: 731
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 40-year-old Caucasian woman with history of surgically-repaired lumbar spinal stenosis presented with a progressive swollen and painful right foot over past few hours. The patient was concerned of a spider bite though did not see a spider. The dorsal aspect of the foot was erythematous, edematous, with a pinpoint area of necrosis […]