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Meeting
Search Results for shock
Abstract Number: 736
SHM Converge 2024
Case Presentation: The case represents a 74-year-old female who presented to the emergency room with constitution of symptoms including headache, fatigue, Upper extremity/Neck pain and worsening of “skin rash”. For the past 10 years, the patient had suffered from Compulsive Skin picking disorder, necessitating multiple visits to PCP and Dermatologist with recurrent courses of antibiotics […]
Abstract Number: 740
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 58-year-old man presented with two days of confusion, tremors and seizures. Past medical history included schizophrenia, epilepsy, HCV infection and right hemiparesis due to ischemic strokes. He initiated dasabuvir, ombitasvir, paritaprevir and ritonavir (Viekira Pak) three days earlier. His epilepsy had been well controlled on lamotrigine for years. Review of systems was […]
Abstract Number: 765
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: We present a 20 year old gentleman in acute hypoxic and hypercapnic respiratory failure and cariogenic shock secondary to hemodynamically unstable hemoptysis requiring mechanical ventilation and vasopressor support with norepinephrine and vasopressin. He had history of pulmonary atresia with intact interventricular septum at birth post right ventricular outflow repair and 1.5 ventricular repair […]
Abstract Number: 785
SHM Converge 2021
Case Presentation: Sepsis is a primary cause of death in nearly 23.5% of chronic heart failure patients. The relationship between acute cholecystitis and cardiovascular disease is vague but there have been few studies suggesting cholecystocardiac link. Here we describe a similar case that presented as pulmonary edema and myocardial ischemia.81-year-old male with past medical history […]
Abstract Number: 787
SHM Converge 2023
Case Presentation: A 60-year-old female with poorly controlled type 2 diabetes mellitus (A1c 11.8%) on insulin and previous stress cardiomyopathy during an episode of DKA with subsequently recovered systolic function presented with chest pain, nausea and vomiting following four days of cough and sore throat. On arrival, laboratory findings included: glucose 634 mg/dL, beta hydroxybutyrate […]
Abstract Number: 796
Hospital Medicine 2020, Virtual Competition
Case Presentation: Patient is a 29 year old female with no significant past medical history who presented to our hospital with an unintentional 60 pound weight loss over 3 months and 4 days of palpitations, shortness of breath, leg swelling, and orthopnea. Physical exam revealed 4+ pitting edema, tachycardia (130 beats/minutes) and jugular venous distention […]
Abstract Number: 801
SHM Converge 2023
Case Presentation: A 65-year-old male presents to hospital with a 1-day history of confusion and fever. Past medical history is significant for heart failure requiring AICD, chronic kidney disease, type-2 diabetes mellitus, May-Thurner syndrome, and recent admission three weeks prior due to sepsis from streptococcus bacteremia requiring hemodialysis, with dialysis catheter removed before initial discharge. […]
Abstract Number: 815
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 37 year old woman with past medical history of septic shock secondary to urinary tract infection (UTI), systemic lupus erythematosus treated with oral prednisone 10 mg/day, functional quadriplegia due to transverse myelitis, chronic sacral decubitus ulcers, chronic indwelling urinary catheter, morbid obesity, hypertension, and diabetes mellitus type 2 presented to the emergency […]
Abstract Number: 845
SHM Converge 2023
Case Presentation: This is a case of a 58-year-old male with history of urethral stricture s/p dilation who presented with progressive dyspnea, nonproductive cough and fever. Chest x-ray revealed bilateral diffuse opacification concerning for pneumonia, CTA showed no PE. The patient was initiated on levofloxacin for Pneumonia, heparin infusion for NSTEMI and was admitted to […]
Abstract Number: 929
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 45-years-old African American male with a past medical history of seizure disorder, chronic alcohol abuse, and cervical spine injury, presented to hospital after a witnessed tonic-clonic seizure episode that resolved spontaneously. Initial evaluation revealed hypotension (90/57mmHg), tachycardia (145), tachypnea (36), temperature of 39.1 degrees celsius, leukocytosis (24.2×10^3/microliter) with bandemia, and lactate of […]