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Meeting
Search Results for syncope
Abstract Number: 355
SHM Converge 2021
Case Presentation: A 47-year-old female with no significant medical history, however, a strong family history of venous thromboembolism presented to the hospital after a witnessed episode of syncope. On presentation she was hemodynamically stable, saturating well on room air and in no active distress. Initial workup revealed elevation of troponin, BNP, and d-dimer. Electrocardiogram showed […]
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: 438
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 24 year old male presented for cardiology evaluation after a syncopal episode. At the time of the event, he experienced dizziness and was witnessed to fall and hit his head. Neurological assessment was unremarkable. Echocardiogram showed normal cardiac architecture and function. During cardiology follow up, past history was thoroughly examined. The patient […]
Abstract Number: 446
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Syncope is a common presentation encountered by hospitals worldwide. While well-established guidelines exist, there is significant variation in practice regarding the investigation and management of these patients. Practitioners tend to over-investigate, which may lead to unnecessary hospitalizations, length of stay and cost. In this study, we analyzed the utilization of healthcare resources for patients […]
Abstract Number: 451
SHM Converge 2021
Case Presentation: A 57 year-old female with a history of COPD and CKD presented with recurrent syncope. The patient reported a two year history of recurrent syncopal events and progressive worsening of orthostatic intolerance with inability to ambulate independently. She denied any gastrointestinal or urinary symptoms as well as changes in her sweating patterns. Blood […]
Abstract Number: 475
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 56-year old woman with history of ESRD on hemodialysis presented with loss of consciousness. She had an AV fistula placed in her left forearm 5 days prior to presentation. She started feeling discomfort and swelling of the left side of her neck during a transcontinental flight, associated with severe lightheadedness. She continued […]
Abstract Number: 536
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: Syncope has many varied etiologies, ranging from cardiogenic to neurologic phenomena. We present a case of a gastrointestinal (GI) tumor causing anemia and subsequent syncope in a patient with no clinical evidence of GI bleeding. A 79-year-old Filipino female with sick sinus syndrome status-post pacemaker placement, atrial fibrillation on anticoagulation, history of a stroke with […]
Abstract Number: 553
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 23 year-old man with no prior medical history presented with witnessed syncope. Patient was playing basketball when he suddenly collapsed, initially unresponsive, regaining consciousness after minutes. No seizure activity was observed. VS were BP 116/71, HR 55, RR 16, O2sat 100% RA. ECG showed sinus bradycardia with right axis deviation. Physical exam […]
Abstract Number: 578
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Patient is a 53 year old African American male with past medical history of hypertension who presented with syncope. He had this episode a total of 3 times, most recently 1 month prior and initial episode 1 year prior. He had resolution of symptoms both times and diagnostic workup did not reveal any […]
Abstract Number: 613
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: Our patient is a 24-year-old male with a family history of Antithrombin III (ATIII) deficiency and cerebral aneurysm. He was transferred to our hospital for management of syncope in the setting of a pulmonary embolism (PE). While at work as a landscaper, he felt lightheaded and diaphoretic. The following day, he syncopized, had bladder […]