Posters
Academic Level (Author 1)
Medical Student
Discipline/Specialty (Author 1)
Internal Medicine
Discipline Track
Clinical Science
Abstract
Texas houses the largest uninsured population in the US with an estimated 5 million residents lacking healthcare. In the Rio Grande Valley, the combination of poverty, limited access to care, and lack of insurance poses a great barrier to healthcare management.
Patient is a 27-year-old female with a past medical history of Takayasu arteritis, migraine headaches, complete heart block with pacemaker placement, heart failure with reduced EF of 20%, and rheumatic heart disease s/p mitral valve replacement. Patient presented to the ED with a one-day history of a headache located on the right side of her head and face, described as pounding, and 7/10 in intensity with associated photosensitivity and nausea. She did not have a PCP, and did not receive regular care. Physical exam on admission revealed a difference in SBP of 20 mmHg between the right arm (117) and left arm (137). CT head revealed no acute findings. Further workup included a diagnostic cerebral angiogram which revealed stenosis of the left common carotid artery origin greater than 90%.
This patient's limited access to care due to immigration, financial and insurance status, demonstrates how social determinants of health can impact a disease like Takayasu arteritis. Lack of routine management resulted in unhalted disease progression with extensive stenosis of her carotid artery and inflammation of vasculature, further complicated by a subtherapeutic INR and multiple unmanaged comorbidities. This case highlights the importance of recognizing and addressing patient barriers to healthcare, thereby minimizing potential complications of disease.
Presentation Type
Poster
Recommended Citation
Singleterry, Rodolfo and Hay-Yahya, Khairiya, "Effects of Social Determinants of Health on Disease Burden in a case of Takayasu Arteritis" (2023). Research Colloquium. 5.
https://scholarworks.utrgv.edu/colloquium/presentation/poster/5
Included in
Effects of Social Determinants of Health on Disease Burden in a case of Takayasu Arteritis
Texas houses the largest uninsured population in the US with an estimated 5 million residents lacking healthcare. In the Rio Grande Valley, the combination of poverty, limited access to care, and lack of insurance poses a great barrier to healthcare management.
Patient is a 27-year-old female with a past medical history of Takayasu arteritis, migraine headaches, complete heart block with pacemaker placement, heart failure with reduced EF of 20%, and rheumatic heart disease s/p mitral valve replacement. Patient presented to the ED with a one-day history of a headache located on the right side of her head and face, described as pounding, and 7/10 in intensity with associated photosensitivity and nausea. She did not have a PCP, and did not receive regular care. Physical exam on admission revealed a difference in SBP of 20 mmHg between the right arm (117) and left arm (137). CT head revealed no acute findings. Further workup included a diagnostic cerebral angiogram which revealed stenosis of the left common carotid artery origin greater than 90%.
This patient's limited access to care due to immigration, financial and insurance status, demonstrates how social determinants of health can impact a disease like Takayasu arteritis. Lack of routine management resulted in unhalted disease progression with extensive stenosis of her carotid artery and inflammation of vasculature, further complicated by a subtherapeutic INR and multiple unmanaged comorbidities. This case highlights the importance of recognizing and addressing patient barriers to healthcare, thereby minimizing potential complications of disease.