Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons

Open Access. Powered by Scholars. Published by Universities.®

Articles 1 - 30 of 49

Full-Text Articles in Medicine and Health Sciences

Implications Of Covid-19 On A Rapidly Growing Thymoma Case, Neeraja Narayanan, Shoaleh Motamedi, Christian Lalonde, Mikko Tauriainen Oct 2023

Implications Of Covid-19 On A Rapidly Growing Thymoma Case, Neeraja Narayanan, Shoaleh Motamedi, Christian Lalonde, Mikko Tauriainen

HCA Healthcare Journal of Medicine

Introduction

Thymomas are a rare form of slow-growing malignancy that originate from thymic epithelial cells presenting as an anterior mediastinal mass. Although most are asymptomatic, they can have a variety of presentations, such as local thoracic symptoms, superior vena cava syndrome, or paraneoplastic syndromes. Local compressive thoracic symptoms include shortness of breath, chest pain, and cough. Superior vena cava syndrome presents with respiratory, vascular, or neurologic symptoms. Paraneoplastic syndromes, such as myasthenia gravis, are due to abnormal T-cell maturation leading to an increased risk of autoimmune conditions.

Case Presentation

We report a case of a 71-year-old White male with multiple …


How Did That Get There? A Case Series Of Adolescent Foreign Bodies, Justin Ian Hanson, Paul Bomar, Sarah Kleist, Denver Rogalla, Lori Crihfield, Scott Gutovitz Aug 2023

How Did That Get There? A Case Series Of Adolescent Foreign Bodies, Justin Ian Hanson, Paul Bomar, Sarah Kleist, Denver Rogalla, Lori Crihfield, Scott Gutovitz

HCA Healthcare Journal of Medicine

Introduction

Pediatric foreign bodies (FBs) come in many shapes and sizes, and the method by which they enter the body can greatly impact the level of acuity at presentation. Most FBs in children are found in those younger than 5 years old, but the following 3 cases were found in adolescent patients.

Case Presentation

We report on 3 adolescent patients who presented to a single community-based emergency department with the chief complaint of abdominal pain and were found to have complications of abdominal FBs. If undiagnosed, the initial indolent courses of FBs can lead to serious complications, as shown in …


Fascial Defect Closure During Ventral Hernia Repair: A Systematic Review Of Randomized Controlled Trials, Shin Jeong, Tunmi A. Anwoju, Oscar A. Olavarria, Natalia Cavagnaro, Naila H. Dhanani, Nicole B. Lyons, Zuhair Ali, Mike K. Liang Aug 2023

Fascial Defect Closure During Ventral Hernia Repair: A Systematic Review Of Randomized Controlled Trials, Shin Jeong, Tunmi A. Anwoju, Oscar A. Olavarria, Natalia Cavagnaro, Naila H. Dhanani, Nicole B. Lyons, Zuhair Ali, Mike K. Liang

HCA Healthcare Journal of Medicine

Background

During minimally invasive ventral hernia repair (VHR) it is unknown if a fascial defect closure, as opposed to a bridged repair (current care), is beneficial for patients. We sought to systematically review the published literature on the role of fascial defect closure during minimally invasive VHR.

Methods

PubMed, Embase, Scopus, Cochrane, and Clinicaltrials.gov were reviewed for randomized controlled trials (RCTs) that compared fascial defect closure with bridged repair. The primary outcome was major complications defined as deep/organ-space surgical site infections (SSIs), reoperations, hernia recurrences, or deaths. Secondary outcomes included SSI, seroma, eventration, hernia recurrence, post-operative pain, and quality of …


Accidental Extravasation Of Mitomycin C Into The Subcutaneous Tissue, Johnathon Chung, Brooke Walterscheid, Jose Lopez-Vera, Hytham Rashid, Mike K. Liang Apr 2023

Accidental Extravasation Of Mitomycin C Into The Subcutaneous Tissue, Johnathon Chung, Brooke Walterscheid, Jose Lopez-Vera, Hytham Rashid, Mike K. Liang

HCA Healthcare Journal of Medicine

Introduction

Mitomycin C (MMC) is a common chemotherapeutic agent used to treat a variety of solid tumors. Cutaneous adverse events are rare, but MMC is a known vesicant reported to cause tissue necrosis and sloughing, erythema, and ulceration if incorrectly infused into the subcutaneous tissue. Definitive treatment of extravasation injuries due to MMC depends on the severity of the cutaneous manifestation, which includes stopping the infusion, removing the catheter, or possible debridement.

Case Presentation

We present the case of a 70-year-old female with extensive soft-tissue injury secondary to extravasation of MMC that required hospital admission and surgical intervention to remove …


Low-Grade Adenosquamous Carcinoma Of The Breast In A Pregnant Patient: Case Report And Literature Review, David Bassa, Makenzie Morrissey, Adewuni Ojo, Adeel Raza Apr 2023

Low-Grade Adenosquamous Carcinoma Of The Breast In A Pregnant Patient: Case Report And Literature Review, David Bassa, Makenzie Morrissey, Adewuni Ojo, Adeel Raza

North Texas Research Forum 2023

Low-grade Adenosquamous Carcinoma of the Breast: Case Report and Literature Review Authors: David Bassa DO, MaKenzie Morrissey MD, Adewuni Ojo MD, Adeel Raza MD Abstract: Introduction: Low-grade adenosquamous carcinoma (LGASC) is a rare variant of metaplastic carcinomas of the breast. It is characterized by its clinical indolence and low-grade cytomorphology. Presentation is typically asymptomatic with indeterminate imaging characteristics with diagnosis dependent solely on histopathology findings. We herein describe a case of LGASC presenting in a young premenopausal female, an extremely rare occurrence. Case presentation: A 23-year-old woman presented to the breast clinic with a left breast ultrasound demonstrating a heterogeneous …


Non-Nec Pneumatosis And Pneumoperitoneum, Arham Aslam, Alexander Soutter Apr 2023

Non-Nec Pneumatosis And Pneumoperitoneum, Arham Aslam, Alexander Soutter

South Atlantic Division Research Day 2023

No abstract provided.


A Pilot Study Of A Low Cost Simulation To Teach And Assess Breast Cancer Communication And Procedural Skills, Kimberly Helseth, Alexandra Marcelli, Ena Novakovic, Natalie Laguttuta, Rachel Attebury, Darwin Ang, Joseph Love, Alene Wright, Scott Lind Apr 2023

A Pilot Study Of A Low Cost Simulation To Teach And Assess Breast Cancer Communication And Procedural Skills, Kimberly Helseth, Alexandra Marcelli, Ena Novakovic, Natalie Laguttuta, Rachel Attebury, Darwin Ang, Joseph Love, Alene Wright, Scott Lind

South Atlantic Division Research Day 2023

No abstract provided.


Hepatitis B Virus Screening In Asian Immigrants: Community-Based Campaign To Increase Screening And Linkage To Care, Aziza Win Apr 2023

Hepatitis B Virus Screening In Asian Immigrants: Community-Based Campaign To Increase Screening And Linkage To Care, Aziza Win

South Atlantic Division Research Day 2023

No abstract provided.


A Case Of Type 1 Cryoglobulinemia With Waldenstrom’S Macroglobulinemia/Lymphoplasmocytic Lymphoma And Dry Gangrene, Abhinav Rao, Diego Garrido, Fahim Syed, Kody Dhaliwal, Charles Holladay, Julia Saylors, Matthew Madden, Jason Clark Apr 2023

A Case Of Type 1 Cryoglobulinemia With Waldenstrom’S Macroglobulinemia/Lymphoplasmocytic Lymphoma And Dry Gangrene, Abhinav Rao, Diego Garrido, Fahim Syed, Kody Dhaliwal, Charles Holladay, Julia Saylors, Matthew Madden, Jason Clark

South Atlantic Division Research Day 2023

No abstract provided.


Cardiovascular Collapse And Nstemi Following Initiation Of Vancomycin Infusion, Brandon Cunningham, Kamran Khattak, Saptarshi Biswas Apr 2023

Cardiovascular Collapse And Nstemi Following Initiation Of Vancomycin Infusion, Brandon Cunningham, Kamran Khattak, Saptarshi Biswas

South Atlantic Division Research Day 2023

No abstract provided.


Juvenile-Type Granulosa Cell Tumor In Pregnancy Presenting As A Ruptured Abdominal Mass, Odinaka Mogor, Steven Feinstein, Glen Friedman, Jose Salvador Saldivar, Melissa Mendez Feb 2023

Juvenile-Type Granulosa Cell Tumor In Pregnancy Presenting As A Ruptured Abdominal Mass, Odinaka Mogor, Steven Feinstein, Glen Friedman, Jose Salvador Saldivar, Melissa Mendez

HCA Healthcare Journal of Medicine

Introduction

Granulosa cell tumors (GCTs) are part of the sex cord-stromal tumors occurring with a rare incidence rate that only makes up about 2-5% of all ovarian malignancies.

Case Presentation

A 28-year-old woman, gravida 2, para 1, presented with a juvenile-type granulosa cell tumor at 31 weeks gestation, which appeared as a rapidly growing mass with rupture. She underwent an exploratory laparotomy with unilateral salpingo-oophorectomy, and consequently had a successful vaginal delivery. Post-operatively she was treated with paclitaxel and carboplatin chemotherapy regimen with no evidence of recurrence after one year.

Conclusion

Radical surgical management is recommended for these tumors due …


Complications Of Cardiopulmonary Bypass From An Anesthesia Perspective: A Clinical Review, Alex Roberts, Elizabeth C. Duncan, Paul Hargrave, David Redding Kingery, Josh Barnes, Derek L. Horstemeyer, Russell F. Stahl Feb 2023

Complications Of Cardiopulmonary Bypass From An Anesthesia Perspective: A Clinical Review, Alex Roberts, Elizabeth C. Duncan, Paul Hargrave, David Redding Kingery, Josh Barnes, Derek L. Horstemeyer, Russell F. Stahl

HCA Healthcare Journal of Medicine

Cardiopulmonary bypass (CPB) is frequently used for open heart surgery and other procedures that utilize temporary substitution or support of heart and lung function. While it is widely accepted as the predominant method to carry out these procedures, it is not without possible complications. CPB can be seen as the ultimate “team sport” as it includes and is dependent on contributions from multiple professionals including anesthesiologists, cardiothoracic surgeons, and perfusion technicians. In this clinical review paper, we examine possible complications of CPB, primarily from the perspective of the anesthesiologist, and how to troubleshoot them if they arise, which often requires …


Complications Of Colonscopies: Splenic Injury Following Routine Screening For Colorectal Cancer, Elisabeth Barrar, Ainsley Freshour Jan 2023

Complications Of Colonscopies: Splenic Injury Following Routine Screening For Colorectal Cancer, Elisabeth Barrar, Ainsley Freshour

South Atlantic Division Research Day 2023

No abstract provided.


Expert Consensus For Key Components Of A High Quality Ventral Hernia Repair Operative Note, Shreena Patidar, Peter Yu, Jonathan S. Lall, Said Maldonado, Nicole B. Lyons, Zuhair Ali, Mike Liang Jan 2023

Expert Consensus For Key Components Of A High Quality Ventral Hernia Repair Operative Note, Shreena Patidar, Peter Yu, Jonathan S. Lall, Said Maldonado, Nicole B. Lyons, Zuhair Ali, Mike Liang

Gulf Coast Division Research Day 2023

No abstract provided.


Operative Management Of Grade V Liver Injury After Blunt Trauma: A Case Report, Laura Mena Albors, Garret Perry, Samantha Reiss, Darwin Ang Jan 2023

Operative Management Of Grade V Liver Injury After Blunt Trauma: A Case Report, Laura Mena Albors, Garret Perry, Samantha Reiss, Darwin Ang

North Florida Division Research Day 2023

No abstract provided.


Treatment And Mortality Of Myocardial Injury After Noncardiac Surgery, Hany Youssef, Rahul Mhaskar, Kelsi Thompson, Jose Nicolas Codolosa Jan 2023

Treatment And Mortality Of Myocardial Injury After Noncardiac Surgery, Hany Youssef, Rahul Mhaskar, Kelsi Thompson, Jose Nicolas Codolosa

West Florida Division Research Day 2023

No abstract provided.


Persistent Left Side Superior Vena Cava, Kevin Palmer, Ryan Meyer, Tamir Bresler, Hunter King, Marissa Defreese Jan 2023

Persistent Left Side Superior Vena Cava, Kevin Palmer, Ryan Meyer, Tamir Bresler, Hunter King, Marissa Defreese

Far West Division Research Day 2023

No abstract provided.


Pelvic Organ Prolapse: Are Two Mesh Procedures Better Than One?, Melissa Gott, Austin Brown, Abby Crume, J Melvin, Michelle Murday Jan 2023

Pelvic Organ Prolapse: Are Two Mesh Procedures Better Than One?, Melissa Gott, Austin Brown, Abby Crume, J Melvin, Michelle Murday

Continental, MidAmerica, & Mountain Divisions Research Day 2023

No abstract provided.


Is Night Time The Right Time For Hernia Surgery And Dictations, Ali Siddiqui, Nicole B. Lyons, Said Maldonado, Jonathan Lall, Brianna L. Cohen Jan 2023

Is Night Time The Right Time For Hernia Surgery And Dictations, Ali Siddiqui, Nicole B. Lyons, Said Maldonado, Jonathan Lall, Brianna L. Cohen

Gulf Coast Division Research Day 2023

No abstract provided.


Natural History Of Occult Hernias In Adults At A Safety-Net Hospital, Duyen Quach, Kayla Nguyen, Nicole Lyons, Oscar Olavarria, Karla Bernardi Jan 2023

Natural History Of Occult Hernias In Adults At A Safety-Net Hospital, Duyen Quach, Kayla Nguyen, Nicole Lyons, Oscar Olavarria, Karla Bernardi

Gulf Coast Division Research Day 2023

No abstract provided.


Assessment Of Patient And Surgeon Perception On Prophylactic Mesh: A Standard Gamble, Kayla Nguyen, Duyen Quach, Niharika Neela, Nicole Lyons, Oscar Olavarria Jan 2023

Assessment Of Patient And Surgeon Perception On Prophylactic Mesh: A Standard Gamble, Kayla Nguyen, Duyen Quach, Niharika Neela, Nicole Lyons, Oscar Olavarria

Gulf Coast Division Research Day 2023

No abstract provided.


The Role Of Preoperative Magnetic Resonance Cholangiopancreatography/Endoscopic Retrograde Cholangiopancreatography In The Setting Of Mildly Elevated Liver Enzymes Prior To Cholecystectomy, Rachel Groening, Salah Abdel Jalil, Jeffery Durbin, Rahul Kashyap, Aaron D. Pinnola Jan 2023

The Role Of Preoperative Magnetic Resonance Cholangiopancreatography/Endoscopic Retrograde Cholangiopancreatography In The Setting Of Mildly Elevated Liver Enzymes Prior To Cholecystectomy, Rachel Groening, Salah Abdel Jalil, Jeffery Durbin, Rahul Kashyap, Aaron D. Pinnola

South Atlantic Division Research Day 2023

No abstract provided.


Congenital Mesenteric Defect Results In Internal Hernia In An Adult With Obstructed Small Bowel, Tameem Jamal, Adina Mcnair, Saptarshi Biswas Jan 2023

Congenital Mesenteric Defect Results In Internal Hernia In An Adult With Obstructed Small Bowel, Tameem Jamal, Adina Mcnair, Saptarshi Biswas

South Atlantic Division Research Day 2023

No abstract provided.


Perforated Congenital Sigmoid Diverticula Of A Pediatric Patient, Tamir Bresler, Ryan Meyer, Kevin Palmer, Philip Frykman Jan 2023

Perforated Congenital Sigmoid Diverticula Of A Pediatric Patient, Tamir Bresler, Ryan Meyer, Kevin Palmer, Philip Frykman

Far West Division Research Day 2023

No abstract provided.


Impact Of The Implementation Of A Comprehensive Pancreatic Program On The Timing For Endoscopic Pancreatic Biopsy, Laura Mena Albors, Valerie Vazquez, Alexis Perry, Huazhi Liu, Darwin Ang, Yaseen Perbtani, Francisco I. Macedo Jan 2023

Impact Of The Implementation Of A Comprehensive Pancreatic Program On The Timing For Endoscopic Pancreatic Biopsy, Laura Mena Albors, Valerie Vazquez, Alexis Perry, Huazhi Liu, Darwin Ang, Yaseen Perbtani, Francisco I. Macedo

North Florida Division Research Day 2023

No abstract provided.


Appendicitis Mimicry Of A Rare Case Of Early Diagnosed Dolichocolon, A Case Report, Kayla Brown, Mercedes Jolley, Dean Kocay Jan 2023

Appendicitis Mimicry Of A Rare Case Of Early Diagnosed Dolichocolon, A Case Report, Kayla Brown, Mercedes Jolley, Dean Kocay

Central & West Texas Research Day 2023

No abstract provided.


Which Patients Are More Likely To Require Postoperative Inpatient Rehabilitation After Operative Intervention Of Traumatic Hip Fractures?, Daniel Lynch, Andrew Romero, Peter Zeblisky, Kyle Mahoney, Huazhi Liu, Darwin Ang Jan 2023

Which Patients Are More Likely To Require Postoperative Inpatient Rehabilitation After Operative Intervention Of Traumatic Hip Fractures?, Daniel Lynch, Andrew Romero, Peter Zeblisky, Kyle Mahoney, Huazhi Liu, Darwin Ang

North Florida Division Research Day 2023

No abstract provided.


Intestinal Tuberculosis Presenting As Small Bowel Obstruction, Duyen Quach, Jordan Torres, Kayla Nguyen, Kevin Garnepudi, Wenjing Fang, Mike Liang Jan 2023

Intestinal Tuberculosis Presenting As Small Bowel Obstruction, Duyen Quach, Jordan Torres, Kayla Nguyen, Kevin Garnepudi, Wenjing Fang, Mike Liang

Gulf Coast Division Research Day 2023

No abstract provided.


Perioperative Anesthesia Optimization Can Be Life Saving In Mitochondrial Disease: A Case Report, Christian Schroeder, Ethan Mosley, Austin Mccrea, Saptarshi Biswas Jan 2023

Perioperative Anesthesia Optimization Can Be Life Saving In Mitochondrial Disease: A Case Report, Christian Schroeder, Ethan Mosley, Austin Mccrea, Saptarshi Biswas

South Atlantic Division Research Day 2023

No abstract provided.


Kaposi Sacroma In A 27 Year Old Man: A Case Report, Duyen Quach, Kayla Nguyen, Andrew Youssef, Diego Arellano, Jorge Leiva Jan 2023

Kaposi Sacroma In A 27 Year Old Man: A Case Report, Duyen Quach, Kayla Nguyen, Andrew Youssef, Diego Arellano, Jorge Leiva

Gulf Coast Division Research Day 2023

No abstract provided.