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Medicine and Health Sciences Commons

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2020

Lehigh Valley Health Network

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Articles 1 - 30 of 278

Full-Text Articles in Medicine and Health Sciences

Spontaneous Tumor Lysis Syndrome In An Adenocarcinoma Of Unknown Origin., Joshua A. Kalter Ms3, Jamie Allen Do, Yuchen Yang Do, Tyler Willing Do, Elizabeth M. Evans Do Dec 2020

Spontaneous Tumor Lysis Syndrome In An Adenocarcinoma Of Unknown Origin., Joshua A. Kalter Ms3, Jamie Allen Do, Yuchen Yang Do, Tyler Willing Do, Elizabeth M. Evans Do

Department of Emergency Medicine

Spontaneous tumor lysis syndrome (STLS) is a rare oncologic emergency caused by massive cancer cell lysis or necrosis without a precipitating factor. Although tumor lysis syndrome (TLS) is most commonly associated with hematologic malignancies, a small number of cases in solid tumor malignancies have been reported. We present a case of spontaneous tumor lysis syndrome in a 77-year-old female with a widely metastatic, poorly differentiated adenocarcinoma of unknown origin. She presented in distributive shock, and laboratory testing at admission revealed acute renal failure, high anion gap metabolic acidosis, hyperuricemia, hyperkalemia, hyperphosphatemia, and hypocalcemia. Rasburicase and continuous renal replacement therapy were …


Evaluation Of Restricted Medications Administered Within The Inpatient Setting, Alexis Nicholson Pharmd, Janine Barnaby Rph, Bcop, Arun Mancheril Pharmd, Bcps, Kristin M. Held Wheatley Pharmd, Bcop Dec 2020

Evaluation Of Restricted Medications Administered Within The Inpatient Setting, Alexis Nicholson Pharmd, Janine Barnaby Rph, Bcop, Arun Mancheril Pharmd, Bcps, Kristin M. Held Wheatley Pharmd, Bcop

Department of Pharmacy

No abstract provided.


Evaluation Of Enoxaparin Hybrid Dosing For Vte Prophylaxis In Covid-19 Positive Patients, Alex Walter Pharmd, Joseph Ottinger Rph, Ms, Mba, Bcps Dec 2020

Evaluation Of Enoxaparin Hybrid Dosing For Vte Prophylaxis In Covid-19 Positive Patients, Alex Walter Pharmd, Joseph Ottinger Rph, Ms, Mba, Bcps

Department of Pharmacy

No abstract provided.


A 10-Year-Old With Frequent, Disruptive, And Unexplained Night Awakenings, Sameh S. Morkous Md, Faan Dec 2020

A 10-Year-Old With Frequent, Disruptive, And Unexplained Night Awakenings, Sameh S. Morkous Md, Faan

Department of Pediatrics

A 10-year-old female presented to the sleep clinic for a second opinion about her epilepsy diagnosis. She had been treated with antiepileptic medication but her events persisted. The child would wake up several times every night speaking nonsense words, appear confused to her family, and then go back to sleep. A video of the polysomnography (PSG) showed the patient having two of her typical events. The patient was eventually diagnosed with confusional arousal (CoA) secondary to obstructive sleep apnea (OSA). The nocturnal events resolved after her OSA was treated. This case highlights an atypical clinical presentation for a type of …


Rare Presentation Of A Rare Disease: Signet-Ring Cell Gastric Adenocarcinoma In Rothmund-Thomson Syndrome., Zeeshan Ali Md, Pritika S Manaktala, Saro Sarkisian Md, Muhammad A. Rizvi Md Dec 2020

Rare Presentation Of A Rare Disease: Signet-Ring Cell Gastric Adenocarcinoma In Rothmund-Thomson Syndrome., Zeeshan Ali Md, Pritika S Manaktala, Saro Sarkisian Md, Muhammad A. Rizvi Md

Hematology-Medical Oncology Division

Rothmund-Thomson syndrome (RTS) is an exceedingly infrequent genetic disorder characterized by a multitude of skin findings collectively known as poikiloderma. In normal cells, the RECQL4 gene is involved in DNA replication and repair. RTS is caused by a mutation in the RECQL4 gene, which results in increased predilection to develop various malignancies. Osteosarcomas and skin cancers are typically associated with this syndrome. We present a rare case of signet-ring cell gastric adenocarcinoma in a patient with RTS.


Accuracy Of Psychiatrists' Assessment Of Medication Adherence In An Outpatient Setting., Katherine B. Martin Md Dec 2020

Accuracy Of Psychiatrists' Assessment Of Medication Adherence In An Outpatient Setting., Katherine B. Martin Md

Department of Psychiatry

BACKGROUND: Many patients have uncontrolled psychiatric symptoms because they are not taking their medication as prescribed. Psychiatrists may have difficulty accurately assessing medication adherence, which is important because it helps guide them in how they prescribe. If nonadherence is the cause of uncontrolled symptoms, then strategies to improve adherence are advised. However, if nonadherence is not the cause, then the usual course of action would be to intensify or modify the medication regimen. Knowing whether nonadherence is a factor at the time of an appointment could help guide clinical decision making in real-time.

METHODS: A cohort of established patients in …


Using Frap Mixed Methodology To Identify Multi-Level Policy Levers That Could Improve Cervical Cancer Disparities In Us Hispanic Women, Autumn Kieber-Emmons Md, Mph, William L. Miller Md, Ma, Benjamin F. Crabtree Phd Nov 2020

Using Frap Mixed Methodology To Identify Multi-Level Policy Levers That Could Improve Cervical Cancer Disparities In Us Hispanic Women, Autumn Kieber-Emmons Md, Mph, William L. Miller Md, Ma, Benjamin F. Crabtree Phd

Department of Family Medicine

No abstract provided.


Arterial Line Education For Rhcm Nurses, Sarah Kerestes Bsn, Rn, Megan Wiest Bsn, Rn Nov 2020

Arterial Line Education For Rhcm Nurses, Sarah Kerestes Bsn, Rn, Megan Wiest Bsn, Rn

Patient Care Services / Nursing

No abstract provided.


Effects Of A More Extensive Education On External Pacemakers With Rns In Both The Ohu And Tohu, Allison Emick Bsn, Rn, Chelsea Lombardi Bsn, Rn, Jackie Nguyen Bsn, Rn Nov 2020

Effects Of A More Extensive Education On External Pacemakers With Rns In Both The Ohu And Tohu, Allison Emick Bsn, Rn, Chelsea Lombardi Bsn, Rn, Jackie Nguyen Bsn, Rn

Patient Care Services / Nursing

No abstract provided.


Utilizing A Combination Of Pharmacological And Non-Pharmacological Pain Management Methods In Burn Patients, Victoria Bouchard Bsn, Rn, Mabinty Kamara Rn Nov 2020

Utilizing A Combination Of Pharmacological And Non-Pharmacological Pain Management Methods In Burn Patients, Victoria Bouchard Bsn, Rn, Mabinty Kamara Rn

Patient Care Services / Nursing

No abstract provided.


Rn Competency Of Various Pain Scales In The Ed, Abigail Barnaby Bsn, Rn, Matthew Boccella Bsn, Rn, Sarah Davenport Bsn, Rn, Danielle Martin Bsn, Rn, Madelynn Myers Bsn, Rn Nov 2020

Rn Competency Of Various Pain Scales In The Ed, Abigail Barnaby Bsn, Rn, Matthew Boccella Bsn, Rn, Sarah Davenport Bsn, Rn, Danielle Martin Bsn, Rn, Madelynn Myers Bsn, Rn

Patient Care Services / Nursing

No abstract provided.


Focused Assessment Charting For Adult Chf Patients, Lilia Garbovsky Bsn, Rn, Katherine Glick Bsn, Rn, Christopher Grivas Bsn, Rn Nov 2020

Focused Assessment Charting For Adult Chf Patients, Lilia Garbovsky Bsn, Rn, Katherine Glick Bsn, Rn, Christopher Grivas Bsn, Rn

Patient Care Services / Nursing

No abstract provided.


Recycling On Inpatient Units, Courtney Fabel Rn, Laura Gonzales Rn, Christelle Reglas Rn Nov 2020

Recycling On Inpatient Units, Courtney Fabel Rn, Laura Gonzales Rn, Christelle Reglas Rn

Patient Care Services / Nursing

No abstract provided.


Safe Heparin Administration, James Swan Bsn, Rn, Delaney Haggerty Bsn, Rn, Anita Laubach Bsn, Rn, Cassandra Voegtlin Bsn, Rn Nov 2020

Safe Heparin Administration, James Swan Bsn, Rn, Delaney Haggerty Bsn, Rn, Anita Laubach Bsn, Rn, Cassandra Voegtlin Bsn, Rn

Patient Care Services / Nursing

No abstract provided.


Chest Physiotherapy Via The Progressa Bed, Courtney Hatton Bsn, Rn, Emily Graveno Bsn, Rn, Cianael M. Paasewe Bsn, Rn, Gabrielle Schoolcraft Bsn, Rn, Caleb Shenkman Adn, Rn Nov 2020

Chest Physiotherapy Via The Progressa Bed, Courtney Hatton Bsn, Rn, Emily Graveno Bsn, Rn, Cianael M. Paasewe Bsn, Rn, Gabrielle Schoolcraft Bsn, Rn, Caleb Shenkman Adn, Rn

Patient Care Services / Nursing

No abstract provided.


Effects Of Long Acting Injectables (Lai) On Readmission Rates In Adult Inpatient Psychiatric Units, Leah Bucher Rn, Margret Schaeffer Bsn, Rn, Meghan Sep Rn Nov 2020

Effects Of Long Acting Injectables (Lai) On Readmission Rates In Adult Inpatient Psychiatric Units, Leah Bucher Rn, Margret Schaeffer Bsn, Rn, Meghan Sep Rn

Patient Care Services / Nursing

No abstract provided.


Improving Education On Patient Belonging Documentation In The Emergency Department, Brent Pointer Rn, Hayley Robbins Rn, Kristie Smerdon Rn, Maxwell Kuklinski Rn, Zoe Neuman Rn Nov 2020

Improving Education On Patient Belonging Documentation In The Emergency Department, Brent Pointer Rn, Hayley Robbins Rn, Kristie Smerdon Rn, Maxwell Kuklinski Rn, Zoe Neuman Rn

Patient Care Services / Nursing

No abstract provided.


Increasing Handwashing Compliance In Oriented, Inpatient Adults, Daritza Cabrera Estevez Bsn, Rn, Rebecca Hartman Bsn, Rn, Celine Mahadeo Bsn, Rn, Stephen Schmitz Bsn, Rn Nov 2020

Increasing Handwashing Compliance In Oriented, Inpatient Adults, Daritza Cabrera Estevez Bsn, Rn, Rebecca Hartman Bsn, Rn, Celine Mahadeo Bsn, Rn, Stephen Schmitz Bsn, Rn

Patient Care Services / Nursing

No abstract provided.


Improving Documentation Of Intake And Output, Matthew Couch Rn, Phrn, Eric Woods Bsn, Rn Nov 2020

Improving Documentation Of Intake And Output, Matthew Couch Rn, Phrn, Eric Woods Bsn, Rn

Patient Care Services / Nursing

No abstract provided.


To Chart Or Not To Chart: Nursing Time Management And The Use Of Focused Assessment Charting, Luis Pagan-Anderson Rn, Emily Robbins Bsn, Rn Nov 2020

To Chart Or Not To Chart: Nursing Time Management And The Use Of Focused Assessment Charting, Luis Pagan-Anderson Rn, Emily Robbins Bsn, Rn

Patient Care Services / Nursing

No abstract provided.


Reflecting On The First Year Of A New Psychiatric Econsult Service, Katherine B. Martin Md, Edward R. Norris Md, Fapa, Fapm, Rory L. Marraccini Md, Shanthi P. Lewis Md, Cecilia E. Zemanek Bs Nov 2020

Reflecting On The First Year Of A New Psychiatric Econsult Service, Katherine B. Martin Md, Edward R. Norris Md, Fapa, Fapm, Rory L. Marraccini Md, Shanthi P. Lewis Md, Cecilia E. Zemanek Bs

Department of Psychiatry

No abstract provided.


Assessing The Need For In-Person Evaluations Following Psychiatric E-Consults, Cecilia E. Zemanek Bs, Katherine B. Martin Md Nov 2020

Assessing The Need For In-Person Evaluations Following Psychiatric E-Consults, Cecilia E. Zemanek Bs, Katherine B. Martin Md

USF-LVHN SELECT

No abstract provided.


The Great Masquerader: Lyme Disease Mimicking Radiculopathy, Patrick Davis Bs, Jeffrey Radecki Md Nov 2020

The Great Masquerader: Lyme Disease Mimicking Radiculopathy, Patrick Davis Bs, Jeffrey Radecki Md

Department of Medicine

No abstract provided.


The Role Of The Oncology Nurse Navigator In Establishing An Epic Workflow For Virtual Multidisciplinary Clinics During Covid Restrictions., Laura Beaupre Bsn, Ocn, Cbpn-Ic, Kathy Sevedge Rn, Ma, Aocn, Angela Miller Rn, Bsn, Ocn, Med, Alyssa Pauls Rn, Bsn, Ocn, Jane Zubia Rn, Ocn, Cbpn I-C, Raizalie Roman-Rosado Bsn, Ocn, Cmsrn, Martiza Y. Chicas Rn, Bsn, Ocn, Cynthia Smith Rn,Bsn, Ocn, Ma, Tracy L. Walczer Rn, Bsn, Ocn, Jeanne Kenna Rn, Ocn, Paul Torresson, Eileen Steirer Nov 2020

The Role Of The Oncology Nurse Navigator In Establishing An Epic Workflow For Virtual Multidisciplinary Clinics During Covid Restrictions., Laura Beaupre Bsn, Ocn, Cbpn-Ic, Kathy Sevedge Rn, Ma, Aocn, Angela Miller Rn, Bsn, Ocn, Med, Alyssa Pauls Rn, Bsn, Ocn, Jane Zubia Rn, Ocn, Cbpn I-C, Raizalie Roman-Rosado Bsn, Ocn, Cmsrn, Martiza Y. Chicas Rn, Bsn, Ocn, Cynthia Smith Rn,Bsn, Ocn, Ma, Tracy L. Walczer Rn, Bsn, Ocn, Jeanne Kenna Rn, Ocn, Paul Torresson, Eileen Steirer

Patient Care Services / Nursing

No abstract provided.


Ventricular Septal Aneurysm Mimicking Right Ventricular Outflow Tract Mass In A Patient With Ventricular Septal Defect., Nikhil A. Mehta Md, Syed Rafay Ali Sabzwari, Sara Godil Md, Ghulam Akbar Md, Raman Dusaj Md, Neeraj Shah Nov 2020

Ventricular Septal Aneurysm Mimicking Right Ventricular Outflow Tract Mass In A Patient With Ventricular Septal Defect., Nikhil A. Mehta Md, Syed Rafay Ali Sabzwari, Sara Godil Md, Ghulam Akbar Md, Raman Dusaj Md, Neeraj Shah

Cardiology Division

A 50-year-old man presented with an episode of chest pain. Cardiac magnetic resonance revealed the presence of a large ventricular septal aneurysm partially closing a perimembranous ventricular septal defect, prolapsing into the right ventricular outflow tract, and mimicking a mass. We illustrate the diagnostic approach and management of such ventricular septal aneurysms. (


Disseminated Lyme Disease: Atypical Rash Without Initial Erythema Migrans, Yasin Kanakrieh Do, Nina Liu, Wen Zhang Do Oct 2020

Disseminated Lyme Disease: Atypical Rash Without Initial Erythema Migrans, Yasin Kanakrieh Do, Nina Liu, Wen Zhang Do

Department of Medicine

No abstract provided.


A Case Of Acute Abdomen Due To Neisseria Gonorrhea, Henry Lam Do, Michal Kloska Md, Travis Magdaleno Md, Anam Malik Md, Reema M. Vaze Md, Arjan Ahluwalia Md, Patrick Hickey Do Oct 2020

A Case Of Acute Abdomen Due To Neisseria Gonorrhea, Henry Lam Do, Michal Kloska Md, Travis Magdaleno Md, Anam Malik Md, Reema M. Vaze Md, Arjan Ahluwalia Md, Patrick Hickey Do

Department of Medicine

No abstract provided.


Isolated Hepatic Sarcoidosis Presenting As Non-Cirrhotic Portal Hypertension, Henry Lam Do, Michal Kloska Md, Reema M. Vaze Md, Arjan Ahluwalia Md, She-Yan Wong Md Oct 2020

Isolated Hepatic Sarcoidosis Presenting As Non-Cirrhotic Portal Hypertension, Henry Lam Do, Michal Kloska Md, Reema M. Vaze Md, Arjan Ahluwalia Md, She-Yan Wong Md

Department of Medicine

No abstract provided.


Fibroblast Growth Factor Receptor 3 Amplified Metastatic Melanoma Treated With Erdafitinib., Saro Sarkisian, Alyson Mcintosh Md, Suresh G. Nair Md, Alexander N Shoushtari, Margaret Callahan Oct 2020

Fibroblast Growth Factor Receptor 3 Amplified Metastatic Melanoma Treated With Erdafitinib., Saro Sarkisian, Alyson Mcintosh Md, Suresh G. Nair Md, Alexander N Shoushtari, Margaret Callahan

Hematology-Medical Oncology Division

The treatment of metastatic melanoma has changed dramatically in the last decade with the introduction of immunotherapy and targeted therapy. A futile disease in the past is now treated with various options, resulting in improvement in progression-free and overall survivals, along with improvement in the quality of life. Having said that, the majority of patients with metastatic melanoma eventually succumb to the disease. Molecular profiling of each tumor in the advanced stage is standard of care now, as this would lead to individualized treatment options for each patient. Here, we present a rare case of fibroblast growth factor receptor 3 …


Thrombotic Thrombocytopenic Purpura Induced By Immune Checkpoint Inhibitiors: A Case Report And Review Of The Literature., Zeeshan Ali Md, Muhammad Usman Zafar, Zachary Wolfe, Faisal Akbar, Bradley Lash Oct 2020

Thrombotic Thrombocytopenic Purpura Induced By Immune Checkpoint Inhibitiors: A Case Report And Review Of The Literature., Zeeshan Ali Md, Muhammad Usman Zafar, Zachary Wolfe, Faisal Akbar, Bradley Lash

Hematology-Medical Oncology Division

In recent years, the role of immune checkpoint inhibitors (ICI) in cancer treatment has rapidly expanded. In randomized clinical trials, these agents have demonstrated clinical efficacy in extending survival and increasing response rates. Immune-related adverse effects (irAEs) involving various organs have been frequently narrated. Herein, we present a case report of thrombotic thrombocytopenic purpura (TTP) as a rare side effect of nivolumab, plus ipilimumab, in the treatment of metastatic renal cell carcinoma (RCC). A review of the literature for other case reports of TTP during treatment with ICIs was also performed. Our aim is to elucidate the significance of early …