Family Medicine Commons^™

Micronutrient Deficiencies In Beaumont Integrative Medicine Fatigue Patients, Jessica Dorschner, Maureen Anderson

Posters

Fatigue is a common patient concern at primary care visits and can persist after addressing etiologies such as anemia, infection, malignancy, depression and cardiopulmonary disorders. Micronutrient deficiencies have also been investigated in fatigue patients, particularly individual vitamins such as C, D, B12, E and the mineral zinc. Fewer studies have investigated broad panels of micronutrients in fatigue patients. The Beaumont Integrative Medicine Clinic evaluates many patients with fatigue and assesses micronutrient levels using SpectraCell testing which measures 31 vitamin, mineral and metabolite levels concurrently.

Obstetric Outcomes Assessment For New Mainers, Brendan Prast, Christina T. Holt, Amy Haskins, Debra Rothenberg

Costas T. Lambrew Research Retreat 2023

Introduction

• 13% of Portland’s population in 2019 was recent immigrants

• Numbers have increased, with >350 asylum-seeking families (1500 individuals) in 2022 in Portland alone

• Maine Medical Center (MMC) provides obstetrical care for more newly arrived, non-English speaking patients

• Total deliveries in 2020, 2021 (6192) broke records at MMC

• New Mainers at Increased risk for health disparities due to: language barriers, low socioeconomic status and stressors from a history of trauma

Does Brief Intervention In The Form Of A Lecture Improve Resident Knowledge About Hep C Screening?, Mary Dacosta, Evelyn Chicas, Kiana Clem, Shelby Collymore

North Texas Research Forum 2023

The prevalence for hepatitis C during 2013-2016 was about ~2.4 million. Screening helps to prevent chronic hepatitis C or start early curative treatment. USPSTF recently changed their guidelines in 2021 for Hepatitis C screening to now include all asymptomatic patients from ages from 18-79 years old without liver disease. Screening usually includes the Hepatitis C Antibody test. Further testing includes Hepatitis C mRNA PCR if screening test is positive. High risk patients should have periodic screening. Since the change, this project was done to ensure the appropriate screening and testing thereafter was done, as well as appropriate communication and documentation. …

Outpatient Breast Cancer Screening Documentation, Christoffer A. Amdahl, Jeremy Smith

North Texas Research Forum 2023

Introduction: Over 264,000 cases of breast cancer are diagnosed annually within the United States, with 99% of them being in women. Regarding prevention of this terrible disease, early detection of such cancers through screening mammography has up to a 20% reduction in breast cancer mortality. Therefore, the USPSTF recommends screening of women who are 50-74 years of age via mammography at average risk of breast cancer every two years. The goal of this study was to measure, track, and increase compliance with these screening recommendations within the Medical City resident clinics.

Method: Family medicine residents working were presented with a …

Phq -9 Utilization In The Primary Care Setting, Michael Armstrong, Ramisa Rahman, Ceferino Cruz Iv, Afsha Rais Kaisani

North Texas Research Forum 2023

INTRODUCTION: The Patient Health Questionnaire-9 (PHQ-9) is a tool used to help diagnose depression and assess a patient’s response to treatment. Quality metric (QM) 371 is a measure of PHQ-9 utilization in patients with depression, and Medical City Family Medicine tracks QM 371 in order to improve the quality of care provided to our patients. This project sought to assess utilization of the PHQ-9 in our clinical practice. At the time of this QI project’s inception, QM 371 was reporting at 0%.

METHODS: Our intervention was to give an educational presentation regarding depression, the PHQ-9, as well as how to …

Case Of Shiga-Toxin Producing E. Coli Dysentery In Adult Patient In The Absence Of Diarrhea, Diana Roy

North Texas Research Forum 2023

This is a unique case of a 38 year old Caucasian female with no significant medical history who presented to the hospital with complaint of 3 days of abdominal pain, nausea/vomiting, dark red formed stool, and fever (TMax 102F), as well as dizziness, body aches and throat pain. She reported eating meatloaf with her daughter two days before symptom onset, and daughter was reported to be ill as well. Upon initial exam, patient was found to have temp 100F, was hypotensive and tachycardic with lactate of 4.2. FOBT was positive. Significant lab values include creatinine 3.39 (baseline normal), hemoglobin of …

Moped Mayhem And A Crash Course In Blood Pressure Problems, Jordan Phelps, Marc Poirier, Sydney Koenig

South Atlantic Division Research Day 2023

No abstract provided.

Quality Improvement: Improving Discussion And Documentation Of Advance Directives In An Outpatient Setting, Amanda Brenner, Elizabeth J. Bogaty, Anjan Parghi

South Atlantic Division Research Day 2023

No abstract provided.

Interstitial Lung Disease Due To Underlying Sjogren's Syndrome, Ryan E. Johnson, Elizabeth Bogaty, Chamonix Kinimaka, Marilian Canals-Rivera

South Atlantic Division Research Day 2023

No abstract provided.

A Case Of Aquagenic And Cholinergic Urticaria, Marilian A. Canals Rivera, Kyle Rauch, Amanda Brenner, Victoria Charry

South Atlantic Division Research Day 2023

No abstract provided.

Benefits Of Rooming-In On Infants With Neonatal Opioid Withdrawal Syndrome, Emma Ricioli

Nursing | Student Research Posters

Neonatal opioid withdrawal syndrome (NOWS) is a significant public health concern, affecting infants born to mothers who use opioids during pregnancy. Those exposed in-utero exhibit numerous signs of withdrawal after delivery including tremors, gastrointestinal distress, inconsolability, and poor feeding. Typical treatment for infants suffering from NOWS included direct admission to the neonatal intensive care unit (NICU) for close observation and pharmacological interventions. However, NICU stays can interfere with bonding and breastfeeding. They can also lead to increased lengths of stay, higher costs, and more invasive pharmacological treatments. These infants typically do not have any other concerning health issues besides NOWS …

A Standardized Protocol For Remote Outpatient Blood Pressure Management, Nicholas Dorsey, Justin Taylor, Elvira Mercado

North Florida Division Research Day 2023

No abstract provided.

Standardized Training To Improve The Quality Of Screening Diabetic And Hypertension-Related Opthalmoscopic Exams, Ashley Faye, Pradeep D'Souza, Elizabeth Suniega

Gulf Coast Division Research Day 2023

No abstract provided.

A Case Of Phlegmasia Cerulea Dolens, Stefanie Navarrete

East Florida Research Day 2023

Introduction: This is the case of a patient presenting with phlegmasia cerulea dolens after recent travel with concurrent extensive pulmonary emboli. Patient’s symptoms progressed quickly, atypically, and he did not have known common risk factor for the extent of his disease.

Case Description: The patient is a 78-year-old Caucasian male who presented to the emergency department complaining of left leg swelling and mild pain that began 1 day prior. Patient flew in 3 weeks prior from Scotland. On exam, patient was found to have extensive erythema and ecchymosis of left leg. On admission, venous ultrasound showed complete extensive thrombosis of …

Continuity Of Care In Rural Surgical Patients, Sydney M. Cardozo

Family Medicine Clerkship Student Projects

Continuity of care is an integral part of patient care and is important for reducing morbidity and mortality following hospitalizations. Medical errors are common during transitions of care, and are most frequently caused by lack of suitable discharge planning and poor communication between surgical teams, patients, and primary care physicians. This project aims to create a new standardized note template for surgery teams to use when discharging patients, with the goal of augmenting communication and efficiency during transitions of care within and outside the UVM Health Network.

Aging And Exercising Gracefully, Karena P. Nguyen

Family Medicine Clerkship Student Projects

Exercise and physical therapy are concerns among patients experiencing menopause and patients who near the age of menopause. Newtown Primary Care serves a population, whose census indicates an aging population. An interdisciplinary pamphlet on weight-bearing exercises and community resources for the peri- and postmenopausal population was developed with input from physical therapists and doctors.

Resident Schedule For Improving Continuity Of Care, Jake Allinson, Kenneth Chapman, Derek Kent, Luisa Hiendlmayr

Continental, MidAmerica, & Mountain Divisions Research Day 2023

No abstract provided.

Outcomes Of Patients With Copd During The Covid Pandemic, Jacob Hentges, Julia Fashner

East Florida Research Day 2023

A scoping review of COVID-19's impact on healthcare delivery and health outcomes found disruptions in care delivery and a shift towards telemedicine(1). Another study found no significant change in the length of stay for patients admitted to the hospital for COPD exacerbation during the pandemic period compared to the pre-pandemic period(2).

We conducted a secondary analysis of HCA Florida St. Lucie Hospital data to compare the outcomes of patients with COPD before (Jan 2018 – Feb 2020) and during the COVID-19 pandemic (March 2020 – Dec 2021). The data included patients aged over 18 years who were diagnosed with COPD …

Two Paes In A Pod, Jennifer Horawski, Mina Guirguis, Andrew Baird, Thomas Chambers

South Atlantic Division Research Day 2023

No abstract provided.

What Is Chilaiditi Sign? A Case Report As Seen In A Patient With Acute Coronary Syndrome, Mina Guirguis, Jennifer Horawski, Sean Gibbs, Andrew Baird

South Atlantic Division Research Day 2023

No abstract provided.

The First Cut Is The Deepest, Kevin D. Thomas, Alexis White, Anthony Shadiack

South Atlantic Division Research Day 2023

No abstract provided.

Prioritizing And Prescribing Exercise: Use Of A Simple Tool To Encourage Clinical Conversations Around Exercise In Family Medicine Out-Patient Clinic, Michael Ladd, Parisa Biazar, Ting Han, Jennifer Horawski, Lisa Wright, Anthony Shadiack

South Atlantic Division Research Day 2023

No abstract provided.

Qi Project: Increasing Appropriate Use Of Osteopathic Manipulative Treatment As An Adjunctive Treatment For Patients With Musculoskeletal Pain In The Outpatient Setting, Zhe Liu, Aelius Khan, Derek Pride, Thomas Krajewski, Anthony Shadiack

South Atlantic Division Research Day 2023

No abstract provided.

Kikuchi Disease: A Rare Recurrence, R Levi Sundermeyer, Jessica Bautista

Continental, MidAmerica, & Mountain Divisions Research Day 2023

No abstract provided.

Effect Of Remote Blood Pressure Monitoring On Uncontrolled Hypertension, Stephan Zehring, Jonathan Garces, Nicholas Heyden, Micah Lindsey, Maura Pipkins, Justin Watkins, Nicholas Dorsey, Diana Ananthan, Malathy Varatharajah

North Florida Division Research Day 2023

No abstract provided.

Quality Improvement Initiative To Increase Skin Cancer Screenings Among Primary Care Physicians, Aleksandra Radzio, Navina Delight, Scott Lang

North Florida Division Research Day 2023

No abstract provided.

Confirming Diagnosis Of Copd With Spirometry, Stephan Zehring, Manal El-Hag, Gino Singer, David Nguyen, Eslam Mohamed, Michael Usbergi

North Florida Division Research Day 2023

No abstract provided.

Introduction Of Knowledge Assessments Into Residency Curriculum, Nicholas Dorsey, Elvira Mercado

North Florida Division Research Day 2023

No abstract provided.

Comparing The Re-Hospitalization Rates And Cardiac Mortality In Chf Patients Taking Torsemide Versus Furosemide, Jeanette Brendle, Shivanie Ramdin, Kaviya Sathyakumar, Michael Usberghi, Nicholas Dorsey, Hayden Dansbury

North Florida Division Research Day 2023

No abstract provided.

Under The Skin: Unidentified Subcutaneous Nodules, Jacob Trimble, Sarah Puim

South Atlantic Division Research Day 2023

No abstract provided.