Internal Medicine Commons^™

Bioprosthetic Valve Endocarditis Causing Non-St Elevation Myocardial Infarction, Cassie Robertson, Lakshmi Tatineni, Talha Qasmi, Sivatej Sarva, Ramesh Kesavan, Michael Daniel

Gulf Coast Division Research Day 2023

No abstract provided.

Intracerebral Hemorrhage And Reversible Cerebral Vasoconstriction Syndrome Ina Patient With Covid-19, Matthew Bear, Branden Wilson, Aswin Srinivasan, Amar Hasan, Salman Alim, Mohamad Ezzeldin

Gulf Coast Division Research Day 2023

No abstract provided.

A Rare Case Of Pres In A Patient On Bevacizumab-Awwb Chemotherapy, Alexander Rhodes, John Punla, Aswin Srinivasan, An Dao, Syed Raza

Gulf Coast Division Research Day 2023

No abstract provided.

Modified Early Warning Scoring (Mews) Versus Epic Deterioration Index (Edi): Battle Royale For Which Has The Best Patient Outcomes In The Inpatient Setting, Dirk A. Church

DNP Projects

Abstract

Background: The increased workload bedside nurses face today requires new tools to assist with the identification of deteriorating patients during hospitalization. The Modified Early Warning Score (MEWS) tool has formed the background of early warning tools. Newer, more complex tools, like Epic’s Deterioration Index (EDI), have been developed to identify patient deterioration earlier. There is lack of evidence in the literature comparing different early warning tools, implementation, and patient outcomes.

Objective: The purpose of the study was to examine models for EWS notification for RRT and patient outcomes between the use of the MEWS and EDI in an adult, …

An Analytical Study Of The Risk Factors Affecting The Platelet Aggregation In Patients With Sepsis, Vishnu Priya, Jitender M. Khunger, Anupma Arora

Journal of Medicine in Scientific Research

Objectives (a) To determine the correlation of platelet count and aggregation with sepsis severity and (b) to find the risk factors affecting the platelet aggregation in sepsis. Patients and methods The present observational cross-sectional study was conducted on 30 patients of sepsis over a period of 18 months. All patients underwent complete blood counts, and platelet aggregation to ADP. Pearson correlation coefficient was used to assess the association of Sequential Organ Failure Assessment (SOFA) score and aggregation to ADP and platelet. Linear regression was done to determine the risk factors affecting platelet aggregation in sepsis. A P value of less …

Contained Rupture Of A Left Coronary Sinus Of Valsalva Aneurysm: A Case Report, Kipson Charles, Andrew T. Abraham, Arroj Ali, Ann Tong

North Florida Division Research Day 2023

No abstract provided.

Short Qt Syndrome (Sqts), George Shaker, Igbayilola Dosunmu, Jason Kim, Tiffany Guillen, Kevin Kuang

East Florida Research Day 2023

Please see supplemental content for full abstract.

Short QT syndrome (SQTS) is a rare inherited arrhythmogenic disorder characterized by abnormally short QT interval on electrocardiogram (ECG) secondary to a cardiac channelopathy in the absence of structural heart disease.3 Defective function of the potassium-calcium ion channels in SQTS patients facilitates an increased risk of ventricular and atrial arrhythmias, which can lead to symptoms such as syncope or cardiac arrest.2 In this report, we present a 24-year-old male with a past medical history SQTS with prior cardiac arrest and ventricular fibrillation, status post ICD placement and cardiac sympathectomy, who presented with increased …

Sudden Onset Ams, Focal Weakness, Fever And Aphasia Due To Intracranial Subdural Empyema In Left Temporo-Parietal Lobe, Lily Hyunjung Lim, Menachem M. Nagar, Pallavi Aneja

East Florida Research Day 2023

Intracranial subdural empyema (ISE) is a rare infection of brain, which occurs when pus is collectively located in the space between dura and arachnoid matter. In the past, its mortality was nearly 100%, if it was not treated appropriately within 24-48 hours. Thanks to improvement of diagnostic modalities and treatment, its mortality has dramatically decreased. Though, it can still cause a devastating consequence if it is not managed in a timely manner. The common etiology of ISE is different depending on the age group. In younger patients, it occurs frequently as a complication of infection in neighboring structures like sinusitis …

Pain In The Back – A Rare Case Of Atraumatic Paraspinal Compartment Syndrome, Muhammad Rehan, Jodi Perry

East Florida Research Day 2023

Introduction: Paraspinal Compartment Syndrome (PCS) is a well-documented complication after trauma and orthopedic injuries though incidence of atraumatic PCS in individuals with substance use disorder (SUD) is not well documented. We present a case of a middle-aged man with acute PCS after intravenous (IV) amphetamine use.

Case Description: 40-years-old male with a history of substance use disorder was brought in for evaluation after being found wandering naked in the streets. He admitted to relapsing and using 0.5 grams of IV amphetamine. He was found to be agitated, energetic, and endorsed visual and auditory hallucinations. Initial physical examination showed no focal …

Management Of Opioid Use Disorder In Primary Care, Carolyn Jeffries

Capstone Showcase

The prevalence of opioid use disorder (OUD) in the United States, and worldwide, has drastically increased in the span of 2-3 years. OUD is considered chronic condition and as such requires routine care over a lifetime. This makes OUD patients excellent candidates to be managed by primary care providers (PCPs). This article discusses the various barriers to treatment of OUD in a primary care setting as well methods and models that aim to mitigate these barriers. We will also review how to take a detailed assessment of an OUD patient, mainstays of medication assisted treatment (MAT), and management of side …

A Clinical Profile Of 50 Cases Of Hypoglycemia In A Tertiary Care Hospital, Rohan Karkra, Ravikumar Y S

Digital Journal of Clinical Medicine

Hypoglycemia is defined as a blood glucose level/dl. It is usually seen in Diabetics due to an improper balance between blood glucose-lowering drugs and food. Patients can have various symptoms, ranging from headaches and palpitations to coma and death. Patients are typically treated with oral carbohydrates and IV carbohydrates/Glucagon if needed. It is essential to understand the presenting complaints of Hypoglycemia as it often complicates the management of Diabetic patients, and sometimes non-Diabetic patients. The symptoms may frequently be mild but can cause significant long-term complications. It is also essential to understand the cause of Hypoglycemia in order to prevent …

A Late Onset Leg Rash, Unique Janeway Lesions Or Jarisch Herxheimer Reaction?, Andrew Kim, Cristian Valdez, Tony Alarcon

Far West Division Research Day 2023

No abstract provided.

Interstitial Lung Disease And Heart Failure In A 75 Year Old Guitar Maker, Andrew Kim, Elizabeth Benge, Cristian Valdez, Tony Alarcon, Yema Jalal

Far West Division Research Day 2023

No abstract provided.

Longitudinal Study On The Effects Of Implementing Continuous Glucose Monitoring For The Management Of Patients With Type-I And Type-Ii Diabetes Mellitus On Multiple Insulin Injections In An Internal Medicine Residency Clinic, Andrey Manov, Sukhjinder Chauhan, Gundip Dhillon, Athena Dhaliwal, Sabrina Antonio, Yema Jalal, Ashrita Donepudi, Jonathan Nazha, Melissa Banal, Joseph House

Far West Division Research Day 2023

No abstract provided.

When Hypothyroidism Goes Unchecked, Jeong Hwan J. Kim, Yasimin Taheri, Matt Rostami, Ian Joel, Jasprit Takher

Far West Division Research Day 2023

No abstract provided.

Improving Nursing Staff And House Staff Communication Within A Technology Platform (Imobile), Raisa Anwer, Phuong Nguyen, Vidhi Patel, Nadine Bos

Capital Division Research Day 2023

No abstract provided.

Renal Dysfunction Due To Mitral Valve Repair-Induced Hemosiderosis With Partial Recovery After Corrective Surgery, Nicole Fernandez, Gilad Guez, Abdelaziz Elsanjak, Christine Vanbeek

Capital Division Research Day 2023

No abstract provided.

A Rare Educational Case Of Idiopathic Cutaneous Leukocytoclastic Vasculitis, Shruthi Vijayalakshmi, Shreyan A. Patel, Admir Syla

Capital Division Research Day 2023

No abstract provided.

Acute Colonic Perforation With Septic Shock Secondary To Disseminated Histoplasmosis In A Autologous Bone Marrow Transplant Recipient, Harsimrandeep Bhatti, Srijisnu De, Enkhbileg Batbileg, Glen Friedman

Central & West Texas Research Day 2023

No abstract provided.

Covid-19 Vaccine Induced Rhabdomyolysis In A 53 Year-Old Female, Akash Hazari, Jack Chien, Daniel Nunez, Saurabh Pande

Central & West Texas Research Day 2023

No abstract provided.