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The Effectiveness Of Implementation Of A Point Of Care Ultrasound Curriculum For Pediatric Residents, Ashley Anderson Do, Peyton Cleary Do, Claudia Zarcula Do, Karan Patel Do, Elizabeth Price Do, Jacob R. Hutton Md

Scientific Day

Background/Significance:

Point of Care Ultrasound (POCUS) is a useful diagnostic and therapeutic tool in the inpatient and emergency department settings. Pediatric residency programs across the United States have failed to incorporate POCUS training into their curricula despite strong resident interest.

Purpose:

Currently, pediatric residents at Advocate Children’s Hospital – Park Ridge does not receive POCUS training. Thus, we sought to institute a POCUS curriculum to address that training gap.

Methods:

Residents took a 15-question examination via Google Forms to assess baseline knowledge of POCUS. Over the course of 4 weeks, residents received four separate lectures given by POCUS trained pediatric …

Herpes Zoster Infection As An Adverse Reaction To Treatments For Ulcerative Colitis: A Review Of Reports To The Fda Adverse Events Reporting System (Faers), Nick Adimi Md, Ethan Anderson Do, Bilal Ahmed Do, Eli Ehrenpreis Md, Agaf, Facg

Scientific Day

Background/Significance:

Many new treatment options for ulcerative colitis (UC) have become available in recent years, including dual-mechanism strategies and single-agent approaches. Among available treatments, JAK– STAT inhibitors carry an increased risk of herpes zoster (HZ) with an associated FDA Black Box warning.

Purpose:

This study aims to compare FDA-approved UC therapies and their relative association with HZ using reported data from the FDA Adverse Event Reporting System database (FAERS).

Methods:

The FAERS database consists of voluntarily reported post-marketing adverse drug reactions (ADRs). 32,229,802 total reports from Jan 1968 to September 2025 were evaluated. Reports of ADRs of all FDA approved …

The Rhythm Of Sedation: Comparison Of Methohexital, Propofol, And Etomidate For Ed Cardioversions, Maria Hajiharis Pharmd, Ami Shah Pharmd, Andrew Mcinerney Pharmd, Bcemp

Scientific Day

Background/Significance:

Cardioversions in the emergency department (ED) allow for a controlled shock to be delivered to the heart to restore normal sinus rhythm in dysrhythmic states such as atrial fibrillation and supraventricular tachycardia. Sedation used during this procedure helps to reduce anxiety, pain, and discomfort. There are several general anesthetics available, and those with a quick onset and recovery time with minimal side effects are favorable. Current data is limited, with one retrospective review by Bauer and colleagues comparing methohexital to propofol and etomidate for procedural sedation in ED cardioversions finding no statistically significant difference in the time from first …

Vibrating Mesh Vs. Jet Nebulizers For High-Dose Albuterol In Copd Exacerbations: A Non-Inferiority Study, Laura Reindl Ms, Rrt-Accs, Rrt-Nps, Sarah Bazelak Msc, Kristen Knox Rrt, Shanna Schuele Msc, Katlin Huizenga Rrt, Malik Hodges Rrt, Kimberly Parker Rrt, Jennifer Lester Pharmd, Sadashiv Santosh Md

Scientific Day

Background/Significance:

Inhaled β-agonists are central to the management of COPD exacerbations, and high-dose albuterol is often administered via jet nebulizer (JN) to ensure adequate bronchodilation. Vibrating mesh nebulizers (VMNs) may enhance aerosol delivery efficiency and substantially reduce treatment time compared to JNs, but evidence comparing these devices for high-dose therapy in COPD exacerbations remains limited.

Purpose:

This quasi-experimental, before-and-after non-inferiority study evaluated clinical outcomes associated with transitioning from continuous JN to VMN delivery of high-dose albuterol in the emergency department (ED).

Methods:

This institutional review board–approved study was conducted in the ED of a tertiary care hospital. Historically, high-dose albuterol …

Multicenter Analysis Of Pulsed Field Ablation Freedom From Atrial Arrythmias By Lesion Set In Paroxysmal Atrial Fibrillation, Hinduja Nallamala Do, Lynn Erickson Ms, Pmp, Jim Kanani Mph, Milica Starcevic Bs, Austin Deets Md, Rebecca Riley Do, Abhishek Gowda Do, Mph, Atul Bhatia Md, Mahmoud Ali Md

Scientific Day

Background/Significance:

Catheter ablation via pulmonary vein isolation (PVI) is the first-line treatment for paroxysmal atrial fibrillation (PAF). It is unclear whether additional lesions with PVI using the pulsed field ablation (PFA) technique affect outcomes in this population.

Purpose:

We aimed to assess freedom from atrial arrythmias in patients with PAF stratified by lesion set at 12 months.

Methods:

From March 2024 to July 2024, PAF patients (n=184) from 4 different centers within a hospital system underwent first-time ablation with PFA. Recurrence was defined as any atrial arrhythmia ≥30 seconds in duration after a 90-day blanking period. Patients were divided into …

How Low Can We Go? Trends In Cholesterol Management After Coronary Revascularization Across A Multi-Center Health System, Anya Lei Koza Do, Venkateswara Gogineni Phd, Tanvir Bajwa Md, Suhail Allaqaband Md, David Boulware Ms, M Fuad Jan Md

Scientific Day

Background/Significance:

Cholesterol management is a well-studied secondary prevention measure to mitigate the risk of procedural failure and future cardiovascular events after percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG).

Purpose:

This study sought to characterize the level of adherence to cholesterol-lowering regimens in post-PCI and post-CABG patients across Advocate Aurora Health (AAH) medical institutions in hopes of improving knowledge about adherence to secondary prevention cholesterol guidelines for those at risk after coronary artery revascularization at AAH medical centers.

Methods:

This is a retrospective study with 22,060 patients who were eligible for review. The patients used lipid-lowering therapy as …

Institutional Experience Of Concomitant Atrial Fibrillation Ablation And Left Atrial Appendage Occlusion, Hammam Shereef Md, Lynn Erickson Ms, Pmp, Gregory J. Fischer Bs, Jim Kanani Mph, Jasbir Sra Md

Scientific Day

Background/Significance:

Catheter ablation is a class 1 indication for treatment of symptomatic atrial fibrillation (AF). Left atrial appendage occlusion (LAAO) is an alternative option to anticoagulation in patients with AF and a contraindication to long-term anticoagulation. Combining catheter ablation and LAAO in a single procedure, referred to as the concomitant procedure, has emerged as a strategy for management of AF.

Purpose:

To assess the efficacy and safety of the concomitant procedure at a single center.

Methods:

In this retrospective observational study, data were collected on 28 patients who underwent LAAO with either the WATCHMAN FLX-PRO (n=26) or the Amplatzer Amulet …

Epidemiology Of Oral Cavity Cancer In Women: Identifying Age Groups At Risk, Nikhita Vemulapalli Do, Rafia Ali Md, Eli Ehrenpreis Md, Agaf, Facg

Scientific Day

Background/Significance:

Oral cavity cancer has historically been more prevalent in men, largely attributed to tobacco use, alcohol consumption, and human papillomavirus (HPV). Emerging data, however, suggests shifting patterns with a rising disease burden among women. This study aims to identify the age groups of women contributing most to this trend.

Purpose:

To evaluate age-specific incidence trends of oral cavity cancer among women over time.

Methods:

We conducted a retrospective, population-based analysis using data from the Surveillance, Epidemiology, and End Results (SEER) Program, Registry 17. In our analysis, female patients diagnosed with oral cavity cancer between 2000 and 2022 were included. …

Silent Progression To Sudden Collapse: Prosthetic Valve Failure With Root Pseudoaneurysm, Suhaib M. Hyder Md, Giovanni Paolella Md, Christopher Bentsen Md, Besher Kashlan Md, Shoeb M. Hussain Md

Scientific Day

Introduction/Background:

Structural complications following prosthetic valve endocarditis (PVE) may progress subtly over time, with early imaging abnormalities often underestimated. Delayed recognition can result in abrupt hemodynamic collapse. This case highlights the importance of maintaining suspicion for evolving prosthetic valve pathology despite initially reassuring studies.

Description:

A 57-year-old male with prior surgical bioprosthetic aortic valve and ascending aortic root replacement developed progressive dyspnea resulting in acute hypoxic respiratory failure and cardiogenic shock (CS). Three months earlier, a transthoracic echocardiogram (TTE) demonstrated mild aortic insufficiency (AI), leaflet thickening, and a small hypodensity, deemed nonspecific given negative transesophageal echocardiogram (TEE). Repeat TTE during …

Hyperthyroidism In A Twin Pregnancy With A Complete Hydatidiform Mole And Coexisting Fetus: A Case Report, Saadiya Abdul Ahad Hawa Md, Kayla Tran Do, Mihika Iyer Do, Chung-Kay Koh Md

Scientific Day

Background/Significance:

Gestational Trophoblastic Disease (GTD) are tumors originating from trophoblastic cells of the placenta including premalignant hydatidiform moles and malignant gestational trophoblastic neoplasia. Incidence in the United States is from 1.1 to 1.2 per 1000 pregnancies. Rarer is pregnancy with a complete hydatidiform mole and coexisting fetus (CHMCF), from 1/22,000 to 1/100,000 pregnancies. GTD causes hyperthyroidism by cross-reactivity between the ɑ subunit of human Chorionic Gonadotropin (hCG) and Thyroid Stimulating Hormone (TSH), potentially resulting in devastating consequences.

Description:

A 23-year-old White Hispanic female presented with vaginal bleeding. hCG level was >248,400 mU/mL and an abdominal ultrasound (US) revealed a single, …

Traumatic Sigmoid Sinus Thrombosis After Mastoid Fracture: Importance Of Venous Imaging In High-Risk Skull Fractures, Afrah Rehman Bs, Ellie Esbrook Md, Sakina Burhani Md, Madeline Bonaguro Md, Sonali Mehta Patel Md

Scientific Day

Introduction/Background:

Traumatic cerebral venous sinus thrombosis (CVST) is an under-recognized complication of head trauma, particularly in skull fractures overlying dural venous sinuses. Among patients with skull fractures, venous sinus thrombosis is reported in up to 7% of cases and in 41–57% when fractures extend to a dural sinus or jugular bulb on dedicated imaging. We present a case of traumatic sigmoid sinus thrombosis associated with mastoid fracture involving the jugular bulb.

Description:

A previously healthy 15-year-old male presents after being thrown from the hood of a moving vehicle. He experienced a brief loss of consciousness followed by headache, dizziness, nausea, …

Possible Role Of Pharmaceutical Interventions In Orbital Compartment Syndrome, Fardeen Sayed Md, Daniel Grahf Md

Scientific Day

Introduction/Background:

Orbital compartment syndrome is an ophthalmologic emergency characterized by intraorbital pressures exceeding ophthalmic arterial pressure with resultant ischemia to the retina and optic nerve and often irreversible vision loss. It is a clinical diagnosis in the setting of optic neuropathy and increased intraocular pressures and imaging is not required. Timely intervention is a hallmark of treatment with improved outcomes associated with decompression within two hours. The standard of care is lateral canthotomy with cantholysis to restore perfusion and preserve eyesight. While medical and pharmaceutical interventions and treatment play a supplemental role in treatment, their effectiveness has not been confirmed. …

Ewing Sarcoma Presenting With Renal Mass And Multifocal Epidural Spinal Cord Compression, Rafia Ali Md, Nikhita Vemulapalli Do, Giovanni Paollela Md, Pamela Kaiser Md

Scientific Day

Introduction/Background:

Ewing sarcoma is an aggressive small round blue cell tumor most commonly arising from bone in children and adolescents. Primary renal Ewing sarcoma is exceedingly rare and is frequently misidentified as more common renal neoplasms. Although metastatic disease is present in 20–25% of cases at diagnosis, multifocal noncontiguous epidural spinal metastases causing acute cord compression are uncommon. We present a rare case of Ewing sarcoma presenting with disseminated disease and multifocal thoracic epidural spinal cord compression.

Description:

Patient is a 23-year-old female who presented with one week of bilateral low back pain. She was treated with NSAIDs and muscle …

Valvuloplasty Meets Impella: A Rescue Approach For Cardiogenic Shock In The Setting Of Critical Aortic Stenosis, Alfredo Toll Md, Alejandra Diaz Sierra Md, Pedro Gonzalez Martinez Md, Abdul Kareem Lukan Md, Mohamed Ismail Md, Philip Song Md, Francisco Somoza Md, Pouyan Razminia Md, Amir Singh Md, Joaquin Gonzalez Md

Scientific Day

Introduction/Background:

The combination of severe aortic stenosis and cardiogenic shock carries high morbidity and mortality. In patients who are not immediate candidates for emergent transthoracic aortic valve replacement (TAVR) or transfer to a tertiary center, balloon aortic valvuloplasty (BAV) may serve as a temporizing strategy to stabilize hemodynamics and improve end-organ perfusion.

Description:

A 78-year-old man with a past medical history of essential hypertension, hyperlipidemia, nonischemic cardiomyopathy and heart failure with reduced ejection fraction presented with acute decompensated heart failure. Transthoracic echocardiography demonstrated critical AS with an aortic valve area (AVA) of 0.26 cm2, peak velocity 6.2 m/s, mean gradient …

Failure Of Open Traumatic Diaphragm Rupture Repair Managed By Robotic-Assisted Laparoscopic Approach, Thaddeus Rogozinski Do, Omar Alrashid Md, Hassan Qureshi Md, Julia Coughlin Md

Scientific Day

Background/Significance:

Blunt traumatic diaphragmatic rupture is an uncommon but potentially life-threatening injury frequently associated with intra-abdominal trauma. Operative exploration is typically required to evaluate associated injuries and perform repair. While delayed or chronic cases often favor a transthoracic approach, minimally invasive strategies for early postoperative failure of primary repair are not well described.

Description:

A 40-year-old male presented after a motor vehicle collision. Computed tomography revealed a left-sided diaphragmatic rupture with gastric herniation into the thoracic cavity. Associated pelvic and sacral fractures were managed non-operatively. He underwent exploratory laparotomy with reduction of the herniated stomach and primary two-layer repair using …

When Mac Attacks: Stroke-Driven Discovery And Percutaneous Removal Of A Mobile Mitral Annular Mass Via Transseptal Angiovac With Cerebral Protection, Huseyin E. Arman Do, Amjed Zidan Md, William Fischer Md, Suhail Q. Allaqaband Md, Renuka Jain Md, Joaquin Solis Md

Scientific Day

Introduction/Background:

An 84-year-old woman with CAD, cardiomyopathy, hypertension, and diabetes presented with recurrent embolic strokes despite dual antiplatelet therapy. Initial TEE showed severe MAC without thrombus. No atrial fibrillation was detected. After another stroke, repeat TEE revealed a new mobile mass on the posterior mitral annulus. Deemed high-risk for surgery, she underwent transseptal AngioVac aspiration. At one-month follow-up, she remained neurologically intact and functional. Angiography and/or Other Diagnostic Tests: MRI showed multifocal embolic strokes. TTE showed severe MAC with mobile echodensity. TEE showed a 1.8 x 0.8 cm mobile posterior mitral annular mass, likely caseous MAC. CT consistent with severe …

Bilateral Pulmonary Emboli Requiring Emergent Thrombectomy In A Pediatric Patient, George C. Michalopoulos Md, Viktoriya Bikeyeva Md, Joseph Adams Do, Andrii Labchuk Md, Giovanni Paollela Md, Nishant Patel Md, Adib Chaus Md

Scientific Day

Introduction/Background:

Pediatric Pulmonary Emboli (PE) are rare but have a high mortality rate. Evidence based guidelines for PE management in children are limited, and most recommendations stem from adult populations. Decisions regarding pursuing systemic thrombolysis, surgical embolectomy, catheter-based interventions, or medical management are often made on a case-by-case basis by a multidisciplinary team after careful consideration of the risks and benefits. We present a case of a 17-year-old female who was successfully treated with mechanical thrombectomy for bilateral PE after recent initiation of oral contraceptives.

Description:

Patient presented to the ED with dyspnea. Vital signs showed tachycardia, hypoxia, and hypotension. …

The Unobstructed Infarct: Minoca At The Intersection Of Hormones And Amphetamines, Garrett Weber Do, Patrick Disterhaft Do, Adam Pampori Md, Blair Tilkens Do, M Fuad Jan Md

Scientific Day

Background/Significance:

Myocardial infarction with non-obstructive coronary arteries (MINOCA) represents approximately 6– 8% of all myocardial infarctions and is more common in younger patients and women.

Description:

A 20-year-old woman taking adderall and combined oral contraceptives presented with her second episode of sudden-onset central chest pain at rest. Troponin was elevated, and EKG showed nonspecific ST-T wave changes. Transthoracic echocardiogram demonstrated an ejection fraction of 63% with a small area of hypokinesis in the mid-anterolateral and inferolateral walls. Cardiac MRI suggested a recent myocardial infarction in a diagonal branch territory with active inflammation. Left heart catheterization revealed normal coronary arteries. She …

From Chronic Constipation To Abdominal Compartment Syndrome: A Pediatric Gi Perspective, Umar Aker Do, Paula Gamero Kubota Md, Tiffany Patton Md

Scientific Day

Background/Significance:

Chronic constipation is one of the most common pediatric complaints and accounts for 1/4 of pediatric GI consults. It affects approximately 12-18% of individuals between 0 to 18 years of age. Although outcomes are generally positive with appropriate management including dietary changes, laxatives, and medications such as linaclotide, undiagnosed or inadequately treated constipation could have detrimental results. Abdominal compartment syndrome (ACS) due to fecal impaction is a considerably rare complication of constipation. We present the exceptional case of an adolescent who developed ACS secondary to severe constipation and required prolonged intensive care admission.

Description:

A 17-year-old male with a …

Closing The Hole Before Clearing The Clot: A Staged Approach To Pe With Large Pfo, Giovanni Paolella Md, Christopher Bentsen Md, George Kalapurakal Do, Andrii Labchuk Md, Joseph Adams Do, Neal Sawlani Md, Nishant Patel Md, Adib Chaus Md

Scientific Day

Introduction/Background:

Management of intermediate- to high-risk pulmonary embolism (PE) is complex when intracardiac shunting is present. A patent foramen ovale (PFO) increases the risk of paradoxical embolization and complicates decisions regarding thrombolysis, thrombectomy, and timing of definitive intervention. Limited guidance exists on optimal sequencing of therapies in patients with recurrent PE, right ventricular (RV) strain, and suspected malignancy. We present a case highlighting multidisciplinary management of submassive PE with large PFO requiring staged intervention.

Description:

A 65-year-old female with hypertension, chronic kidney disease, heart failure with preserved ejection fraction, and obesity presented with progressive dyspnea and presyncope. Imaging demonstrated a …

The Price Of A Pause: Pe In A High-Risk Surgical Patient, Alexander Ellyin Md, Giovanni Paolella Md, Viktoriya Bikeyeva Md, Christopher Bentsen Md, George C. Michalopoulos Md, Danny Cho Do, Joseph Adams Do, Andrii Labchuk Md, Adib Chaus Md, Parag Patel Do

Scientific Day

Introduction/Background:

Acromegaly is an endocrine disorder characterized by excess growth hormone secretion, typically from a pituitary adenoma, resulting in elevated insulin-like growth factor 1. It is associated with several cardiovascular complications, including hypertension, cardiomyopathy, and arrhythmias. While less commonly recognized, a prothrombotic state may also exist, possibly due to increased thrombin generation and elevated fibrinogen and factor VIII levels. Literature on the risk of venous thromboembolism (VTE) in acromegaly remains sparse, and documented cases of pulmonary embolism (PE) in this population are rare. This case highlights a massive PE in a patient with acromegaly and prior VTE following brief perioperative …

The Node Knows: Histopathology As The Key To Fever Of Unknown Origin In An Adolescent, Annette Mathew Do, Dana Nezon Md, Shalini Vootkur Md, Melissa Tesher Md

Scientific Day

Introduction/Background:

Fever of unknown origin (FUO) is a common pediatric presentation with a broad infectious and noninfectious differential. Histiocytic necrotizing lymphadenitis (HNL), also known as Kikuchi-Fujimoto disease (KFD), is a rare, self-limited condition characterized by prolonged fever and cervical lymphadenopathy. Diagnosis is often delayed due to nonspecific findings, with definitive confirmation requiring histopathologic evaluation. We describe a case of FUO and cervical lymphadenopathy ultimately diagnosed as HNL.

Description:

A 14-year-old female presented with one month of neck pain, tender cervical lymphadenopathy, and fevers. Initial outpatient treatment with amoxicillin-clavulanate did not result in improvement. Reevaluation demonstrated leukopenia and neutropenia, prompting hospital …

Congenital Extrahepatic Portosystemic Shunt As A Possible Cause Of Chronic Encephalopathy, Jared Muench Md, Luke Falesch Md, William Macdonald Md

Scientific Day

Introduction/Background:

Congenital extrahepatic portosystemic shunt, also termed Abernethy malformation, refers to abnormal drainage of the portal circulation into a systemic vein (e.g., inferior vena cava). Abernethy malformation remains a rare entity, with only a few hundred cases reported in the literature. Among many associated congenital malformations and acquired complications of Abernethy malformation, chronic encephalopathy may also develop as portal venous blood bypasses the liver and certain metabolites, namely ammonia, escape filtration. Vascular abnormalities are not often considered in the evaluation of chronic encephalopathy. However, we present here the case of a 31-year-old patient found to have Abernethy malformation and discuss …

A Rare Complication Of Gallstone Pancreatitis: Cholecystocolonic Fistula, Gregory Capelli Do, Adil Ghafoor Md, Nalini Guda Md, Facg

Scientific Day

Introduction/Background:

Cholecystocolonic fistulas are rare, occurring in less than 0.5% of patients undergoing cholecystectomy. However, when they do develop, they can lead to complications such as colonic perforation, gallstone ileus, and infection. Here, we present a case of a patient who developed a cholecystocolonic fistula alongside gallstone-induced pancreatitis.

Description:

An 81-year-old woman with a history of hyperlipidemia and hypertension presented to the emergency department with acute onset abdominal pain. Laboratory results revealed a total bilirubin of 1.0 mg/dL, AST of 103 U/L, ALT of 119 U/L, ALP of 880 U/L, lipase of 6,421 U/L, and a WBC count of 11.8 …

The Picture Tells The Story: Multimodality Imaging Unmasks Dedifferentiated Liposarcoma, Hassan Rizvi Md, Gerald P. Smith Md, William Macdonald Md

Scientific Day

Introduction/Background:

Lipomatous tumors span a spectrum from benign lipoma to atypical lipomatous tumor/well-differentiated liposarcoma (ALT/WDL) and dedifferentiated liposarcoma (DDLPS), with significant radiologic overlap. Because DDLPS carries higher morbidity and may coexist with additional malignancies, early recognition of malignant imaging features is essential. This case highlights the critical role of CT and MRI in distinguishing malignant from benign adipocytic tumors and in identifying dedifferentiation within a long-standing extremity mass.

Description:

A 77-year-old man presented with a posterior–medial thigh mass that had enlarged slowly over ~20 years before accelerating with new distal swelling. CT showed a 37-cm predominantly lipomatous mass with thick …

Tumor-Induced Osteomalacia: A Case Report And Literature Review, Andrew Cecil Do, Meti Shagi Md, Syed Basit Haider Md, Syed Ali Gardezi Md

Scientific Day

Background/Significance:

Tumor-induced osteomalacia (TIO) is an ultra-rare paraneoplastic syndrome caused by excessive fibroblast growth factor 23 (FGF23) secretion from phosphaturic mesenchymal tumors, resulting in hypophosphatemia and osteomalacia. Diagnosis is frequently delayed due to nonspecific symptoms and difficulty localizing small tumors.

Description:

A 55-year-old male presented with 16 months of progressive muscle weakness, multiple bilateral metatarsal fractures, and chronic bone pain. Laboratory evaluation revealed profound hypophosphatemia (1.6 mg/dL), markedly elevated FGF23 (455 RU/mL), and evidence of renal phosphate wasting (TRP 35%, TmP/GFR 1.04 mg/dL). Initial FDG-PET/CT was non-localizing. Upon referral, specialized re-interpretation at a tertiary referral center identified faint focal uptake …

An Unusual Culprit: Right Coronary Artery Aneurysm And Coronary Sinus Fistula Presenting As Acute Heart Failure, Emmanuel Olumuyide Md, Alfredo Toll Md

Scientific Day

Background/Significance:

Coronary artery aneurysms associated with coronary fistulae are rare and may cause shunt physiology, ischemia, and heart failure. Multimodality imaging and invasive hemodynamics are essential for diagnosis and management planning.

Description:

A 78-year-old man with hypertension and hyperlipidemia presented with new-onset decompensated heart failure. Transthoracic echocardiography revealed severe biventricular dysfunction (LVEF 10%) with severe aortic and mitral regurgitation. Coronary angiography demonstrated severe multivessel coronary artery disease and a markedly aneurysmal right coronary artery (RCA) with suspected fistulous communication. Right-heart catheterization revealed elevated filling pressures, a reduced cardiac index, and a right atrial oximetry step-up, indicating a left-to-right shunt. Coronary …

Lupus Turmoil - Rare Cardiac Manifestations Of Sle, Abhishek Gowda Do, Mph, Joaquin Solis Md, Anna Trier Md, Phd, Aijaz Noor Md

Scientific Day

Introduction/Background:

Cardiac involvement in systemic lupus erythematosus (SLE) has variable manifestations. Pericarditis is the most common cardiac manifestation (20%), whereas myocarditis is rare, occurring in approximately 1–2% of cases. Cardiac tamponade is also rare, but possible in lupus pericarditis. Heart failure develops in 2-3% of patients. While stress cardiomyopathy can occur, sustained heart failure with reduced ejection fraction (HFrEF) due to inflammatory myocarditis is uncommon.

Description:

A 40-year-old woman with SLE complicated by lupus nephritis induced end-stage renal disease had multiple admissions for renal failure and progressive cardiac decline. Chest x-ray initially showed new, sudden onset cardiomegaly. Transthoracic ECHO (TTE) …

Chiropractic Role In The Interdisciplinary Care Of A Patient With Low Back Pain Following Spinal Cord Infarction, Chloe Nilles Dc, Joseph Mehring Dc, Jessy Johnson Dc, Dacrb, Venkateswara Gogineni Phd, Eric Kirk Dc, Daco

Scientific Day

Introduction/Background:

Spinal cord infarction is a rare type of stroke that occurs within the spinal cord or the arteries that supply it. The etiology of spinal cord infarction is commonly a result of atherosclerosis and related complications. The outcome of this condition often results in severe disabilities and functional impairment. The focus of long-term management is on rehabilitation to optimize function and quality of life. This case report highlights how a chiropractor functioned within an interdisciplinary healthcare team to manage low back pain in a patient with a history of spinal cord infarction.

Description:

A 46-year-old male with a history …

A Multimodal Approach To Restoring Cervical Radiculopathy-Induced Dexterity Loss That Emphasizes The Role Of Chiropractic Care: A Case Report, Mya Reese Dc, Jeffrey Malone Dc, Jessy Johnson Dc, Dacrb, Venkateswara Gogineni Phd, Eric Kirk Dc, Daco

Scientific Day

Introduction/Background:

Cervical radiculopathy occurs when a spinal nerve root becomes mechanically compressed or chemically inflamed. This can cause an array of symptoms along the dermatomal distribution of the affected nerve including neck stiffness, pain in the shoulder, reduced range of motion, impaired deep tendon reflexes, upper extremity weakness, numbness, paresthesia, and loss of fine motor control. This case illustrates a collective approach among healthcare professionals to restore a patient's fine motor skills by treating cervical radiculopathy with chiropractic care.

Description:

A 59-year-old female patient presented with right shoulder pain associated with radiculopathy into her 2nd-4th digits. She endorsed weakness in …