Digital Commons Network^™

Dower: Estoppel By Widow's Election Under Will, William E. Nodine

Florida Law Review

No abstract provided.

The Effect Of Waivers In Federal Income Tax Cases, Michel G. Emmanuel

Florida Law Review

No abstract provided.

Divisible Divorce, Lemuel A. Haslup

Florida Law Review

No abstract provided.

Elisors And The Reluctant Sheriff, Robert F. Nunez

Florida Law Review

No abstract provided.

Torts: Distinction Between Mere Insult And Slander Per Quod, B. A. Bittan Jr.

Florida Law Review

No abstract provided.

Negotiable Instruments: The Imposter Rule, C. Norris Tilton

Florida Law Review

No abstract provided.

Divorce: Corroboration Of Testimony Of Complainant, Gordon D. Mccutcheon

Florida Law Review

No abstract provided.

Conflict Of Laws: Rights Of Seller Under Conditional Sales Contract When Buyer Removes Property From State, Grover C. Herring

Florida Law Review

No abstract provided.

Appeal And Error: Cross Appeal Not Necessary In Florida When Taking Cross-Assignment Of Error, H. Laurence Cooper Jr.

Florida Law Review

No abstract provided.

Criminal Law: Nature And Use Of Flight, George H. Harrison

Florida Law Review

No abstract provided.

State School Fund Lands: Validity Of Exchanges And Cancellations Of Tax Sale Certificates, Vernon M. Culpepper

Florida Law Review

No abstract provided.

Exemption From The Federal Additional Estate Tax For Certain Members Of Armed Forces, George Earl Brown

Florida Law Review

No abstract provided.

Judicial Notice Of Foreign Law, Robert Clawson

Florida Law Review

No abstract provided.

Torts: Dog Owner's Liability In Florida, Theodore C. Houk

Florida Law Review

No abstract provided.

New Florida Apportionment Of Estate Taxes, Al Cone, Claude K. Slater

Florida Law Review

No abstract provided.

Sketch Of The Evolution Of Florida Law, George A. Dietz

Florida Law Review

No abstract provided.

Federal Estate Tax: Section 811(C) Revisited, Richard B. Stephens

Florida Law Review

No abstract provided.

New Florida Common Law Rules, John T. Wigginton

Florida Law Review

No abstract provided.

Intracranial Hemorrhage Caused By Acute-Onset Severe Hypernatremia, Takahiro Goshima, Teruhiko Terasawa, Mitsunaga Iwata, Asako Matsushima, Tomonori Hattori, Hiroshi Sasano

Journal of Community Hospital Internal Medicine Perspectives

A 52-year-old unemployed Japanese woman with depression was brought to our emergency department (ED) after an attempted suicide. She had reportedly ingested 1500 mL of soy sauce (corresponding to 277.5 g sodium chloride) 60 min before presentation. She was taking prescribed mirtazapine, 15 mg daily. In the ED, she was agitated, and a physical examination revealed a Glasgow Coma Scale (GCS) score of 14 (E4V4M6), a respiratory rate of 20 breaths/min, an oxygen saturation of 100% on room air, a blood pressure of 115/94 mmHg, a pulse rate of 110/min, and a temperature of 35.6℃. As her initial blood [Na] …

A Rare Case Of Paraneoplastic Syndrome Of Inappropriate Secretion Of Antidiuretic Hormone In Cervical Squamous Cell Carcinoma; A Case Report And Literature Review, Deniz Yucel, Erinie Mekheal, Brooke Kania, Polina Aron, Ashima Kapoor, Radhika P Tailor, Michael Maroules

Journal of Community Hospital Internal Medicine Perspectives

SIADH is more commonly associated with small cell lung cancer but has also been associated with other malignancies such as oropharyngeal, gastrointestinal, genitourinary, endocrine, lymphomas, and sarcomas. There have been few reports of small cell carcinoma of the cervix complicated by SIADH; however, not many cases are associated with squamous cell carcinoma of the cervix. We present a case of a patient with squamous cell carcinoma of the cervix with a paraneoplastic syndrome of inappropriate secretion of antidiuretic hormone. The pathophysiology, clinical picture, and treatment are also discussed.

Diagnosis Of Adrenocortical Carcinoma With Hypercortisolism In A Patient Presenting With Hypokalemic Metabolic Alkalosis, Omair Khan, Sheharyar Raashid, Muhammad Hashim, Kevin Clements, Sanjay Maheshwari, Syed Mohammad Mazhar Uddin, Pranay Siriya, Aftab Vadsariya, Patricia Park, William Pascal

Journal of Community Hospital Internal Medicine Perspectives

Adrenocortical carcinoma (ACC) is a rare malignancy with an estimated annual incidence of 0.7-2 cases per million. Most patients present with steroid hormone excess or abdominal mass effects, but 15% of patients with ACC are diagnosed incidentally. A careful history, physical exam, and pertinent lab investigations are necessary to reach the diagnosis. Surgical resection is the cornerstone of treatment in localized ACC; however, systemic chemotherapy with mitotane is preferred in patients with widespread disease or those who are not ideal candidates for surgery.

A Chronic Obstructive Pulmonary Disease Exacerbation Following The Administration Of A Covid 19-Booster Vaccine: A Case Report, William Gatenby, Gifty Dominah, Amrit Paudel, Nahar Saleh

Journal of Community Hospital Internal Medicine Perspectives

We present a case of a patient who presented to the emergency department with symptoms suggestive of a chronic obstructive pulmonary disease (COPD) exacerbation one day after receiving the BNT162b2 COVID-19 booster vaccine. Laboratory studies indicated she was in a state of inflammation, but not infection. Other potential triggers, including cardiac and viral etiologies, were ruled out. To our knowledge, this is the first documented case of a COPD exacerbation following the administration of the BNT162b2 COVID-19 vaccine.

Cardiac Sarcoma Presenting As Tamponade, Mosunmoluwa Oyenuga, Sandeep Sen, Rushin Patel, Shahin Ali, Sara Sartaj, Alexandre Lacasse

Journal of Community Hospital Internal Medicine Perspectives

Sarcomas are a broad group of neoplasm that originate from the mesenchymal layer and represent about 1% of malignancy in the adult population. We describe a 46-year-old woman with no prior medical history who presented with worsening dyspnea. Physical examination was significant for jugular venous distension and bilateral lower extremity edema. Chest Xray showed cardiomegaly. Echocardiography showed a normal ejection fraction of 65%, pericardial effusion with tamponade physiology and three epicardial masses. Patient had pericardiocentesis performed followed by pericardial window. Biopsy of pericardial mass showed morphologic and immunophenotypic findings supportive of diagnosis of malignant soft tissue sarcoma. Though this type …

A Case Report And Literature Review On Argatroban Refractory Heparin-Induced Thrombocytopenia, Imad Ud Deen, Swati Ajay Jha, Sadaf Mustafa

Journal of Community Hospital Internal Medicine Perspectives

Heparin-induced thrombocytopenia (HIT) is characterized by low platelets and thrombosis after exposure to Heparin products. It is classically characterized by a rapid and significant drop in platelets and life-threatening thrombosis. Thrombosis can occur up to 50% of the cases if left untreated. It requires immediate discontinuation of all heparin products and switching to a non-heparin anticoagulant to prevent further thrombosis. Here we present a case of a 56-year-old male who presented to the Emergency Department with sudden onset of severe left leg pain. Duplex study showed arterial thrombosis in the common iliac and distal iliac arteries. He received TPA at …

Use Of Venous Thromboembolism Prophylaxis In Hospitalized Patients: Knowledge And Practice Among Physicians In Nepal., Amit Bhandari, Amit Khanal, Pratikshya Thapa, Ashish Thapa, Kushal Bhattarai, Bibhusan Basnet

Journal of Community Hospital Internal Medicine Perspectives

Despite the importance of Venous Thromboembolism (VTE) prophylaxis in hospitalized patients, audits have shown inadequate use of VTE prophylaxis methods around the world. We aimed to assess knowledge, attitudes, and behaviors regarding VTE prophylaxis among clinicians in Nepal. Methodology: A cross-sectional questionnaire-based survey was conducted using an online survey platform. Results: 199(60.7%) of the respondents were aware of the risk factors-based risk stratification approach to VTE prophylaxis in hospitalized patients. Only 154 (47%) of the physicians reported institute-based protocols for VTE prophylaxis. Conclusion: We found a significant lack of awareness on risk factors-based stratification strategy for VTE prevention practices among …

A Rare Case Of Rectal Squamous Cell Carcinoma Treated With Nigro Protocol, Hunza Chaudhry, Sunny Sandhu, David Tasso, Devang Prajapati

Journal of Community Hospital Internal Medicine Perspectives

Squamous cell carcinoma (SCC) of the rectum is a rare malignancy, and the optimal treatment strategy remains unknown. Cases are limited in the literature, and although historically treated with surgical resection, more recent cases have suggested success with chemotherapy. Although Nigro protocol was initially developed for anal SCC, we present a case of rectal SCC successfully treated with the Nigro protocol. Our case supports the use of chemoradiotherapy as initial treatment for rectal SCC over surgery.

A Case Of Covid-19 Induced Descending Aortic Thrombus And Splenic Infarctions, Srikrishna V Malayala, Syed Bukhari, Rachana Vanaparthy, Ambreen Raza, Ramya Akella

Journal of Community Hospital Internal Medicine Perspectives

Thromboembolic manifestations like pulmonary embolism and deep venous thrombosis are often reported and contribute to a significant mortality from acute and chronic COVID-19 infections. These phenomena are a result of the activation of the coagulation cascade by the COVID-19 induced inflammatory state.

Majority of the thrombotic incidences are reported as a venous thrombosis but extremely rarely, arterial thrombi can be a manifestation of acute COVID-19 infection.

The patient in our case report was an unvaccinated 47-year-old female who presented with fever, nausea, abdominal pain and vomiting. The imaging confirmed the presence of a non-occlusive thrombus in the descending aorta, multiple …

Atraumatic Splenic Rupture On Direct Oral Anticoagulation, Jessica Barnes, Zayd Alhaddad, Robert Paz, Christopher Haas

Journal of Community Hospital Internal Medicine Perspectives

Direct Oral Anticoagulants have become a popular go to treatment option for patients with atrial fibrillation, deep vein thrombosis, or pulmonary embolism. This case report follows a 58 year old woman who developed atraumatic splenic rupture, a rare but recognized complication of direct oral anticoagulation use.

A Fatal Etiology Of Splenic Infarction, David Masterman, Amteshwar Singh, Tanmay Singh, Ashampreet Kaur, Sonal Gandhi

Journal of Community Hospital Internal Medicine Perspectives

Hemophagocytic lymphohistiocytosis (HLH) is a rare systemic inflammatory disorder that is rapidly progressive and carries a poor prognosis. We present a case of HLH caused by undiagnosed B cell lymphoma, presenting initially with splenic infarction. Both HLH and splenic infarction are secondary conditions with a wide range of underlying etiologies. When either condition is identified, a prompt search for the underlying trigger is needed to prevent devastating consequences. We demonstrate the difficulties and barriers that can delay the diagnosis of HLH, and emphasize the importance of early treatment in improving survival rates.

Platypnea Orthodeoxia For Those Who Do Better Lying Low, Rebecca Deboer, Tuoyo Mene-Afejuku, Murtaza Sundhu, Julian Diaz Fraga

Journal of Community Hospital Internal Medicine Perspectives

Platypnea orthodeoxia syndrome (POS) can be a confounding disease. Patients with POS may have already had an extensive and unrevealing evaluation for hypoxia. POS is the worsening of hypoxia when upright compared to supine. The underlying mechanism is a right to left shunt. While there are various causes of this, we focus on intracardiac shunt. The most common of these is patent foramen ovale (PFO). Once this is identified, closure of the PFO can lead to resolution of hypoxia.