Higher Education Commons^™

Just When You Thought You Broke Your Foot, Ben Noble, T. Jason Meredith

Graduate Medical Education Research Journal

No abstract provided.

Retro Pharyngeal Abscess And Pott's Disease Due To Tuberculosis: A Case Report, Bailey N. Hassman, Steven Curry, Jonathan H. Ryder, Angela L. Hewlett, Jayme Dowdall

Graduate Medical Education Research Journal

No abstract provided.

Intravascular B-Cell Lymphoma Presenting As Cortical Venous Thrombosis, Praveen Hariharan, Mridula Krishnan, Timothy Greiner, Catalina Amador, Marco Gonzalez-Castellon

Graduate Medical Education Research Journal

No abstract provided.

Cellular Dermatofibromas: Getting It Right The First Time, Tyler Evans, Erica B. Lee, Adam V. Sutton

Graduate Medical Education Research Journal

No abstract provided.

Guillain Barre Syndrome As A Complication Of Covid-19: A Systematic Review, Mohammad Aladawi, Mohamed Elfil, Baha Abu-Esheh, Deaa Abu Jazar, Ahmad Armouti, Ahmed Bayoumi, Ezequiel Piccione

Graduate Medical Education Research Journal

No abstract provided.

The Isolated Fibular Fracture: Successful Outcomes With Non-Operative, Immediate Weight Bearing Despite Stress Positive Radiographs, Phillip Thomas, Leonid Grossman, Sara Putnam, Justin C. Siebler, Elizabeth Lyden, Matthew Mormino

Graduate Medical Education Research Journal

No abstract provided.

Pediatric Orthopaedic Trauma: What Defines "Pediatric?", Erin L. Stockwell, Susan A. Scherl, Maegen Wallace, Matthew A. Halanski, Brian P. Hasley

Graduate Medical Education Research Journal

No abstract provided.

Newsworthiness Of Neurological Research, Isha Snehal, Appaji Rayi, Vineet Punia

Graduate Medical Education Research Journal

No abstract provided.

Patterns Of Opiate Prescription Practices In Isolated Operative Ankle Fractures: Creating Guidelines, David J. Kusin, Ryan E. Miller, Zachary Bailey, Erin L. Stockwell, Emily A. Boes, Colton Roessner, Kaeli K. Samson, Sara Putnam, Alexander Sawatzke, Justin C. Siebler, Matthew Mormino

Graduate Medical Education Research Journal

No abstract provided.

The Effect And Utility Of Emergency Medicine Residency Orientation, Nicholas Jobeun, Chad Branecki, Elizabeth Lyden, Aaron Barksdale

Graduate Medical Education Research Journal

No abstract provided.

The Prognostic Significance Of Androgen Receptor Expression In Malignant Gliomas, Ming-Yang Hung, Nan Zhou, Chi Zhang

Graduate Medical Education Research Journal

No abstract provided.

Risk Factors For Mortality Among Patients With Gout In The Veteran's Health Administration, Lindsay Helget, Bryant England, Punyasha Roul, Harlan Sayles, Alison D. Petro, Ted R. Mikuls

Graduate Medical Education Research Journal

No abstract provided.

Seropositive Pediatric Autoimmune Encephalitis: A Single Center Experience, Praveen Hariharan, Daniel A. Crespo Artunduaga, Geetanjali Rathore

Graduate Medical Education Research Journal

No abstract provided.

Anti-Neurofascin Antibody Associated Disease: A Case Series, Navnika Gupta, Afsaneh Shirani, Elizabeth Hartman, Lakshman Arcot, Rana Zabad

Graduate Medical Education Research Journal

No abstract provided.

Mycobacterium Avium Pulmonary Infection Disguised As A Urinary Tract Infection, Megan Rolfzen, Allison Ashford

Graduate Medical Education Research Journal

In the United States, Mycobacterium avium complex (MAC) has been found to be the most common isolate in non-tuberculous disease, and pulmonary infection is the most frequent presentation. It is ubiquitous in the environment, particularly in soil and manufactured water supply sources. Worldwide, M. avium infections, both pulmonary and disseminated, are steadily increasing. Due to MAC’s ability to cause non-specific symptoms and its pervasiveness within the environment, it is paramount to incorporate this diagnosis in the differential, especially in those most susceptible. We report a case of a Mycobacterium avium complex pulmonary infection in 72-year-old Caucasian male with history of …

Coronary Artery Bypass Grafting In A Patient With Hemophilia A, Haiying Liu, Alyssa Green, Nicholas Markin

Graduate Medical Education Research Journal

With advances in care, the median age for the mild-moderate hemophilic patients have almost reached parity with the general population. However, they have a much higher rate of cardiovascular disease than their peers. The authors here present a successful case of a patient with mild hemophilia undergoing coronary artery bypass grafting (CABG) and summarize the recommendations surrounding the management of hemophilia in the perioperative setting.

Vv Ecmo For Treatment Of Severe Ards In Covid-19 Patients At Unmc, Cale J. Ewald, Levi Zehr, Shaun L. Thompson

Graduate Medical Education Research Journal

Abstract

Introduction: Veno-venous extracorporeal membrane oxygenation (VV ECMO) is an indicated treatment for severe acute respiratory distress syndrome (ARDS) refractory to conventional medical treatment. Severe ARDS is a common complication of CoVID-19 infection. Subsequently, the efficacy of VV ECMO in CoVID-19 severe ARDS patients must be investigated. ECMO is a resource-intensive treatment modality, meaning that its use must be reserved for patients with robust indications and paucity of contraindications.

Methods: We performed retrospective chart review of three patients at the University of Nebraska Medical Center that were placed on VV ECMO secondary to severe ARDS from CoVID-19 infection.

Results: All …

The Role Of Photography In Increasing Efficiency Of Dermatologic Inpatient Consulting Service, Ritu Swali, Tyler D. Evans, Dillon Clarey, Corey Georgesen, Ashley Wysong

Graduate Medical Education Research Journal

Abstract

Introduction:

Inpatient dermatology consultations can bring a mixed bag of pathologies. Due to the highly specialized nature of dermatology and the lack of dermatologic training in medical school, the dermatologic team is consulted for matters that range from non-urgent to pressing. Pictures are a critical component of dermatology and greatly aid in the diagnosis of cutaneous diseases. In the inpatient setting, pictures can help streamline diagnosis and prevent unnecessary tests or procedures. The purpose of this study was to evaluate for the presence of pictures in patients’ chart after a dermatology consult had been placed through EPIC at the …

Experience Treating Electrical Storm Using An Ultrasound Guided Stellate Ganglion Blockade, Thomas A. Nicholas Iv, Levi Zehr, Han-Jun Wang, Daniel R. Anderson, Steven J. Lisco

Graduate Medical Education Research Journal

Introduction: Electrical storm is a life-threatening condition in an often medically complex patient population. Pharmacologic ultrasound-guided stellate ganglion blockade is a treatment option in combination with maximized systemic antiarrhythmic medications. There is an emerging body of case reports supporting stellate ganglion block efficacy and safety for this condition.

Methods: Retrospective study on ultrasound-guided stellate ganglion blocks for electrical storm investigating patient clinical characteristics, immediate and long-term outcomes, and procedure related complications.

Results: Four (75% men) critically ill patients maximized on standard antiarrhythmic therapy underwent six bedside ultrasound-guided stellate ganglion block procedures. All blocks were unilateral left-sided, two patients underwent repeat …

The Advantages Of A Rural Resident Rotation In Otolaryngology Training: Comparing Surgical Case Volumes Of A Rural Rotation With A University Rotation, Mark Miller, Paul J. Brosnihan, Christie Barnes, Jayme Dowdall

Graduate Medical Education Research Journal

Objective: Rural residency rotations have played a significant role in encouraging surgical residents to pursue a career in a rural community. This study reviews the resident caseload of an otolaryngology residency rural rotation in comparison with a traditional primary university-based urban location.

Methods: The Accreditation Council for Graduate Medical Education (ACGME) case log system was used to review cases logged by residents during their rural rotations from July 2017 to December 2018. Case log data were compared with a matched resident of similar training experience on the university service during the same time period.

Results: Rural residents reported more cases …

Postoperative Outcomes Of Hip Fracture Surgery In Geriatric Patients On Clopidogrel Or Warfarin At The Time Of Surgery, Josh Locker, Elizabeth Lyden, Justin Siebler

Graduate Medical Education Research Journal

BACKGROUND: The purpose of our study is to evaluate if surgical intervention in the setting of an elevated INR or continued use of clopidogrel lead to elevated post-operative mortality and/or morbidity compared to INR reversal or surgical delay.

METHODS: We retrospectively reviewed 1,007 patients age > 55 undergoing hip fracture fixation at our institution over a 10 year span. We placed patients into four groups based upon their anticoagulation status at the time of surgery. Descriptive statistics were utilized to evaluate for differences in mortality rates, blood loss, time to surgery, and wound complications.

RESULTS: Comorbid conditions occurred at a higher …

Multi-Digit Auto-Amputation In Setting Of Mixed Connective Tissue Disease, Kishan P. Patel, Jennifer L. Medlin, Michelene Hearth-Holmes

Graduate Medical Education Research Journal

Raynaud’s disease is a cutaneous manifestation often present in various connective tissue and vascular diseases. Depending on the age of onset and acuity of symptoms, the phenomenon can provide clinicians with some insight as to the severity of underlying disease, including the distinction between primary and secondary Raynaud’s. However, this diagnostic approach seems to have its limitations regarding efficacy and timing of treatment. Traditionally, treatment of Raynaud’s has focused on reestablishing blood perfusion to affected tissue, which has previously been achieved with vasodilatory medications and site-specific surgical intervention. In lieu of the severe sequelae of Raynaud’s in the setting of …

Nontuberculous Mycobacterium (Ntm) Infection In Aquatic Workers With Purified Protein Derivative (Ppd) And Gold Quantiferon Tests., Lavanya Ravipati, Sarah A. Howard

Graduate Medical Education Research Journal

Background: Nontuberculous mycobacteria (NTM) infections are commonly caused by Mycobacterium marinum and fortuitum with M. marinum more likely to cause skin infections. Aquatic environments are a potential source of contact with M. marinum and fortuitum. Patients with NTM infections may present with positive tuberculin purified protein derivative (PPD) and/or gold QuantiFERON tests. However, PPD cannot differentiate between NTM infection and other tuberculous infections caused by different mycobacterial strains. We present a patient a marine biologist who was asymptomatic and presented for further evaluation as she has a h/o positive PPD and gold QuantiFERON test.

Methods: Patient informed consent was …

A Case Of Carcinoid Heart Disease And Echocardiographic Findings, Brandon Alex, Jeffrey Songster, Helenmari L. Merritt, Rebecca A. Aron

Graduate Medical Education Research Journal

Abstract: Carcinoid heart disease occurs in approximately 50% of patients with carcinoid syndrome. Right heart involvement resulting in tricuspid regurgitation, tricuspid stenosis, pulmonic regurgitation and pulmonic stenosis is most common. We report a case of tricuspid heart disease resulting in tricuspid regurgitation, tricuspid stenosis, pulmonic regurgitation and pulmonic stenosis.

Neurolytic Celiac Plexus Blockade In Patients With Upper Intraabdominal Malignancies: An Evidence-Based Narrative Review, Kevin Wong, Apollo A. Stack, Madhuri Are

Graduate Medical Education Research Journal

Background: Cancer-related abdominal pain is a common symptom associated with upper intra-abdominal carcinoma, especially in patients with advanced disease and it has posed a significant therapeutic challenge to medical practitioners. Typically, cancer pain can be managed by following the World Health Organization 3-step analgesic ladder. However, analgesic use of opioids, the mainstay treatment for moderate-to-severe cancer-related pain, may be ineffective in a subset of cancer patients. Escalation of dosage may be limited by opioid-induced side effects. The aim of this study was to review the literature addressing the effect of neurolytic celiac plexus block (NCPB) on the palliation of pain …

Personal Finance Skills Among Health Professionals: Piloting A Student-Led Finance Curriculum And A Review Of The Current Landscape, Jeremy Payne, Stephen Haller, Laura E. Flores, Jared Baxter, Walker Payton, Kari Nelson

Graduate Medical Education Research Journal

Introduction

Despite high costs of education, extended lengths of training, and rapidly increasing student debt, personal finance is an often-overlooked topic within professional school curricula. Due to the combination of high debt burden and poor financial literacy, professional students report low confidence and high stress regarding their personal finances. While some medical schools have begun to integrate financial education into their formal training, others provide little to no resources to combat this growing issue.

Methods

To address this gap and provide financial education opportunities, the Financial Development Club (FDC) was founded by students at the University of Nebraska Medical Center. …

The Uncharted Waters Of Graduate Medical Education During A Pandemic, Chandrakanth Are

Graduate Medical Education Research Journal

No abstract provided.

Ham In Nose, Elizabeth Null

Graduate Medical Education Research Journal

No abstract provided.

Screen Media Use In Pediatrics: A Qi Project To Promote Behavioral Change, Michelle Wineinger, Taylor Kratochvil, Danielle Saner, Cristina Fernandez

Graduate Medical Education Research Journal

No abstract provided.

Comparing Outcomes In Out Of Hospital Cardiac Arrest After Implementing Mechanical Compression Devices, Jonathan Weseman, Eric Ernest, Abraham Campos, Aaron Barksdale, Elizabeth Lyden

Graduate Medical Education Research Journal

No abstract provided.