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Full-Text Articles in Medicine and Health Sciences
Chemotherapy Used To Halt Lower Gi Bleeding In A Rare Case Of Metastatic Choriocarcinoma To The Gi Tract, Ralph Kamel, Talal Seoud, Teniola Oluwadamilola, Michael Karass, Emily Grossniklaus, Gabriela Oprea-Ilies, Daniel A. Goldstein, Sanjay Jain
Chemotherapy Used To Halt Lower Gi Bleeding In A Rare Case Of Metastatic Choriocarcinoma To The Gi Tract, Ralph Kamel, Talal Seoud, Teniola Oluwadamilola, Michael Karass, Emily Grossniklaus, Gabriela Oprea-Ilies, Daniel A. Goldstein, Sanjay Jain
NYMC Student Publications
Choriocarcinoma, a nonseminomatous germ cell tumor, is a rare type of testicular malignancy that tends to occur in young males. It is, however, exceedingly rare for choriocarcinoma to involve the GI tract. In this article, we present a rare case of a 31-year-old male, diagnosed with choriocarcinoma of the left testes, along with several metastases to distant sites. The patient presented with headaches and severe lower GI bleeding due to metastases to the GI tract, which was eventually controlled with systemic chemotherapy, while requiring several units of packed RBCs during his admission to the hospital. An extensive literature review found …
Multisite Evaluation Of Cepheid Xpert Carba-R Assay For Detection Of Carbapenemase-Producing Organisms In Rectal Swabs., M Tato, P Ruiz-Garbajosa, R Humphries, J Hindler, J Veltman, H Wang, R Cantón
Multisite Evaluation Of Cepheid Xpert Carba-R Assay For Detection Of Carbapenemase-Producing Organisms In Rectal Swabs., M Tato, P Ruiz-Garbajosa, R Humphries, J Hindler, J Veltman, H Wang, R Cantón
NYMC Student Publications
Rapid identification of patients who are colonized with carbapenemase-producing organisms (CPO) is included in multiple national guidelines for containment of these organisms. In a multisite study, we evaluated the performance of the Cepheid Xpert Carba-R assay, a qualitative diagnostic test that was designed for the rapid detection and differentiation of the blaKPC, blaNDM, blaVIM, blaOXA-48, and blaIMP-1 genes from rectal swab specimens. A double rectal swab set was collected from 383 patients admitted at four institutions (2 in the United States, 1 in the United Kingdom, 1 in Spain). One swab was used for reference culture (MacConkey broth containing 1 …
Retrograde Epidural Catheter Relieves Intractable Sacral Pain, Ruchir Gupta, Shivam Shodhan, Amr Hosny
Retrograde Epidural Catheter Relieves Intractable Sacral Pain, Ruchir Gupta, Shivam Shodhan, Amr Hosny
NYMC Student Publications
Pain caused by tumor infiltration of the sacral area remains a major clinical challenge. Patients with poor pain control despite comprehensive medical management may be treated with neuraxial techniques such as continuous epidural or spinal anesthetic. We report a case in which a patient with metastatic breast cancer experienced inadequate pain relief after multiple intravenous pain management regimens as well as intrathecal (IT) drug delivery. The concentration of local anesthetics delivered via the IT catheter was limited due to the patient's baseline motor weakness which would be exacerbated with higher concentrations of local anesthetics. Thus, a decision was made to …
Sudden Appearance Of Indurated Erythematous Plaques On A Man's Face, Adam Carter, Karthikeyan Viswanathan, Kenneth Shulman
Sudden Appearance Of Indurated Erythematous Plaques On A Man's Face, Adam Carter, Karthikeyan Viswanathan, Kenneth Shulman
NYMC Student Publications
Rosacea fulminans (RF), previously known as pyoderma faciale, is a rare presentation of rosacea mostly seen in young women. RF is seen very rarely in men. We present below a case of a fifty-year-old male who presented with RF and was successfully treated with a combination of corticosteroids and isotretinoin.