Medicine and Health Sciences Commons^™

Idiopathic Isolated Thrombosis Of The Superior Mesenteric Vein, Rajesh Essrani Md

Department of Medicine

No abstract provided.

Evaluating Dermatology Residents Combined Oral Contraceptive Pill Prescribing Practices, Knowledge Base, And Comfort Level In The Management Of Acne Vulgaris, Shane M. Swink Do, Ms, Megan Jones-Sheets Do, Ankita Sinharoy Mbbs, Mph, Melissa Butt, Anthony J. Gust Md, Andrea Zaenglein Md

Department of Medicine

No abstract provided.

Vomiting-Induced Gastric Pneumatosis And Portal Venous Gas, Rajesh Essrani Md

Department of Medicine

No abstract provided.

Necrotizing Granulomas In A Construction Worker, Dylan Soller Do, Kaitlyn Musco Md, Christopher Lenivy Do, Joseph Shellenberg Md

Department of Medicine

No abstract provided.

An Unusual Case Of Evali With Recurrent Hemoptysis, Dylan Soller Do, Alaynna C. Kears Do, Kaitlin Buzard Do, Waqas Adeel Md

Department of Medicine

No abstract provided.

Axios Lumen Apposing Metal Stent In The Treatment Of Peripancreatic Fluid Collections, 4 Year Retrospective Observation At A Large Care Center, Michal Kloska Md, Valery Hrad Md, Abdul Aleem Md, Soorya N. Aggarwal Do, Shashin Shah Md, Zachary Zator Md, Hiral N. Shah Md

Department of Medicine

No abstract provided.

Bad Blood: A Case Of Warm Autoimmune Hemolytic Anemia, Amogh M. Joshi Do, Kevin J. Hess Do, Zeeshan Ali Md, Nicholas Lamparella Do

Department of Medicine

No abstract provided.

Post-Extubation Stridor Complicating Covid-19-Associated Acute Respiratory Distress Syndrome: A Case Series., Joseph Moran Do, Sara Godil Md, Breanna S. Goldner Do, Kareem Godil Md, Jonaid Aslam Md

Department of Medicine

Post-extubation stridor is a known complication of mechanical ventilation that affects a substantial number of all critical care patients and leads to increased morbidity and mortality. Common risk factors for the development of post-extubation stridor include female gender, older age, and prolonged length of mechanical ventilation. There may be an increased incidence of post-extubation stridor in patients who require mechanical ventilation to manage the respiratory complications of COVID-19. In this case series, we analyzed nine patients from across our institution who were intubated to manage acute respiratory distress syndrome (ARDS) secondary to COVID-19 and subsequently developed post-extubation stridor. The patients …

So Much To Lose: A Review Of 25 Bariatric Surgery Cases In People Living With Hiv (Plwh) At An Urban, Ryan White-Funded Hiv Clinic, Marcelo Gareca Md, Julie E. Vitale Ms, Joseph L. Yozviak Do, Facp

Department of Medicine

No abstract provided.

Palbociclib-Induced Pneumonitis: A Case Report And Review Of The Literature., Saro Sarkisian Md, Christopher Markosian, Zeeshan Ali Md, Muhammad A. Rizvi Md

Department of Medicine

The treatment of metastatic breast cancer has undergone significant changes in recent years. New classes of medications have been approved by the Food and Drug Administration (FDA) for use in clinical practice to extend progression-free survival and overall survival along with increasing response rate. Here, we present a case report of pneumonitis as a rare side effect of palbociclib in the treatment of metastatic hormone receptor-positive (HR+)/human epidermal growth factor receptor 2-negative (ERBB2-) breast cancer in addition to endocrine therapy. We also review the literature for other reports of pneumonitis during treatment with palbociclib. Through this case report and review …

Pembrolizumab: An Immunotherapeutic Agent Causing Endocrinopathies., Abdul Chaudry, Misbat Chaudry Md, Jonaid Aslam Md

Department of Medicine

Pembrolizumab is an immune checkpoint inhibitor (programmed cell death 1) approved for use in non-small cell lung carcinoma (NSCLC). Pembrolizumab has shown remarkable results in regression of the size of tumors in NSCLC and has shown survival advantage. However, immune-related adverse effects are a serious negative outcome of therapy. The number of immune-related adverse effects with pembrolizumab has increased significantly over the recent past. We present a case of type 1 diabetes mellitus and autoimmune thyroiditis with pembrolizumab treatment for NSCLC.

Unique Case Of Gastroenteritis Presenting As Pneumatosis Intestinalis With Emphysematous Gastritis And Portal Vein Gas: Do Not Take Gastroenteritis Lightly., Asif Mehmood, Rajesh Essrani Md, Swetha Parvataneni, Umair Iqbal

Department of Medicine

Pneumatosis intestinalis (PI) consists of multiple, thin, gas-filled cysts in the wall of the gastrointestinal (GI) tract. It is an uncommon entity that can involve any gastrointestinal site from the stomach to the rectum. Isolated stomach involvement is rare. PI can represent a broad spectrum of diseases with variable prognoses. We present the case of a patient who was admitted with gastroenteritis-like symptoms. He remained hemodynamically stable, and on further imaging with contrast-enhanced computed tomography of the abdomen and pelvis, air was found in the portal vein and gastric wall, with minimal thickening of the proximal small bowel concerning for …

St Elevation In A Patient With Covid-19 Infection-Associated Fever: A Case Of Brugada Pattern., Guruprasad Mahadevaiah, Abdul Aleem Md, Antonio Secaira, Samir Saba, Nasir Shariff

Department of Medicine

Coronavirus disease 2019 (COVID-19) is a global pandemic presenting with various cardiovascular manifestations. Although Brugada pattern ST-segment elevation (STE) is well described in patients admitted with febrile illness, the implication of recognizing this abnormality in patients with COVID-19 is critical in providing appropriate care for the patient and also reducing the exposure of healthcare professionals to the risk of infection. We report a patient with COVID-19 infection presenting with STE due to fever-related unmasking of Brugada pattern, who was managed conservatively.

Change In Patient Meld-Na And Albumin Level From The Time Of Celiac Disease Diagnosis To Six Months Later After Gluten-Free Diet., Rajesh Essrani Md, Andrea Berger

Department of Medicine

Background & aims Celiac disease (CD) is a multisystem disorder triggered by dietary gluten in genetically predisposed individuals that may affect any organ system, including the liver. We evaluated a change in patient model for end-stage liver disease (MELD)-Na and albumin level from the time of celiac disease diagnosis to six months later, after implementing a gluten-free diet. Methods A retrospective study was conducted from January 1, 2006, to June 30, 2018. CD was diagnosed based on celiac antibodies and/or histopathological data. MELD-Na and albumin were calculated at the start of the gluten-free diet and six months later. Additional variables …

Isolated Thrombosis Of The Superior Mesenteric Vein., Rajesh Essrani Md, Shehriyar Mehershahi, Rajesh Essrani, Anuraj M Sudhakaran, Asif Mehmood

Department of Medicine

Most cases of pancreatitis are mild and self-limited. On the other hand, a few patients with pancreatitis may develop vascular complications. Splenic vein thrombosis is the most common vascular complication of acute pancreatitis. Isolated superior mesenteric vein thrombosis is rare and can lead to gut ischemia and necrosis if not timely diagnosed and managed. We report the case of a 40-year-old patient who presented to the hospital with abdominal pain due to acute pancreatitis, leading to superior mesenteric vein thrombosis, which was timely diagnosed and treated with a good outcome.

Complications Related To Esophageal Stent (Boston Scientific Wallflex Vs. Merit Medical Endotek) Use In Benign And Malignant Conditions., Rajesh Essrani, Hiral N. Shah Md, Shashin Shah Md, Jennifer E. Macfarlan Mph

Department of Medicine

Background In our institutions, there are two types of stents used: the Boston Scientific Wallflex (Marlborough, Massachusetts) and Merit Medical Endotek (South Jordan, Utah). So we performed this retrospective study to compare complication rates in various esophageal disorders to improve our quality of care. Methods Charts were reviewed to capture gender, indications of stent placement, stent length/diameter, age of the patient at the time of stent placement, length of hospital stay, physicians performing a procedure, and complications within 90 days of stent placement. Results A total of 67 patients (71.6% male) underwent stent placement (WallFlex 49.3% and Merit 50.8%) for …

Toxic Epidermal Necrolysis-Like Acute Cutaneous Lupus Erythematosus, Megan Jones-Sheets Do, Tanya Ermolovich Do, Hina Sheikh

Department of Medicine

No abstract provided.

Patient With Blastic Plasmacytoid Dendritic Cell Neoplasm And Cmml, Marc T. Mitton Do, Joshua M. Levin Md

Department of Medicine

No abstract provided.

Self-Resolving Uncombable Hair-Like Syndrome, Kristina M. Lim Do, Andrea Zaenglein Md, Richard Mcclain Md

Department of Medicine

No abstract provided.

Acquired Zinc Deficiency With Concomitant Deficiencies Of Vitamin A, B1, And B6, Shane M. Swink Do, Kirsten S. Bellucci Md, Cynthia L. Bartus Md

Department of Medicine

No abstract provided.

Acquired Acrodermatitis Enteropathica, Diana A. Rivers Do, Kirsten S. Bellucci Md, Cynthia L. Bartus Md

Department of Medicine

No abstract provided.

Osteoma Cutis, Diana A. Rivers Do, Cynthia L. Bartus Md

Department of Medicine

No abstract provided.

A Case Of Secondary Syphilis, Naeha Gupta Do, Megan Jones-Sheets Do, Stephen M. Purcell Do

Department of Medicine

No abstract provided.

Predictive Modeling To Forecast Discharge Disposition In Individuals Undergoing Total Joint Replacement, Kimberly Fritts Dpt, Megan Howard Pt, Mpt, Susanne E. Mckenna Pt

Department of Medicine

No abstract provided.

Global Longitudinal Strain And Cardiac Events In Patients With Immune Checkpoint Inhibitor-Related Myocarditis., Magid Awadalla, Syed S Mahmood, John D Groarke, Malek Z O Hassan, Anju Nohria, Adam Rokicki, Sean P Murphy, Nathaniel D Mercaldo, Lili Zhang, Daniel A Zlotoff, Kerry L Reynolds, Raza M Alvi, Dahlia Banerji, Shiying Liu, Lucie M Heinzerling, Maeve Jones-O'Connor, Rula B Bakar, Justine V Cohen, Michael C Kirchberger, Ryan J Sullivan, Dipti Gupta, Connor P Mulligan, Sachin P Shah, Sarju Ganatra, Muhammad A. Rizvi Md, Gagan Sahni, Carlo G Tocchetti, Donald P Lawrence, Michael Mahmoudi, Richard B Devereux, Brian J Forrestal, Anant Mandawat, Alexander R Lyon, Carol L Chen, Ana Barac, Judy Hung, Paaladinesh Thavendiranathan, Michael H Picard, Franck Thuny, Stephane Ederhy, Michael G Fradley, Tomas G Neilan

Department of Medicine

BACKGROUND: There is a need for improved methods for detection and risk stratification of myocarditis associated with immune checkpoint inhibitors (ICIs). Global longitudinal strain (GLS) is a sensitive marker of cardiac toxicity among patients receiving standard chemotherapy. There are no data on the use of GLS in ICI myocarditis.

OBJECTIVES: This study sought to evaluate the role of GLS and assess its association with cardiac events among patients with ICI myocarditis.

METHODS: This study retrospectively compared echocardiographic GLS by speckle tracking at presentation with ICI myocarditis (cases, n = 101) to that from patients receiving an ICI who did not …

Cognitive Decline Over Time In Patients With Systolic Heart Failure: Insights From Warcef., Tetz C Lee, Min Qian, Yutong Liu, Susan Graham, Douglas L Mann, Koki Nakanishi, John R Teerlink, Gregory Y H Lip, Ronald S. Freudenberger Md, Ralph L Sacco, Jay P Mohr, Arthur J Labovitz, Piotr Ponikowski, Dirk J Lok, Kenji Matsumoto, Conrado Estol, Stefan D Anker, Patrick M Pullicino, Richard Buchsbaum, Bruce Levin, John L P Thompson, Shunichi Homma, Marco R Di Tullio

Department of Medicine

OBJECTIVES: This study sought to characterize cognitive decline (CD) over time and its predictors in patients with systolic heart failure (HF).

BACKGROUND: Despite the high prevalence of CD and its impact on mortality, predictors of CD in HF have not been established.

METHODS: This study investigated CD in the WARCEF (Warfarin versus Aspirin in Reduced Ejection Fraction) trial, which performed yearly Mini-Mental State Examinations (MMSE) (higher scores indicate better cognitive function; e.g., normal score: 24 or higher). A longitudinal time-varying analysis was performed among pertinent covariates, including baseline MMSE and MMSE scores during follow-up, analyzed both as a continuous variable …

Concomitant Presentation With Cardioembolic Ischemic Stroke And Non St Elevation Myocardial Infarction In A Patient With New Onset Atrial Fibrillation, Amogh M. Joshi Do, Emilee E. Kurtz Do, Kourtney Erickson Do, Margaret R. Kluck Do, Benjamin Sanchez Md

Department of Medicine

Introduction: Although Atrial Fibrillation (AF) is a common cause of ischemic stroke, it rarely causes acute coronary syndromes (ACS). Cardioembolic events from AF cause considerable morbidity and mortality. Concomitant ischemic stroke and ACS remains an exceedingly rare event. We describe the case of a patient presenting with cardioembolic ischemic stroke and acute coronary syndrome.

Case Presentation: An 83 year old male with a prior history of heart failure with preserved ejection fraction, permanent pacemaker for complete heart block, and chronic kidney disease on hemodialysis presented with acute left sided facial and extremity weakness, gait ataxia and profound dysarthria. Physical examination …

Practice-Based Education Program To Increase Vaccination Rate In Patients On Immunotherapeutic Agents, Andrea M. Soliman Do, Soorya N. Aggarwal Do, Kyle Kreitman Do, Kourtney Erickson Do, Abdul Aleem Md, Marie S. O'Brien Do

Department of Medicine

No abstract provided.

A “Sweet” Look Into A Rare Disease: Presentation And Management Of Acute Febrile Neutrophilic Dermatosis, Christian L. Menezes Do, Joseph Moran Do, Kaitlyn Musco Md, Andres Zirlinger Md

Department of Medicine

No abstract provided.

Scleroderma Renal Crisis: Identifying Risk Factors And Preventing Adverse Outcomes, Yesha K. Shah Do, Joseph V. Moran Do, Timothy B. Coyle Md

Department of Medicine

No abstract provided.