Medicine and Health Sciences Commons^™

Differences In C-Section Times With Resident Involvement Vs No Resident Involvement, Samantha Mclean, Kimberly Swan, Rabiya Suleman, Jeffery Durbin

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

Panhypopituitarism: Uncommon Presentation Of Metastatic Breast Cancer, Matt Nelson, Jessie Wampler, Meg Burke

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

Implementing A Standardized Screening Algorithm For Iron Deficiency Anemia In Pregnancy, Ariel Moskowitz, Nicole Tenzel, Joshua Mangels, Lyndsay Millican

North Texas GME Research Forum 2024

OBJECTIVE: Anemia in pregnancy is a global health problem and complicates >40% of pregnancies. Anemia is associated with significant maternal and fetal complications including low birth weight, preterm delivery, postpartum hemorrhage, ICU admissions, need for blood transfusion, and maternal morbidity. The American College of Obstetricians and Gynecologists (ACOG) and the CDC recommend screening for anemia at the first prenatal visit and again between 24 and 28 weeks gestation. The aim of this quality improvement project is to improve compliance of screening for anemia in pregnancy amongst the providers of Medical City Women's Care. METHODS: Using the Plan-Do-Study-Act (PDSA) quality improvement …

Cyanide Toxicity Induced By Apricot Kernel Consumption: A Case Report, Jatin Sadarangani, Vaishnavi Singh, Benjamin K. Kingsly

North Texas GME Research Forum 2024

Functional foods are food items that should be consumed as part of a regular diet in order to provide advantages beyond what are typically referred to as traditional nutritional benefits. Furthermore, in order to support the better function claim or the decreased illness risk claim, these positive outcomes must be scientifically proven. Foods with particular health benefits have been referred to as "superfoods" more recently. Superfoods are conceptually defined as foods with high biological value because of their high concentration of bioactive components and high concentration of nutrients, as well as their high bioavailability and bioactivity in the body. As …

An Atypical Presentation Of Nms Complicated By Brain Lesion, Sunwoo Lee, Stephanie Tejada, Erkan Batti, Paul Cimoch, Marc Laroque, Mohamad Saad, Donald Kanu, Christopher Ochner

East Florida Division GME Research Day 2024

No abstract provided.

Survival After Emergency Clamshell Thoracotomy With Bilateral Atrial Appendage Injuries, Jennifer Austin, Enrique Alvarez, Alicia Lay, Christian Minshall

North Texas GME Research Forum 2024

INTRODUCTION: The probability of survival is poor in patients who require a resuscitative thoracotomy, reported in the literature to be 9-20%. Outcomes are worse in patients who have suffered blunt trauma compared to penetrating trauma reported between 2-7%. Many studies have been done to evaluate clinical predictors of survival versus mortality. We present a case of high-mechanism blunt trauma with a high injury severity score of 34 who survived after an emergency clamshell thoracotomy with full neurological recovery.

CASE PRESENTATION: This case highlights a 28-year-old male who arrived as a transfer to a level 1 trauma center following high mechanism …

Ossifying Fibroma And Central Giant Cell Granuloma, A Hybrid Tumor In The Maxilla, Jason Phung, Robert Bender, Susana Ferra

East Florida Division GME Research Day 2024

Introduction: Ossifying fibromas (OF) and central giant cell granulomas (CGCG) are benign lesions of the jaw. The presence of a hybrid lesion consisting of OF and CGCG is exceedingly rare.

Case summary: A 28-year-old male presented with complaints of nasal congestion and loud snoring worsening over six months. CT scan revealed a 2.2 x 1.5 x 1.2 cm radiolucent lesion involving the right maxillary sinus. During endoscopic sinus excision, a friable light tan and hemorrhagic lesion was seen occupying the right maxillary sinus with underlying bone destruction. Intraoperative pathology evaluation revealed no malignancy.

Results: Histologic examination revealed a biphasic …

Complex Presentation Of Pemphigus Vulgaris Mimicking Stevens-Johnson Syndrome, Yanie Oliva, Omar E. Melendez, Jasmin Cabrera, Alejandro Del Cerro Rondon

East Florida Division GME Research Day 2024

No abstract provided.

A Rare Case Of Rapidly Progressive Glomerulonephritis During Chronic Immunosuppression With Mycophenolate, Elizabeth O. Uba, Ryan Knight, Trevi Mancilla, Tarek Barbar

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

Kinematic Fluoroscopy For Pacemaker Lead Placement, Marek Solomianko, Luke Thompson, Marshall Marcus

West Florida Division GME Research Day 2024

No abstract provided.

The Patient-Provider Interaction And Patient Experience: A Substudy Of Multi-Site Randomized Trial Of A Novel Patient Expectations Communication Tool In The Emergency Department, Kelsey Leonard, Jennifer Chapman, Martin Wegman

South Atlantic Division GME Research Day 2024

No abstract provided.

Improving Clostridium Difficile Detection At Medical City Arlington: A Quality Improvement Project, Bremmy Alsbrooks, Nur-Alhuda Shahub, Shabaz Mallick, Jesse Brown, Afsha Rais, Afsha Rais

North Texas GME Research Forum 2024

INTRODUCTION: Hospital acquired Clostridium difficile infection are one of the costliest hospital acquired infections. Over the past year, there were 19 C diff cases. Reasons for this uptick in cases from previous years could be waiting too long for collection (where a patient has C diff on admission, but does not receive testing until several days later), antibiotics, environmental (for example, using the same toilet brush to clean bathrooms on the floor as well as the bathroom in a C diff patient's room, cleaning high touch areas less than two times during the day, etc.), or staff education. From our …

Non-Secretory Multiple Myeloma: A Rare Form Of Hematologic Malignancy Presenting As Severe Renal Failure, Meena Dhir, Candler K. Boyett, Minh Nguyen, Jessica A. Thomas, Haven Caldwell

South Atlantic Division GME Research Day 2024

No abstract provided.

A Retrospective Review On The Influence Of Bmi And At Home Usage Of Gabapentin On Opioid Consumption Among Patients Undergoing Totally Knee And Hip Arthroplasty, Shrikanth Parthasarathy, Mahima Silas, Nelson Algarra, Cynthia Williams

North Florida Division GME Research Day 2024

No abstract provided.

The Effects Of Bra Type On Scar Outcomes: Study Design, Recruitment, Methodology, And Preliminary Findings, Jessica Houpe, Vidya Medepalli, Sadie Baltz, Taylee Braegger, Giselle Almanzor, Madison Leonard, Morgan Barney, Anna Gaskin, Yanesezah Fenelon, Grace Thaxton, Steve Richardson

North Florida Division GME Research Day 2024

No abstract provided.

Angioedema Linked To Combination Pill Trandolapril/Verapamil, Aadil Bhutta, Sana Khan, Monica Dhiman, Udit Bhatt, Akinjide Onifade

North Texas GME Research Forum 2024

Angioedema is the swelling of deeper layers of skin caused by a build-up fluid, oftentimes due to the culmination of immune system activation against allergens. There are several causes of angioedema, including animal dander, exposure to various foods, insect bites, and medications such as Angiotensin-converting enzyme (ACE) inhibitors and Angiotensin II receptor blockers (ARBs). This swelling primarily presents periorbital and periorally, however can also less-commonly affect the airway. Angioedema can be life-threatening if involving the throat and larynx given the potential of respiratory airway compromise. This case presents a patient who had been on an ACE-ARB for almost 2 decades, …

Case Report Of Cortisol-Induced Pancreatitis, Jehidy Batista Michelena, Valentine Mwangi, Payal Passi, Oscar Garcia

Central & West Texas GME Research Day 2024

No abstract provided.

Fire On The Mountain: A Case Of Breakbone Fever In Colorado, Jacob Keeling, Omar Hanbali, Gabrielle Porzenski, Changlee Pang, Natasha Fazel

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

A Variant Of Hellp Syndrome, Dynora Pierre-Louis, Victoria Peredo, Iliza Minaya, Jose Luis Terrazas

East Florida Division GME Research Day 2024

No abstract provided.

Reliability Of The Safety Threats And Adverse Events In Trauma (Stat) Taxonomy Using Trauma Video Review, Anisa Nazir, Nemanja Baletic, Ryan P. Dumas, Caitlin Fitzgerald

West Florida Division GME Research Day 2024

No abstract provided.

Transabdominal Gun Shot Wound Traversing Zone 2 Injuring Bilateral Kidneys Managed Non-Operatively, Margaret Rose, Saptarshi Biswas

South Atlantic Division GME Research Day 2024

No abstract provided.

Solitary Fibrous Tumor, Not Always The Pleura, Not Always Benign, Robert Bender, Susana Ferra

East Florida Division GME Research Day 2024

Introduction: Solitary Fibrous Tumor (SFT) is rare, especially in locations outside the pleura, and it can mimic benign mesenchymal tumors. Misdiagnosis, leading to inadequate treatment, can increase the risk of metastasis and recurrence. Dedifferentiated SFT (DD-SFT), is the most aggressive subtype.

Case Summary: A 45-year-old male presented with a rapidly growing, non-painful, palpable, exophytic right thigh mass. CT revealed an 8 x 7.4 x 7.0 cm heterogenous mass abutting the underlying muscle. His care team made a presumptive diagnosis of sarcoma, and referred him to a local oncologic surgeon who performed a radical excision and submitted the tumor to Pathology. …

Comparing Incidence Of St Elevation Myocardial Infarction In Patients 18-44 Years Of Age During The Covid-19 Pandemic In A Large Healthcare Enterprise, Ly Tran, Rebecca Schuyler, Andrea Deneen, Mubbasher Syed

South Atlantic Division GME Research Day 2024

No abstract provided.

Reducing Broad-Spectrum Antibiotic Use By Appropriately Treating Community Acquired Pneumonia, Caleb I. Nieves-Velez, Richard Pieri, Miki Otta

Central & West Texas GME Research Day 2024

No abstract provided.

Subcutaneous Emphysema Of Unknown Etiology In A Young Healthy Adult Male: A Case Report, Charlie Wu, Teneme Konne

TriStar Division GME Research Day 2024

No abstract provided.

The Role Of Ercp In Post Covid-19 Cholangiopathy: A Systemic Review Of Published Case Reports, Olufemi Osikoya, Gregory Brennan

North Texas GME Research Forum 2024

Introduction: Post COVID-19 cholangiopathy (CC) is a rare complication of COVID-19 infection. It is characterized by abnormal elevation of serum alkaline phosphatase, with evidence of bile duct injury (via imaging or biopsy) in the absence of other causes. Not much is known regarding the role of ERCP in post COVID-19 cholangiopathy. We sought to better understand the findings, interventions and outcomes in patients with CC undergoing ERCP. Methods: We searched Pubmed, Scopus and Embase from December 2019 to present. Search words included "post-Covid-19 cholangiopathy," and “ERCP.” Data on patient characteristics, COVID-19 infection, imaging, ERCP fluoroscopic findings, ERCP interventions, …

Finding Grace With Advanced Cirrhosis: Improving Palliative Care Consult Utilization, Saud Khan, Samuel Kwiatkowski, Anjali Lukose, Amanda Rivera Miranda, Priscilla Phan, Amar Mandalia

North Florida Division GME Research Day 2024

No abstract provided.

Dka And Sepsis In The Setting Of Early Pregnancy Loss​, Alexis O'Connell, Sohni Pathan, Manashwi Ramanathan

East Florida Division GME Research Day 2024

No abstract provided.

Syncope With Too Much Iron-Y: Hemochromatosis As A Possible Contributing Factor In Acute Liver Failure, Andrew Ondracek, Joshua Wais, Joseph Petkiewicz, Robert Ondracek

West Florida Division GME Research Day 2024

No abstract provided.

Comminuted Talar Neck And Body Fracture: A Case Report, Chris Zimmer, Roshni Patel, Warren Windram

East Florida Division GME Research Day 2024

Format: Case study

Length of follow up: 12 months

Level of evidence: IV

Classification: Trauma

Purpose: A combination of talar neck and body fractures are extremely rare which make up approximately <1% of all fractures in the body. They are most commonly associated with high energy trauma such as falling from a great height, motor vehicle accident, etc. Talar fractures are challenging problems to treat in terms of fixation, rates of avascular necrosis and much more. The purpose of this case report is to demonstrate that even with a severe talar fracture salvage is possible with proper surgical technique and understanding of the unique fracture pattern.

Case study: One patient underwent ORIF of a comminuted talar neck and body fracture with a lateral bridge plate and medial based interfragmentary compression screw.

Procedures: Open reduction internal fixation of talar neck and body fracture.

Results: 1 patient who demonstrated clinical and radiographic signs of healing of a talar neck and body fracture.

Analysis & Discussions: The rates of avascular necrosis of talar neck and body fractures varies …