Medicine and Health Sciences Commons^™

Skin Of Color Representation On Wikipedia, William Kim, Sophia Wolfe, Caterina Zagona-Prizio, Robert P. Dallavalle, Natasha Fazel, Ryan Spilman

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Utilization Of Imobile As The Primary Means Of Communication Amongst Hospital Staff At Tmca-North: A Quality Improvement Project, Parker Stocking, Joseph Klein, Tiffany Chu, Sam Polhemus, Zachary Robinson

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Kikuchi Disease: A Rare Recurrence, R Levi Sundermeyer, Jessica Bautista

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Resident Schedule For Improving Continuity Of Care, Jake Allinson, Kenneth Chapman, Derek Kent, Luisa Hiendlmayr

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Technique For Osteochondral Allograft Transplant For 1st Metatarsal Head Cartilage Damage, Bren Koerner, Angela Walker, Kyle Barner, Yale Williams

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

A Rare Case Of Demodicosis Following Treatment Of Oral Fluconazole, Joshua Bezecny, Emily Bolton, Matthew H. Taylor, Elizabeth G. Berry

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Metastatic Anterior Mediastinal Mass Causing Simultaneous Chylothorax And Svc Syndrome, Kelly Schulte, Kavanya Feustel, Jeffrey Ramsey, Elizabeth Hicks

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Donut Hole Summer 2023, Medicare Donations & Design Committee

Donut Hole Newsletter

No abstract provided.

Institute Of Public Health Newsletter- Volume 7, Issue 3, Institute Of Public Health (Iph)

Institute of Public Health Newsletter (IPHNL) and Other Publications

No abstract provided.

Current Concepts Of Treatment For Foot And Ankle Arthritis, Nehal Modha, Warren Windram

East Florida Division GME Research Day 2023

Foot and ankle arthritis is a prevalent and debilitating musculoskeletal condition that significantly impairs the quality of life for millions of individuals worldwide. This scientific abstract provides an overview of the current concepts of treatment for foot and ankle arthritis, highlighting the multifaceted approach employed by healthcare professionals to alleviate pain, improve function, and enhance the overall well-being of affected patients.

This comprehensive review outlines the key elements of contemporary foot and ankle arthritis management. First, it discusses the importance of early diagnosis and classification of the condition, emphasizing the role of advanced imaging modalities and clinical assessments in establishing …

Outcome Disparity Among African Americans Following Colon Trauma, Joseph Krocker, Victoria Lord, Tamar Walker, Tammy Luan, Luis Rivera Aguasvivas, Jonathan Meizoso, Heidi Bahna, Juliet Ray

East Florida Division GME Research Day 2023

Introduction: African Americans (AA) are more likely to experience violence-related trauma compared to White subjects and experience poorer outcomes in many facets of traumatic injury. However, previous analysis of males with penetrating colon trauma has identified no difference in mortality and decreased morbidity in AAs compared to Whites. Outcomes in AAs following colon injury requiring surgery are assessed in the current study.

Methods: The Trauma Quality Improvement Program (TQIP) was queried for subjects requiring colon surgery within 24 hours of admission from 2017-2019. Mortality was the primary outcome and secondary outcomes included intensive care unit (ICU) days, total length of …

Plantar Plate Injury: Current Treatment Options, Nehal Modha, Warren Windram

East Florida Division GME Research Day 2023

Plantar plate injuries have gained recognition as a common cause of forefoot pain and instability. This review aims to comprehensively analyze the present landscape of treatment options available for addressing plantar plate injuries.

A comprehensive literature review was completed by the authors using Google Scholar, Pubmed, Cochrane Review, and Science Direct using a combination of phrases related to the title of this article that discussed various treatment modalities for plantar plate injuries. The review encompassed both non-surgical and surgical interventions, assessing their efficacy, outcomes, and potential complications.

Conservative approaches, such as rest, taping, orthotic devices, and physical therapy, have been …

Interstitial Lung Disease And Heart Failure In A 75 Year Old Guitar Maker, Andrew Kim, Elizabeth Benge, Cristian Valdez, Tony Alarcon, Yema Jalal

Far West Division GME Research Day 2023

No abstract provided.

Regional Fa Values And Loss Of Consciousness In Mild Traumatic Brain Injury, Alexander Asturias, Thomas Knoblauch, Alan Rodriguez, Cheryl Vanier, Caroline Le Tohic, Brandon Barrett, Michael Eisenberg, Rachelle Gibbert, Lennon Zimmerman, Shaunaq Parikh, Anh Nguyen, Sherwin Azad, Leo Germin, Enrico Fazzini, Travis Snyder

Far West Division GME Research Day 2023

No abstract provided.

Perforated Congenital Sigmoid Diverticula Of A Pediatric Patient, Tamir Bresler, Ryan Meyer, Kevin Palmer, Philip Frykman

Far West Division GME Research Day 2023

No abstract provided.

Persistent Left Side Superior Vena Cava, Kevin Palmer, Ryan Meyer, Tamir Bresler, Hunter King, Marissa Defreese

Far West Division GME Research Day 2023

No abstract provided.

Spontaneous Heterotopic Pregnancy: Diagnosis And Management, Katie P. Nguyen, Marlekah Hudspeth, Honey Milestone

Far West Division GME Research Day 2023

No abstract provided.

A Case Of Thrombolytic Associated Ich In The Setting Of Infective Endocarditis, Priscilla Yan, Lama Al-Khoury

Far West Division GME Research Day 2023

No abstract provided.

Implementing Immediate Post-Endotracheal Intubation Chest Radiography May Reduce Patient Morbidity And Mortality, Ali Farhat, Ross Vitek, Cindy Ye, Sophie You

Far West Division GME Research Day 2023

No abstract provided.

Fumarate-Hydratase Deficient Leiomyoma – An Opportunity To Intervene, Gul Wymer, Brittany Nagel, Susana Ferra

East Florida Division GME Research Day 2023

No abstract available.

Managing Recurrent Delayed Pleural Effusion Post Rib Fracture In An Elderly Female, Yaseen Ramadan, Fnu Swatisikta, Mushfeka Baker Golawala

East Florida Division GME Research Day 2023

INTRODUCTION Delayed pleural effusion (DPL) post rib fracture is a lesser known and not adequately studied entity. DPL is associated with increased hospital/ICU length of stay (LOS) and poorer disposition at discharge. Some case series have reported incidence as high as 40.8 % making it a clinically significant complication to watch for.

CASE An elderly female presented to the ED after a mechanical fall leading to right side fractured ribs (5th to 9th rib posteriorly) and pneumothorax. Patient was hypoxic in ER and an ICD was placed. Trauma series showed right pulmonary contusion but no hemothorax or any other injury. …

Microscopic Extraovarian Sex Cord Proliferations, Tricia O'Brien, Cameron Summers-Powell, Susana Ferra

East Florida Division GME Research Day 2023

No abstract available.

Medication Cost Reduction And Substitution Strategies Through The Mymetrx Program At Catholic Hospice, Ana M. Sanchez Monroig, Tracy Romanello, Joseph Solien, Sanaz Kashan, Angel E. Sanchez Artiles

East Florida Division GME Research Day 2023

Please see supplemental content for full abstract with references.

Introduction: As healthcare costs continue to rise, and with the growing awareness of the potential harms of polypharmacy, there is an ongoing need to explore strategies to optimize medication use in hospice settings. Strategies include deprescribing and medication substitutions, which ensure the safety and comfort of patients but can also lead to significant medication cost reduction.

Objectives: The primary objective of this study was to evaluate the impact of the MyMetRx program on medication cost reduction and medication substitutions within the context of Catholic Hospice. The program aimed to optimize medication …

Inpatient Outcomes In Patients With Cyclic Vomiting Syndrome And Cannabis Use Disorder: A Retrospective Study, Ali Tariq Alvi, Hasnan Ijaz, Pallavi Aneja

East Florida Division GME Research Day 2023

Please see supplemental content for full abstract with tables.

Background: Cyclic vomiting syndrome (CVS) is an idiopathic disorder characterized by recurrent bouts of vomiting with intervening periods of normal health. It is commonly seen in young adults with symptoms of nausea, vomiting and dehydration. It can also lead to multiple complications including, electrolyte derangements, metabolic alkalosis, and esophageal injury. With increasing use of cannabis in United States for medicinal and recreational purposes, the impact of its use in different patient populations remains unclear. Therefore, in this study, we aimed to assess the burden and impact of cannabis use disorder (CUD) …

Challenges Of Cerebral Hyperperfusion Syndrome: A Clinical Case Report, Ruth Williams, Ranga Rathakrishnan

East Florida Division GME Research Day 2023

Introduction: Cerebral Hyperperfusion syndrome (CHS) is a clinical syndrome of hypertension, headache, neurological deficits, with or without seizures, following a revascularization procedure. It is characterized by an excessive and sudden increase in cerebral blood flow. The mechanism is largely not understood but theories involve impaired cerebrovascular autoregulation (thought to be mitigated by collateral circulation), free radical damage, and baroreceptor reflex damage, possible from the procedure itself1 . Common presentations include severe ipsilateral headache to the side of the lesion with typical onset within 12 hours to 6 days, but can occur up to one month, after carotid revascularization processes2 . …

Urinary Ascites In A Newborn Male, Amanda Stragnell, Querube Santana-Holcombe, Annette Santiago

East Florida Division GME Research Day 2023

Please see supplemental content for full abstract with references.

Neonatal ascites is a condition characterized by abdominal distention resulting from the accumulation of fluid within the peritoneal cavity and is life-threatening if not treated appropriately. Genitourinary abnormalities and urinary ascites are important to consider as part of the differential for newborns presenting with abdominal distention and ascites. In male infants with urinary ascites, presence of a posterior ureteral valve is a common etiology, accounting for up to 70% of cases. In this setting, early identification and management of urinary outlet obstruction is essential to prevent progression to autodialysis and uremia. …

A Case Of Transient Left Bundle Branch Block, Taylor Craig, Vincent Grekoski, Kashan Mahmood, Laura Tortora

East Florida Division GME Research Day 2023

Please see supplemental content for full abstract with references.

Episodic bundle branch blocks are a phenomenon associated with many clinical conditions seen in the emergency department. Intermittent BBBs by definition show both normal conduction and BBB within a single electrocardiographic tracing, where a transient BBB is described as a conduction defect that which then returns to normal. The most common cause of both transient and episodic BBB is rate related however there are many causes.1 Acute LBBB should lead to suspicion of acute coronary syndrome until proven otherwise, however other many other precipitating causes can factor into the overall clinical …

Cardiac Tamponade In The Setting Of Severe Sepsis And Adrenal Insufficiency, Ayesha Choudhry, Matthew Cardeiro, Angelina Hong, Adekunle Bamgboye

East Florida Division GME Research Day 2023

Introduction: Pericardial effusions can have various etiologies, including infectious, autoimmune, drug induced, endocrinologic, among others. Cardiac tamponade occurs when large effusions compress the heart and can lead to obstructive shock.

Case Description: A 48-year-old female with a history of hypothyroidism and pituitary adenoma resection presented with subjective fevers and generalized weakness for the past 5 days. She was lethargic with muffled heart sounds on exam. Vitals showed a heart rate 95 beats per minute, blood pressure 63/51, respiratory rate 18 breaths per minute, with normal temperature. Labs on admission were significant for white blood cell count of 11,500/L, hemoglobin 10.8 …

Surviving The Apprehensive Methicillin-Sensitive Staphylococcus Aureus (Mssa) Bacteremia: A Case Of Bacteremia With An Undetermined Source Of Infection Leading To Suspected Cardioembolic Ischemia And Biochemical Septic Shock, Greisy D. Curbelo Sesin, Eduardo Marino-Urbino, Christopher Fontela, Melanio J. Rodriguez, Jorge A. Diaz, Shivaan C. Oomrigar, Ramon Mendoza Bello, Yoandy Rodriguez Fuentes

East Florida Division GME Research Day 2023

Introduction: This research presents a complex case of a 70-year-old male with acute metabolic encephalopathy and biochemical septic shock, later attributed to cardioembolic ischemia, resulting from Methicillin-Sensitive Staphylococcus Aureus (MSSA) bacteremia with an elusive source of infection.

Case Description: The 70-year-old patient, with a medical history of hypertension and aortic valve stenosis status post-Coronary Artery Bypass Grafting and bioprosthetic valve replacement on dual anti-platelet therapy (clopidogrel and aspirin), was admitted following an unwitnessed fall and a day of vomiting and generalized weakness. Upon arrival, the patient exhibited altered mental status, hypotension, and acidosis. Initial diagnostic workup raised suspicion of biochemical …

Invasive Testing For Pre-Operative Localization Of Parathyroid Tumors, Akua Graf, Craig Cochran, Samira Sadowski, Naris Nilubol, William F. Simonds, Lee S. Weinstein, Richard Chang, Smita Jha

East Florida Division GME Research Day 2023

Context: The identification of parathyroid tumor(s) in patients with persistent/recurrent primary hyperparathyroidism (PHPT) is critical for a successful re-operative surgery. If non-invasive studies (ultrasound, CT, MRI, sestamibi) fail to conclusively localize the tumor, invasive procedures (arteriography and selective venous sampling) are performed.

Objective: To describe our experience with invasive studies for parathyroid tumor localization and provide follow-up data on selective arterial hypocalcemic stimulation with central venous sampling, a technique developed at our center.

Methods: We identified patients who underwent preoperative invasive testing for localization of parathyroid tumor from 1991-2020. The result of each invasive localization study (arteriogram, hypocalcemic stimulation and …