Medicine and Health Sciences Commons^™

Bilateral Popliteal Entrapment Syndrome: A Rare And Challenging Case Report, Jose Burgos, Gabriela Llerena, Spencer Rheingold, Jorge De La Portilla

HCA-NSU MD Research Day

Bilateral Popliteal Entrapment Syndrome: A Rare and Challenging Case Report Burgos, Jose Julian, MD, MDIV, HCA Florida Kendall Department of Vascular Surgery Miami, Florida. Llerena, Gabriela2, OMSIV, Nova Southeastern University Dr. Kiran Patel College of Osteopathic Medicine. Rheingold, Spencer, MSIV, Nova Southeastern University Dr. Kiran Patel College of Allopathic Medicine. De La Portilla, Jorge MD, assistant professor, HCA Florida Kendall Department of Vascular Surgery Miami, Florida1 Objective: This case describes an atypical presentation of PES in an older male patient who presented with a sudden onset of symptoms without a history of claudication. Background: Popliteal entrapment syndrome (PES) is a …

Management Of Covid-19 In A Patient With Kartagener Syndrome: A Case Report, Yatin Ramesh Babu, Shivani Patel, Andy Aleman Espino, Mallory Kazaleh, Hamlet Monteagudo, Odalys Frontela

HCA-NSU MD Research Day

The unprecedented global health challenge posed by COVID-19, caused by SARS-CoV-2, has driven research into its diverse clinical manifestations and underlying pathophysiological mechanisms. This report explores the interplay between pre-existing conditions, particularly Kartagener Syndrome, and COVID-19 outcomes. Kartagener Syndrome, characterized by primary ciliary dyskinesia, presents a unique perspective due to its anatomical and physiological features. The case details a 63-year-old female with Kartagener Syndrome admitted with COVID-19 symptoms. The gold-standard approach for Kartagener Syndrome involves comprehensive management strategies, including airway clearance techniques, pharmacotherapy, and surgical interventions. The patient's treatment encompassed bronchodilators, antibiotics, and subsequent improvements, leading to discharge with a …

Integrating Bioethics: Enhancing The Moral Compass Of Future Healthcare Professionals, Aymen Arain, Adalyne Singh, Ricardo Rodriquez Millan, Michelle L Demory, Cheryl Purvis

HCA-NSU MD Research Day

KEYWORDS: Bioethics, ethical principles, autonomy, justice, beneficence and non-maleficence, medical education Objective: To create an understanding of theoretical and practical ethical awareness in clinical practices and interprofessional healthcare teams. Background: The need for ethical competencies in our pre-health majors has never been more critical and the intersection of ethical thinking and real-world dilemmas are often disconnected. Enhancing self-awareness of ethical principles helps foster empathy and resilience, which are critical for building compassionate patient relationships. Methods: In our study, we surveyed students in our Master of Biomedical Sciences (MBS) program interested in a variety of healthcare professions (N=55). Using a ten-question …

Evaluating Tirzepatide's Therapeutic Potential In Mitigating Obesity-Associated Comorbidities, Zaneh Kahook, Talaya Jones, Carina Bryan, Mayur Parmar

HCA-NSU MD Research Day

Objective: The study aims to explore the therapeutic potential of dual GIP/GLP-1 agonist tirzepatide in managing obesity and its associated manifestations, including obstructive sleep apnea (OSA), hidradenitis suppurativa (HS), and obesity-associated cancer (OAC) risks. Background: OSA and HS are the associated comorbidities noted in persons with obesity. Obesity has been associated with an increased risk of cancers, such as breast cancer. Reducing obesity could improve these conditions. Tirzepatide has demonstrated efficacy in reducing body weight, but its benefits in obesity-related conditions and cancer risk need further investigation. Methods: Data was synthesized from peer-reviewed literature on tirzepatide. Additional sources were identified …

To Be Or Not Tb, Gerald Chang, Leidy Huie Martinez Md, Carlos Correa Md, Jose Melendez Md, Brittany Puebla Ms, Yeissen Godinez Md

HCA-NSU MD Research Day

Introduction: Tuberculosis (TB) is an aerosol-transmitted disease that primarily affects the lungs, with active infection presenting as fever, night sweats, weight loss, and productive cough. While it is prevalent worldwide, there may be a lower degree of clinical suspicion in developed countries where it remains uncommon. Therefore, it is important to focus on certain risk factors (travel history, immunosuppression, certain living conditions) in the patient workup. The purpose of this case report is to discuss the presentation and management of a patient with active TB presenting atypically. Case Description: The 47yo male patient with a recent history of pneumonia presented …

Invasive Squamous Cell Carcinoma Arising After Digit Amputation: A Case Study, Thy Nguyen, Leon Liu, Yin Kan Hwee, Mohammadali Shoja, Gary Schwartz

HCA-NSU MD Research Day

INTRODUCTION Squamous cell carcinoma (SCC), a malignant skin tumor, is commonly associated with osteomyelitis. Although an unusual occurrence, it is speculated that the tumor can spread along the tendon sheaths of the hand. The risk of malignant transformation is considerably increased in patients with a history of amputation. This may necessitate additional screening, amputation, or surgical repair of the defect. CASE PRESENTATION We present a patient with a progressively enlarging mass in his left hand following a prior finger amputation, which was later diagnosed as invasive SCC with concurrent osteomyelitis. Initial surgery involved mass excision and ray amputation of the …

Feeling Rash?, Ana Angeli, Erica Pieper, Ana Angeli, Nisha Chachad, Fernando Frias-Grishko, Jose Gonzalez-Pantaleon

HCA-NSU MD Research Day

Feeling Rash?

Melanio Rodriguez, MD1, Erica Peiper, DO2, Ana Angeli3, Nisha Chachad3, Fernando Frias-Grishko1, MD, Jose Gonzalez-Pantaleon, MD1

1Internal Medicine, HCA Florida Kendall Hospital 2Anesthesiology, HCA Florida Kendall Hospital 3Class of 2026, Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine Introduction: Our objective is to discuss a diagnostic approach for a maculopapular rash in an adult male with no past medical history or recent history of infection. This was a case where a wide differential was key to the diagnosis of the patient, as IgA vasculitis is rare in the adult population. Case Presentation: A 36 year-old …

Sex-Specific Changes In Gene Expression In Response To Stress In Individuals With Gulf War Illness, Lily Tehrani, Joshua Frank, Melanie Perez, Oskar Zarnowski, Raquel Rossman, Abraham Edelstein, Sadhika Uppalapati, Ana Reuthebuck, Rajendra Pangeni, Lubov Nathanson

HCA-NSU MD Research Day

Objectives The main objectives of this research proposal are to evaluate sex differences in circulating immune cells gene expression in GWI patients in response to stress modeled by exercise challenge, and sex differences in onset and progression of GWI. Background The underlying mechanisms associated with the onset and progression of GWI, a condition characterized by symptoms such as easy fatigability, memory problems, muscle and joint pain, gastrointestinal issues, neurological problems, and hormonal imbalance remains unclear. Methods We evaluated differentially expressed genes (DEG) (fold change ≥ 1.5, FDR ≤ 0.1) by RNA-seq in circulating lymphocytes of 20 GWI female and male …

Assessing Musculoskeletal Pathologies In American Sign Language Users: Incidence And Development Of Preventative Strategies, Melissa Jomsky, Tali Shir, Amanda Garcia, David Feldman Phd, Gary B. Schwartz Md

HCA-NSU MD Research Day

INTRODUCTION: American Sign Language (ASL) is the fourth most common language in the United States, primarily used by the Deaf community and ASL interpreters. Prolonged and repetitive stress on the upper extremities during daily ASL communication can lead to various musculoskeletal pathologies. This study aims to identify the incidence of common conditions such as arthritis, medial and lateral epicondylosis, biceps tendinosis, rotator cuff tendinosis, De Quervain’s tenosynovitis, trigger finger, and carpal tunnel syndrome, and their association with the regular ASL use. METHODS: A one-time survey was designed for certified Deaf interpreters (CDI), Deaf individuals, and ASL interpreters to collect data …

Internal Thermal Injury From Renuvion Lipo Procedure, Priyanka Mehrotra, Henry Manijat, Qaas Shoukat, Priyanka Mehrotra

HCA-NSU MD Research Day

INTRODUCTION: Renuvion (J-lipo) is an FDA-approved minimally invasive procedure for skin tightening and fat reduction using helium gas and radiofrequency to create plasma energy. Despite its benefits, Renuvion can cause serious complications such as burns, with a complication rate of 0.04% between 2020 and 2021. This report describes a rare complication—third-degree burns from internal thermal injury—and explores its pathophysiology. CASE PRESENTATION: A 34-year-old Hispanic female with no significant medical history presented with worsening abdominal pain and skin discoloration two weeks after Renuvion. She had undergone hyperbaric oxygen therapy and daily fluid drainage. Examination revealed severe pain with movement, paresthesias, and …

Using Intense Pulse Light To Treat Facial Erythema Associated With Subcutaneous Lupus Erythematous: A Case Report, Melissa Jomsky, Jonathan D. Melnick, Marc Kesselman, Matthew B. Zarraga Do, Michelle L. Demory

HCA-NSU MD Research Day

Introduction: Subcutaneous Lupus Erythematous (SCLE), a cutaneous form of Lupus Erythematous (LE), is an autoimmune disease which manifests as a chronic skin condition that may or may not include systemic involvement. SCLE occurs in every 4 people per 100,000, which has remained a consistent occurrencerate over the past 40 years. Currently, first line therapy for the skin manifestations of LE are topical and systemic steroids, which pose a risk of long-term side effects. Herein, we suggest a series of Intense Pulse Light (IPL) sessions as a treatment optionfor the malar rash associated with SCLE to improve the appearance of the …

Malignancy-Related Ascites: Thinking Outside The Liver, Nisha Chachad, Erica Pieper Do, Nisha Chachad, Ana Angeli, Pedro Bayonas Md, Jose Gonzalez-Pantaleon Md

HCA-NSU MD Research Day

Introduction. Our objective in discussing this case is to explore an approach to the various etiologies of ascites, thereby encouraging clinicians to consider extrahepatic differentials during disease management. To do so, we examined the following case of ascites in the setting of underlying malignancy. Case Presentation. An 85-year-old female presented with rapid-onset abdominal distension as well as dark stools and shortness of breath. She had also experienced progressive weakness, malaise, and weight loss over the last year. Past medical history was notable for endometriosis, hyperlipidemia, and xanthogranulomatous pyelonephritis. She was mildly tachycardic on admission. Labs were notable for leukocytosis with …

Comparative 24-Hour Effects Of Topical Humectants On Skin Hydration Assessed By Tissue Dielectric Constant, Kawaiola Aoki, Emily Deehan, Marissa Ruppe, Gregory Bartos, Harvey N. Mayrovitz

HCA-NSU MD Research Day

Comparative 24-Hour Effects of Topical Humectants on Skin Hydration Assessed by Tissue Dielectric Constant Kawaiola Cael Aoki, MAS, OMS-III a; Emily Deehan, OMS-II a; Marissa Ruppe, OMS-II a; Gregory Bartos, DO, FAAD b; Harvey N. Mayrovitz, PhD c a Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL b Imperial Dermatology, Hollywood, FL c Dr. Kiran C. Patel College of Allopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL Abstract Objective: To examine and quantify the effects of four humectant-based moisturizers on skin hydration using non-invasive Tissue Dielectric Constant (TDC) measurements over 24 hours. Background: Skin …

Rupioid Syphilis Case Report, Salma Bennis, Erica Rankin, Rummit Dhillon, Avva Saniee

HCA-NSU MD Research Day

Introduction Rupioid syphilis is an atypical, severe form of secondary syphilis caused by Treponema pallidum. Here, we present a rare case of a cutaneous manifestation of latent secondary syphilis in an HIV-infected patient. Case Description A 33 year old HIV-positive female presented with a two-month history of generalized, draining, verrucous, scaly plaques that first started on her abdomen as a papule. Physical examination revealed mildly tender, odorous plaques, as well as white plaques on the buccal mucosa. H/E stains demonstrated verrucous pseudoepitheliomatous squamous hyperplasia associated with lymphoplasmacytic infiltrate and interface changes. Lab results showed a reduction in CD4+ lymphocytes and …

A Qualitative Evaluation Of Huntington’S Disease Perspectives On Social Media, Paige Conrad, Heather Sterchele, Ryan Wong, Sahar Sarrami Amini

HCA-NSU MD Research Day

A Qualitative Evaluation of Huntington’s Disease Perspectives on Social Media Paige Conrad OMS-III Nova Southeastern University Kiran C. Patel College of Osteopathic Medicine, Heather Sterchele OMS-III Nova Southeastern University Kiran C. Patel College of Osteopathic Medicine, Ryan Wong OMS-III Nova Southeastern University Kiran C. Patel College of Osteopathic Medicine, Sahar S Amini D.O. Objective: The objective of this study is to qualitatively examine the content of the most watched videos related to HD on the social media application Tik Tok and explore how social media is being utilized to discuss the disease. Background: Huntington’s Disease (HD) is a neurodegenerative disorder …

Synergistic Effects Of Inecalcitol With Imatinib And Dasatinib On Chronic Myeloid Leukemia Cell Lines, Samuel Angel, Emma Cowles, Jeams Richard Costa, Raad Al Ani, Kallidaikurichi V. Venkatachalam

HCA-NSU MD Research Day

Objective This study evaluates the synergistic effects of the anticancer drugs Imatinib and Dasatinib in combination with Inecalcitol, a metabolite of vitamin D, on CML cell lines. Background Tyrosine kinase inhibitors (TKIs) has emerged as a popular treatment for chronic myeloid leukemia (CML), increasing patient outcomes. Vitamin D has anti-proliferative, pro-apoptotic, and anti-angiogenic effects, therefore it can be considered a potential cancer-preventative agent. Method AR-230, KCL-22, LAMA-84S, and U-937 cell lines were grown in T25 conical flasks for 48 hours at 37°C before transferring to a 96-well plate. Cells were treated with varying combinations of Inecalcitol, Imatinib, and Dasatinib. Cell …

Be Suspicious Of Supplements: A Case Of Exogenous Cushing Syndrome From Hidden Ingredient, Brittany Puebla, Leidy Huie Martinez Md, Carlos Correa Md, Jose Melendez Md, Gerald Chang, Roberto Ruiz Md

HCA-NSU MD Research Day

Introduction: Cushing syndrome, resulting from hypercortisolism, can be caused by both exogenous glucocorticoid use and endogenous production. While exogenous Cushing Syndrome is usually associated with known glucocorticoid exposure, the risk of occult use through over-the-counter (OTC) supplements is a growing concern. Case Presentation: 60-year-old male presented to the ED with worsening dyspnea, bilateral lower extremity swelling, and intermittent chest pain. He was admitted for suspected congestive heart failure (CHF) exacerbation. Medical history includes obesity, hypertension, diabetes, and CHF. On day 2, a Cushinoid appearance was noted on physical exam with BLE muscle wasting, round faces, and prominent central obesity with …

Diabetes Management Among Adolescents During The Covid-19 Pandemic: A Scoping Review, Jason Nguyen, William Le, Roberta Brugger, Anjali Shah, Prasanna Karur, Macey Hedelund, John Joseph, Arshia Haj, Caroline Grillo, Nivene Hojeij, Jennifer Maizel

HCA-NSU MD Research Day

Objective: Adolescents with diabetes mellitus (DM) have worse glycemic outcomes and lower adherence to self-management regimens than other age groups. The COVID-19 pandemic posed new DM self-management barriers for adolescents tied to social distancing measures and additional stressors. We conducted a scoping review of peer-reviewed literature to examine self-management regimens and outcomes among adolescents ages 10-17 years with type 1 and type 2 DM during the pandemic. Methods: Our scoping review followed the PRISMA-ScR guidelines. We searched three online databases, screened articles via a rigorous process, and assessed articles for bias using the JBI Critical Appraisal Checklists. We synthesized included …

An Unusual Case Of Heterotaxy Syndrome, Paul (Presenting At Hca) Kay, Jesse Simon, David Kosoy, Kevin Jaszewski, Jose Mata

HCA-NSU MD Research Day

Introduction: Heterotaxy syndrome (HS), also referred to as situs ambiguous, is a rare congenital condition marked by the abnormal positioning and asymmetry of thoracoabdominal organs in relation to the body's midline. HS is categorized into two main types: left isomerism (polysplenia syndrome) and right isomerism (asplenia syndrome or Ivemark syndrome). Isomerism describes a condition where right- or left-sided structures appear bilaterally, such as the presence of bilateral trilobed lungs in right isomerism. Case Description: Herein we present the case of a 28-year-old female who presented to the Emergency Department complaining of abdominal pain. On CT, she was incidentally found to …

The Importance Of A Second Look: A Rare Combination Of A Galeazzi Fracture And Lunate Dislocation, Josef Maselli, Leon Liu, Ashley Mcgill, Garrett Wagner, Gary B. Schwartz

HCA-NSU MD Research Day

The Importance of a Second Look: A Rare Combination of a Galeazzi Fracture and Lunate Dislocation Introduction. A Galeazzi fracture involves a fracture of the middle to distal one-third of the radius with dislocation of the distal radioulnar joint (DRUJ), commonly caused by forceful impact to an outstretched hand with a hyperpronated forearm. This case describes a Galeazzi fracture with a concomitant lunate dislocation, a diagnosis that is frequently missed in the presence of an obvious distal radial fracture. We are seeking to underscore the importance of close radiographic analysis, especially when an obvious fracture is present. Case Presentation. A …

Advancements In Sacroiliac Joint Dysfunction Treatment: The Need For Protocol Shifts For H-Eds/Hsd Patients Driven By A New Sij Fusion Procedure, Samuel Sklar, Vladimir Beljanski

HCA-NSU MD Research Day

Objective: This narrative review examines advancements in sacroiliac joint (SIJ) dysfunction treatments and current protocols, focusing on patients with hypermobile Ehlers-Danlos Syndrome (h-EDS) and hypermobility spectrum disorders (HSD), while also considering other related pathologies. Background: SIJ dysfunction is common in patients with h-EDS and HSD, often causing lower back and pelvic pain, dislocations, and subluxations. Treatments are usually non-surgical and continuous regimens. Over the last 15 years, SIJ fusion has shown notable improvements in pain relief, disability reduction, and recovery times. The new iFUSE Implant System is engineered to minimize patient risk while providing enhanced joint stability. Current treatment protocols, …

The Role Of Long Noncoding Rna Malat1 In Ketosis-Induced Mitochondrial Modulation In Human Cardiomyocytes, Milton Kodom, Vineetaa Seecharan-Mohammed, Ashley L. Pryor, Jordan Gordon, Narasimman Gurusamy Phd

HCA-NSU MD Research Day

Objective: To investigate the effect of ketosis on long noncoding RNAs (lncRNAs), specifically MALAT1, and their role in mitochondrial function in AC16 human ventricular cardiomyocytes. Background: Heart failure, a leading cause of death, is increasingly recognized as a metabolic disorder linked to mitochondrial dysfunction. Ketone body treatments have shown potential in improving mitochondrial function and heart failure outcomes. Long noncoding RNAs (lncRNAs), which are RNA molecules longer than 200 nucleotides that do not encode proteins, regulate gene expression and mitochondrial function. Although lncRNAs are modulated during heart failure progression, their specific roles under ketotic conditions remain unclear. Methods: AC16 cardiomyocytes …

Physician Modified Stent Grafts Created Using 3-Dimensional Printing In The Management Of Aortic Disease: A Systematic Review, Gregory Alfieri, Jack Stensland, Sydney Elness, Khavir Sharieff Do,Mba

HCA-NSU MD Research Day

Objective: This study evaluates the effectiveness and applicability of PMSGs created from 3D-printed models in managing aortic disease. Background: Endovascular treatment of aortic disease can be challenging, especially with complex anatomy. Three-dimensional (3D) printed models, derived from computed tomography (CT) and magnetic resonance imaging (MRI) scans, have been used to create physician-modified stent grafts (PMSGs) for vascular procedures involving the aorta. Methods: A systematic search was conducted in July 2024 across Embase, Ovid Medline, and Web of Science using PRISMA guidelines. Keywords included “aorta”, “3-dimensional printing”, and “implant”. Only studies reporting use of 3D printing-assisted PMSGs in aortic disease repair, …

Improving Treatment Outcomes For Bacterial Vaginosis By Affecting The Vaginal Microbiome, Aleya Devries, Jyotsna Chawla Assistant Professor, Microbiology, Jackeline Moljo Assistant Professor, Family Medicine

HCA-NSU MD Research Day

Objective: The goal of this review is to educate providers about the importance of maintaining the balance of the vaginal microbiome (VMB) and how modifiable factors may be used to improve treatment outcomes of patients with bacterial vaginosis. Background: Bacterial vaginosis (BV) is the most common vaginal infection in women of reproductive age and is treated with Metronidazole, which has a high recurrent infection rate. Preliminary studies highlighted the balance of VMB species affects the development of BV and therapeutic outcomes of Metronidazole. Furthermore, previous studies have described how VMB composition can be shaped by various factors. Methods: Here, we …

Targeting Er Stress Pathways With Curcumin Analogs To Enhance Glioblastoma Stem Cell Death, Emma Baker, Emanuella Brito, Matthew C. Pate, Blake T. Hutchins, Roberto Martin, Sabrin Safar, Kyuree Chang, Maria J. Moreno Hollweg, Eduardo A. Veliz Phd, Steven Vanni Do, Regina M. Graham Phd

HCA-NSU MD Research Day

Objective. Examine the role of curcumin analogs in modulating cell stress pathways and cytotoxicity. Background. Endoplasmic reticulum (ER) stress, caused by the accumulation of unfolded or misfolded proteins, can trigger programmed cell death in the setting of environmental stressors such as ROS, hypoxia, or acidosis. The unfolded protein response (UPR) is a cellular survival mechanism employed to alleviate ER stress. Notably, the pro-survival pathways of the UPR are upregulated in glioblastoma and are implicated in both chemoresistance and radiation resistance, making effective treatment more difficult. Modulation of the UPR is a promising therapeutic strategy for improving outcomes of patients diagnosed …

Urinary Bladder Neurofibroma Management And Complications, Isabella Cook, Haroon Nawaz

HCA-NSU MD Research Day

Introduction: Neurofibromatosis type 1 (NF1) is an autosomal dominant disorder causing multisystemic manifestations at birth or an early age, with its most prominent symptom being widespread neurofibromas. These neurofibromas can present in any organ, leading to complications depending on their size and location.

Case Presentation: We present a 55-year-old African American female with bilateral nephrostomy tubes after resection of neurofibromas of the bladder.

Deviation From the Expected: The patient developed sepsis due to a urinary tract infection caused by the tubes. Urology and interventional radiology consultants discussed whether to replace the nephrostomy tubes during this admission or wait for her …

Exploring The Covid-19 Vaccine: New Onset And Exacerbations In Rheumatic Diseases, Sania Siddiqui, Anita Laloo

HCA-NSU MD Research Day

Exploring the COVID-19 Vaccine: New Onset and Exacerbations in Rheumatic Diseases Sania Siddiqui, Anita Laloo MD, MPH Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine (NSU MD) Objective: This study aims to explore the rheumatological manifestations associated with the COVID-19 vaccine. Background: The Coronavirus disease (COVID-19) vaccine has proven effective in mitigating the transmission of SARS-CoV-2 and reducing global disease burden. There is limited understanding regarding the exacerbations of pre-existing rheumatological disorders and new-onset joint disease following vaccination. Methods: A narrative literature search was conducted on PubMed, Google Scholar, and SCOPUS. No restrictions regarding the publication date, …

Skin Manifestations In People With Hepatitis C, Erjola Toska, Cameron Minars, Suzanne Riskin

HCA-NSU MD Research Day

Skin Manifestations in People with Hepatitis C Authors: Erjola Toska, OMS-III, Cameron Minars, OMS-II, Suzanne Riskin, M.D. Objectives: This study is aimed to summarize the association between hepatitis C infection and dermatological manifestations from the past decade. Background: Hepatitis C is a growing global health concern, with rising incidence rates and an increased likelihood of extrahepatic manifestations, including dermatological conditions. Despite research into the connection between hepatitis C and skin disorders, there is a lack of comprehensive reviews on this subject. Methods: Four databases—PubMed (NLM), EMBASE, CINAHL, and Web of Science—were searched for peer-reviewed articles written in English, focusing on …

Use Of Electrical Bone Growth Stimulators In High-Risk Patients Following Spinal Fusion, Soumya Malhotra, Khavir Sharieff

HCA-NSU MD Research Day

Title: Use of Electrical Bone Growth Stimulators in High-Risk Patients Following Spinal Fusion Authors: Soumya Malhotra, BA., MS1 & Khavir Sharieff, DO, MBA2 1Class of 2027, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, FL 2Assistant Professor of Surgery, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Tampa Bay, FLNova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine Objective: This study aimed to elucidate the advantages of EBGSs following high-risk spinal fusions. Background: Pseudarthrosis is a condition where bones fail to fuse after an injury or surgery. It causes significant …

Hemodynamic Collapse From Perforated Splenic Angiosarcoma: A Rare Case, Juliette Camejo, Tiffany Guillen, Rahul Ramakrishnan, Romany Harkas

HCA-NSU MD Research Day

Introduction: Splenic angiosarcoma is an uncommon, malignant neoplasm of vascular endothelial origin. Given its unique nature and rupture potential, we present a case of perforated splenic angiosarcoma. Case Description: A 79 year-old female with a history of vocal cord paralysis, recurrent laryngeal nerve palsy, and thyroidectomy presented for a second time with stridor and worsening shortness of breath. Due to desaturation and bradycardia, unsuccessful intubation led to a tracheostomy and ICU transfer. She stabilized and showed no major complications for seven days. On discharge day, the patient became diaphoretic, pale, and non-responsive, prompting a rapid response and code blue. Major …