Digestive System Diseases Commons^™

Acute Esophageal Necrosis And Duodenal Disease In The Setting Of Recently Initiated Chemotherapy, Kulveer Dabb, Ryan Jansen Van Rensburg, Heba Yusuf, Daniel Klein, Alexander D. Lake, Mohamed Kaif

HCA Healthcare Journal of Medicine

Introduction

Acute esophageal necrosis (AEN), commonly referred to as “black esophagus” or Gurvits syndrome, is a rare condition characterized by diffuse black mucosa in the distal esophagus. Most often, the patient is an older male with multiple comorbidities, presenting with upper gastrointestinal bleeding. The exact pathogenesis is unclear, but it is often thought to be secondary to acute vascular hypo-perfusion or ischemia of the esophageal mucosa in critically ill patients with certain secondary comorbid conditions such as renal insufficiency, diabetes mellitus, dyslipidemia, coronary artery disease, malnourishment, alcohol abuse, or association with an underlying malignancy.

Case Presentation

We present a case …

Monitoring Concordance In The Management Of Transfusing Blood Components In Cirrhotic Patients For Paracentesis With Evidence-Based Guidelines, Joseph Kim, Gregory Moses

North Texas GME Research Forum 2023

Initiative to decrease unnecessary hemostatic agent transfusion in cirrhotic patients undergoing paracentesis: a resident-led approach quality improvement project to prevent transfusion overuse. Currently, there is no official guideline placed in the hospital for the administration of a hemostatic agent such as fresh frozen plasma in the setting of an elevated international normalized ratio, which paradoxically is an anticipated finding in cirrhotic patients. This process leads to unnecessarily prolonging the duration of the hospital course due to delays in performing the interventional procedures and interruptions in scheduling. The goal of this project is to educate and provide physicians with the most …

An Interesting Twist: An Adult Midgut Volvulus Presenting As A Transverse Colon Volvulus, Both Rare Phenomena, Allison Walworth, Danielle Ford

North Texas GME Research Forum 2023

Introduction and Case Presentation: We report an unusual case of an adult midgut volvulus presenting first as a transverse colon volvulus. A 62-year-old man with no significant past medical history presented to the emergency department with complaints of intractable nausea, vomiting, and abdominal pain for twenty-four hours. He had been evaluated at an outside hospital where an abdominal and pelvis computed tomography was read as a transverse colon volvulus, a vanishingly rare medical condition. A CT reimaging of the abdomen and pelvis illustrated a whirlpool sign in the region of the small bowel, consistent with a small bowel volvulus. In …

Artificial Intelligence In Colonoscopy In A Community Setting, Kunaal Patel, Brett Vanleer-Greenberg

South Atlantic Division GME Research Day 2023

No abstract provided.

Disseminated Miliary Tuberculosis And Intestinal Tuberculosis Mimicking Ibd, Danny Tran, Kunaal Patel, Areeba Asfaq, Brittany Lyons

South Atlantic Division GME Research Day 2023

No abstract provided.

Hepatitis B Virus Screening In Asian Immigrants: Community-Based Campaign To Increase Screening And Linkage To Care, Aziza Win

South Atlantic Division GME Research Day 2023

No abstract provided.

Non-Nec Pneumatosis And Pneumoperitoneum, Arham Aslam, Alexander Soutter

South Atlantic Division GME Research Day 2023

No abstract provided.

Tranexamic Acid (Txa) In Upper Gastrointestinal Bleeds – Systematic Review And Meta-Analysis, Nd Ekpa, Harout Hamzoian, Justin Yan

Gulf Coast Division GME Research Day 2023

No abstract provided.

Acute Appendicitis Secondary To Enterobius Vermicularis: Case Report, Yasmine Hemida, Horeb Cano Gonzalez, Mike K. Liang

Gulf Coast Division GME Research Day 2023

No abstract provided.

Perforated Sigmoid Diverticulitis Within A Strangulated Inguinal Hernia, Christen E. Chaconas, Patrick D. Melmer, Aaron D. Pinnola, Isabella C. Moncada

South Atlantic Division GME Research Day 2023

No abstract provided.

Rates Of Colostomy Creation Following Sacral Nerve Stimulator (Sns) Implantation For Fecal Incontinence, Austin Brown, Melissa Gott, Abby Crume, Michelle Murday

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Midgut Volvulus A Rare Cause Of Acute Abdomen In The Adult Patient, Mason S. Deinema, Saptarshi Biswas

South Atlantic Division GME Research Day 2023

No abstract provided.

A Case Of Acquired Acrodermatitis Enteropathica Associated With Inflammatory Bowel Disease And Amyloidosis, Laura Landis, Mitalie Gupta, Ricardo Estrada, Kathryn Hall, Adam Gomez

Central & West Texas GME Research Day 2023

No abstract provided.

Massive Small Bowel Resection In A 74-Year-Old Patient With Atrial Fibrillation-Induced Mesenteric Ischemia, Armand Edalati, Bita C. Behaeddin, Raul Aguilar, Shaikh Hai

East Florida Division GME Research Day 2023

Acute mesenteric ischemia (AMI) in the setting of atrial fibrillation is a life-threatening abdominal emergency that requires immediate localization and clinical intervention to restore mesenteric perfusion for the prevention of developing bowel necrosis. As bowel ischemia rapidly progresses, serum metabolic derangements become prominent, guiding practitioners on effective therapeutic options. Ultimately, mesenteric ischemia progressively bolsters the possibility of a patient developing multiple organ dysfunction. Due to this minacious pathogenesis, rapid time to diagnosis can become the difference between life and death. Intraoperatively, emergent surgical intervention regarding bowel resection needs to be thoroughly reviewed and planned based on the patient's medical history …

Quality Improvement: Implementation Of Rapid Mri Protocol At Gsmc For Further Evaluation Of Suspected Pediatric Appendicitis, Colin W. Woolard, Christian Salinas, Allison Hudak, Jeffery Durbin

South Atlantic Division GME Research Day 2023

No abstract provided.

Increasing Utilization Of The Fib-4 Score To Improve Appropriate Nafld Consultation, Fanny Stampfli Silva, Teayoung Kim, Omar Masarweh, Stephanie Lopez Orizondo, Mohammed Rahhal, Feras Al-Moussally

North Florida Division GME Research Day 2023

No abstract provided.

Cytomegalovirus And Nodular Gastric Lesions: A Case Report, Tyler Jones, Daniel Bishev, Vidya Kollu

North Florida Division GME Research Day 2023

No abstract provided.

A Fatal Case Of Lisinopril-Induced Acute Necrotizing Pancreatitis, Omar Masarweh, Feras Al-Moussally, Juan Pablo Meruvia Garron, Anuj Kunadia, Olga Karasik, Abdo Asmar

North Florida 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.

Fatigue More Than Just Anemia: A Case Report Of Undiagnosed Pbc, Sarah Barraza, Payal Passi, George Matus, Michaela Mckissack

Central & West Texas GME Research Day 2023

No abstract provided.

Intestinal Tuberculosis Presenting As Small Bowel Obstruction, Duyen Quach, Jordan Torres, Kayla Nguyen, Kevin Garnepudi, Wenjing Fang, Mike Liang

Gulf Coast Division GME Research Day 2023

No abstract provided.

Complications Of Colonscopies: Splenic Injury Following Routine Screening For Colorectal Cancer, Elisabeth Barrar, Ainsley Freshour

South Atlantic Division GME Research Day 2023

No abstract provided.

A Unique Cross-Sectional Study Of Short-Term Transoral Incisionless Fundoplication Outcomes, Alexandria Dennison, Corbin Stephens, Syed Jafri

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Severe Thromboembolic Events In Two Pediatric Patients Diagnosed With Ulcerative Colitis (Uc) And Recently Initiated Adalimumab Therapy: A Case Series, Kelly Powell, Shreya Patel, Megan Tate, Abby Alaine Unger, Abigail Haythorn

South Atlantic Division GME Research Day 2023

No abstract provided.

Spur Cell Hemolytic Anemia: An Uncommon Etiology Of Anemia In Liver Cirrhosis, Hanan Gruhonjic, Austin Van Vliet, Maxwell Tague, Masi Javeed

West Florida Division GME Research Day 2023

No abstract provided.

Pregnancy Induced Pancreatitis In The Setting Of Medical Abortion And Severe Hyponatremia, Nd Ekpa, Sheila Chandrahas, Randy Chung

Gulf Coast Division GME Research Day 2023

No abstract provided.

Appendicitis Mimicry Of A Rare Case Of Early Diagnosed Dolichocolon, A Case Report, Kayla Brown, Mercedes Jolley, Dean Kocay

Central & West Texas GME Research Day 2023

No abstract provided.

Applying The Naranjo Scale In Diagnosing An Atypical Case Of Chronic Mycophenolate Mofetil-Induced Colitis In A Heart Transplant Recipient, Emmanuel Magsino, Leeann Hu, Michael Delzoppo, Jorge Restrepo

North Florida Division GME Research Day 2023

No abstract provided.

Ogilvie's Syndrome: In A Non-Surgical Patient Admitted For Pulmonary Embolism And Acute Cerebrovascular Accident, Kelly Schulte, Matthew Nelson, Daniel L. Levy, Alexander Enurah, Jennifer Griffith

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Acute Colonic Perforation With Septic Shock Secondary To Disseminated Histoplasmosis In A Autologous Bone Marrow Transplant Recipient, Harsimrandeep Bhatti, Srijisnu De, Enkhbileg Batbileg, Glen Friedman

Central & West Texas GME Research Day 2023

No abstract provided.