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Articles 31 - 60 of 113

Full-Text Articles in Female Urogenital Diseases and Pregnancy Complications

Prophylactic Resuscitative Endovascular Balloon Occlusion In The Management Of Placenta Percreta: A Case Report, Monica Rodriguez, Nicole Tenzel, Rachel Russo, Robert Cohen Jan 2025

Prophylactic Resuscitative Endovascular Balloon Occlusion In The Management Of Placenta Percreta: A Case Report, Monica Rodriguez, Nicole Tenzel, Rachel Russo, Robert Cohen

North Texas Research Forum 2025

Introduction: Placenta accreta spectrum disorders (PASD) are associated with severe maternal morbidity, including hemorrhage requiring massive transfusion, intensive care unit (ICU) admission, coagulopathy, organ ischemia or failure, and death. The adherent placenta results in continuous mixed arterial and venous bleeding, preventing the uterus from adequately contracting. This can result in a blood loss rate of 600 mL or more per minute, posing a risk of exsanguination in less than five minutes. Few reports exist on the prophylactic use of resuscitative endovascular balloon occlusion of the aorta (REBOA) to reduce obstetric hemorrhage and its application for prolonged occlusion times exceeding 60 …


A Look Into Postpartum T2dm Screening In Patients Diagnosed With Gdm, David Vincent Ream, Joshua Ferrell, Ashlee Nichole Tillery Jan 2025

A Look Into Postpartum T2dm Screening In Patients Diagnosed With Gdm, David Vincent Ream, Joshua Ferrell, Ashlee Nichole Tillery

South Atlantic Division GME Research Day 2025

No abstract provided.


A Standardized Surgical Protocol For Placenta Accreta Spectrum Disorder At An Accreta Center Of Excellence, Ana Adams, Monica Rodriguez, Kate Hansen, Aysu Erdemir, Robert Cohen Jan 2025

A Standardized Surgical Protocol For Placenta Accreta Spectrum Disorder At An Accreta Center Of Excellence, Ana Adams, Monica Rodriguez, Kate Hansen, Aysu Erdemir, Robert Cohen

North Texas Research Forum 2025

Introduction Placenta Accreta Spectrum Disorder (PASD) refers to a spectrum of abnormal invasion of the placenta into the uterus during pregnancy. PASD ranges in severity from involvement through the endometrial layer of the uterus to complete invasion involving other pelvic structures. This abnormal invasion can result in significant postpartum hemorrhage, often requiring large-volume transfusions, about six units of packed red blood cells on average. The maternal mortality rate associated with PASD is approximately 4-7%. The Society for Maternal-Fetal Medicine (SMFM) recommends that pregnancies complicated by PASD be delivered in hospitals with dedicated interdisciplinary teams, referred to as “Accreta Centers of …


Marginal Cord Insertion And Funic Presentation Mimicking Vasa Previa, Fran Franceschini Lopez, Andrew Tucker, Narinta Limtrakul, Manuel Rivera-Alsina Jan 2025

Marginal Cord Insertion And Funic Presentation Mimicking Vasa Previa, Fran Franceschini Lopez, Andrew Tucker, Narinta Limtrakul, Manuel Rivera-Alsina

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Anca-Associated Pauci-Immune Glomerulonephritis Causing Aki In The Elderly: A Case Report, Jameel Osborne, Nimmy Joy, Nicolas Hernandez, Rodrigo Alfaro Jan 2025

Anca-Associated Pauci-Immune Glomerulonephritis Causing Aki In The Elderly: A Case Report, Jameel Osborne, Nimmy Joy, Nicolas Hernandez, Rodrigo Alfaro

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Five-Year Outcomes In Living Kidney Donors W. History Of Urolithiasis, Yara Alshawabkeh, Mohammad Abuassi, Geran Maule, Rabab Elsadek, Junaid Iqbal Jan 2025

Five-Year Outcomes In Living Kidney Donors W. History Of Urolithiasis, Yara Alshawabkeh, Mohammad Abuassi, Geran Maule, Rabab Elsadek, Junaid Iqbal

North Florida Division GME Research Day 2025

No abstract provided.


Massive Fibroid Uterus Leading To Multiple Sequalae: A Case Report Of Fumarate Hydratase Deficiency, Benjamin Duplaga, Tara Feehan, Heather Miller Jan 2025

Massive Fibroid Uterus Leading To Multiple Sequalae: A Case Report Of Fumarate Hydratase Deficiency, Benjamin Duplaga, Tara Feehan, Heather Miller

West Florida Division GME Research Day 2025

No abstract provided.


Covid-19-Induced Activation Of Atypical Hemolytic Uremic Syndrome In A 40-Year-Old Woman With A Family History Of Ahus, Neil Maithel, Ibrahim Musa, Rabia Mahfooz, Ali Asghar, Jorge Garza, Aftab Mahmood Jan 2025

Covid-19-Induced Activation Of Atypical Hemolytic Uremic Syndrome In A 40-Year-Old Woman With A Family History Of Ahus, Neil Maithel, Ibrahim Musa, Rabia Mahfooz, Ali Asghar, Jorge Garza, Aftab Mahmood

Gulf Coast Division GME Research Day 2025

No abstract provided.


Implementation Of Screening For Vte Prophylaxis For The Prevention Of Vte In The Antepartum And Postpartum Period, Elizabeth Campos, Michelle Mieles, Aaron Poole Jan 2025

Implementation Of Screening For Vte Prophylaxis For The Prevention Of Vte In The Antepartum And Postpartum Period, Elizabeth Campos, Michelle Mieles, Aaron Poole

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Postpartum Glucose Testing And Primary Care Follow-Up For Women With Gestational Diabetes Mellitus: A Quality Improvement Project, Madeline Bartram, Anusha Hussain, Timothy Kremer Jan 2025

Postpartum Glucose Testing And Primary Care Follow-Up For Women With Gestational Diabetes Mellitus: A Quality Improvement Project, Madeline Bartram, Anusha Hussain, Timothy Kremer

North Texas Research Forum 2025

BACKGROUND: Patients with gestational diabetes mellitus (GDM) have a 40-70% lifetime risk for developing type 2 diabetes mellitus, which is 9 times the risk of patients without a history of GDM. Joint association guidelines recommend a 75-gram, 2-hour oral glucose tolerance test (GTT) at 4 to 12 weeks postpartum for all patients with GDM, and to follow-up with a primary care physician. Currently, less than half of these patients do not receive the recommended postpartum glucose testing and/or follow-up. METHODS: For each GDM-affected pregnancy, two primary outcome measures were retrospectively collected from the clinic EHR: completion of the 75-gram GTT …


Planned Out Of Hospital Birth Maternal And Neonatal Outcomes In A Single Institution, Priyanka Vuppala, Juhi Singhal, Linda Haddox Jan 2025

Planned Out Of Hospital Birth Maternal And Neonatal Outcomes In A Single Institution, Priyanka Vuppala, Juhi Singhal, Linda Haddox

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Incarcerated Gravid Uterus, Adelene Morrow, Aaron Poole Jan 2025

Incarcerated Gravid Uterus, Adelene Morrow, Aaron Poole

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Management Of Placenta Accreta Spectrum Disorder Diagnosed Prior To Viability, Anjali Patel, Virginia Lowe, Linda Haddox Jan 2025

Management Of Placenta Accreta Spectrum Disorder Diagnosed Prior To Viability, Anjali Patel, Virginia Lowe, Linda Haddox

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Abnormal Pap Smears In Pregnancy And The Potential For Fulminant Cervical Cancer: A Case Report And Review Of Staging And Contemporary Treatment, Aliya Nurani, Claud Crosby, Ashley Valenzuela, Meenah Dhir, Mikalah Maury, Stephen Salmieri, Anthony Royek Jan 2025

Abnormal Pap Smears In Pregnancy And The Potential For Fulminant Cervical Cancer: A Case Report And Review Of Staging And Contemporary Treatment, Aliya Nurani, Claud Crosby, Ashley Valenzuela, Meenah Dhir, Mikalah Maury, Stephen Salmieri, Anthony Royek

South Atlantic Division GME Research Day 2025

No abstract provided.


A Rare Case Of Vulvar Endometriosis, Taylor Penny, Shelby Freeberg, Brittany Stofko Jan 2025

A Rare Case Of Vulvar Endometriosis, Taylor Penny, Shelby Freeberg, Brittany Stofko

South Atlantic Division GME Research Day 2025

No abstract provided.


A Case Of Recurrent Pleural Effusion Secondary To Thoracic Endometriosis Syndrome After Discontinuation Of Oral Contraceptives, Kevin Gopala-Rao, Luis Santiesteban, Carmen Tormo Carrillo, Christian Almanzar Zorilla, Mauricio Danckers Jan 2025

A Case Of Recurrent Pleural Effusion Secondary To Thoracic Endometriosis Syndrome After Discontinuation Of Oral Contraceptives, Kevin Gopala-Rao, Luis Santiesteban, Carmen Tormo Carrillo, Christian Almanzar Zorilla, Mauricio Danckers

East Florida Division GME Research Day 2025

Introduction: Thoracic endometriosis syndrome (TES) is a rare condition in which functional endometrial tissue spreads to the thoracic cavity. Manifestations of TES include catamenial hemoptysis, pneumothorax, and pleural effusions along with symptoms of dyspnea, cough, and pleuritic chest pain.1 Approximately 6 to 10% of women of reproductive-age women develop TES with concurrent pelvic endometriosis in 80% of patients.2 Treatment of TES includes medical management with progesterone-based oral contraceptive pills (OCPs) and surgical management involving cardiothoracic surgery. We present a case of recurrent pleural effusions in a patient who was non-compliant with medical management of TES. Methods: Data was collected during …


Optimization Of Venous Thromboembolism (Vte) Prophylaxis In Pregnancy And The Postpartum Period, Sereena Jivraj, Isabella Sciacca, Sherrie Dixon, Timothy Kremer Jan 2025

Optimization Of Venous Thromboembolism (Vte) Prophylaxis In Pregnancy And The Postpartum Period, Sereena Jivraj, Isabella Sciacca, Sherrie Dixon, Timothy Kremer

North Texas Research Forum 2025

Background: Venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolisms (PE) continues to be a leading cause of maternal mortality (MM) in the United States. VTE accounts for roughly 9-10% of all maternal deaths. Other countries have adopted anticoagulation protocols to reduce MM rates, but the US has yet to follow suit. The American College of Obstetricians and Gynecologists (ACOG), the American College of Chest Physicians (CHEST), and the Royal College of Obstetricians and Gynaecologists (RCOG) all vary in their guidelines for thromboembolism prophylaxis. Patients who deliver by Cesarean section (C-section) have higher incidences of MM due …


Fibrillary Glomerulonephritis Associated With Hepatitis C: A Case Report Of Progression To End-Stage Renal Disease, Boney Lapsiwala, Karthik Kasireddy, Marisha Sharma, Mayank Singh, Vaishnavi Singh, Victor Canela Jan 2025

Fibrillary Glomerulonephritis Associated With Hepatitis C: A Case Report Of Progression To End-Stage Renal Disease, Boney Lapsiwala, Karthik Kasireddy, Marisha Sharma, Mayank Singh, Vaishnavi Singh, Victor Canela

North Texas Research Forum 2025

A Case of DNAJB9 with rapid renal progression to End-Stage Renal Disease in a patient with previously treated HCV Background Fibrillary glomerulonephritis (FGN) is a rare and progressive kidney disease, accounting for 0.5% to 1.4% of native kidney biopsies. It is characterized by non-amyloid fibrillar deposits in the extracellular matrix. Although historically regarded as idiopathic, recent studies have revealed associations with autoimmune diseases, malignancies, and Hepatitis C virus (HCV) infection. DNAJB9, a proteomic marker identified through mass spectrometry, has been consistently found in FGN cases, regardless of congophilia. This case illustrates FGN in a patient with a history of successfully …


When Autoimmunity Meets Pregnancy: Investigating Antiphospholipid Syndrome & Preeclampsia, Brianna Mcdonald, Madison Pearson, U Perni, Shiloh Smajstrla, Stephen Zweibach, James Baron Jan 2025

When Autoimmunity Meets Pregnancy: Investigating Antiphospholipid Syndrome & Preeclampsia, Brianna Mcdonald, Madison Pearson, U Perni, Shiloh Smajstrla, Stephen Zweibach, James Baron

West Florida Division GME Research Day 2025

No abstract provided.


Does Size Matter? Subchorionic Hematomas And Their Pregnancy Outcomes In Ivf Pregnancies, Alexa Wynn, Emily Lluch, Yissa Fonticiella, Mark Sanchez Jan 2025

Does Size Matter? Subchorionic Hematomas And Their Pregnancy Outcomes In Ivf Pregnancies, Alexa Wynn, Emily Lluch, Yissa Fonticiella, Mark Sanchez

West Florida Division GME Research Day 2025

No abstract provided.


Bradycardia In A Renal Transplant Patient Receiving Rabbit Antithymocyte Globulin, John Mathew, Victor Delprincipe, Seline Haci, Karthik Anand, Rangina Farhad Jan 2025

Bradycardia In A Renal Transplant Patient Receiving Rabbit Antithymocyte Globulin, John Mathew, Victor Delprincipe, Seline Haci, Karthik Anand, Rangina Farhad

North Texas Research Forum 2025

Rabbit antithymocyte globulin (rATG) is widely used for induction and treatment of acute T-cell mediated rejection in renal transplant patients. Bradycardia is reported as a rare side effect of this medication (citation). With the increasing number of transplanted kidneys in today's world, there is greater need to understand the adverse effects of these drugs in transplant recipients.. Here we report a case of symptomatic bradycardia in a renal transplant patient receiving rATG for acute T-cell mediated rejection.


Hematometra In A Pre-Menopausal Patient: A Case Report Of Idiopathic Cervical Occlusion, Sandra Zhi, Claire Middleton, Chrystal Stallworth, Mindy Beth Luck, Nicole Tenzel Jan 2025

Hematometra In A Pre-Menopausal Patient: A Case Report Of Idiopathic Cervical Occlusion, Sandra Zhi, Claire Middleton, Chrystal Stallworth, Mindy Beth Luck, Nicole Tenzel

North Texas Research Forum 2025

Introduction: Hematometra is a blood collection caused by a structural blockage of the vagina or cervix. Most cases of hematometra and/or hematocolpos occur in a relatively rare condition of imperforate hymen or Mullerian anomalies in children or adolescent patients. Case: We present a case of a 46 year old G2P2002 with a past surgical history of two C-sections with increasingly severe pelvic pain and abnormal uterine bleeding for the prior five years since her last Cesarean delivery. A large hematometra was found on CT imaging. Pelvic exam showed no vaginal abnormalities and a discolored, pale cervix. Digital pressure led to …


Treatment Of Starvation Ketoacidosis In The Third Trimester Of Pregnancy: A Case Report, Christine Le, Charmaine Oladell, Nicole Tenzel Jan 2025

Treatment Of Starvation Ketoacidosis In The Third Trimester Of Pregnancy: A Case Report, Christine Le, Charmaine Oladell, Nicole Tenzel

North Texas Research Forum 2025

INTRODUCTION: Starvation ketoacidosis represents a rare but complicated maternal morbidity that primarily occurs in the third trimester of pregnancy. With increased insulin resistance and metabolism manifesting in pregnancy, prompt care is required to diagnose and treat starvation ketoacidosis as it appears at an accelerated rate. However, despite the severity of maternal and fetal complications arising from this condition, standardized treatment protocols have not been elucidated. CASE PRESENTATION: In this case report, a 33-year-old gravida 3 para 0-2-0-2 at 31 weeks and 5 days gestational age was admitted to antepartum services for intractable nausea, vomiting, and anuria and transferred to the …


Diagnostic Dilemma: Appendiceal Endometriosis Mimicking Acute Appendicitis In A Pregnant Patient, Samantha Perez, Abigail Haythron, Trey Doss, Keisha Reddick Jan 2025

Diagnostic Dilemma: Appendiceal Endometriosis Mimicking Acute Appendicitis In A Pregnant Patient, Samantha Perez, Abigail Haythron, Trey Doss, Keisha Reddick

South Atlantic Division GME Research Day 2025

No abstract provided.


Maternal Postpartum Depression, The Family Unit, And Childhood Development, Sara Kate Wiggins, Alexandria Bailey, Peyton Dekle, Joshua Ferrell Jan 2025

Maternal Postpartum Depression, The Family Unit, And Childhood Development, Sara Kate Wiggins, Alexandria Bailey, Peyton Dekle, Joshua Ferrell

South Atlantic Division GME Research Day 2025

No abstract provided.


Milk-Alkali Syndrome In Pregnancy: The Hidden Risk Of Over-The-Counter Calcium Supplementation, Lilly Mcincrow, Anna Bryce Tucker, Samantha Perez, Nanette Woodward, Anthony B. Royek Jan 2025

Milk-Alkali Syndrome In Pregnancy: The Hidden Risk Of Over-The-Counter Calcium Supplementation, Lilly Mcincrow, Anna Bryce Tucker, Samantha Perez, Nanette Woodward, Anthony B. Royek

South Atlantic Division GME Research Day 2025

No abstract provided.


Addison's Disease In Pregnancy: A Case Report And Literature Review, Eleanora Stark, Reese Groover, Andrew Royek, Anthony B. Royek, Marshall Akin Jan 2025

Addison's Disease In Pregnancy: A Case Report And Literature Review, Eleanora Stark, Reese Groover, Andrew Royek, Anthony B. Royek, Marshall Akin

South Atlantic Division GME Research Day 2025

No abstract provided.


Complement-Mediated Microangiopathic Hemolytic Anemia (Cm-Maha) In A Postpartum Patient Whose Index Pregnancy Was Complicated By Pre-Eclampsia, Sara Hitt, Samantha Perez, Anthony B. Royek, Mariah Piazza Jan 2025

Complement-Mediated Microangiopathic Hemolytic Anemia (Cm-Maha) In A Postpartum Patient Whose Index Pregnancy Was Complicated By Pre-Eclampsia, Sara Hitt, Samantha Perez, Anthony B. Royek, Mariah Piazza

South Atlantic Division GME Research Day 2025

No abstract provided.


Spontaneous Uterine Rupture In The Second Trimester: Risk Factors And Clinical Instincts, Lauren Wells, Shea Mcgrinder, Amanda Royek, Bethany Bowling, Anthony B. Royek Jan 2025

Spontaneous Uterine Rupture In The Second Trimester: Risk Factors And Clinical Instincts, Lauren Wells, Shea Mcgrinder, Amanda Royek, Bethany Bowling, Anthony B. Royek

South Atlantic Division GME Research Day 2025

No abstract provided.


A Case Of Twin Gestation In A Rudimentary Uterine Horn Resulting In Rupture: The Importance Of Education And Imaging, Shelby Freeberg, Taylor Penny, Joa Allen Jan 2025

A Case Of Twin Gestation In A Rudimentary Uterine Horn Resulting In Rupture: The Importance Of Education And Imaging, Shelby Freeberg, Taylor Penny, Joa Allen

South Atlantic Division GME Research Day 2025

No abstract provided.