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Articles 151 - 180 of 440
Full-Text Articles in Medical Education
Don’T Poke The Bear: Pheochromocytoma Unmasked By Covid-10, Taylor Virtue, Andrea Roast
Don’T Poke The Bear: Pheochromocytoma Unmasked By Covid-10, Taylor Virtue, Andrea Roast
Books, Presentations, Posters, Etc.
Introduction: Pheochromocytomas are tumors of the adrenal gland which produce excess catecholamines. The classic clinical triad is paroxysmal headache, diaphoresis, and tachycardia. The rare incidence makes this a challenging diagnosis which is even more challenging in the environment of the COVID-19 pandemic. Case Presentation: Setting: Establishing care visit at a primary care office Demographic: 42 year old male Medical history: Previously well-controlled hypertension, prediabetes HPI: • Weeks of profound, persistent fatigue and lightheadedness after the resolution of acute symptoms (fever, chills) from COVID-19 infection. Denies any headaches or palpitations. • Meticulously measuring vital signs at home. He has noticed that …
Tobacco Cessation Email Outreach In A Primary Care Setting, Katie Berry, Md, Meera Jain
Tobacco Cessation Email Outreach In A Primary Care Setting, Katie Berry, Md, Meera Jain
Books, Presentations, Posters, Etc.
Background: . • Tobacco use remains the #1 cause of preventable death in the United States • Providence Health and Patient Education Program offers resources for tobacco cessation (eg. Virtual classes), but few patients access these services • Xealth® is a digital healthcare technology company contracted with Providence that aims to provide digital content to improve patient care and resources to analyze data • Study purpose: Assess if digital outreach to patients helps engagement in tobacco cessation services • Our clinic was a pilot clinic to develop the intervention and assess efficacy prior to roll out to all Providence Medical …
Review Of Current Dual-Antiplatelet And Triple Therapy Prescribing Practices At Providence Medical Group, Gina Kim, Christine Doran, Lauren Powell
Review Of Current Dual-Antiplatelet And Triple Therapy Prescribing Practices At Providence Medical Group, Gina Kim, Christine Doran, Lauren Powell
Books, Presentations, Posters, Etc.
Abstract: Approximately 10% of patients with recent percutaneous intervention (PCI) have concomitant atrial fibrillation (AF) and others may have concomitant venous thromboembolism (VTE). This makes choosing the optimal antithrombotic regimen challenging. The ACC published a 2020 decision pathway to guide safe and evidence-based use of antiplatelet and anticoagulant combinations for certain patients. These situations include patients with prior AF on anticoagulation and the need for PCI, patients with new-onset AF requiring anticoagulation in a patient already on antiplatelet therapy for coronary artery disease (CAD), patients with prior VTE on anticoagulation and the need for PCI, and patients with new or …
Impact Of Injectable Calcitonin Non-Formulary Status On Treatment Of Hypercalcemia Of Malignancy In Hospitalized Patients, Ngoc Nguyen, Pamela Levine, Patricia Leo, Andrew Jarrell
Impact Of Injectable Calcitonin Non-Formulary Status On Treatment Of Hypercalcemia Of Malignancy In Hospitalized Patients, Ngoc Nguyen, Pamela Levine, Patricia Leo, Andrew Jarrell
Books, Presentations, Posters, Etc.
Purpose: Evidence suggests there is limited benefit in using injectable calcitonin for the treatment of hypercalcemia of malignancy. Based on this evidence and in the setting of increased drug costs, many institutions have opted to either restrict or remove calcitonin from their formulary. The purpose of this study was to describe the patient populations receiving treatment for hypercalcemia of malignancy and to evaluate the clinical and financial impact of injectable calcitonin being removed from formulary in an acute care setting. Methods: This retrospective cohort study was reviewed by the Providence Institutional Review Board. Patients were identified through EPIC electronic medical …
Assessment Of Appropriate Anticoagulation And Rates Of Bte In Ambulatory Oncology Patients Using A Validated Risk Assessment Model (Khorana Scote), David Page, Alan Su, Nikki Moxon, Staci Mellinger, Tracy L. Kelly, Katherine Lyon, Pharmd, Ian Ingram, Stephanie Matta, Pharmd, Bcop
Assessment Of Appropriate Anticoagulation And Rates Of Bte In Ambulatory Oncology Patients Using A Validated Risk Assessment Model (Khorana Scote), David Page, Alan Su, Nikki Moxon, Staci Mellinger, Tracy L. Kelly, Katherine Lyon, Pharmd, Ian Ingram, Stephanie Matta, Pharmd, Bcop
Books, Presentations, Posters, Etc.
Abstract: Cancer associated venous thromboembolisms (VTE) are associated with higher health care resource utilization (number of hospitalizations, hospital length of stay, inpatient/outpatient medical services) and can complicate treatment of cancer. The Khorana Predictive Model for Chemotherapy-Associated VTE is a validated risk assessment model that determines a patient’s risk of developing VTEs and provides recommendations for starting prophylactic anticoagulation in ambulatory oncology patients. The Khorana Score is composed of various patient characteristics including site of primary cancer, prechemotherapy platelet count, hemoglobin level, prechemotherapy leukocyte count, and BMI. National Comprehensive Cancer Network (NCCN) supportive care guidelines recommend prophylactically starting an anticoagulant if …
Extracorporeal Membrane Oxygenation (Ecmo) In Acute Chest Syndrome, Natalie Bolton, Md, Omar Pandhair
Extracorporeal Membrane Oxygenation (Ecmo) In Acute Chest Syndrome, Natalie Bolton, Md, Omar Pandhair
Articles, Abstracts, and Reports
2024-2025 PGY1
A Vexing Case: A Newly Discovered Autoinflammatory Disease, Ashley Edwards, Md, Caroline Mcculley, Md
A Vexing Case: A Newly Discovered Autoinflammatory Disease, Ashley Edwards, Md, Caroline Mcculley, Md
Poster Presentations
Introduction: Vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic (VEXAS) Syndrome is a recently recognized adult-onset autoinflammatory disease that can lead to potentially lifethreatening multi-system inflammation with estimated prevalence of up to 1 in 5,000 males over the age of 50. Given its significant morbidity and mortality and high prevalence, increased awareness of this condition is of foremost importance. Herein we outline a case of VEXAS syndrome. Case Presentation: Mr. N is a 73-year-old male with a past medical history significant for hypertension and recent episode of uveitis who first presented to the hospital for significant unintentional weight loss, fevers, and abdominal …
Characterization Of Sarcoidosis At A Combined Rheumatology- Pulmonary Clinic, Megan Schermerhorn, Md, Julianna Desmarais, Md
Characterization Of Sarcoidosis At A Combined Rheumatology- Pulmonary Clinic, Megan Schermerhorn, Md, Julianna Desmarais, Md
Poster Presentations
No abstract provided.
Titratable, Weight-Based Cisatracurium Infusions For Ventilation Synchrony In Ards, Nanako Miimi, Pharmd, Celine Munoz
Titratable, Weight-Based Cisatracurium Infusions For Ventilation Synchrony In Ards, Nanako Miimi, Pharmd, Celine Munoz
Books, Presentations, Posters, Etc.
Abstract: Cisatracurium is a non-depolarizing neuromuscular blocking agent used for paralysis in paitents with acute respiratory distress syndrome on mechanical ventilation. Paralysis prevents ventilator dyssynchrony and reduces patient’s work of breathing, which decreases the risk of pneumothorax. On November 1, 2023, PSVMC critical care units transitioned from fixed dosing of cisatracurium for ARDS to a weight-based, titratable dosing protocol. A single-center retrospective cohort study demonstrated cisatracurium titrated using train-of-four was associated with similar ventilatory and clinical outcomes with three folds reduction in cisatracrurium dose in comparison to fixed dose strategy. The purpose of this project is to evaluate the drug …
Tuberculous Myositis In The Leg Musculature, Tho Nguyen, Md
Tuberculous Myositis In The Leg Musculature, Tho Nguyen, Md
Books, Presentations, Posters, Etc.
Introduction - The majority of active Mycobacterium tuberculosis cases are pulmonary, but extrapulmonary tuberculosis (TB) can account for up to 30% of active cases. Cases of tuberculosis myositis are rare and account for less than three percent of active cases and diagnosis is often delayed due to its rarity. We present a case of TB myositis and discuss the difficulties in diagnosis Case - Patient is an 82-year-old Vietnamese speaking female with hypertension and hyperlipidemia who presented for acute onset of nausea and vomiting in setting of three-month history of recurrent left lower extremity (LLE) swelling without systemic symptoms such …
Cloudy Consequences: Exploring Vaping-Induced Alveolar Proteinosis, Jennifer Wong, Do, Omar Pandhair, Md, Abby Lindseth, Md, Cameron Long, Md
Cloudy Consequences: Exploring Vaping-Induced Alveolar Proteinosis, Jennifer Wong, Do, Omar Pandhair, Md, Abby Lindseth, Md, Cameron Long, Md
Articles, Abstracts, and Reports
2024-2025 PGY1
Pulmonary Pseudomyxoma Peritonei, Hannah Kirk, Do, Omar Pandhair, Md
Pulmonary Pseudomyxoma Peritonei, Hannah Kirk, Do, Omar Pandhair, Md
Articles, Abstracts, and Reports
2024-2025 PGY1
Ofatumumab Associated Legionella Pneumonia In A Young Multiple Sclerosis Patient, Jobe Ashby, Md, Omar Pandhair
Ofatumumab Associated Legionella Pneumonia In A Young Multiple Sclerosis Patient, Jobe Ashby, Md, Omar Pandhair
Articles, Abstracts, and Reports
2024-2025 PGY2
Ecmo As A Bridge To Lung Transplant For Refractory Rapidly Progressive Interstitial Lung Disease, Matthew Moritz, Md, Omar Pandhair, Md
Ecmo As A Bridge To Lung Transplant For Refractory Rapidly Progressive Interstitial Lung Disease, Matthew Moritz, Md, Omar Pandhair, Md
Articles, Abstracts, and Reports
2024-2025 PGY2
Hydroxocobalamin In Septic Shock Management: Should It Be Introduced Sooner?, Linh Tang Taylor, Md, Cameron Miles Long, Md, Omar Pandhair, Md
Hydroxocobalamin In Septic Shock Management: Should It Be Introduced Sooner?, Linh Tang Taylor, Md, Cameron Miles Long, Md, Omar Pandhair, Md
Articles, Abstracts, and Reports
2024-2025 PGY2
Increasing The Use Of Sglt-2 Inhibitors In Patients With Type 2 Diabetes And Chronic Kidney Disease, Amanda Tep, Do, Jason Heino, Do, Shelley Schoepflin Sanders, Md, Alyssa Nelson
Increasing The Use Of Sglt-2 Inhibitors In Patients With Type 2 Diabetes And Chronic Kidney Disease, Amanda Tep, Do, Jason Heino, Do, Shelley Schoepflin Sanders, Md, Alyssa Nelson
Articles, Abstracts, and Reports
2024-2025 PGY3
Addressing The Prescribing Patterns And Environmental Impact Ofdry Powder Inhalers (Dpi) Versus Metered Dose Inhalers (Mdi), Abby Lindseth, Md, Claudia Leonard, Md, Facp, Michelle Sanders, Md, Facp
Addressing The Prescribing Patterns And Environmental Impact Ofdry Powder Inhalers (Dpi) Versus Metered Dose Inhalers (Mdi), Abby Lindseth, Md, Claudia Leonard, Md, Facp, Michelle Sanders, Md, Facp
Articles, Abstracts, and Reports
2024-2025 PGY3
Bridging Care And Cost: Enhancing Communication In Hospital Settings By Incentivizing Electronic Medical Tools To Promote Value, Christinia Patel, Md, Shelley Schoepflin Sanders
Bridging Care And Cost: Enhancing Communication In Hospital Settings By Incentivizing Electronic Medical Tools To Promote Value, Christinia Patel, Md, Shelley Schoepflin Sanders
Articles, Abstracts, and Reports
2024-2025 PGY3
Where Did The Oxygen Go? (Case Report On Acquired Methemoglobinemia), Julia Townsend, Md, Ryan Apathy, Md, Stephanie Griffith
Where Did The Oxygen Go? (Case Report On Acquired Methemoglobinemia), Julia Townsend, Md, Ryan Apathy, Md, Stephanie Griffith
Articles, Abstracts, and Reports
2024-2025 PGY2
Implementation Of Medication Inventory Management Solution At A Critical Access Hospital, Justin Donat, Christopher Adams
Implementation Of Medication Inventory Management Solution At A Critical Access Hospital, Justin Donat, Christopher Adams
Books, Presentations, Posters, Etc.
Abstract: Accurately monitoring pharmacy inventory in real-time is vital to providing safe and cost-effective medical care at hospitals of any size. At smaller critical access hospitals, in particular, effective inventory management requires solutions to unique problems posed by floorspace, budget, and workflow limitations. In 2022, Providence Health System (PHS) began systemwide implementation of both a standardized inventory management solution (IMS) and an AI-assisted medication ordering software (MOS). By initiation of this project, larger hospitals in the system had already implemented the IMS and MOS at their inpatient pharmacies to mixed success. In May of 2024, Providence Hood River Memorial Hospital …
A Deadly Case Of Encephalopathy, Brenna Ostertag, Md, Gita D Gelfer, Do, Andrea Roast, Md
A Deadly Case Of Encephalopathy, Brenna Ostertag, Md, Gita D Gelfer, Do, Andrea Roast, Md
Poster Presentations
No abstract provided.
The Differential Expands: Ataxia From Paraneoplastic Cerebellar Degeneration, Dominic Thomas, Md, Amy Dechet, Md
The Differential Expands: Ataxia From Paraneoplastic Cerebellar Degeneration, Dominic Thomas, Md, Amy Dechet, Md
Poster Presentations
No abstract provided.
Implementing A Nurse-Driven Checklist To Reduce The Incidence Of Hospital Onset Clostridium Difficile Infection, Rebecca Zamora
Implementing A Nurse-Driven Checklist To Reduce The Incidence Of Hospital Onset Clostridium Difficile Infection, Rebecca Zamora
St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference
No abstract provided.
Continuous Capnography Monitoring Policy And Implementation For Patients On Continuous Narcotics, Leslie Farrington, Cecille Lamorena Bsn, Rn, Ccrn, Sheta Chan, Richard Urgel, Bsn, Rn, Cmsrn, Elizabeth Winokur
Continuous Capnography Monitoring Policy And Implementation For Patients On Continuous Narcotics, Leslie Farrington, Cecille Lamorena Bsn, Rn, Ccrn, Sheta Chan, Richard Urgel, Bsn, Rn, Cmsrn, Elizabeth Winokur
St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference
No abstract provided.
Fall Prevention In The Emergency Care Center (Ecc), Laura Derr
Fall Prevention In The Emergency Care Center (Ecc), Laura Derr
St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference
No abstract provided.
Early Detection Of Maternal Sepsis, Nicole Evaro
Early Detection Of Maternal Sepsis, Nicole Evaro
St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference
No abstract provided.
Improving Door To Ct Time, Christiane Pepitone
Improving Door To Ct Time, Christiane Pepitone
St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference
No abstract provided.
Proactive High Risk Rounding, Michael Grinenko
Proactive High Risk Rounding, Michael Grinenko
St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference
No abstract provided.
Miscarriage Awareness In Ecc, Jo Zarnegar
Miscarriage Awareness In Ecc, Jo Zarnegar
St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference
No abstract provided.
Use Of Agitation Scale Decision Scoring Grid To Improve Care Of Agitated/Anxious Patients In Dsu, Angelica Taneca, Carmyle Seville
Use Of Agitation Scale Decision Scoring Grid To Improve Care Of Agitated/Anxious Patients In Dsu, Angelica Taneca, Carmyle Seville
St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference
No abstract provided.