Medical Sciences Commons^™

Malignant Paraganglioma-Associated Takotsubo Cardiomyopathy, Robert Schreiner Do, Yehia Y. Mishriki Md

Department of Medicine

No abstract provided.

Appearances Can Be Deceiving - Colon Cancer Mimicking Ileocolitis, Abdul Aleem Md, Muhammad Qasim Md, Patrick Hickey Do, Hiral N. Shah Md

Department of Medicine

No abstract provided.

Adenovirus Induced Rhabdomyolysis Causing Hemodialysis Dependent Acute Renal Failure, Deepika Jain Md, Andres Zirlinger Md, Matthew J. Miles Do

Department of Medicine

No abstract provided.

The Impact Of Code Sepsis On Inpatient Mortality, Samer Bolis Do, Noor Salam Md, Matthew Mccambridge Md

Department of Medicine

No abstract provided.

Ampullary Carcinoid: A Case Report, Patrick Hickey Do, Shashin Shah Md, Hiral N. Shah Md

Department of Medicine

No abstract provided.

Therapeutic Hypothermia And Stent Thrombosis: A Nationwide Analysis., Neeraj Shah Md, Rahul Chaudhary Md, Kathan Mehta, Vratika Agarwal Md, Jalaj Garg Md, Ronald S. Freudenberger Md, Larry E. Jacobs Md, David A. Cox Md, Karl B. Kern Md, Nainesh C. Patel Md

Department of Medicine

OBJECTIVES: This study sought to determine whether "real-world" data supported the hypothesis that therapeutic hypothermia (TH) led to increased rates of stent thrombosis.

BACKGROUND: TH, which is often instituted after cardiac arrest (CA) to improve neurologic outcomes, alters pharmacokinetics of antiplatelet medications, leading to a theoretical risk of stent thrombosis after percutaneous coronary intervention (PCI).

METHODS: CA patients with acute myocardial infarction undergoing PCI were identified from the Nationwide Inpatient Sample from 2006 to 2011, with a defined primary outcome of stent thrombosis. The incidence of stent thrombosis in patients undergoing TH versus those not undergoing TH was compared using …

Incidence Of Deep Vein Thrombosis In Patients Undergoing Right Internal Jugular Vein Cannulation For Veno-Venous Extracorporeal Membrane Oxygenation, Taryn Samet Md, Timothy S. Misselbeck, Rita Pechulis Md, Fccp, James A. Burke Md, Phd, James K. Wu Md, Nicole Stansbury

Department of Medicine

No abstract provided.

An Unusual Case Of Igg4 Associated Marginal Zone B-Cell Lymphoma Presenting As Subcutaneous Nodules Mimicking Lipomas, Ryan Mayo Md, Ranjit R. Nair Md, Shereen M F Gheith Md, Phd

Department of Medicine

No abstract provided.

A Predictive Model For Intensive Chemotherapy Outcomes In Newly Diagnosed Elderly Patients With Aml, Sameer Tolay Md, David F. Claxton Md, Junjia Zhu Md

Department of Medicine

No abstract provided.

Adrenal Incidentaloma In Young – A Gray Zone?, Ranjit R. Nair Md, Stacey Smith Md, Facp

Department of Medicine

No abstract provided.

Primary Pulmonary Meningioma Mimicking Lung Metastases, Sameer Tolay Md, Brian J. Patson Md, Sherry Li Md

Department of Medicine

No abstract provided.

Peritoneal Lymphomatosis: The Failure Of Occam’S Razor, Ranjit R. Nair Md, Nicole M. Agostino Do, Shereen M F Gheith Md, Usman Shah Md

Department of Medicine

No abstract provided.

Obscure Gastrointestinal Bleeding: A Case Series, Eric Nellis Md, Patrick Hickey Do, Shashin Shah Md, Hiral N. Shah Md

Department of Medicine

No abstract provided.

The Impact Of Timing Of Ischemic And Hemorrhagic Events On Mortality After Percutaneous Coronary Intervention: The Adapt-Des Study., Sorin J. Brener, Ajay J. Kirtane Md, Thomas D. Stuckey, Bernhard Witzenbichler Md, Michael J. Rinaldi Md, Franz-Josef Neumann Md, D Christopher Metzger Md, Timothy D. Henry Md, David A. Cox Md, Peter L. Duffy Md, Ernest L. Mazzaferri Md, Roxana Mehran Md, Rupa Parvataneni Ms, Bruce R. Brodie Md, Gregg W. Stone Md

Department of Medicine

OBJECTIVES: The aim of this study was to understand the impact of the timing of ischemic and hemorrhagic events after percutaneous coronary intervention (PCI) with drug-eluting stents on subsequent mortality.

BACKGROUND: These events have been strongly associated with subsequent death.

METHODS: In the multicenter, prospective ADAPT-DES (Assessment of Dual Antiplatelet Therapy With Drug Eluting Stents) study, patients at 11 clinical sites with successful PCI with drug-eluting stents underwent assessment of platelet function and were followed for 2 years. Events occurring after PCI-definite or probable stent thrombosis (ST), myocardial infarction (MI) not related to ST, and clinically relevant bleeding (CB)-were classified …

A Retrospective, Single Center Experience With The Sharkcore Fine Needle Biopsy System: A New Bite In To Gastrointestinal Histological Sampling, Bonnie Patek Do, Joan Collette Crn, Hope Kincaid Mph, Cph, Jennifer E. Macfarlan Mph, Shashin Shah Md, Hiral N. Shah Md

Department of Medicine

No abstract provided.

Mycobacterium Cavitary Pneumonia - Not Your Tb Type - A Case Of Rare Mycobacterium Szulgai, Dhwani Pandya Md, Harshal Shah Do, Nicholas Dalessandro Do

Department of Medicine

No abstract provided.

Amyloidosis Masquerading As Suspected Angioedema: Delay In Diagnosis, Grace Berlin Do, Marie S. O’Brien Do

Department of Medicine

No abstract provided.

Pyoderma Gangrenosum: An Over Treated And Underdiagnosed Mimicker Of Ulcers, A Case Presentation, Blake Shaffer Md, S Reynolds Ms3, Hina A. Sheikh Md, S Smith

Department of Medicine

No abstract provided.

Intermittent Recurrent Renal Failure: Diagnosing Atypical Hemolytic Uremic Syndrome, Shannon Davis Do, Philip Dunn Do, Robert Schreiner Do

Department of Medicine

No abstract provided.

Decreasing Length Of Stay In Patients Receiving High Dose Methotrexate A Quality Improvement Project, Laura Spranklin Do, Nicole M. Agostino Do

Department of Medicine

No abstract provided.

Serotonin Syndrome Associated With Metaxalone And Venlafaxine, Shreemayee De Do, Michael Kalil Do

Department of Medicine

No abstract provided.

Internal Medicine Residents And The Fundus: Improving Skill With Direct Ophthalmoscopes And Increasing Knowledge Of Basic Ocular Pathology, Christine Martinez Md, Cheryl A. Bloomfield Md

Department of Medicine

No abstract provided.

A Rare Presentation Of An Abdominal Lymphoepithelial Cyst With New Roots, Travis Magdaleno Md, Hiral N. Shah Md, Shashin Shah Md

Department of Medicine

No abstract provided.

Field Cancerization With Multiple Keratoacanthomas Successfully Treated With Topical And Intralesional 5-Fluorouracil, Stephen Hemperly Do, Sean Branch Do, Stephen M. Purcell Do

Department of Medicine

No abstract provided.

Role Of Prophylactic Magnesium Supplementation In Prevention Of Postoperative Atrial Fibrillation In Patients Undergoing Coronary Artery Bypass Grafting: A Meta-Analysis Of 23 Randomized Controlled Trials (Poster)., Jalaj Garg Md, Rahul Chaudhary Md, Parasuram Krishnamoorthy Md, Neeraj Shah Md, Babak Bozorgnia Md

Department of Medicine

No abstract provided.

Safety Of Uninterrupted Periprocedural Apixaban In Patients Undergoing Atrial Fibrillation Catheter Ablation: A Metaanalysis Of 1,057 Patients, Jalaj Garg Md, Rahul Chaudhary Md, Parasuram Krishnamoorthy Md, Neeraj Shah Md, Babak Bozorgnia Md

Department of Medicine

No abstract provided.

Transcatheter Aortic Valve Replacement Is Associated With A Higher Rate Of Permanent Pacemaker Implantation Compared To Surgical Aortic Valve Replacement: A Propensity Matched Analysis (Poster)., Neeraj Shah Md, Achint Patel Mbbs, Nileshkumar Patel Md, Vratika Agarwal Md, Jalaj Garg Md, Nainesh C. Patel Md, Facc, David A. Cox Md, Facc, Fscai

Department of Medicine

A Case Report Of Ruxolitinib Induced Hypocalcemia: A Stochastic Or Deterministic Effect?, Arsha Sreedhar Md, Ranjit R. Nair Md, Gretchen A. Perilli Md

Department of Medicine

Ruxolitinib is a novel selective JAK 1/2 inhibitor approved for the treatment of myelofibrosis (MF) and polycythemia vera (PCV). Hypocalcemia associated with ruxolitinib has not been reported in early trials or in literature.

A 65 year female with history of CKD stage 3, PCV since 1989, papillary thyroid carcinoma, total thyroidectomy and hypoparathyroidism since 1996 presented with complaints of severe myalgia, fatigue, paresthesia and critical hypocalcemia. Her corrected S. Ca 5.8 mg /dl (8.9-10.1 mg/dL) and Ionised Ca 2.9 mg/dl (4.5 - 5.4 mg/dL). Other labs showed stable creatinine 1.5 mg/dL, intact PTH 29 pg/ml(14-72pg/ml) and 25,OH vitamin D level …

Humoral Hypercalcemia Of Twin Pregnancy: Not A Laughing Matter, Areeb Zamir Md, Angela Manglitz Do, Gretchen A. Perilli Md

Department of Medicine

Background: Humoral hypercalcemia due to high serum levels of Parathyroid Hormone-Related Protein (PTHrP) is very rare in the setting of benign disease. PTHrP has a significant impact on developmental stages of life and is expressed in a variety of tissues including placental tissue and mammary glands. Therefore, PTHrP has a large role in the homeostasis of calcium between the mother and fetus.

Clinical case: A 25 year old female presented to the emergency department six days post-partum of spontaneous vaginal delivery of twins at 28 and 4/7 weeks. Her chief complaints included bilateral leg pain, weakness, and difficulty ambulating …

Predictors Of Coronary Artery Disease In Patients With Polycythemia Vera And Essential Thrombocytosis: Results From The National Inpatient Sample 2009-10., Parasuram Krishnamoorthy Md, Varun Mittal, Jalaj Garg Md, Neeraj Shah Md, Nainesh C. Patel Md

Department of Medicine

Background: Myelproliferative disorders (MPDs) including Polycythemia Vera (PCV) and Essential thrombocytosis (ET) are associated with increase in arterial and venous thromboembolic events. Chronic endothelial damage, hyperviscosity and platelet activation are possible mechanistic factors resulting in accelerated atherogenesis and coronary artery disease (CAD). However the differences in prevalence of CAD and traditional risk factors (TRFs) between PCV and ET are unknown. Hence, we aimed to determine the prevalence and predictors of CAD in PCV and ET patients using a national registry.

Methods: All patients ≥18 years diagnosed with PCV and ET were identified in the Nationwide Inpatient Sample (NIS) 2009-2010 …