Medical Specialties Commons^™

Inpatient Outcomes In Patients With Cyclic Vomiting Syndrome And Cannabis Use Disorder: A Retrospective Study, Ali Tariq Alvi, Hasnan Ijaz, Pallavi Aneja

East Florida Division GME Research Day 2023

Please see supplemental content for full abstract with tables.

Background: Cyclic vomiting syndrome (CVS) is an idiopathic disorder characterized by recurrent bouts of vomiting with intervening periods of normal health. It is commonly seen in young adults with symptoms of nausea, vomiting and dehydration. It can also lead to multiple complications including, electrolyte derangements, metabolic alkalosis, and esophageal injury. With increasing use of cannabis in United States for medicinal and recreational purposes, the impact of its use in different patient populations remains unclear. Therefore, in this study, we aimed to assess the burden and impact of cannabis use disorder (CUD) …

Challenges Of Cerebral Hyperperfusion Syndrome: A Clinical Case Report, Ruth Williams, Ranga Rathakrishnan

East Florida Division GME Research Day 2023

Introduction: Cerebral Hyperperfusion syndrome (CHS) is a clinical syndrome of hypertension, headache, neurological deficits, with or without seizures, following a revascularization procedure. It is characterized by an excessive and sudden increase in cerebral blood flow. The mechanism is largely not understood but theories involve impaired cerebrovascular autoregulation (thought to be mitigated by collateral circulation), free radical damage, and baroreceptor reflex damage, possible from the procedure itself1 . Common presentations include severe ipsilateral headache to the side of the lesion with typical onset within 12 hours to 6 days, but can occur up to one month, after carotid revascularization processes2 . …

Urinary Ascites In A Newborn Male, Amanda Stragnell, Querube Santana-Holcombe, Annette Santiago

East Florida Division GME Research Day 2023

Please see supplemental content for full abstract with references.

Neonatal ascites is a condition characterized by abdominal distention resulting from the accumulation of fluid within the peritoneal cavity and is life-threatening if not treated appropriately. Genitourinary abnormalities and urinary ascites are important to consider as part of the differential for newborns presenting with abdominal distention and ascites. In male infants with urinary ascites, presence of a posterior ureteral valve is a common etiology, accounting for up to 70% of cases. In this setting, early identification and management of urinary outlet obstruction is essential to prevent progression to autodialysis and uremia. …

A Case Of Transient Left Bundle Branch Block, Taylor Craig, Vincent Grekoski, Kashan Mahmood, Laura Tortora

East Florida Division GME Research Day 2023

Please see supplemental content for full abstract with references.

Episodic bundle branch blocks are a phenomenon associated with many clinical conditions seen in the emergency department. Intermittent BBBs by definition show both normal conduction and BBB within a single electrocardiographic tracing, where a transient BBB is described as a conduction defect that which then returns to normal. The most common cause of both transient and episodic BBB is rate related however there are many causes.1 Acute LBBB should lead to suspicion of acute coronary syndrome until proven otherwise, however other many other precipitating causes can factor into the overall clinical …

Cardiac Tamponade In The Setting Of Severe Sepsis And Adrenal Insufficiency, Ayesha Choudhry, Matthew Cardeiro, Angelina Hong, Adekunle Bamgboye

East Florida Division GME Research Day 2023

Introduction: Pericardial effusions can have various etiologies, including infectious, autoimmune, drug induced, endocrinologic, among others. Cardiac tamponade occurs when large effusions compress the heart and can lead to obstructive shock.

Case Description: A 48-year-old female with a history of hypothyroidism and pituitary adenoma resection presented with subjective fevers and generalized weakness for the past 5 days. She was lethargic with muffled heart sounds on exam. Vitals showed a heart rate 95 beats per minute, blood pressure 63/51, respiratory rate 18 breaths per minute, with normal temperature. Labs on admission were significant for white blood cell count of 11,500/L, hemoglobin 10.8 …

Surviving The Apprehensive Methicillin-Sensitive Staphylococcus Aureus (Mssa) Bacteremia: A Case Of Bacteremia With An Undetermined Source Of Infection Leading To Suspected Cardioembolic Ischemia And Biochemical Septic Shock, Greisy D. Curbelo Sesin, Eduardo Marino-Urbino, Christopher Fontela, Melanio J. Rodriguez, Jorge A. Diaz, Shivaan C. Oomrigar, Ramon Mendoza Bello, Yoandy Rodriguez Fuentes

East Florida Division GME Research Day 2023

Introduction: This research presents a complex case of a 70-year-old male with acute metabolic encephalopathy and biochemical septic shock, later attributed to cardioembolic ischemia, resulting from Methicillin-Sensitive Staphylococcus Aureus (MSSA) bacteremia with an elusive source of infection.

Case Description: The 70-year-old patient, with a medical history of hypertension and aortic valve stenosis status post-Coronary Artery Bypass Grafting and bioprosthetic valve replacement on dual anti-platelet therapy (clopidogrel and aspirin), was admitted following an unwitnessed fall and a day of vomiting and generalized weakness. Upon arrival, the patient exhibited altered mental status, hypotension, and acidosis. Initial diagnostic workup raised suspicion of biochemical …

Invasive Testing For Pre-Operative Localization Of Parathyroid Tumors, Akua Graf, Craig Cochran, Samira Sadowski, Naris Nilubol, William F. Simonds, Lee S. Weinstein, Richard Chang, Smita Jha

East Florida Division GME Research Day 2023

Context: The identification of parathyroid tumor(s) in patients with persistent/recurrent primary hyperparathyroidism (PHPT) is critical for a successful re-operative surgery. If non-invasive studies (ultrasound, CT, MRI, sestamibi) fail to conclusively localize the tumor, invasive procedures (arteriography and selective venous sampling) are performed.

Objective: To describe our experience with invasive studies for parathyroid tumor localization and provide follow-up data on selective arterial hypocalcemic stimulation with central venous sampling, a technique developed at our center.

Methods: We identified patients who underwent preoperative invasive testing for localization of parathyroid tumor from 1991-2020. The result of each invasive localization study (arteriogram, hypocalcemic stimulation and …

Atraumatic Splenic Rupture: An Unaccustomed Complication Of H. Parainfluenzae Endocarditis, Daniel P. High, Jose M. Acosta-Rullan, Danay Herrera, Mauricio Danckers

East Florida Division GME Research Day 2023

No abstract available.

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.

A Retrospective Study Comparing Mortality Rates Between Vaccinated And Unvaccinated Kidney Transplant Recipients, Anaam Fayyaz, Judy Pozzerle, Suresh Antony

Central & West Texas GME Research Day 2023

No abstract provided.

Spontaneous Intercostal Artery Bleeding With Hemothorax, Raafia Sajjad, Legesse Tebeje

Central & West Texas GME Research Day 2023

No abstract provided.

Is Night Time The Right Time For Hernia Surgery And Dictations, Ali Siddiqui, Nicole B. Lyons, Said Maldonado, Jonathan Lall, Brianna L. Cohen

Gulf Coast Division GME Research Day 2023

No abstract provided.

Severe Ivc Thrombosis Presenting As Abdominal Pain In Antiphospholipid Syndrome, Arya Nikjoo, Aswin Srinivasan, Ali Abbasi

Gulf Coast Division GME Research Day 2023

No abstract provided.

Treatment Options For World Health Organization Hroups 2 And 3 Pulmonary Hypertension: Using Pulmonary Arterial Hypertension Medication, Austin Makadia, Jorge Garza, Arjun Kamath, Ahsan Syed, Vishesh Persaud

Gulf Coast Division GME Research Day 2023

No abstract provided.

Systematic Review Of Coronary Air Embolism Following Percutaneous Lung Biopsy, Hytham Rashid, Tusharkumar Pansuriya, Aswin Srinivasan, Branden Wilson, Haris Ahmed

Gulf Coast Division GME Research Day 2023

No abstract provided.

Bioprosthetic Valve Endocarditis Causing Non-St Elevation Myocardial Infarction, Cassie Robertson, Lakshmi Tatineni, Talha Qasmi, Sivatej Sarva, Ramesh Kesavan, Michael Daniel

Gulf Coast Division GME Research Day 2023

No abstract provided.

A Rare Case Of Pres In A Patient On Bevacizumab-Awwb Chemotherapy, Alexander Rhodes, John Punla, Aswin Srinivasan, An Dao, Syed Raza

Gulf Coast Division 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.

Kaposi Sacroma In A 27 Year Old Man: A Case Report, Duyen Quach, Kayla Nguyen, Andrew Youssef, Diego Arellano, Jorge Leiva

Gulf Coast Division GME Research Day 2023

No abstract provided.

Dementia Screening At Hope Clinic, Kang-Lin Tsai, Wolf Frances, Elizabeth Suniega

Gulf Coast Division GME Research Day 2023

No abstract provided.

The Treatment Of Rem Sleep Disorder Using Neuromodulation: A Literature Review, Aaron Marbin, Shane Ragland, Orestes Hadjistamoulou, Clara Alvarez Villalba, Samuel Neuhut

East Florida Division GME Research Day 2023

No abstract available.

The Treatment Of Depression In Alzheimer's Disease Using Neuromodulation: A Literature Review, Aaron Marbn, Shane Ragland, Thalia Adrian, Clara Alvarez Villalba, Samuel Neuhut

East Florida Division GME Research Day 2023

Please see supplemental content for full abstract with references.

INTRODUCTION: An estimated 44 million individuals live with Alzheimer's Dementia globally, a number expected to triple by 2050.1 Depression is a commonly observed comorbidity in individuals with Alzheimer's disease. Traditional antidepressant medications often pose challenges due to their side effects and limited efficacy in this population. As a result, alternative therapeutic approaches are being explored, with Transcranial Magnetic Stimulation (TMS) emerging as a promising intervention for treating depression in Alzheimer's patients. TMS is a non-invasive brain stimulation technique that utilizes magnetic fields to modulate neural activity in targeted brain regions …

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.

Pelvic Organ Prolapse: Are Two Mesh Procedures Better Than One?, Melissa Gott, Austin Brown, Abby Crume, J Melvin, Michelle Murday

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Thsd7a Associated Membranous Nephropathy Leading To Metastatic Neuroendocrine Carcinoma, Angel Juarez, Lidice Galindo, Maryam Gondal

South Atlantic Division GME Research Day 2023

No abstract provided.

Spontaneous Pneumothorax In Healthy Young Adult, Scott Mcintosh, Aaron Keller

Capital Division GME Research Day 2023

No abstract provided.

Shoulder Pain May Be One Heartbeat Away From Disaster, Alexis White, Lisa Wright

South Atlantic Division GME Research Day 2023

No abstract provided.

The Role Of Preoperative Magnetic Resonance Cholangiopancreatography/Endoscopic Retrograde Cholangiopancreatography In The Setting Of Mildly Elevated Liver Enzymes Prior To Cholecystectomy, Rachel Groening, Salah Abdel Jalil, Jeffery Durbin, Rahul Kashyap, Aaron D. Pinnola

South Atlantic Division GME Research Day 2023

No abstract provided.

Pembrolizumab-Induced Polymyalgia Rheumatica, Jessica Thomas, Alexandra E. Thomson, Savannah Grunhard, Rohit Bishnoi

South Atlantic Division GME Research Day 2023

No abstract provided.