Medical Specialties Commons^™

Improving Accurate Documentation Of Appearance Within The Mse Based On Bmi, Shaina Aifuwa, Sampreeth Murali, Valerie Cordero, Nadia Jacob, Cristobal Cintron, Almari Ginory, Sarah Fayad

North Florida Division GME Research Day 2023

No abstract provided.

Prevalence Of Failed Back Surgery Syndrome Across Hca Healthcare Hospitals In The Us, Their Correlation With Mood Disorders And Other Lifestyle Related Comorbidities, Keysha Gonzalez-Ramos, Zainab Hanif, Maham Shahid, Nilmarie Guzman

South Atlantic Division GME Research Day 2023

No abstract provided.

Cryptogenic Liver Abscess Caused By Actinomyces Meyeri, Thomas Walter, Simona Oprea, Greg Hicks

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

A Rare Case Of Obstructive Primary Squamous Cell Carcinoma Of The Sigmoid Colon, Corbin Stephens, Alexandria Dennison, Syed Jafri

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Chiari’S Network: What Is The Clinical Significance?, Emadeldeen Elgwairi, Ajay Iyer, William Zvagelsky, Shruti Verma, Marcarthur Limpiado, Minar Rane, Kiranmayi Chilappa

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Cranial Nerve Palsy After Vaginal Delivery With Epidural Anesthesia, A Case Report, Jennifer Olivarez, Caylyne Arnold, Scott Gutovitz

South Atlantic Division GME Research Day 2023

No abstract provided.

The Effect Of Early Palliative Care Consultation For Patient With Traumatic Brain Injury On Procedure Utilization, Length Of Stay And Discharge Location, Abdulelah Almutairi, Donald Courtney, Heather Rhodes

South Atlantic Division GME Research Day 2023

No abstract provided.

Thoracic Radiculopathy Following Permanent Spinal Cord Stimulator Placement, Nicholas Gentry, Desiree Aird, Farayi Mbuvah

South Atlantic Division GME Research Day 2023

No abstract provided.

Eliminating Repetitive Cbc Orders On The Resident Inpatient Service At The Orlando Vahcs, Brain Murr, Feras Al-Moussally, Zara Bashir, Jorge Rodriguez, Ashlee Sidhu, Liliana Franco, Jorge Restrepo, Ashwini Komarla

North Florida Division GME Research Day 2023

No abstract provided.

Triple Disease, Multi Renal-Related Syndromes Causing Acute Kidney Injury, Jennifer Schoonmaker, Samantha Eteve, Fahim Rahim

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Analysis Of Transthoracic Echocardiogram Findings In Stroke And Tia Patients, Connor Petrovich, Anne Annvita, Robyn Meadows, Cristobal Cintron, Anand Venkatraman, Chandan Mitra, Rakesh Prashad

North Florida Division GME Research Day 2023

No abstract provided.

Effect Of Remote Blood Pressure Monitoring On Uncontrolled Hypertension, Stephan Zehring, Jonathan Garces, Nicholas Heyden, Micah Lindsey, Maura Pipkins, Justin Watkins, Nicholas Dorsey, Diana Ananthan, Malathy Varatharajah

North Florida Division GME Research Day 2023

No abstract provided.

A Case Of Recurring Gastrointestinal Stromal Tumor While On Imatinib, Corbin Stephens, Alexandria Dennison, Syed Jafri

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Management Of Blood Pressure In Pregnancy: New Perspectives From The Chap Trial, Virginia Lowe, Gabriella Nonni, Kerry Holliman

Central & West Texas GME Research Day 2023

No abstract provided.

Introduction Of Knowledge Assessments Into Residency Curriculum, Nicholas Dorsey, Elvira Mercado

North Florida Division GME Research Day 2023

No abstract provided.

When You Are Not Able To Engage The Right Coronary Artery, Emadeldeen Elgwairi, Ajay Iyer, William Zvagelsky, Shruti Verma, Marcarthur Limpiado, Minar Rane, David Rios

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Descriptive Assessment Of The Pediatric Emergency Team System: The Memorial Health University Medical Center Experience, Ashley Cheek, Lauren Hebert, Sunil Keshwah, Jessica Lee

South Atlantic Division GME Research Day 2023

No abstract provided.

Case Report: Use Of Impella 5.5 For 77 Days Prior To Heart Transplantation, Sahajahan Ashraf

West Florida Division GME Research Day 2023

No abstract provided.

Atorvastatin Associated Eosinophilic Spongiosis: A Case Report, Feras Al-Moussally Al-Moussally, Omar Masarweh, Brittany Thompson, Neel Shah, Jorge Restrepo, Sundeep Gaudi

North Florida Division GME Research Day 2023

No abstract provided.

Evaluating The Effectiveness Of A Delirium Protocol Order Set At Hca Florida Osceola Hospital, Sarah Alam, Derek Lanuto, Mabit Gonzalez, Manojna Kintada, Harsh Patel, Michael Hale

North Florida Division GME Research Day 2023

No abstract provided.

New Onset Hashimoto’S Thyroiditis Associated With Severe Rhabdomyolysis After Infection With Covid19, Nova Mebane, Jacqueline M. Phillips, Cynthia Salloum, Neva Mebane, Daniel Park

Gulf Coast Division GME Research Day 2023

No abstract provided.

Disrupted Pancreatic Duct With Necrotic Fluid Collection, Treated With Endoscopic Management, Amir Aghaabdollah, Kelly Volland, Anabel Rodriguez Loya

West Florida Division GME Research Day 2023

No abstract provided.

A Retrospective Look At Visceral Manipulation On Gastrointestinal Complaints In An Inpatient Setting, Fletcher Eldemire, Adithi Vemuri, Marcey Wright, Daniel Breznau

West Florida Division GME Research Day 2023

No abstract provided.

Suspected Anaphylactic Reaction Following Second Dose Of The Pfizer-Biontech (Bnt162b2) Coronavirus Vaccine In A Geriatric Female, Angelina Hong, Giezy Sardinas

HCA Healthcare Journal of Medicine

Anaphylaxis is a rare but serious adverse reaction that can occur following mRNA-based vaccination against coronavirus (COVID-19). This is a case of a geriatric patient presenting with hypotension and an urticarial rash with bullous lesions following a syncopal episode with incontinence. She received the second dose of the Pfizer-BioNTech (BNT162b2) COVID-19 vaccine three days prior, and first developed the skin abnormalities the morning after receiving the vaccine. She had no past history of anaphylaxis or allergies to vaccinations.

Her presentation met the diagnostic criteria for anaphylaxis, according to the World Allergy Organization: she had acute onset illness involving the skin …

Acute Thrombotic Thrombocytopenic Purpura: Rare And Life-Threatening Side Effect Of Recent Bnt-162b2 Covid-19 Vaccination, Jay Patel, Muhammad Umair Jahngir, Ahmad Abdulzahir, Ismael Rodriguez

HCA Healthcare Journal of Medicine

Thrombotic thrombocytopenic purpura (TTP) is a rare, potentially life-threatening disorder characterized by uncontrolled and spontaneous clot formation throughout the body. Known secondary causes of TTP include malignancy, bone marrow transplantation, pregnancy, various medications, and HIV infection. TTP in the setting of COVID-19 vaccination is rare and not well reported. Reported cases have been confined primarily to the AstraZeneca and Johnson and Johnson COVID-19 Vaccines. TTP in the setting of Pfizer BNT-162b2 vaccination has only recently been reported. We present a patient with no obvious risk factors for TTP who presented with acute altered mental status and was found to have …

Congenital Giant Juvenile Xanthogranuloma, Let It Be, Michael Carletti, Daniel A. Nguyen, Joseph S. Susa, Stephen E. Weis

HCA Healthcare Journal of Medicine

Juvenile xanthogranuloma (JXG) is a rare type of non-Langerhans cell histiocytosis. JXGs are benign and have a self-limiting course generally lasting 6 months to 3 years, with some reported durations longer than 6 years. We present a rarer congenital giant variant, defined as lesions with a diameter larger than 2 cm. It is uncertain if the natural history of giant xanthogranulomas is similar to the usual JXG. We followed a 5-month-old patient with a 3.5 cm in diameter, histopathologically-confirmed, congenital, giant JXG located on the right side of her upper back. The patient was seen every 6 months for 2.5 …

Vertical Transmission Of Sars-Cov-2 In A Twin Pregnancy, Tiffany C. Chang, Rebecca F. Herbert, Stacey N. Tran, Victoria M. Weprinsky, Bhaskari Burra, Chi Dola

HCA Healthcare Journal of Medicine

Transmission of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was first identified in 2019 and rapidly evolved into the global coronavirus disease 2019 (COVID-19) pandemic. The emergence of a highly morbid disease has posed ongoing challenges in the diagnosis, management, and prevention of COVID-19. The uncertainty underlying medical decision making is further compounded by preexisting conditions, including pregnancy. Here, we report a twin pregnancy complicated by maternal COVID-19 and the vertical transmission of SARS-CoV-2. We hope that our experiences contribute to a better understanding of the disease in pregnancy and, ultimately, guide the development of effective treatment and prevention …

Quality Of Icu Discharge Summaries Produced By Pediatric Residents: The Memorial Health University Medical Center Experience, Jessica M. Lee, James Ryden, Emma Meehan, Eric Shaw, Mary C. Lytle, Andrew Stack, Ashley Shearman

HCA Healthcare Journal of Medicine

Background

Discharging intensive care unit (ICU) patients directly home is becoming more common. High-quality ICU discharge summaries are crucial in the transition of patient care. Currently, at Memorial Health University Medical Center (MHUMC), there exists no standardized ICU discharge summary template or consistency when discharge documentation is completed. Investigators evaluated the timeliness and completeness of ICU discharge summaries at MHUMC produced by pediatric residents.

Methods

A single-center retrospective chart review of pediatric patients discharged directly from a 10-bed Pediatric ICU to home was conducted. Charts were evaluated pre- and post-intervention. The intervention included the implementation of a standardized ICU discharge …

Pleomorphic Dermal Sarcoma: A Clinical And Histopathologic Emulator Of Atypical Fibroxanthoma, But Different Biologic Behavior, Michael Carletti, Daniel A. Nguyen, Peter Malouf, Zachary Ingersoll, Gregory A. Hosler, Stephen E. Weis

HCA Healthcare Journal of Medicine

Pleomorphic dermal sarcoma (PDS) can clinically and histopathologically mimic atypical fibroxanthoma (AFX). However, it has a more aggressive clinical course with a higher recurrence rate and metastatic potential. This case presentation aims to report a rapidly-growing, exophytic, 4 cm tumor following a non-diagnostic shave biopsy 2 months prior and to highlight distinctive features between PDS and AFX needed to make the correct diagnosis. Like AFX, PDS occurs on the sun-damaged skin of the elderly, usually on the head and neck. Also, like AFX, PDS histopathologically consists of sheets or fascicles of epithelioid and/or spindle-shaped cells, often with multinucleation, pleomorphism, and …

Comprehensive Care To Improve Quality Of Life: A Case Of Childhood Adrenoleukodystrophy, Miraal S. Dharamsi, Adrian A. Mejia, Cecilia De Vargas

HCA Healthcare Journal of Medicine

The childhood cerebral form of adrenoleukodystrophy (ALD) causes rapid demyelination of cerebral white matter and is clinically characterized by hyperactivity, emotional changes, and poor school performance, as well as progressive cognitive, visual, auditory, speech, and motor decline. While aggressive behavior is a known complication of ALD, treatment of the disease is limited. Moreover, behavioral management is not well described in the available literature, particularly from a psychiatric standpoint. In this case presentation, the patient’s parents reported significant agitation and aggression, which may have been secondary to verbal deficits, in addition to the general neuropathological implications of this disease. Although this …