Medical Specialties Commons^™

Metastatic Melanoma To The Stomach: A Rare Cause Of Upper Gastrointestinal Bleeding, Ricky Buckshaw Do, Robert V. Decker Md, Shashin Shah Md

Department of Medicine

No abstract provided.

Large Coronary Arteries Mean No Chance Of A Heart Attack, Right? An Acute Myocardial Infarction In The Setting Of Holding Anticoagulation For A Routine Colonoscopy, Nathan Brewster Do, Jennifer Nesfeder, Ryan Murphy Do, Brian J. Holahan, Syed Rafay Ali Sabzwari

Department of Medicine

Coronary artery ectasia (CAE) is an uncommon pathology, which is sometimes incidentally found on left heart catheterization (LHC). CAE is occasionally treated with systemic anticoagulation to prevent thrombosis or progression of the clot in the coronary arteries. We present a 63-year-old male with known CAE on warfarin who presented to the hospital with myocardial infarction after a routine colonoscopy for which anticoagulation was held. His myocardial infarction was attributed to a likely coronary thromboembolic event. This case highlights the need for consideration of bridging anticoagulation therapy before and after procedures in patients with CAE to prevent adverse coronary events.

Using The Qsat To Generate Multi-Source Feedback On An In-Situ Pediatric Simulation Case, Michael C. Nguyen Md, Nicole Elliott Do, Michael R. Jong Md, Msc, Suzanne S. Puentes Bsn, Ccrn, Rn, Diane Begany Md, Matthew D. Cook Do, Louis Morolla Do, Zachary Matuzsan Do, Jennifer E. Macfarlan Mph, Bryan G. Kane Md

Department of Emergency Medicine

No abstract provided.

Opinions Of Academic Em Society Members On The New Acgme Common Program Requirements, Shawn M. Quinn Do, Bryan G. Kane Md, Marna R. Greenberg Do, Mph, Facep, Terrence E. Goyke, Steven Bird Md, Megan Schagrin Mba, Gavin C. Barr Jr. Md

Department of Emergency Medicine

No abstract provided.

Emergency Department Skull Trephination For Management Of Acute Epidural Hematoma, Julie A. Fritzges Do

Department of Emergency Medicine

No abstract provided.

Safety Oriented, Low-Cost Peritonsillar Abscess Needle Aspiration Model For Emergency Medicine Simulation, Anne Mai Bs, Julie A. Fritzges Do, Gavin C. Barr Jr. Md, Marna R. Greenberg Do, Mph, Facep, Smeet Bhimani Do

Department of Emergency Medicine

No abstract provided.

Continuous Quality Improvement Methodology: A Case Study On Multidisciplinary Collaboration To Improve Chlamydia Screening, Allison Ursu, Grant M. Greenberg M.D., M.H.S.A., M.A., Michael Mckee

Department of Family Medicine

This article illustrates quality improvement (QI) methodology using an example intended to improve chlamydia screening in women. QI projects in healthcare provide great opportunities to improve patient quality and safety in a real-world healthcare setting, yet many academic centres lack training programmes on how to conduct QI projects. The choice of chlamydia screening was based on the significant health burden chlamydia poses despite simple ways to screen and treat. At the University of Michigan, we implemented a multidepartment process to improve the chlamydia screening rates using the plan-do-check-act model. Steps to guide QI projects include the following: (1) assemble a …

Adult-Onset Hypophosphatasia: Before And After Treatment With Asfotase Alfa, Angela Magdaleno Do, Sonum Singh Md, Sandhya Venkataraman Do, Ya-Yu Lee Md

Department of Medicine

No abstract provided.

Primary Hyperparathyroidism As Initial Presentation Of Stage Iv Breast Cancer, Angela Magdaleno Do, Angel Lopez Md, Thomas A. Diven Md, Marc A. Vengrove Do, Facp

Department of Medicine

No abstract provided.

Over The Counter Supplements And Essential Oils, Lynn M. Wilson Do

Department of Family Medicine

No abstract provided.

Multiple Cellular Neurothekeomas, Megan A. Jones Do, Nektarios I. Lountzis Md, Joshua M. Levin Md

Department of Medicine

No abstract provided.

Sterile Neutrophilic Folliculitis With Vasculopathy In A Young Male Patient With Infective Endocarditis, Carl Barrick Do, Naeha Gupta Do, Richard Mccalin Md, Stephen M. Purcell Do

Department of Medicine

No abstract provided.

Sapho Syndrome, Diana A. Rivers Do, Megan A. Jones Do, Joshua M. Levin Md

Department of Medicine

No abstract provided.

Lichen Planus Pemphigoides In A Patient After Combination Ipilimumab And Nivolumab Therapy, Steven Oberlender Md, Phd, Marc T. Mitton Do

Department of Medicine

No abstract provided.

Shiitake Mushroom-Induced Flagellate Dermatitis, Claire O. Dorfman Do, Nektarios I. Lountzis Md

Department of Medicine

No abstract provided.

Reactive Angioendotheliomatosis, Naeha Gupta Do, Richard Mccalin Md, Nektarios I. Lountzis Md

Department of Medicine

No abstract provided.

Management Of Pregestational Diabetes Insipidus In Pregnancy, Sandhya Venkataraman Do, Sharmila C. Koshy Md, Marc A. Vengrove Do, Facp

Department of Medicine

No abstract provided.

Establishing A Preconception Counseling Program For Women With Diabetes In Primary Care Resident Clinics, Carly Waldman Ms4, Melissa M. Dion Md, Sandhya Venkataraman Do, Angela Magdaleno Do, Meredith Rochon Md, Gretchen A. Perilli Md, Marc A. Vengrove Do, Facp

USF-LVHN SELECT

No abstract provided.

Treating Postpartum Refractory Long Qt Syndrome With Cervical Ganglion Sympathectomy, Nikhil A. Mehta Mbbs, Mario Caruso Do, Syed Rafay Ali Sabzwari Md, Lohit Garg Md, Jeffrey Gordon Md, Talha Nazir Md

Department of Medicine

No abstract provided.

Atresia Of The Coronary Sinus Ostium With Anomalous Drainage Into Innominate Vein: Implications For Crt, Syed Rafay Ali Sabzwari Md, Lohit Garg Md, Nikhil A. Mehta Md, Hiwot Ayele Md, Nghia Hoang Md

Department of Medicine

No abstract provided.

Sudden Cardiac Death Associated With Malignant Mitral Valve Prolapse, Damon Mcenroe Md, Fnu Vikram Md, Kailyn Mann Do, Lohit Garg Md, Syed Rafay Ali Sabzwari, Nael Hawwa Md

Department of Medicine

No abstract provided.

A Rare Case Of Minocycline Induced Eosinophilic Myocarditis, Tarick Sheikh Md, Anam Malik Md, Paul Secheresiu Do, James R. Kimber Do, Hiwot Ayele Md, Lekha Racharla Do

Department of Medicine

No abstract provided.

Traumatic Tricuspid Regurgitation: When To Operate, Ghulam Akbar Md, Lohit Garg Md, Syed Rafay Ali Sabzwari, Fnu Vikram Md, Raman Dusaj Md

Department of Medicine

No abstract provided.

Isolated Bicuspid Pulmonic Valve: “Forgotten Valve” And A Rare Anomaly, Ghulam Akbar Md, Fnu Vikram Md, Lohit Garg Md, Larry E. Jacobs Md, Matthew W. Martinez Md

Department of Medicine

No abstract provided.

Outcomes Of Catheter Ablation For Atrial Fibrillation In Patients With Hypertrophic Cardiomyopathy, Lohit Garg Md, Syed Rafay Ali Sabzwari Md, Ghulam Akbar Md, Hiwot Ayele Md, Sahil Agrawal Md, Manyoo Agarwal Md, Jeffrey Gordon, Raman Dusaj Md, Talha Nazir Md, Babak Bozorgnia Md, Matthew W. Martinez Md

Department of Medicine

No abstract provided.

Frontotemporal Dementia In A Hispanic Female, Lynn M. Wilson Do, Nyann Biery Ms

Department of Family Medicine

No abstract provided.

A Case Report Of Massive Acetaminophen Poisoning Treated With A Novel “Triple Therapy”: N-Acetylcysteine, 4-Methylpyrazole, And Hemodialysis, Emily A. Kiernan Do, Julie A. Fritzges Do, Kathryn Henry Do, Kenneth D. Katz Md

Department of Emergency Medicine

Massive acetaminophen (N-acetyl-p-aminophenol; APAP) ingestion is characterized by a rapid onset of mitochondrial dysfunction, including metabolic acidosis, lactemia, and altered mental status without hepatotoxicity which may not respond to the standard doses of N-acetylcysteine (NAC). A 64-year-old woman without medical history presented comatose after an ingestion of 208 tablets of Tylenol PM™ (APAP 500 mg and diphenhydramine 25 mg). The initial APAP concentration measured 1,017 µg/mL (therapeutic range 10-30 µg/mL), and elevated anion gap metabolic acidosis, lactemia, and 5-oxoprolinemia were detected. High-dose intravenous (IV) NAC, 4-methylpyrazole (4-MP), and hemodialysis (HD) were initiated. She was transferred to a liver …

Unusual Case Of Obstructive Jaundice., Rajesh Essrani Md, Eric Nellis Md, Patrick Hickey Do, Hiral N. Shah Md

Department of Medicine

Most malignant obstructive jaundice arises from primary periampullary tumors and rarely from metastatic cancer of the head and neck. A 60-year-old male was diagnosed with obstructive jaundice due to metastatic squamous cell carcinoma of the tonsil. Only 12 cases of small bowel metastasis from the head and neck have been reported. Most of them originate from laryngeal squamous cell carcinoma, and only one case reported tonsillar cancer metastasizing to the ileum. Our case is the first one, to the best of our knowledge, to illustrate tonsillar cancer with metastasis to the duodenum causing obstructive jaundice.

Atrial Myxoma Presenting With Palpitations: A Case Report, George Prousi Md, Joseph Moran Do, Ross Biggs Do

Department of Medicine

Abstract

Atrial myxomas are a rare phenomenon and although benign, primary neoplasms of the heart can be burdensome depending on their location. Clinical symptoms are caused through a variety of mechanisms including conduction disturbances, obstruction, and valvular interference. Size and symptom development are strongly correlated and can almost always be detected by the use of echocardiography, magnetic resonance imaging or computed tomography. This is a case of a 62-year-old female with no significant past medical history presented to our facility with complaints of palpitations and associated dizziness for three months.

Introduction

Atrial myxomas are the most common benign primary neoplasm …

Denture Misadventure: The Tooth About Your Colon., Rajesh Essrani Md, Patrick Hickey Do, Hiral N. Shah Md

Department of Medicine

Foreign body ingestion occurs mainly in a mentally impaired person, but rarely in healthy adults. A 48-year-old male was admitted with a recurrence of previously diagnosed right knee septic arthritis and accidentally ingested his dental bridge which was removed from a proximal ascending colon with a colonoscopy.