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Lehigh Valley Health Network

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Articles 61 - 90 of 1032

Full-Text Articles in Medical Specialties

Does Performing Endoscopy Sooner Have An Impact On Outcomes In Patients With Acute Nonvariceal Upper Gastrointestinal Hemorrhage? A Systematic Review., Zahid Ijaz Tarar, Muhammad Usman Zafar, Umer Farooq, Ghulam Ghous, Hafiz Muhammad Hassan Shoukat, Vanessa Kuwajima Jul 2021

Does Performing Endoscopy Sooner Have An Impact On Outcomes In Patients With Acute Nonvariceal Upper Gastrointestinal Hemorrhage? A Systematic Review., Zahid Ijaz Tarar, Muhammad Usman Zafar, Umer Farooq, Ghulam Ghous, Hafiz Muhammad Hassan Shoukat, Vanessa Kuwajima

Department of Emergency Medicine

Background Endoscopy is the cornerstone for the diagnosis and treatment of nonvariceal upper gastrointestinal bleeding. Regarding the management of nonvariceal bleeding, the administration of crystalloid solution and proton pump inhibitors before endoscopy is well established, but the optimal timing of endoscopy has been a matter of debate and a subject of many investigational studies. The need for urgent endoscopy arises to provide prompt redress to acute bleeding, decrease the length of stay, and lower mortality from ongoing bleeding. Objective This study aimed to determine if endoscopy performed within 24 hours of presentation improves outcomes in terms of mortality, hospital length …


Detection Of Central Retinal Artery Occlusion By Point-Of-Care Ultrasound In The Emergency Department: A Case Series., Kevin R Caja, Kaylan M Griffith, Kevin R. Roth Do, Facoep, Charles C. Worrilow Md, Marna R. Greenberg Do, Mph, Facep, Theodore Doherty Do Jul 2021

Detection Of Central Retinal Artery Occlusion By Point-Of-Care Ultrasound In The Emergency Department: A Case Series., Kevin R Caja, Kaylan M Griffith, Kevin R. Roth Do, Facoep, Charles C. Worrilow Md, Marna R. Greenberg Do, Mph, Facep, Theodore Doherty Do

Department of Emergency Medicine

Central retinal artery occlusion (CRAO) is a rare, but serious, diagnosis that can lead to blindness, most often due to thromboembolic disease. In the emergency department (ED), CRAO can present as acute, painless loss of vision. Physicians need quick ways to rule in this diagnosis due to the time-sensitive nature of the event. We describe two patients in this cases series who present to the same ED with unilateral painless vision loss and histories that include notable risk factors such as thromboembolic and atherosclerotic disease. Upon arrival, point-of-care ultrasound (POCUS) done at the bedside allowed for quick determination of CRAO. …


Incidence Of Secondary Hemophagocytic Lymphohistiocytosis In Critically-Ill Covid-19 Patients., Jamie Allen, Matthew M Mccambridge, Hope Kincaid, Joshua A Kalter Jul 2021

Incidence Of Secondary Hemophagocytic Lymphohistiocytosis In Critically-Ill Covid-19 Patients., Jamie Allen, Matthew M Mccambridge, Hope Kincaid, Joshua A Kalter

Department of Emergency Medicine

Objective Coronavirus disease 2019 (COVID-19) is associated with diffuse lung injury that can progress to acute respiratory distress syndrome, multisystem-organ failure, and death. The inflammatory storm seen in many COVID-19 patients closely resembles secondary hemophagocytic lymphohistiocytosis (sHLH) which has been described in other virus-associated severe sepsis. We sought to describe the incidence of sHLH in COVID-19 infected patients. Design In this retrospective study, we reviewed the records of critically ill COVID-19 positive patients to determine the incidence of sHLH. An H-score for sHLH diagnosis was determined for each study participant, with a score greater than 169 points needed for diagnosis. …


Detection Of Unknown Pregnancy With Complications Using Point-Of-Care Ultrasound., Allison N Kayne, Julie A Fritzges, Michelle W. Huang Md, Elizabeth M. Evans Do Jul 2021

Detection Of Unknown Pregnancy With Complications Using Point-Of-Care Ultrasound., Allison N Kayne, Julie A Fritzges, Michelle W. Huang Md, Elizabeth M. Evans Do

Department of Emergency Medicine

Eclampsia, a condition diagnosed in pre-eclamptic patients who experience seizures, can lead to maternal and fetal death if not treated early. The present case discusses the clinical management of an 18-year-old female who presented to the emergency department (ED) after a generalized tonic-clonic seizure. A physical examination revealed that she was also hypertensive. Based on these symptoms which required urgency due to the patient's instability, and the suspicion that the patient could be pregnant, point-of-care ultrasound (POCUS) was performed. In this case, a POCUS was a faster more accessible modality than a urine or serum human chorionic gonadotropin test. Although …


Transient Leukopenia, Thrombocytopenia, And Severe Neutropenia Associated With Acute Sars-Cov-2 Infection, Austin Schatzman, Julia Vandenheuvel Md, Tibisay Villalobos Md, Kris Rooney Md Jun 2021

Transient Leukopenia, Thrombocytopenia, And Severe Neutropenia Associated With Acute Sars-Cov-2 Infection, Austin Schatzman, Julia Vandenheuvel Md, Tibisay Villalobos Md, Kris Rooney Md

Department of Pediatrics

No abstract provided.


Ischemic Volkmann Contracture From Intrauterine Compartment Syndrome, Julia Vandenheuvel Md, Robert Teixeira Md, Ethan Song Ba, Scott Kozin Md, Scott Rice Md Jun 2021

Ischemic Volkmann Contracture From Intrauterine Compartment Syndrome, Julia Vandenheuvel Md, Robert Teixeira Md, Ethan Song Ba, Scott Kozin Md, Scott Rice Md

Department of Pediatrics

No abstract provided.


Resuscitation Of Severe Accidental Hypothermia To Normal Neurologic Outcome With Use Of Extracorporeal Membrane Oxygenation., Jamie Allen, Megan D Wardak, Rovinder S. Sandhu Md, Ahmed Nassar, Marna R. Greenberg Do, Mph, Facep Jun 2021

Resuscitation Of Severe Accidental Hypothermia To Normal Neurologic Outcome With Use Of Extracorporeal Membrane Oxygenation., Jamie Allen, Megan D Wardak, Rovinder S. Sandhu Md, Ahmed Nassar, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

Accidental hypothermia is a condition associated with significant morbidity and mortality. A 48-year-old male with a history of alcohol use disorder and optic neuropathy presented to the emergency department after being found unresponsive with an unknown downtime. One hundred four minutes passed from resuscitation, to pre-hospital discovery, until cannulation with extracorporeal membrane oxygenation. Here, a rare case of successful resuscitation of a profoundly hypothermic patient to normal neurologic outcome is presented.


Durability Of Left Bundle Branch Area Pacing – Long-Term Follow Up On A New Technique, Nikhil A. Mehta Md, Syed Rafay A. Sabzwari Md, Bilal Saqi Md, Rahul Gupta Md, Apurva Vyas Md, Jeffrey Gordon Md, Talha Nazir Md, Sergio Cossu Md, Ronald S. Freudenberger Md, Babak Bozorgnia Md May 2021

Durability Of Left Bundle Branch Area Pacing – Long-Term Follow Up On A New Technique, Nikhil A. Mehta Md, Syed Rafay A. Sabzwari Md, Bilal Saqi Md, Rahul Gupta Md, Apurva Vyas Md, Jeffrey Gordon Md, Talha Nazir Md, Sergio Cossu Md, Ronald S. Freudenberger Md, Babak Bozorgnia Md

Department of Medicine

No abstract provided.


What’S In The Lv? A Story Of Scad Leading To Anterior Apical Aneurysm With Left Ventricular Thrombus, Lekha Racharla Do, Zeel Patel Do, Tyler Boozel Do, Rahul Gupta Md, Sagar Vadhar Do, Akhil Kher Md, Ellina C. Feiner Md, Yasotha Rajeswaran Md, Daniel J. Makowski Do May 2021

What’S In The Lv? A Story Of Scad Leading To Anterior Apical Aneurysm With Left Ventricular Thrombus, Lekha Racharla Do, Zeel Patel Do, Tyler Boozel Do, Rahul Gupta Md, Sagar Vadhar Do, Akhil Kher Md, Ellina C. Feiner Md, Yasotha Rajeswaran Md, Daniel J. Makowski Do

Department of Medicine

No abstract provided.


Point-Of-Care Ultrasound Assists In Rapid Diagnosis Of T-Cell Lymphoblastic Lymphoma In A Young Boy., Ceyda H Sablak, Rebecca M Dudley, Alexander Youngdahl, Kevin R Roth May 2021

Point-Of-Care Ultrasound Assists In Rapid Diagnosis Of T-Cell Lymphoblastic Lymphoma In A Young Boy., Ceyda H Sablak, Rebecca M Dudley, Alexander Youngdahl, Kevin R Roth

Department of Emergency Medicine

T-cell lymphoblastic lymphoma (T-cell LBL) is an uncommon diagnosis for acute dyspnea in pediatric emergencies. This case details a 13-year-old boy presenting to the ED with dyspnea, who was diagnosed with T-cell LBL. It was a unique presentation in which there was no obvious mediastinal mass on the examination or primary imaging. As a safe and cost-effective modality for a patient that was too unstable to transfer to the radiology department for computed tomography, point-of-care ultrasound (POCUS) was useful in the patient's rapid assessment for suspected pericardial and pleural effusion. This case highlights the advantage of early utilization of POCUS …


A Pilot Study Comparing Over And Under Triage Systems At A Center Pursuing Trauma Accreditation, Caitlyn N. Balsay Bs, Mr, Bree A. Harrison Bsn, Rn, Tcrn, Joseph J. Stirparo Md, Michael T. Crowley Md, Nicholas P. Johnson Do, Bryan G. Kane Md, Kathleen E. Kane Md May 2021

A Pilot Study Comparing Over And Under Triage Systems At A Center Pursuing Trauma Accreditation, Caitlyn N. Balsay Bs, Mr, Bree A. Harrison Bsn, Rn, Tcrn, Joseph J. Stirparo Md, Michael T. Crowley Md, Nicholas P. Johnson Do, Bryan G. Kane Md, Kathleen E. Kane Md

Department of Emergency Medicine

No abstract provided.


Rapid Digitalization Of A Psychiatry Department, Katherine B. Martin Md, Rory L. Marraccini Md, Edward R. Norris Md, Fapa, Fapm May 2021

Rapid Digitalization Of A Psychiatry Department, Katherine B. Martin Md, Rory L. Marraccini Md, Edward R. Norris Md, Fapa, Fapm

Department of Psychiatry

No abstract provided.


Initiation Of Medication-Assisted Treatment At A Resident Clinic Site Transitioning To A Federally Qualified Health Center, Yoonjie Chung Md, Marlene Gonzalez Md, Angela Colistra Lpc, Phd, Ms, Drew Keister Md May 2021

Initiation Of Medication-Assisted Treatment At A Resident Clinic Site Transitioning To A Federally Qualified Health Center, Yoonjie Chung Md, Marlene Gonzalez Md, Angela Colistra Lpc, Phd, Ms, Drew Keister Md

Department of Family Medicine

No abstract provided.


Emergency Medicine Resident Identification Of Medication Safety Issues, Natalie E. Ebeling-Koning Do, Charles A. Soares Md, Gillian A. Beauchamp Md, Gavin C. Barr Jr. Md, Terrence E. Goyke Do, Shawn M. Quinn Do, Kevin Weaver D.O.,Facoep, Dawn M. Yenser C-Tagme, Bryan G. Kane Md May 2021

Emergency Medicine Resident Identification Of Medication Safety Issues, Natalie E. Ebeling-Koning Do, Charles A. Soares Md, Gillian A. Beauchamp Md, Gavin C. Barr Jr. Md, Terrence E. Goyke Do, Shawn M. Quinn Do, Kevin Weaver D.O.,Facoep, Dawn M. Yenser C-Tagme, Bryan G. Kane Md

Department of Emergency Medicine

No abstract provided.


Feasibility Of Implementing A Street Medicine Program To Deliver Naloxone Kits And Associated Education, Gillian A. Beauchamp Md, Lexis Laubach Bs, Hoonani M. Cuadrado Mspas, Pa-C, Seth A. Campbell Pa-C, Lauren Grantz Pharmd, Csp, Paige Roth Lsw, Jennifer E. Macfarlan Mph, Chase Jones Do, Aaron Fedor Do, Marna R. Greenberg Do, Mph, Facep May 2021

Feasibility Of Implementing A Street Medicine Program To Deliver Naloxone Kits And Associated Education, Gillian A. Beauchamp Md, Lexis Laubach Bs, Hoonani M. Cuadrado Mspas, Pa-C, Seth A. Campbell Pa-C, Lauren Grantz Pharmd, Csp, Paige Roth Lsw, Jennifer E. Macfarlan Mph, Chase Jones Do, Aaron Fedor Do, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

No abstract provided.


A Pilot Study Comparing Over And Under Triage Systems At A Center Pursuing Trauma Accreditation, Caitlyn N. Balsay Bs, Mr, Bree A. Harrison Bsn, Rn, Tcrn, Joseph J. Stirparo Md, Michael T. Crowley Md, Nicholas P. Johnson Do, Bryan G. Kane Md, Kathleen E. Kane Md May 2021

A Pilot Study Comparing Over And Under Triage Systems At A Center Pursuing Trauma Accreditation, Caitlyn N. Balsay Bs, Mr, Bree A. Harrison Bsn, Rn, Tcrn, Joseph J. Stirparo Md, Michael T. Crowley Md, Nicholas P. Johnson Do, Bryan G. Kane Md, Kathleen E. Kane Md

USF-LVHN SELECT

No abstract provided.


Infective Endocarditis-Associated Glomerulonephritis Versus Cryoglobulinemic Glomerulonephritis: An Unfortunate Clinical Overlap, Yesha K. Shah Do, Emilee E. Kurtz Do, Sharon E. Maynard Md, Mohammad Saqib Md May 2021

Infective Endocarditis-Associated Glomerulonephritis Versus Cryoglobulinemic Glomerulonephritis: An Unfortunate Clinical Overlap, Yesha K. Shah Do, Emilee E. Kurtz Do, Sharon E. Maynard Md, Mohammad Saqib Md

Department of Medicine

No abstract provided.


Potassium For Two: Management Of Refractory Electrolyte Disturbances In Gitelman Syndrome During Pregnancy, Eric Torkildsen Md, Yesha K. Shah Do, Sharon E. Maynard Md May 2021

Potassium For Two: Management Of Refractory Electrolyte Disturbances In Gitelman Syndrome During Pregnancy, Eric Torkildsen Md, Yesha K. Shah Do, Sharon E. Maynard Md

Department of Medicine

No abstract provided.


Contingency Management Implementation: Strengthening Mat In Primary Care, Angela Colistra Lpc, Phd, Ms, Sophia Harbove Ms, Ctp, Yamelisa Taveras Ma, Caadc, Ccs, Abby S. Letcher Md, Nyann Biery Ms Apr 2021

Contingency Management Implementation: Strengthening Mat In Primary Care, Angela Colistra Lpc, Phd, Ms, Sophia Harbove Ms, Ctp, Yamelisa Taveras Ma, Caadc, Ccs, Abby S. Letcher Md, Nyann Biery Ms

Department of Family Medicine

No abstract provided.


“Not So ‘Sweet’” – Case Of Sweet Syndrome In Patient With Mds With Excessive Blasts, Janet Digber-Williams Md, Neysa Perez Crespo Md, Taylor Jarvill Ms, Leia Derosato Do, Kirsten S. Bellucci Md, Daniel Zinn Md Apr 2021

“Not So ‘Sweet’” – Case Of Sweet Syndrome In Patient With Mds With Excessive Blasts, Janet Digber-Williams Md, Neysa Perez Crespo Md, Taylor Jarvill Ms, Leia Derosato Do, Kirsten S. Bellucci Md, Daniel Zinn Md

Department of Pediatrics

No abstract provided.


Ewing Sarcoma Of The 9th Rib Subsequent To Pediatric Leukemia: A Case Series, Julia Vandenheuvel Md, Leighton Elliott Md, Daniel Zinn Md, Michal Miller Md, Jacob Troutman Do Apr 2021

Ewing Sarcoma Of The 9th Rib Subsequent To Pediatric Leukemia: A Case Series, Julia Vandenheuvel Md, Leighton Elliott Md, Daniel Zinn Md, Michal Miller Md, Jacob Troutman Do

Department of Pediatrics

No abstract provided.


A Decade Of Induction Chemotherapy Practices At A Small Children’S Cancer Center, Julia Vandenheuvel Md, Felipe Bautista Otanez Md Apr 2021

A Decade Of Induction Chemotherapy Practices At A Small Children’S Cancer Center, Julia Vandenheuvel Md, Felipe Bautista Otanez Md

Department of Pediatrics

No abstract provided.


The Focused Rapid Assessment Process (Frap): Utilizing Geospatial Mapping And Rapid Qualitative Analysis To Impact Cancer Survivorship Disparities, Autumn Kieber-Emmons Md, Mph Apr 2021

The Focused Rapid Assessment Process (Frap): Utilizing Geospatial Mapping And Rapid Qualitative Analysis To Impact Cancer Survivorship Disparities, Autumn Kieber-Emmons Md, Mph

Department of Family Medicine

No abstract provided.


The Undetected Myopathy: Anti-Pl-12 Antisynthetase Syndrome, Alaynna C. Kears Do, Kaitlyn Musco Md, Dylan Soller Do, Arjan Ahluwalia Md Apr 2021

The Undetected Myopathy: Anti-Pl-12 Antisynthetase Syndrome, Alaynna C. Kears Do, Kaitlyn Musco Md, Dylan Soller Do, Arjan Ahluwalia Md

Department of Medicine

No abstract provided.


Analysis Of Falls Efficacy Scale And Vulnerable Elders Survey As Predictors Of Falls., Marna R. Greenberg Do, Mph, Facep, Jeanne L. Jacoby Md, Robert D. Barraco Md, Mph, Ali Yazdanyar Do, Phd, Mmm, Ryan M Surmaitis Do, Alexander Youngdahl Do, Richard Chow Do, Sofia Murillo, Allen Zeng, Bryan G. Kane Md Apr 2021

Analysis Of Falls Efficacy Scale And Vulnerable Elders Survey As Predictors Of Falls., Marna R. Greenberg Do, Mph, Facep, Jeanne L. Jacoby Md, Robert D. Barraco Md, Mph, Ali Yazdanyar Do, Phd, Mmm, Ryan M Surmaitis Do, Alexander Youngdahl Do, Richard Chow Do, Sofia Murillo, Allen Zeng, Bryan G. Kane Md

Department of Emergency Medicine

Introduction Falls are the leading cause of injury-related death among older adults according to the Centers for Disease Control and Prevention (CDC). The Falls Efficacy Scale (FES) and Vulnerable Elder Survey (VES-13) are validated screening tools used to assess concern of falling, health deterioration and functional decline. We set out to determine if the FES or VES-13 could serve as a predictor of falls among older adults in the Emergency Department (ED) setting. Methods This prospective pilot cohort study was conducted at a Level 1 Trauma Center. ED patients aged ≥65 were eligible for the study if they had a …


Double Trouble, Elisa Giusto Do Apr 2021

Double Trouble, Elisa Giusto Do

Department of Family Medicine

No abstract provided.


Treatment Of Postpartum Depression With Updated Pharmacotherapy, Jennifer Yoon, Jason Gu Md, Katherine B. Martin Md Apr 2021

Treatment Of Postpartum Depression With Updated Pharmacotherapy, Jennifer Yoon, Jason Gu Md, Katherine B. Martin Md

Department of Psychiatry

No abstract provided.


Evali During The Covid-19 Pandemic: A Needle In The Ground Glass, Derek J. Fikse Do, Matthew Nimmo Do, Alexandra Amaducci Do, Kenneth D. Katz Md Apr 2021

Evali During The Covid-19 Pandemic: A Needle In The Ground Glass, Derek J. Fikse Do, Matthew Nimmo Do, Alexandra Amaducci Do, Kenneth D. Katz Md

Department of Emergency Medicine

No abstract provided.


Escape This Emergency Room: Simulation Education During A Pandemic, Michael C. Nguyen Md, Nicole Elliott Do, Julie A. Fritzges Do, Louis Morolla Do, Steven A Johnson Md Apr 2021

Escape This Emergency Room: Simulation Education During A Pandemic, Michael C. Nguyen Md, Nicole Elliott Do, Julie A. Fritzges Do, Louis Morolla Do, Steven A Johnson Md

Department of Emergency Medicine

No abstract provided.


Interventions To Reduce Emergency Department Demand During A Pandemic, Cynthia Wang Bs, Bryan G. Kane Md, Jason L. Forgeon Md, Justin Giordano Do, Armando Orta Md, Richard S. Mackenzie Md Apr 2021

Interventions To Reduce Emergency Department Demand During A Pandemic, Cynthia Wang Bs, Bryan G. Kane Md, Jason L. Forgeon Md, Justin Giordano Do, Armando Orta Md, Richard S. Mackenzie Md

Department of Emergency Medicine

No abstract provided.