Medical Specialties Commons^™

Investigating Association Between Sociographic Factors And Rates Of Urine Drug Screening In Patients Admitted To Labor And Delivery: A Retrospective Analysis, Erin Manglardi, Donna Boucher

North Florida Division GME Research Day 2023

No abstract provided.

Veillonela Discitis: A Rare Presentation And Review Of Literature, Akankcha Alok, Vidya Sagar Kollu, Gautam Kalyatanda

North Florida Division GME Research Day 2023

No abstract provided.

Utilizing A Pre-Cesarean Checklist In Labor And Delivery, Randdie-Joyce Rameau, Frances Cintron, Veronica Figueroa, Margarita Olivares

North Florida Division GME Research Day 2023

No abstract provided.

Posterior Reversible Encephalopathy Syndrome: A Case Of Elevated Blood Pressure And New Seizure Onset Post Nephrectomy, Jessica Bautista, Kyle Adkins, Lisa Gieseke

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

A Case Of Traumatic Hyphema In A Healthy Young Male, Casey Wilson, Thelmari Raubenheimer

South Atlantic Division GME Research Day 2023

No abstract provided.

Mvc Rollover With Visual Left Wrist Deformity, Nicholas Hale, Jonathan Leggett

South Atlantic Division GME Research Day 2023

No abstract provided.

A Rare Constellation Of Devastating Injuries - Open Pelvic Fracture With Testicular Disruption: A Case Report, Margaret Rose, Jamie Pham, Kelly Champlin, Saptarshi Biswas

South Atlantic Division GME Research Day 2023

No abstract provided.

Streptococcus Anginosus Liver Abscess In An Otherwise Healthy 38 Y/O Male: A Case Report, Ryan Hammond, Jiaxin Wen

TriStar Division Research Day 2023

No abstract provided.

To Echo Or Not To Echo: Improving Appropriate Use Of Echocardiography In Evaluation Of Syncope, William Hicks, Cindy Iwuagwu, Suzan Khalil, Juan Pablo Meruvia Garron, Cynthia Schwartz, Floyd Burke

North Florida Division GME Research Day 2023

No abstract provided.

Improving Patient Knowledge On Exercise And Dietary Recommendations: Quality Improvement In An Outpatient Setting, Shannon Mcmenamin, Nicky Chopra

TriStar Division Research Day 2023

No abstract provided.

Improving The Blood Product Administration Process At Hca Florida Osceola Hospital, Kar Shun Constant Mak, Neha Meda, Natalia Tejada, Parasto Asnaashari, Joshua Sutarwan, Joshua Shultz, Maria Wallis-Crespo, Sarah Tinsley

North Florida Division GME Research Day 2023

No abstract provided.

Rare Case Of Aortic Valve Endocarditis Causing Inferior Stemi, William Zvagelsky, Marcarthur Limpiado, Shruti Verma, Minar Rane, Emadeldeen Elgwairi, Rajendran Sabapathy

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Implementing An Arts And Humanities Curriculum In A Psychiatry Residency: A One-Year Investigation, Christopher Rogers, Briana Tillman, Matthew Adamson, Christine Wahlmeier

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

The Location And Incidence Of Neuromas As Related To Metatarsal Juxtaposition On Radiographs: A Prospective Review Of Consecutively Enrolled Patients, Giacat Pham, Taylor Bergstrom, Liz Connolly, Jihae Kim, Spencer Stringham, Josh Joseph, Kaitlin Thompson, Hisham Ashry

East Florida Division GME Research Day 2023

INTRODUCTION: Neuromas are commonly diagnosed at the third interspace, and are known as morton’s neuromas. It is not a true neuroma, but rather degeneration of myelinated nerve fiber with associated histopathological changes of the interdigital nerve within the foot. This condition is a degenerative process rather than neoplastic. The purpose of this study is to determine whether or not third interspace neuromas truly are the most common location for a neuroma when compared to other interspaces of the foot.

MATERIAL AND METHODS: A retrospective review of the medical records of 100 patients diagnosed with interspace neuromas from private practices …

Optimal Fixation Requirements For Lapidus Bunionectomies: A Comprehensive Review And Analysis, Nehal Modha, Diego Peralta, Warren Windram

East Florida Division GME Research Day 2023

The Lapidus bunionectomy procedure, aimed at correcting hallux valgus deformities, involves realignment of the first metatarsal-cuneiform joint and often necessitates fixation to ensure proper alignment and stability during the healing process. A comprehensive literature review was completed by the authors using Google Scholar, Pubmed, Cochrane Review, and Science Direct using a combination of phrases related to the title of this article to determine the optimal fixation requirements for successful outcomes in Lapidus bunionectomies.

A systematic search of electronic databases that reported on fixation techniques, outcomes, and complications associated with Lapidus bunionectomies. Analysis of these studies revealed a wide range of …

Race/Ethnicity And Morbidity/Mortality In Laparoscopic Cholecystectomy: 2016 Usa Study, Victorien Meray, Rupa Seetharamaiah

East Florida Division GME Research Day 2023

Background: Social determinants of health, such as race and ethnicity, can have a significant impact on people's health and well-being. People of color are more likely to experience poverty, lack of access to healthcare, and discrimination, which can lead to worse health outcomes. Laparoscopic cholecystectomy is a surgical procedure to remove the gallbladder. It is the most common gastrointestinal surgery performed in the United States. In this study, we sought to determine if there is an association between race/ethnicity and morbidity/mortality in adult patients undergoing laparoscopic cholecystectomy.

Methods: We conducted a non-concurrent cohort study of patients over 18 years old …

The Impact Of Demographic Factors And Language On Stroke Metrics Within The Hca Healthcare System, Henry Yelkin, Glenn Goodwin, Jonghoon Chang, Mchenry Mauger, Erin Marra

East Florida Division GME Research Day 2023

Background: Effective evaluation of stroke symptoms necessitates a comprehensive clinical assessment, influencing the timely administration of tissue plasminogen activator (tPA). This study examines the relationship between patients’ preferred language as well demographic factors and stroke care metrics within the framework of the HCA Healthcare System.

Methods: A retrospective study design was used to examine the national HCA database for all patients admitted to an HCA hospital with a diagnosis of stroke and with a recorded NIH stroke scale (NIHSS) between the years of 2017 and 2022. 37,956 patient visits from 170 HCA hospitals were analyzed to compare stroke metrics including …

Utilizing A Mechanical Aspiration Device To Debulk Intracardiac Mass, Vivek Nadipalli, Ahmed Mahmood, Muhammad Uzair Lodhi, Christel Cuevas, Scott Mckinstry, Thomas Alexander

Gulf Coast Division GME Research Day 2023

No abstract provided.

A Rare Case Of Takotsubo Cardiomyopathy Following Elective Transesophageal Cardioversion, Rebecca Smidy, Michael Gindi, Dhruv Reddy, Jacob Poliakoff

West Florida Division GME Research Day 2023

No abstract provided.

Acute Multiorgan Failure In A 27-Year-Old Non-Drug User, Tatiana Gusan, Angelina Hong, Sarah Kaufman, Nathan Zaher

East Florida Division GME Research Day 2023

Introduction: Hypertensive emergency is defined as a systolic blood pressure greater than 180 mmHg or diastolic pressure over 120 mmHg with signs of end organ damage. The pathophysiology of a hypertensive emergency leads to an inability to maintain tissue perfusion resulting in organ hypoxia that often leads to temporary, and in more severe cases, permanent damage.

Case Description: A 27-year-old gentleman with no known past medical history presented with acute bilateral blurry vision, headache and bilateral lower extremity weakness for the past two days. His blood pressure was 266/169 and heart rate 99 beats per minute on presentation. Bloodwork demonstrated …

Pain In The Back – A Rare Case Of Atraumatic Paraspinal Compartment Syndrome, Muhammad Rehan, Jodi Perry

East Florida Division GME Research Day 2023

Introduction: Paraspinal Compartment Syndrome (PCS) is a well-documented complication after trauma and orthopedic injuries though incidence of atraumatic PCS in individuals with substance use disorder (SUD) is not well documented. We present a case of a middle-aged man with acute PCS after intravenous (IV) amphetamine use.

Case Description: 40-years-old male with a history of substance use disorder was brought in for evaluation after being found wandering naked in the streets. He admitted to relapsing and using 0.5 grams of IV amphetamine. He was found to be agitated, energetic, and endorsed visual and auditory hallucinations. Initial physical examination showed no focal …

Giant Mesenchymal Hepatic Hamartomas With Adrenal Involvement Precipitating Respiratory Failure: A Myxomatous Mystery In A 3 Month Old, Ali Yasback, Abid Ulhaque, Tushar Chandra, Sandor Szilagyi

West Florida Division GME Research Day 2023

No abstract provided.

A Unique Presentation Of Libman-Sacks: Non-Bacterial Tricuspid Valve Endocarditis, August Rakutt, Lauren Hampton, Johnathan Frunzi

West Florida Division GME Research Day 2023

No abstract provided.

Spur Cell Hemolytic Anemia: An Uncommon Etiology Of Anemia In Liver Cirrhosis, Hanan Gruhonjic, Austin Van Vliet, Maxwell Tague, Masi Javeed

West Florida Division GME Research Day 2023

No abstract provided.

Unmasking The Cause: A Case Of Adrenal Insufficiency Masquerading As Insulinoma-Induced Hypoglycemia, Michael C. Miley

West Florida Division GME Research Day 2023

No abstract provided.

Wernicke Encephalopathy: Interplay Between Magnesium And Thiamine, Richard Allen Gorman Ii, Mark Stine, Rafael Vaello, Patrick J. Stocker

West Florida Division GME Research Day 2023

No abstract provided.

Late Onset Sheehan Syndrome 23 Years After Post-Partum Hemorrhage, Igbayilola Dosunmu, Ali Tariq Alvi, Sarah Kaufman, Ayesha Malik

East Florida Division GME Research Day 2023

Please see supplemental content for full abstract with figures and references.

Sheehan syndrome is defined as ischemic necrosis of pituitary gland following massive postpartum hemorrhage leading to panhypopituitarism. It has an insidious course with multitude of presentations. The majority of cases remain undiagnosed for many years after the delivery with average time following postpartum hemorrhage to diagnosis of Sheehan syndrome is believed to be almost 13 years according to one study. Here, we present a unique case of late onset of Sheehan syndrome 23 years after the last childbirth which was complicated by hemorrhage. To our knowledge, this is the …

Pancytopenia, Enterovirus Infection, And Pcr Testing, Stephen Mock, Salome Herzstein, Andrea Horbey

East Florida Division GME Research Day 2023

Introduction: This is a case of a patient presenting with fever, rash, and vomiting. Upon further studies, patient was found to have pancytopenia which started an extensive hospital work up.

Case Description: A previously healthy 9- year-old female presented to the emergency department with 3 days of tactile fever, 2 days of rash, and 1 day of nonbilious nonbloody emesis. The rash initially appeared on the trunk and by the day of admission, had begun to spread peripherally to the extremities. The rash on the abdomen was described as mild, generalized, blanchable and maculopapular. The rash on the extremities was …

Does Remdesivir Increase The Risk Of Pneumothorax In Covid-19 Patients?, Rebecca Smidy, Michael Gindi, Dhruv Reddy, Jacob Poliakoff

West Florida Division GME Research Day 2023

COVID-19, sars-cov-2, Remdesivir, Pneumothorax

Where’S Adam? Successful Treatment Of Covid-19 Vaccine-Related Refractory Thrombotic Thrombocytopenic Purpura, Christopher Fontela, Alfredo Toll, Jose Fernandez, Gabriel Barciela-Perez, Jorge Diaz, Greisy Curbelo-Sesin, Ilde Manuel Lee, Jose Gascon

East Florida Division GME Research Day 2023

A 54-year-old man with a medical history notable for hypertension and type 2 diabetes mellitus presented with altered mental status. Initial assessment revealed altered consciousness, aphasia, and diffuse generalized petechiae. Having recently migrated from Colombia, he had received four doses of the Pfizer COVID-19 vaccine, with the last dose administered one month prior to presentation. Laboratory results indicated severe thrombocytopenia (platelet count: 3), microangiopathic hemolytic anemia, acute myocardial, liver, and kidney injury, prompting a presumptive diagnosis of thrombotic thrombocytopenic purpura (TTP). Confirmation was achieved through an ADAMTS13 level of less than 2 percent. Despite initiating high-dose solumedrol and emergent plasmapheresis, …