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Articles 1 - 30 of 42
Full-Text Articles in Family Medicine
On The Discontinuation Of Enteral Feeding In Head And Neck Cancer: A Case Report, Kyle Fisk, Ana Sanchez
On The Discontinuation Of Enteral Feeding In Head And Neck Cancer: A Case Report, Kyle Fisk, Ana Sanchez
HCA Healthcare Journal of Medicine
Introduction
The goal of palliative care is to preserve the quality of life or patient “comfort” in patients with serious diseases. Palliative care providers serve a wide range of patients: from those who seek curative treatment to those who are actively dying. Given this range, palliative care must mirror the dynamic goals of the patient at different stages of life and treatment. Throughout these stages, a goal of the palliative care provider would be to avoid hastening death; however, this often leads to clinical decisions that directly pit the patient’s comfort against the patient’s life span. This is most salient …
Proton Pump Inhibitor Use And Adverse Effects In South Atlantic Hospitals, Nicholas D'Angelo, Ramyar Sigarchy, Anthony Esswein, Sidra Asrar
Proton Pump Inhibitor Use And Adverse Effects In South Atlantic Hospitals, Nicholas D'Angelo, Ramyar Sigarchy, Anthony Esswein, Sidra Asrar
HCA Healthcare Journal of Medicine
Background
Proton pump inhibitors (PPI) have transformed the management of acid-related gastrointestinal disorders, becoming one of the top-selling medications in the United States. There is no doubt that PPIs have a significant therapeutic impact on patients with gastroesophageal reflux disease and gastrointestinal bleeding. However, evidence is mounting that PPIs are overprescribed, leading to more patients possibly experiencing adverse effects. There is a great deal of ongoing debate surrounding the significance and impact of these adverse effects.
Methods
We conducted a study in 9 HCA hospitals in the southeastern United States to determine the number of patients who started on PPIs …
Case Of Shiga-Toxin Producing E. Coli Dysentery In Adult Patient In The Absence Of Diarrhea, Diana Roy
Case Of Shiga-Toxin Producing E. Coli Dysentery In Adult Patient In The Absence Of Diarrhea, Diana Roy
North Texas GME Research Forum 2023
This is a unique case of a 38 year old Caucasian female with no significant medical history who presented to the hospital with complaint of 3 days of abdominal pain, nausea/vomiting, dark red formed stool, and fever (TMax 102F), as well as dizziness, body aches and throat pain. She reported eating meatloaf with her daughter two days before symptom onset, and daughter was reported to be ill as well. Upon initial exam, patient was found to have temp 100F, was hypotensive and tachycardic with lactate of 4.2. FOBT was positive. Significant lab values include creatinine 3.39 (baseline normal), hemoglobin of …
Does Brief Intervention In The Form Of A Lecture Improve Resident Knowledge About Hep C Screening?, Mary Dacosta, Evelyn Chicas, Kiana Clem, Shelby Collymore
Does Brief Intervention In The Form Of A Lecture Improve Resident Knowledge About Hep C Screening?, Mary Dacosta, Evelyn Chicas, Kiana Clem, Shelby Collymore
North Texas GME Research Forum 2023
The prevalence for hepatitis C during 2013-2016 was about ~2.4 million. Screening helps to prevent chronic hepatitis C or start early curative treatment. USPSTF recently changed their guidelines in 2021 for Hepatitis C screening to now include all asymptomatic patients from ages from 18-79 years old without liver disease. Screening usually includes the Hepatitis C Antibody test. Further testing includes Hepatitis C mRNA PCR if screening test is positive. High risk patients should have periodic screening. Since the change, this project was done to ensure the appropriate screening and testing thereafter was done, as well as appropriate communication and documentation. …
Outpatient Breast Cancer Screening Documentation, Christoffer A. Amdahl, Jeremy Smith
Outpatient Breast Cancer Screening Documentation, Christoffer A. Amdahl, Jeremy Smith
North Texas GME Research Forum 2023
Introduction: Over 264,000 cases of breast cancer are diagnosed annually within the United States, with 99% of them being in women. Regarding prevention of this terrible disease, early detection of such cancers through screening mammography has up to a 20% reduction in breast cancer mortality. Therefore, the USPSTF recommends screening of women who are 50-74 years of age via mammography at average risk of breast cancer every two years. The goal of this study was to measure, track, and increase compliance with these screening recommendations within the Medical City resident clinics.
Method: Family medicine residents working were presented with a …
Phq -9 Utilization In The Primary Care Setting, Michael Armstrong, Ramisa Rahman, Ceferino Cruz Iv, Afsha Rais Kaisani
Phq -9 Utilization In The Primary Care Setting, Michael Armstrong, Ramisa Rahman, Ceferino Cruz Iv, Afsha Rais Kaisani
North Texas GME Research Forum 2023
INTRODUCTION: The Patient Health Questionnaire-9 (PHQ-9) is a tool used to help diagnose depression and assess a patient’s response to treatment. Quality metric (QM) 371 is a measure of PHQ-9 utilization in patients with depression, and Medical City Family Medicine tracks QM 371 in order to improve the quality of care provided to our patients. This project sought to assess utilization of the PHQ-9 in our clinical practice. At the time of this QI project’s inception, QM 371 was reporting at 0%.
METHODS: Our intervention was to give an educational presentation regarding depression, the PHQ-9, as well as how to …
Moped Mayhem And A Crash Course In Blood Pressure Problems, Jordan Phelps, Marc Poirier, Sydney Koenig
Moped Mayhem And A Crash Course In Blood Pressure Problems, Jordan Phelps, Marc Poirier, Sydney Koenig
South Atlantic Division GME Research Day 2023
No abstract provided.
A Case Of Aquagenic And Cholinergic Urticaria, Marilian A. Canals Rivera, Kyle Rauch, Amanda Brenner, Victoria Charry
A Case Of Aquagenic And Cholinergic Urticaria, Marilian A. Canals Rivera, Kyle Rauch, Amanda Brenner, Victoria Charry
South Atlantic Division GME Research Day 2023
No abstract provided.
Interstitial Lung Disease Due To Underlying Sjogren's Syndrome, Ryan E. Johnson, Elizabeth Bogaty, Chamonix Kinimaka, Marilian Canals-Rivera
Interstitial Lung Disease Due To Underlying Sjogren's Syndrome, Ryan E. Johnson, Elizabeth Bogaty, Chamonix Kinimaka, Marilian Canals-Rivera
South Atlantic Division GME Research Day 2023
No abstract provided.
Quality Improvement: Improving Discussion And Documentation Of Advance Directives In An Outpatient Setting, Amanda Brenner, Elizabeth J. Bogaty, Anjan Parghi
Quality Improvement: Improving Discussion And Documentation Of Advance Directives In An Outpatient Setting, Amanda Brenner, Elizabeth J. Bogaty, Anjan Parghi
South Atlantic Division GME Research Day 2023
No abstract provided.
The First Cut Is The Deepest, Kevin D. Thomas, Alexis White, Anthony Shadiack
The First Cut Is The Deepest, Kevin D. Thomas, Alexis White, Anthony Shadiack
South Atlantic Division GME Research Day 2023
No abstract provided.
Comparing The Re-Hospitalization Rates And Cardiac Mortality In Chf Patients Taking Torsemide Versus Furosemide, Jeanette Brendle, Shivanie Ramdin, Kaviya Sathyakumar, Michael Usberghi, Nicholas Dorsey, Hayden Dansbury
Comparing The Re-Hospitalization Rates And Cardiac Mortality In Chf Patients Taking Torsemide Versus Furosemide, Jeanette Brendle, Shivanie Ramdin, Kaviya Sathyakumar, Michael Usberghi, Nicholas Dorsey, Hayden Dansbury
North Florida Division GME Research Day 2023
No abstract provided.
Prioritizing And Prescribing Exercise: Use Of A Simple Tool To Encourage Clinical Conversations Around Exercise In Family Medicine Out-Patient Clinic, Michael Ladd, Parisa Biazar, Ting Han, Jennifer Horawski, Lisa Wright, Anthony Shadiack
Prioritizing And Prescribing Exercise: Use Of A Simple Tool To Encourage Clinical Conversations Around Exercise In Family Medicine Out-Patient Clinic, Michael Ladd, Parisa Biazar, Ting Han, Jennifer Horawski, Lisa Wright, Anthony Shadiack
South Atlantic Division GME Research Day 2023
No abstract provided.
Confirming Diagnosis Of Copd With Spirometry, Stephan Zehring, Manal El-Hag, Gino Singer, David Nguyen, Eslam Mohamed, Michael Usbergi
Confirming Diagnosis Of Copd With Spirometry, Stephan Zehring, Manal El-Hag, Gino Singer, David Nguyen, Eslam Mohamed, Michael Usbergi
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
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.
Qi Project: Increasing Appropriate Use Of Osteopathic Manipulative Treatment As An Adjunctive Treatment For Patients With Musculoskeletal Pain In The Outpatient Setting, Zhe Liu, Aelius Khan, Derek Pride, Thomas Krajewski, Anthony Shadiack
Qi Project: Increasing Appropriate Use Of Osteopathic Manipulative Treatment As An Adjunctive Treatment For Patients With Musculoskeletal Pain In The Outpatient Setting, Zhe Liu, Aelius Khan, Derek Pride, Thomas Krajewski, Anthony Shadiack
South Atlantic Division GME Research Day 2023
No abstract provided.
A Walking Case Of Extensive Klebsiella Pneumoniae Mimicking Lung Cancer, Diem Phuc T. Nguyen, Rebecca L. Cooper, Maria Antonio-Miranda, Patricia Gilford
A Walking Case Of Extensive Klebsiella Pneumoniae Mimicking Lung Cancer, Diem Phuc T. Nguyen, Rebecca L. Cooper, Maria Antonio-Miranda, Patricia Gilford
South Atlantic Division GME Research Day 2023
No abstract provided.
A Case Report On Cervical Insufficiency And Ehlers Danlos Syndrome, Elizabeth Bogaty, Judy Bowers
A Case Report On Cervical Insufficiency And Ehlers Danlos Syndrome, Elizabeth Bogaty, Judy Bowers
South Atlantic Division GME Research Day 2023
No abstract provided.
Standardized Training To Improve The Quality Of Screening Diabetic And Hypertension-Related Opthalmoscopic Exams, Ashley Faye, Pradeep D'Souza, Elizabeth Suniega
Standardized Training To Improve The Quality Of Screening Diabetic And Hypertension-Related Opthalmoscopic Exams, Ashley Faye, Pradeep D'Souza, Elizabeth Suniega
Gulf Coast Division GME Research Day 2023
No abstract provided.
Spontaneous Pneumothorax In Healthy Young Adult, Scott Mcintosh, Aaron Keller
Spontaneous Pneumothorax In Healthy Young Adult, Scott Mcintosh, Aaron Keller
Capital Division GME Research Day 2023
No abstract provided.
Kikuchi Disease: A Rare Recurrence, R Levi Sundermeyer, Jessica Bautista
Kikuchi Disease: A Rare Recurrence, R Levi Sundermeyer, Jessica Bautista
Continental, MidAmerica, & Mountain Divisions GME Research Day 2023
No abstract provided.
Increasing Resident Confidence And Preparedness For In-Hospital Medical Emergencies, Joshua A. Macaluso, Pradeep D'Souza, Elizabeth Suniega
Increasing Resident Confidence And Preparedness For In-Hospital Medical Emergencies, Joshua A. Macaluso, Pradeep D'Souza, Elizabeth Suniega
Gulf Coast Division GME Research Day 2023
No abstract provided.
Resident Schedule For Improving Continuity Of Care, Jake Allinson, Kenneth Chapman, Derek Kent, Luisa Hiendlmayr
Resident Schedule For Improving Continuity Of Care, Jake Allinson, Kenneth Chapman, Derek Kent, Luisa Hiendlmayr
Continental, MidAmerica, & Mountain Divisions GME Research Day 2023
No abstract provided.
From Distress To Destress: Screening For Anxiety At Federally Qualified Health Center, Megan Flaviano, John Do, Angelina Rodriguez, Darren Rahaman, Jeremy Sporrong, Ashwitha Francis
From Distress To Destress: Screening For Anxiety At Federally Qualified Health Center, Megan Flaviano, John Do, Angelina Rodriguez, Darren Rahaman, Jeremy Sporrong, Ashwitha Francis
Far West Division GME Research Day 2023
No abstract provided.
Chromobacterium Haemolyticum Infection From Hot Springs Near Yellowstone National Park, Kyle Patterson, Sean Shearen, Ken Chapman, Katie Suleta
Chromobacterium Haemolyticum Infection From Hot Springs Near Yellowstone National Park, Kyle Patterson, Sean Shearen, Ken Chapman, Katie Suleta
Continental, MidAmerica, & Mountain Divisions GME Research Day 2023
No abstract provided.
Musculoskeletal Lecture Series: Neck Pain, Ryan Brown, Pradeep D'Souza, Ryan Giang
Musculoskeletal Lecture Series: Neck Pain, Ryan Brown, Pradeep D'Souza, Ryan Giang
Gulf Coast Division GME Research Day 2023
No abstract provided.
Outcomes Of Patients With Copd During The Covid Pandemic, Jacob Hentges, Julia Fashner
Outcomes Of Patients With Copd During The Covid Pandemic, Jacob Hentges, Julia Fashner
East Florida Division GME Research Day 2023
A scoping review of COVID-19's impact on healthcare delivery and health outcomes found disruptions in care delivery and a shift towards telemedicine(1). Another study found no significant change in the length of stay for patients admitted to the hospital for COPD exacerbation during the pandemic period compared to the pre-pandemic period(2).
We conducted a secondary analysis of HCA Florida St. Lucie Hospital data to compare the outcomes of patients with COPD before (Jan 2018 – Feb 2020) and during the COVID-19 pandemic (March 2020 – Dec 2021). The data included patients aged over 18 years who were diagnosed with COPD …
A Case Of Phlegmasia Cerulea Dolens, Stefanie Navarrete
A Case Of Phlegmasia Cerulea Dolens, Stefanie Navarrete
East Florida Division GME Research Day 2023
Introduction: This is the case of a patient presenting with phlegmasia cerulea dolens after recent travel with concurrent extensive pulmonary emboli. Patient’s symptoms progressed quickly, atypically, and he did not have known common risk factor for the extent of his disease.
Case Description: The patient is a 78-year-old Caucasian male who presented to the emergency department complaining of left leg swelling and mild pain that began 1 day prior. Patient flew in 3 weeks prior from Scotland. On exam, patient was found to have extensive erythema and ecchymosis of left leg. On admission, venous ultrasound showed complete extensive thrombosis of …
Posterior Reversible Encephalopathy Syndrome: A Case Of Elevated Blood Pressure And New Seizure Onset Post Nephrectomy, Jessica Bautista, Kyle Adkins, Lisa Gieseke
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.
Spontaneous Heterotopic Pregnancy: Diagnosis And Management, Katie P. Nguyen, Marlekah Hudspeth, Honey Milestone
Spontaneous Heterotopic Pregnancy: Diagnosis And Management, Katie P. Nguyen, Marlekah Hudspeth, Honey Milestone
Far West Division GME Research Day 2023
No abstract provided.