Internal Medicine Commons^™

Under Pressure: A Case Of Acute Compartment Syndrome/Vitt After The Covid-19 Vaccine, Thashali Anthony, Brittany Lyons

South Atlantic Division GME Research Day 2023

No abstract provided.

Effect Of High Sensitivity Troponin Assay On Hospital Resources And Emergency Department Discharges In Patients Presenting With Symptoms Concerning For Myocardial Infarction, Hans Koop, Keysha N. Gonzalez, Madalyn Nygren, Andrea Deneen, Jennifer Chapman

South Atlantic Division GME Research Day 2023

No abstract provided.

Case Report: Right Ventricular Free Wall Rupture Due To Displaced Aicd Lead, Abhinav Rao, Angeli Patel, Kunaal Patel, Craig Herrforth, Fahim Syed, Brittany Lyons, E Maci

South Atlantic Division GME Research Day 2023

No abstract provided.

Metformin Discontinuation In Acute Heart Failure, Curtis Wong, Erica Junqueira, Nayda Parisio-Poldiak, Nancy Crossley, Shantae Jenkins

South Atlantic Division GME Research Day 2023

No abstract provided.

Heart Failure-Type Symptom Score Trajectories In Ckd: Findings From The Chronic Renal Insufficiency Cohort (Cric) Study, Carl P Walther, Julia S Benoit, Nisha Bansal, Vijay Nambi, Sankar D Navaneethan, Cric Study Investigators

Faculty, Staff and Students Publications

RATIONALE & OBJECTIVE: Quality of life in chronic kidney disease (CKD) is impaired by a large burden of symptoms including some that overlap with the symptoms of heart failure (HF). We studied a group of individuals with CKD to understand the patterns and trajectories of HF-type symptoms in this setting.

STUDY DESIGN: Prospective cohort study.

SETTING & PARTICIPANTS: 3,044 participants in the Chronic Renal Insufficiency Cohort (CRIC) without prior diagnosis of HF.

PREDICTORS: Sociodemographics, medical history, medications, vital signs, laboratory values, echocardiographic and electrocardiographic parameters.

OUTCOME: Trajectory over 5.5 years of a HF-type symptom score (modified Kansas City Cardiomyopathy Questionnaire …

N-Of-1 Trials Vs Usual Care In Children With Hypertension: A Pilot Randomized Clinical Trial, Joyce P Samuel, Cynthia S Bell, Joshua A Samuels, Celin Rajan, Adrienne K Walton, Charles Green, Jon E Tyson

Faculty, Staff and Student Publications

BACKGROUND: Blood pressure (BP) is often inadequately controlled in children treated for hypertension, and personalized (n-of-1) trials show promise for tailoring treatment choices. We assessed whether patients whose treatment choices are informed by an n-of-1 trial have improved BP control compared to usual care.

METHODS: A randomized clinical trial was conducted in a pediatric hypertension clinic in Houston from April 2018 to September 2020. Hypertensive adolescents and young adults 10-22 years old were randomized 1:1 to a strategy of n-of-1 trial using ambulatory BP monitoring to inform treatment choice or usual care, with treatment selected by physician preference. The primary …

Association Of Metformin With The Development Of Age-Related Macular Degeneration, Amitha Domalpally, Samuel A Whittier, Qing Pan, Dana M Dabelea, Christine H Darwin, William C Knowler, Christine G Lee, Jose A Luchsinger, Neil H White, Emily Y Chew

Faculty, Staff and Student Publications

IMPORTANCE: Age-related macular degeneration (AMD) is a leading cause of blindness with no treatment available for early stages. Retrospective studies have shown an association between metformin and reduced risk of AMD.

OBJECTIVE: To investigate the association between metformin use and age-related macular degeneration (AMD).

DESIGN, SETTING, AND PARTICIPANTS: The Diabetes Prevention Program Outcomes Study is a cross-sectional follow-up phase of a large multicenter randomized clinical trial, Diabetes Prevention Program (1996-2001), to investigate the association of treatment with metformin or an intensive lifestyle modification vs placebo with preventing the onset of type 2 diabetes in a population at high risk for …

Recurrent Cyanotic Spells In An Octogenarian, Chin Tong Kwok, Chun Kit Wong

Journal of the Hong Kong College of Cardiology

We report rare case of an octogenarian who, after years of diagnostic delay, was found to have a patent foramen ovale, and due to an ascending aortic aneurysm that anatomically facilitated right-to-left shunt, presenting with life-threatening cyanotic attacks. The characteristic orthodeoxia-platypnea syndrome and high alveolar arterial gradient hint to the diagnosis. She was eventually treated successfully with urgent percutaneous PFO closure. Routine ordering of a transthoracic echocardiogram, without agitated saline injection under provocation maneuvers, may not be sufficient to rule out shunts.

Suspected Angioedema Caused By Gabapentin In A Young Patient: A Case Report, Andrew Kim, Elizabeth Benge, Cristian Valdez, Aaron Singh, Manish Kanakunta

Far West Division GME Research Day 2023

No abstract provided.

Unexpected Complications Involving A Subdermal Facial Piercing In A Patient With Tricuspid Endocarditis, A Case Report, Andrew Kim, Cristian Valdez, Tony Alarcon

Far West Division GME Research Day 2023

No abstract provided.

An Interesting Case Of Libman-Sacks Endocarditis, Nam Tran, David Kenison, Hasan Seede, Julian Nguyen

Gulf Coast Division GME Research Day 2023

No abstract provided.

Short Qt Syndrome (Sqts), George Shaker, Igbayilola Dosunmu, Jason Kim, Tiffany Guillen, Kevin Kuang

East Florida Division GME Research Day 2023

Please see supplemental content for full abstract.

Short QT syndrome (SQTS) is a rare inherited arrhythmogenic disorder characterized by abnormally short QT interval on electrocardiogram (ECG) secondary to a cardiac channelopathy in the absence of structural heart disease.3 Defective function of the potassium-calcium ion channels in SQTS patients facilitates an increased risk of ventricular and atrial arrhythmias, which can lead to symptoms such as syncope or cardiac arrest.2 In this report, we present a 24-year-old male with a past medical history SQTS with prior cardiac arrest and ventricular fibrillation, status post ICD placement and cardiac sympathectomy, who presented with increased …

Performance Of Amiodarone As A First-Line Pharmacologic Agent To Treat New Onset Atrial Fibrillation In Patients With Sepsis And Septic Shock: A Retrospective Cohort Study In A Large U.S. Hospital System, Blerina Asllanaj, Elizabeth Benge, Don Pepito

Far West Division GME Research Day 2023

No abstract provided.

Mycotic Aortic Abdominal Aneurysm: A Rare Case, Jazmine Duran, Judy Jin, Skyler Westerfeld

Central & West Texas GME Research Day 2023

No abstract provided.

Left Atrial Enlargement In Primary Cryptogenic Strokes Without Atrial Fibrillation, Hytham Rashid, Jonathan Brown, Negar Niknam, Tusharkumar Pansuriya, Sivatej Sarva, Syed Danyal Raza

Gulf Coast Division GME Research Day 2023

No abstract provided.

Free-Floating Thrombus In The Right Coronary Artery Complicating Unstable Angina, Marc Lozano, Andrew Sephien, Qitan Huang, Aakash Patel

West Florida Division GME Research Day 2023

No abstract provided.

Metformin-Induced Giant Cell Arteritis: An Uncommon Case Of Drug-Induced Vasculitis, Christine Angeles, Wendy Lee

South Atlantic Division GME Research Day 2023

No abstract provided.

Development Of A Prediction Model For Atrial Fibrillation In Patients With Heart Failure And Preserved Ejection Fraction: Secondary Analysis Of Treatment Of Preserved Cardiac Function Heart Failure With An Aldosterone Antagonist (Topcat) Trial, Khaled Elkholey, Stavros Stavrakis

TriStar Division Research Day 2023

No abstract provided.

Myocarditis With Concurrent Monkeypox: More Than An Association?, Anwar Alshaakh Moh'd Mari, Jorge Restrepo, Minh Q. Ho, Mohammed Ahmed

North Florida Division GME Research Day 2023

No abstract provided.

Metastatic Anterior Mediastinal Mass Causing Simultaneous Chylothorax And Svc Syndrome, Kelly Schulte, Kavanya Feustel, Jeffrey Ramsey, Elizabeth Hicks

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Cardiac Tamponade In The Setting Of Severe Sepsis And Adrenal Insufficiency, Ayesha Choudhry, Matthew Cardeiro, Angelina Hong, Adekunle Bamgboye

East Florida Division GME Research Day 2023

Introduction: Pericardial effusions can have various etiologies, including infectious, autoimmune, drug induced, endocrinologic, among others. Cardiac tamponade occurs when large effusions compress the heart and can lead to obstructive shock.

Case Description: A 48-year-old female with a history of hypothyroidism and pituitary adenoma resection presented with subjective fevers and generalized weakness for the past 5 days. She was lethargic with muffled heart sounds on exam. Vitals showed a heart rate 95 beats per minute, blood pressure 63/51, respiratory rate 18 breaths per minute, with normal temperature. Labs on admission were significant for white blood cell count of 11,500/L, hemoglobin 10.8 …

Bioprosthetic Valve Endocarditis Causing Non-St Elevation Myocardial Infarction, Cassie Robertson, Lakshmi Tatineni, Talha Qasmi, Sivatej Sarva, Ramesh Kesavan, Michael Daniel

Gulf Coast Division GME Research Day 2023

No abstract provided.

Treatment And Mortality Of Myocardial Injury After Noncardiac Surgery, Hany Youssef, Rahul Mhaskar, Kelsi Thompson, Jose Nicolas Codolosa

West Florida Division GME Research Day 2023

No abstract provided.

Contained Rupture Of A Left Coronary Sinus Of Valsalva Aneurysm: A Case Report, Kipson Charles, Andrew T. Abraham, Arroj Ali, Ann Tong

North Florida Division GME Research Day 2023

No abstract provided.

Moyamoya Disease Presenting As An Intracranial Hemorrhage In A 69-Year-Old Male, Jorge Rodriguez, Brittany Chandani, David G. Gelikman, Ankur Garg, Olga Karasik

North Florida Division GME 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.

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.

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 …