Internal Medicine Commons^™

Troponinemia: A Silent Signal Unmasking Pulmonary Embolism Severity, Aida Sarita Gonzalez, Nishant K. Nerella, Joseph Maslak, Marion Capahi

West Florida Division GME Research Day 2026

No abstract provided.

Oral Anticoagulation Alone Vs. Combination Therapy In Atrial Fibrillation With Stable Coronary Artery Disease: A Meta-Analysis Of Randomized Trials, Muhammad Abdullah, Mustafa Bin Tahir, Natalya Ahsan, Michael Moore, Nagaraja Sharma, Salman Muddassir

West Florida Division GME Research Day 2026

No abstract provided.

Eustachian Valve Endocarditis: A Potential Complication Of Non-Prescribed Weight-Loss Injections, Tara Al-Qutbi, Trent Percy, Grant Read, Marek Solomianko, Brandon Quintana, Henry C. Ukwu, Ali Abdul Jabbar

West Florida Division GME Research Day 2026

No abstract provided.

Iodinated Contrast Exposure In Hospitalized Patients With Acute Kidney Injury: A Descriptive Analysis Of Baseline Characteristics And Unadjusted Outcomes Across 15 Tertiary Healthcare Centers, Ankith Motkar, Herschel Tian, Nameer Ascandar, Slowinski Jacob

West Florida Division GME Research Day 2026

No abstract provided.

Percutaneous Closure Of A Persistent Left Atrial Appendage Leak After Surgical Ligation: A Novel Use Of The Amplatzer Vascular Plug Ii (Avp2), Kareem Elgendi, Henry Ukwu, Hany Youssef, David Abraham, Robert Sheppard, Ali Abdul-Jabbar

West Florida Division GME Research Day 2026

No abstract provided.

From Susceptible To Stubborn: Fluconazole Resistant Candida Albicans Bacteremia, Mackenzie Elias, Denise Balcacer-Estevez, Trent Percy

West Florida Division GME Research Day 2026

No abstract provided.

Moyamoya Disease - A Systematic Review, Mark Francis, Johnny Johnson

West Florida Division GME Research Day 2026

No abstract provided.

Concurrent Euglycemic Diabetic Ketoacidosis And Metformin-Associated Lactic Acidosis In A Patient Without Sglt2 Inhibitor Exposure, Brandon Stevens, Alaa Baqer, Howard Tan, Vikram Shah

West Florida Division GME Research Day 2026

No abstract provided.

Pyoderma Gangrenosum As An Initial Presentation Of Rheumatoid Arthritis & Inflammatory Bowel Disease, Julian Reoyo, Jennifer Cucalon, Milton Alexis Torres, Toni Feghali, Francia Guerrero, Joseph Pino, Shahid Sulaiman

West Florida Division GME Research Day 2026

No abstract provided.

Clostridium Tertium Peritonitis Complicated By Bacteremia Case Report, Ryan Fernandez Q, Ebiuwa Osula, Arbab Kasi, Fernando Lugo-Hernandez, Joshua Gruber

West Florida Division GME Research Day 2026

No abstract provided.

Efficacy Of Ensifentrine In Chronic Obstructive Pulmonary Disease (Copd): A Meta-Analysis Of Randomized Controlled Trials, Muhammad Abdullah, Mustafa Bin Tahir, Natalya Ahsan, Michael Moore, Nagaraja Sharma, Salman Muddassir

West Florida Division GME Research Day 2026

No abstract provided.

Primary Lung Adenocarcinoma Mimicking Miliary Tuberculosis Pattern: A Rare Presentation, Reza Alavi, Casper Chen, Idelisse Suarez Maldonado, William Arvan, Mukesh Patel, Elie Feghali

West Florida Division GME Research Day 2026

No abstract provided.

Triple-Vessel Conundrum: A Stemi Case Involving Extensive Occlusion Of All Three Major Epicardial Coronary Arteries Complicated By Cardiogenic Shock, Ubaldo Gonzalez, Ziran Yang, Masi Javeed, Guillermo Gomez, Bir Singh, Najam Javeed

West Florida Division GME Research Day 2026

No abstract provided.

Case Report: Primary Recurrent Gallstones Following Cholecystectomy, Gabriel Noguera, Nimal Patel

West Florida Division GME Research Day 2026

No abstract provided.

Microbial Spectrum Of Leadless Pacemaker Infections, Abdullah Sahyouni, Kamola Danier, Sophia Pryor, Saanvi Dhala, Anya Joshi, Jasmin Pruthi, Pranav Chepyala, Bobby Malik, Christian Zellner, Yizhi Lin

West Florida Division GME Research Day 2026

No abstract provided.

From Colonization To Invasion: Risk Factors Of Mrsa Bacteremia Among Hospitalized Patients, Stefan Sarkovich, Spoorthi Lawson, Shaival Thakore, Francia Guerrero

West Florida Division GME Research Day 2026

No abstract provided.

Stewards In The Making: Approaching "Penicillin-Allergies" With Confidence, Trent Percy, Craig Spergel

West Florida Division GME Research Day 2026

No abstract provided.

From Peg To Perfusion: A Case Of Malnutrition Reversed By Mesenteric Revascularization, Sacha Saba, Mahi Basra, Alvin Newman Caro, Vikas Sethi, Marc Kudelko

West Florida Division GME Research Day 2026

No abstract provided.

Acute Myocardial Infarction In A Patient With Concurrent Atherosclerotic Disease And Significant Myocardial Bridging, Jason Stanberry, Ankith Motkar, Daniela Salazar, Ahmed Tarbay, Kumaraswamy Nutalapati, Sabry Omar

West Florida Division GME Research Day 2026

No abstract provided.

Evaluation Of Transthoracic Echocardiography Use In Low-Risk Syncope Patients Utilizing The Canadian Syncope Risk Score: A Qi Analysis, Muhammad Anzar Ullah, Ali Hassan, Ryan Fernandez, Yousuf Qureshi, Areeb Zafar, Farhan Hiya, Huzaifa Hakim, Mohamad Saad, Trushil Patel

West Florida Division GME Research Day 2026

No abstract provided.

Cauda Equina Syndrome Secondary To Lumbar Stenosis In A Patient With Coexisting Peripheral Arterial Disease, Abboud Batri, Nawras Ibrahim, Hina Mannan

Gulf Coast Division GME Research Day 2026

No abstract provided.

Qi Project: Improving Utilization Of Cardiac Monitoring On Inpatients Based On Aha Guidelines, Muhammad Humais, Jorim Parmar, Shakir Al-Ezzi, Florence Murray, David Maldonado, Mohan Sengodan

North Texas GME Research Forum 2026

No abstract provided.

Case Of Enterococcus Faecalis Infective Endocarditis 6-Weeks Following Post-Partum Hemorrhage, Zohaib Nadeem, Mason Goforth, Yasasvi Sabbineni, Sadia Zahid, Yugandhra Devarapalli, Javed Akram, Veeranna Vibhuti

North Texas GME Research Forum 2026

Peri-partum infective endocarditis (IE) is a rare but serious condition with high maternal and fetal morbidity and mortality. IE is exceedingly uncommon in young healthy patients, especially without any known risk factors such as intravenous (IV) drug use, congenital heart disease, or rheumatic heart disease. IE is estimated to complicate 0.00002% of in-hospital deliveries. Similar to the general population, staphylococcal and streptococcal species remain the most common pathogens in obstetric patients. Enterococcal species make up less than 10% of IE cases in pregnant women. Very few cases of enterococcal IE in the post-partum period are reported in the literature. We …

Drug-Induced Acute Interstitial Nephritis Presenting As Severe Acute Kidney Injury Requiring Temporary Hemodialysis, Nihar Raju, Rohit Nair, Vaishnavi Singh, Veeranna Vibhuti

North Texas GME Research Forum 2026

Background: Acute interstitial nephritis (AIN) is an important but often underrecognized cause of acute kidney injury (AKI), accounting for 2–5% of all kidney biopsies and up to 20% of biopsies performed for AKI. Drug-induced AIN is the most common etiology in developed countries, frequently associated with antibiotics, nonsteroidal anti-inflammatory drugs, and proton pump inhibitors. Classic hypersensitivity features are frequently absent, leading to delayed diagnosis and increased risk of dialysis dependence.

Case Presentation: A 74-year-old male with a history of prostate cancer, type 2 diabetes mellitus, and hypertension presented with progressive exertional dyspnea and was found to have severe AKI without …

Acute Gastrointestinal Bleeding Associated With Cowden Syndrome: A Case Report, Gennipher A. Smith, Robert Keller

North Texas GME Research Forum 2026

No abstract provided.

Negative Imaging, Ongoing Hemorrhage: An Ulcerated Jejunal Avm Requiring Advanced Endoscopic Intervention, Joel Mathews, Trina Lewis, John Mathew, Long Hoang

North Texas GME Research Forum 2026

Small bowel bleeding is relatively uncommon, accounting for less than 10% of all gastrointestinal (GI) bleeds. Small bowel angiodysplasias are the most common cause of small bowel bleeding. These lesions can often be difficult to identify on radiographic imaging or endoscopy and tend to rebleed after intervention. Our case centers on an 86-year-old patient who presented with an acute GI bleed from an obscure ulcerated jejunal arteriovenous malformation (AVM); his past medical history includes an undisclosed prior upper GI bleed treated with endoscopic clipping, paroxysmal atrial fibrillation, type 2 diabetes, prostate cancer with prostatectomy, and other chronic conditions. He presented …

The Rapid Case Of Anoxic Brain Injury Secondary To Hyperammonemia, Jacqueline Bekhit, Ngoc Vu, Jiaming Xue, Gabriella David, Qasim Sajawal

North Texas GME Research Forum 2026

Background: Acute hyperammonemia presents as a toxic state with the clinical presentation as altered consciousness, seizures, and coma. Hyperammonemia disrupts astrocytes osmotic balance via glutamine accumulation, triggering brain edema, inflammation, and apoptosis whom mechanism is closely parallel to hypoxic ischemic injury. This overlap necessitates differentiating metabolic causes from hypoxic etiologies, as timely ammonia clearance therapies can prevent catastrophic outcomes. This case underscores the need for close clinical vigilance and early recognition of severe hyperammonemia

Case Presentation: A 65-year-old woman with metabolic dysfunction-associated steatotic liver disease related cirrhosis complicated by recurrent ascites requiring bimonthly paracentesis presented with abdominal distension and pain. …

An Unusual Source Of A Lethal Pathogen: Paeniclostridium Sordellii Bacteremia In Acute Cholecystitis, Myrna Garcia, Leena Algarin, Olutoyin Abitoye, Rachel Gnanaprakasam

North Texas GME Research Forum 2026

Paeniclostridium sordellii is a spore-forming, gram-positive, anaerobic bacilli known for its highly virulent toxin production, often leading to fulminant sepsis and shock. It is most commonly associated with gynecologic infections and necrotizing soft tissue infections associated with intravenous drug use. However, reports of P. sordellii bacteremia in the setting of gall bladder infections are quite rare. This case report highlights an unusual presentation of P. sordellii infection with bloodstream infection originating from acute cholecystitis, demonstrating a non-fulminant clinical course and successful treatment with ceftriaxone.

Ashwagandha-Associated Liver Injury: A Systematic Literature Review, David Teplitsky, Jacob Sebaugh, Danielle Ford, Rashid Syed

North Texas GME Research Forum 2026

Background: Ashwagandha (Withania somnifera), an herb with origins in Ayurvedic medicine, has recently grown in global popularity due to its reported stress- and anxiety-relieving properties. While generally regarded as safe, emerging cases in medical literature have raised concern for its ability to cause drug- or herb-induced liver injury (DILI/HILI). As use of this supplement rises, it is particularly important to characterize ashwagandha’s potential hepatotoxicity.

Methods: Cases of ashwagandha-induced liver injury were collected by accessing PubMed, Europe PMC, Google Scholar, and the HCA Healthcare Library and searching combinations of the terms “liver” or “hepatic” and one of the following names for …

Salvage Percutaneous Spyglass-Assisted Lithotripsy Via A Cholecystostomy Tract After Failed Ercp: A Case Report, Nicholas Gerden, Tiffany Hong, Asad Rehman, Long Hoang

North Texas GME Research Forum 2026

IR-driven percutaneous cholangioscopy with SpyGlass-assisted lithotripsy is an emerging salvage technique for biliary stone disease in patients with failed or contraindicated endoscopic retrograde cholangiopancreatography (ERCP) due to complex anatomy. We report an 85-year-old patient with an indwelling cholecystostomy tube and biliary stent who presented with recurrent obstructive jaundice, with cholangiography demonstrating occlusion of the common bile duct stent due to choledocholithiasis. Conventional ERCP was unsuccessful because of complex biliary and gastrointestinal anatomy. A multidisciplinary interventional radiology–gastroenterology approach was therefore pursued, utilizing antegrade percutaneous choledochoscopy through an existing cholecystostomy tract with SpyGlass-assisted lithotripsy, followed by cholecystostomy tube exchange. The procedure resulted …