Internal Medicine Commons^™

Prevelence Odds Of Melanoma In Patients With Inflammatory Bowel Disease: An Observational Cross-Sectional Study, Nilay Bhatt, Kumail Rizvi

Gulf Coast Division GME Research Day 2025

No abstract provided.

Not Your Typical Chest Pain: Anomalous Rca, Suhas Tatapudi, Nomair Ashraf, E Castillo, Jeby Kalathoor, Hytham Rashid, Ibrahim Yazji, M Daniel

Gulf Coast Division GME Research Day 2025

No abstract provided.

Granulomatosis With Polyangiitis Presenting As An Anterior Mediastinal Mass: A Rare Manifestation, Maya Khasho, Christopher L. Bray, Miguel E. Rodriguez

North Florida Division GME Research Day 2025

No abstract provided.

Fatal Streptococcal Pneumonia Bacteremia Complicated By Purpura Fulminans In An Asplenic Patient, Farigol Hakem Zadeh, Nikita Shah, Vidya S. Kollu

North Florida Division GME Research Day 2025

No abstract provided.

Ten-Year Trends In Esophagectomy & Endoscopic Eradication For Barrett's Dysplasia: Results From A National Collaborative Database, Mohammad Abuassi, Carson Creamer, Harsimran Kalsi, Kobina Essilfie-Quaye, Tony Brar, Yaseen Perbtani

North Florida Division GME Research Day 2025

No abstract provided.

Five-Year Outcomes In Living Kidney Donors W. History Of Urolithiasis, Yara Alshawabkeh, Mohammad Abuassi, Geran Maule, Rabab Elsadek, Junaid Iqbal

North Florida Division GME Research Day 2025

No abstract provided.

A Novel Triad: Ulcerative Colitis, Granulomatosis With Polyangiitis, And Antiphospholipid Syndrome In A Single Patient, Neil Maithel, Rabia Mahfooz, Sean Alloju

Gulf Coast Division GME Research Day 2025

No abstract provided.

Mimicking Malignancy: A Case Of Non-Traumatic Myositis Ossificans In The Calf, Fatima Safi, Artur Amirkhanyan, Amnah Andrabi, Madeline Doucet

North Texas Research Forum 2025

Objective: This case report highlights the diagnostic challenges of non-traumatic myositis ossificans (MO), a rare benign heterotopic ossifying lesion, and emphasizes its potential to mimic malignancy. Case Presentation: An 18-year-old female with no trauma history presented with a one-month history of progressive right calf pain, ankle weakness (4/5 strength), and difficulty ambulating. Initial ultrasound suggested a hematoma, but the persistence of symptoms prompted advanced imaging. CTA revealed arterial extravasation, while MRI identified a heterogeneously enhancing soleus muscle mass, raising suspicion for sarcoma. Core biopsy demonstrated focal bone formation, mitotically active stroma, and a "zone phenomenon" (central cellularity with peripheral osteoid …

The Intersection Of Hypophysitis And Central Diabetes Insipidus: A Clinical Case Report, Sanjana Kesireddy, Brina Gonzalez, Mohan Sengodan

North Texas Research Forum 2025

INTRODUCTION: Hypophysitis can cause damage to the posterior pituitary, which in turn impairs the production or release of ADH, leading to the symptoms of central diabetes insipidus. Without enough ADH, the kidneys cannot concentrate urine, resulting in the symptoms of excessive thirst and urination seen in central diabetes insidious. CASE PRESENTATION: 27 year old female presents with excessive thirst, headache, nausea and vomiting. Patient had increased urine output since endoscopic trans sphenoidal resection of pituatary mass. She was started on desmpressin 0.2mg orally three times a day. Based on urine specific gravity and urine output per hour, IV desmopressin was …

Cannabis Induced 2nd Degree Av Block, Shivani Gandhi, Vineeth Lekkala, Muhammad Suleman, Anvitha Manduva

North Texas Research Forum 2025

Cannabis use, both medical and non-medical, has seen a marked increase following the growing trend of legalization. While the immediate effects of cannabis on mental and physiological states are well-documented, its potential impact on the cardiovascular system remains an area of growing concern. Cannabis-induced arrhythmias, particularly atrioventricular (AV) block, are rare but potentially life-threatening events that can present in young, otherwise healthy individuals (Heckle et al., 2018). This case highlights the importance of recognizing cannabis as a potential contributing factor in the development of AV block.

Upper Extremity Deep Venous Thrombosis, Adrian S. Reta, Michaela Mckissack

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.

Improving Knowledge And Confidence On Interpreting And Analyzing Dexcom Cgm Data Among Residents, Ashley Charales, Anusha Putta, Aashka Patel, Renu Thomas, Syed Basit Haider

Gulf Coast Division GME Research Day 2025

No abstract provided.

Monkeypox In A Non-Endemic Setting: Challenges In The Diagnosis And Management Of An Atypical Case, Yves Najm Mrad, Nilay Bhatt, Shivam Gupta

Gulf Coast Division GME Research Day 2025

No abstract provided.

A Case Of Severe Synodic Stenosis In A Patient With Granalomatosis With Polyangitis Requiring Tracheostomy, Yousuf Sherwani, Mohan Sengodan

North Texas Research Forum 2025

Granulomatosis with polyangiitis (GPA) is characterized by vasculitis of small and medium sized blood vessels and granulomatous lesions of the upper respiratory tract. A rare condition associated with GPA, subglottic stenosis, presents in about 20% of cases on inpatient GPA. Symptoms such as stridor, hoarseness, dyspnea and dysphagia are hall marks of subglottic stenosis. Here we present the case of a male patient with life threatening subglottic stenosis that required tracheostomy.

Primary Hepatic Tuberculosis Mimicking Hepatocellular Carcinoma And Cholangiocarcinoma, Dj Jiang, Aarohi Parikh, Eric Riha, Kevin Garnepudi

Gulf Coast Division GME Research Day 2025

No abstract provided.

Unbreak My Heart: Improving The Cardiac Rehabilitation Referral Rate, Akash Patel, Samer Khalil, Iman Squires, Abed Naser, Eric Vargas, Manuel Carrazana, Olga Karasik

North Florida Division GME Research Day 2025

No abstract provided.

Shifting Treatment Patterns In Achalasia: The Surge In Poem Adoption & The Impact Of Covid-19, Carson Cornell Creamer, Mohammad Abuassi, Harsimran Kalsi, Kobina Essilfie-Quaye, Tony S. Brar, Yaseen Perbtani

North Florida Division GME Research Day 2025

No abstract provided.

Finding Grace With Advanced Cirrhosis: Improving Palliative Care Consult Utilization Final Results, Saud Khan, Samuel Kwiatkowski, Anjali Lukose, Amanda T. Rivera Miranda, Priscilla Phan, Ashwini Komarla, Sabiha Kazi, Diana Treu, Amar Mandalia

North Florida Division GME Research Day 2025

No abstract provided.

Endovascular Repair With A Vbx Device Covered Stent In A Patient With Leriche Syndrome, Angelo Piazza, Micheline Tantchou

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.

Albuterol: An Often-Forgotten Cause Of Lactic Acidosis, Sania Moonnumackel, Sameera Muqueet, Machaiah Madhrira

North Texas Research Forum 2025

Introduction Lactic acid (LA) is a commonly used biomarker and is often indicative of severity of disease in critically ill patients. Lactic acidosis which is defined as LA > 4.0 can be divided into two categories: Type A which is the more common type is caused by systemic tissue hypoperfusion most likely due to shock and Type B which is caused by impairment of cellular metabolism and or decreased clearance of LA. An important cause of Type B lactic acidosis is medications including acetaminophen, anti-retroviral drugs, antibiotics and beta-adrenergic agonists including albuterol. Often patients with severe lactic acidosis are given fluid …

Polymyalgia Rheumatica Secondary To Pembrolizumab, Farigol Hakem Zadeh, Nikita Shah, Miguel E. Rodriguez

North Florida Division GME Research Day 2025

No abstract provided.

Comparative Outcomes Of Peroral Endoscopic Myotomy Vs. Heller Myotomy In Achalasia Patients, Mohammad Abuassi, Carson Creamer, Harsimran Kalsi, Kobina Essilfie-Quaye, Tony S. Brar, Yaseen Perbtani

North Florida Division GME Research Day 2025

No abstract provided.

Probiotics For The Primary Prevention Of Inpatient, Antibiotic-Associated Clostridioides Difficile Infection: A Multi-Center, Retrospective Study, Cooper Josephs, Taylor Templeton-Jager, Julie Worthington

South Atlantic Division GME Research Day 2025

No abstract provided.

Primary Cardiac Lymphoma: A Rare Diagnosis, Astrid Sacasa, Betty Kirimi, Mohtashim Naeem, Susana Ferra

East Florida Division GME Research Day 2025

No abstract provided.

Splenic Laceration And Hematoma In The Setting Of Acute Pancreatitis And Decompensated Cirrhosis, Rasmeet Kaur, Eric Romero, Oscar Garcia

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.

Thyrotoxic Periodic Paralysis And Pesticide Exposure, Vinh Ngo, Huy Vuong, Oscar Garcia

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.

Acute Respiratory Compromise Secondary To Superior Vena Cava Syndrome In A Sickle Cell Patient. Vaso-Occlusion Triggered By Steroids?, Ashley Diaz, Priya Mohan, Abhishek Sharma, David Zarabanda, Raiko Diaz

East Florida Division GME Research Day 2025

No abstract provided.

The Face-Off Between Two Mimics: Lupus And Tuberculosis, Fnu Swatisikta, Nang Kham, Ali Chaudhry

East Florida Division GME Research Day 2025

INTRODUCTION Both lupus and Mycobacterium tuberculosis can affect any organ and can present with non-specific multi-organ involvement. In a patient with lupus, it may be difficult to distinguish between a lupus flare and a mycobacterial infection.

CASE A 28-year-old female with a history of systemic lupus erythematosus (SLE), (anti-Smith and ds-DNA positive), presented with knee swelling, chest and abdominal pain. She had elevated inflammatory markers, hyperkalemia with AKI. CT chest showed bilateral lung micronodules and patchy opacity. The patient had been on long-term steroids, mycophenolate, and hydroxychloroquine. Belimumab and voclosporin were initiated after a recent kidney biopsy revealed class 4 …

Culture Negative Endocarditis Masquerading As Idiopathic Leukocytoclastic Vasculitis, Sania Moonnumackel, Manish Pandey, Randy Nguyen, Reuben Abreu, Seline Haci, Neelima Paladugu, Machaiah Madhrira

North Texas Research Forum 2025

Background: Infective endocarditis (IE) is a challenging disease to diagnose often presenting with heterogeneous features. Blood cultures are the gold standard for diagnosing endocarditis, but it is important to know that up to 20 % of cases of infective endocarditis have negative blood cultures. Leukocytoclastic vasculitis (LCV) is a small vessel vasculitis and is idiopathic in 50% of cases. LCV is a rare but possible presentation of Infective endocarditis. Hence IE should be part of the differential diagnosis when LCV is diagnosed. Case summary: A 53-year-old male patient presenting right lower extremity pain and vesiculobullous lesions over bilateral upper and …

Unmasking Multicentric Reticulonodular Histiocytoma: A Rare Impostor Of Rheumatoid Arthritis, Rabia S. Mahfooz, Neil Maithel, Annmary Behanan, Naser Elkhalili

Gulf Coast Division GME Research Day 2025

No abstract provided.