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Articles 391 - 420 of 1451

Full-Text Articles in Internal Medicine

Covid-19-Induced Activation Of Atypical Hemolytic Uremic Syndrome In A 40-Year-Old Woman With A Family History Of Ahus, Neil Maithel, Ibrahim Musa, Rabia Mahfooz, Ali Asghar, Jorge Garza, Aftab Mahmood Jan 2025

Covid-19-Induced Activation Of Atypical Hemolytic Uremic Syndrome In A 40-Year-Old Woman With A Family History Of Ahus, Neil Maithel, Ibrahim Musa, Rabia Mahfooz, Ali Asghar, Jorge Garza, Aftab Mahmood

Gulf Coast Division GME Research Day 2025

No abstract provided.


Effective Managment Of Relapsing Henoch-Schonlein Purpura With Nephropathy In An Adult With Long-Term Use Of Azathioprine, Rabia S. Mahfooz, Neil Maithel, Loiacono Agostina, Minha Aslam, Naser Elkhalili Jan 2025

Effective Managment Of Relapsing Henoch-Schonlein Purpura With Nephropathy In An Adult With Long-Term Use Of Azathioprine, Rabia S. Mahfooz, Neil Maithel, Loiacono Agostina, Minha Aslam, Naser Elkhalili

Gulf Coast Division GME Research Day 2025

No abstract provided.


Unveiling The Mystery: Infected Endocarditis Masquerading As Right Atrial Thrombus In A Port-A-Catheter Patient, Rabia S. Mahfooz, Annmary Behanan, Babivigasan Gunasegaran, Srikrishnan Pichuthirumalai, Hannan Chaugle Jan 2025

Unveiling The Mystery: Infected Endocarditis Masquerading As Right Atrial Thrombus In A Port-A-Catheter Patient, Rabia S. Mahfooz, Annmary Behanan, Babivigasan Gunasegaran, Srikrishnan Pichuthirumalai, Hannan Chaugle

Gulf Coast Division GME Research Day 2025

No abstract provided.


Necrotic Pancreatitis Due To Cronobacter Sakazakii Infection, Daler Kudratov, Jehidy Batista Michelena, David Benitez, Meghan Myppala, Adam Gomez, Oswaldo Renteria, Juan Rodriguez, Kuljot Bansi Jan 2025

Necrotic Pancreatitis Due To Cronobacter Sakazakii Infection, Daler Kudratov, Jehidy Batista Michelena, David Benitez, Meghan Myppala, Adam Gomez, Oswaldo Renteria, Juan Rodriguez, Kuljot Bansi

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Low Thyroglobulin Levels And Negative Whole Body Scan: A Double Hit, Leading To The Suggested Papillary Thyroid Cancer Remission, Karen Valadez-Cuen, Nikita Patel, Huy Vuong, Sergio Rovner, Cesar Abbud Jan 2025

Low Thyroglobulin Levels And Negative Whole Body Scan: A Double Hit, Leading To The Suggested Papillary Thyroid Cancer Remission, Karen Valadez-Cuen, Nikita Patel, Huy Vuong, Sergio Rovner, Cesar Abbud

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


A Rare Presentation Of Prothrombin G20210a Mutation As A Right Ventricular Thrombus, Amelia Mellor, Abedayo Olusanya, Daniel Ortiz Jan 2025

A Rare Presentation Of Prothrombin G20210a Mutation As A Right Ventricular Thrombus, Amelia Mellor, Abedayo Olusanya, Daniel Ortiz

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Almost Partial Colectomy For Suspected Malignant Stricture, Ultimately Saved By Intraoperative Findings, Mahnoor Hashmi, Bushra Bangash, Asad Rehman, Muhammad Durrani, Ismail Hader Jan 2025

Almost Partial Colectomy For Suspected Malignant Stricture, Ultimately Saved By Intraoperative Findings, Mahnoor Hashmi, Bushra Bangash, Asad Rehman, Muhammad Durrani, Ismail Hader

Gulf Coast Division GME Research Day 2025

No abstract provided.


A Swelling Mystery: Hereditary Angioedema In Pregnancy, Karen Valadez-Cuen, Andrea Francis, Alison Rossduetscher, Micheline Tantchou Jan 2025

A Swelling Mystery: Hereditary Angioedema In Pregnancy, Karen Valadez-Cuen, Andrea Francis, Alison Rossduetscher, Micheline Tantchou

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Silent Signals: Endocarditis Disguised As Low-Back Pain In A Rheumatology Clinic, Ahmad Alomari, Miguel Rodriguez Jan 2025

Silent Signals: Endocarditis Disguised As Low-Back Pain In A Rheumatology Clinic, Ahmad Alomari, Miguel Rodriguez

North Florida Division GME Research Day 2025

No abstract provided.


Improving Gout Therapy In Patriot Clinic Final Results, Jerativat Satayarekha, Vigelo Servera Jr, Nicholas Maggio, Nathaniel Rosa Santiago, Fariha N. Mirza, Sahar Safavi Jan 2025

Improving Gout Therapy In Patriot Clinic Final Results, Jerativat Satayarekha, Vigelo Servera Jr, Nicholas Maggio, Nathaniel Rosa Santiago, Fariha N. Mirza, Sahar Safavi

North Florida Division GME Research Day 2025

No abstract provided.


Case Report: Left Internal Mammary Artery (Lima)/Coronary Steal Syndrome (Css) In Severe Coronary Artery Disease And End-Stage Renal Disease, Fahed Alsayed, Muhannad Badran, Sara Khasawneh, Mohan Sengodan Jan 2025

Case Report: Left Internal Mammary Artery (Lima)/Coronary Steal Syndrome (Css) In Severe Coronary Artery Disease And End-Stage Renal Disease, Fahed Alsayed, Muhannad Badran, Sara Khasawneh, Mohan Sengodan

North Texas Research Forum 2025

Background: LIMA/coronary steal syndrome is a rare but significant complication in patients with severe coronary artery disease (CAD) who have undergone coronary artery bypass grafting (CABG) and concurrently have high-flow arteriovenous (AV) fistulas for hemodialysis. The left internal mammary artery (LIMA) is a preferred conduit for CABG due to its long-term patency and ability to sustain myocardial perfusion. However, in patients with end-stage renal disease (ESRD) requiring hemodialysis, excessive AV fistula flow can divert blood away from the LIMA graft, leading to myocardial ischemia despite graft patency. Early recognition and appropriate intervention are essential to prevent further deterioration of cardiac …


The Impact Of Early Vs. Late Intubation On Morality Among Obese Patients With Idiopathic Pulmonary Fibrosis, Peter Holleb, Enkhbileg Batbileg, Brandon Chong, Jameel Osborne Jan 2025

The Impact Of Early Vs. Late Intubation On Morality Among Obese Patients With Idiopathic Pulmonary Fibrosis, Peter Holleb, Enkhbileg Batbileg, Brandon Chong, Jameel Osborne

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Refractory Hydrocephalus Treated With Ventriculo-Cholecystic Shunt In An Adult, Deekshita Valiveti, Munanchu Poudel, Rahul Dadhwal Jan 2025

Refractory Hydrocephalus Treated With Ventriculo-Cholecystic Shunt In An Adult, Deekshita Valiveti, Munanchu Poudel, Rahul Dadhwal

Gulf Coast Division GME Research Day 2025

No abstract provided.


Strategies To Enhance Involvement In Research And The Use Of Hiv Prevention Services In Black Men Who Have Sex With Men (Bmsm): The Voices Of Bmsm, Chijoke Anyaehie, Brittany L. Gardner, Paris Green, John Bonelli, Hong Van Tieu, Melonie Walcott Jan 2025

Strategies To Enhance Involvement In Research And The Use Of Hiv Prevention Services In Black Men Who Have Sex With Men (Bmsm): The Voices Of Bmsm, Chijoke Anyaehie, Brittany L. Gardner, Paris Green, John Bonelli, Hong Van Tieu, Melonie Walcott

Gulf Coast Division GME Research Day 2025

No abstract provided.


Mycobacteria Tuberculosis Pericarditis In Immunocompromised Patient, David Benitez, Martin Twumampofo, Aasia Khan, Oscar Garcia Jan 2025

Mycobacteria Tuberculosis Pericarditis In Immunocompromised Patient, David Benitez, Martin Twumampofo, Aasia Khan, Oscar Garcia

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Not So Sle-Ghtly Bloody, A Nguyen, Napat Rangsipat, Shai Ring, Suhas Tatapudi, Cassie Robertson, Achi Chary, Damon Cao Jan 2025

Not So Sle-Ghtly Bloody, A Nguyen, Napat Rangsipat, Shai Ring, Suhas Tatapudi, Cassie Robertson, Achi Chary, Damon Cao

Gulf Coast Division GME Research Day 2025

No abstract provided.


When Leukemia Takes A Bite: Unusual Gastric Involvement In B-All, Supritha Chintamaneni, Bilal Ashraf, Sushovan Guha Jan 2025

When Leukemia Takes A Bite: Unusual Gastric Involvement In B-All, Supritha Chintamaneni, Bilal Ashraf, Sushovan Guha

Gulf Coast Division GME Research Day 2025

No abstract provided.


Mechanical Ground Level Fall With Incidental Findings Of Suspected Multiple Myeloma: A Case Report, Mohammed Irfan Khan, Jeffrey Lesser, Shuchita Jhaveri, Neethu George, Shai Ring, Kaylah Perez, Julian Nguyen Jan 2025

Mechanical Ground Level Fall With Incidental Findings Of Suspected Multiple Myeloma: A Case Report, Mohammed Irfan Khan, Jeffrey Lesser, Shuchita Jhaveri, Neethu George, Shai Ring, Kaylah Perez, Julian Nguyen

Gulf Coast Division GME Research Day 2025

No abstract provided.


Duodenorenal Fistula Post-Lithotripsy: A Rare Complication, Anam Zara, Aarohi Parikh, Duyen Quach, Ismail Hader, Georg Elias Jan 2025

Duodenorenal Fistula Post-Lithotripsy: A Rare Complication, Anam Zara, Aarohi Parikh, Duyen Quach, Ismail Hader, Georg Elias

Gulf Coast Division GME Research Day 2025

No abstract provided.


Bleeding Lungs: A Case Of Hydralazine Induced Systemic Lupus Erythematosus With Diffuse Alveolar Hemorrhage, Damara Miller, Munanchu Poudel, Neil Maithel, Deekshita Valiveti, Arjun Kamath, Rahul Dadhwal, Ali Mohammed, Rene Franco Jr., Abhay Vakil, Zuhair Ali Jan 2025

Bleeding Lungs: A Case Of Hydralazine Induced Systemic Lupus Erythematosus With Diffuse Alveolar Hemorrhage, Damara Miller, Munanchu Poudel, Neil Maithel, Deekshita Valiveti, Arjun Kamath, Rahul Dadhwal, Ali Mohammed, Rene Franco Jr., Abhay Vakil, Zuhair Ali

Gulf Coast Division GME Research Day 2025

No abstract provided.


Assessing And Improving Resident Understanding Of Inpatient Sepsis, Hamza Naveed, E'Joven Reed, Mike Wong Jan 2025

Assessing And Improving Resident Understanding Of Inpatient Sepsis, Hamza Naveed, E'Joven Reed, Mike Wong

Gulf Coast Division GME Research Day 2025

No abstract provided.


A Match Made In Heaven: The Heart And The Kidney, A Case Report On Uremic Pericardial Effusion With Complete Resolution Post Transplant, Sania Moonnumackel, Victor Delprincipe, Vivek Bhupathi, Srinivasan Rajaganapathy, Anand Karthik, Machaiah Madhrira Jan 2025

A Match Made In Heaven: The Heart And The Kidney, A Case Report On Uremic Pericardial Effusion With Complete Resolution Post Transplant, Sania Moonnumackel, Victor Delprincipe, Vivek Bhupathi, Srinivasan Rajaganapathy, Anand Karthik, Machaiah Madhrira

North Texas Research Forum 2025

Introduction: Pericardial effusion resulting from uremic pericarditis is a complication associated with chronic kidney disease (CKD). In patients with advanced CKD or End Stage renal disease (ESRD) renal transplant is the definitive treatment to improve long term outcomes. However, the presence of a large pericardial effusion poses a risk of hemodynamic compromise during transplant surgery. Options of stabilizing the patient with aggressive dialysis, pericardiocentesis or pericardial window can be considered. Here we present a case of a patient with advanced CKD who underwent pre-emptive kidney transplant and in three months had complete resolution of a large pericardial effusion noted pre-operatively. …


Todd's Paralysis: Sharpnel-Induce Seizure, Kenny Tran, Alain Folefack Jan 2025

Todd's Paralysis: Sharpnel-Induce Seizure, Kenny Tran, Alain Folefack

North Texas Research Forum 2025

When evaluating seizure in war veterans, distinguishing new-onset hemiparesis with aphasia from stroke can be challenging due to prior brain injury and anticonvulsant therapy. This case involves a patient with a shrapnel injury displaying stroke-symptoms after a seizure highlights the differences between stroke and seizure-related deficits in this population. Careful consideration of imaging, history and clinical presentation are essential for accurate diagnosis and management.


Streamlining Bubble Study Requests In Echo Orders: A Qi Initiative, Vineeth Lekkala, Sharvani Raguthu, Taher Yusufali, Mahmood Ahmad, Mohan Sengodan Jan 2025

Streamlining Bubble Study Requests In Echo Orders: A Qi Initiative, Vineeth Lekkala, Sharvani Raguthu, Taher Yusufali, Mahmood Ahmad, Mohan Sengodan

North Texas Research Forum 2025

Introduction: This quality improvement project centers around the implementation of a dedicated mechanism for ordering bubble studies in echocardiograms at Medical City North Hills Hospital. Drawing inspiration from successful implementations observed at Medical City Denton Hospital, the project aims to address existing challenges, standardize practices, and improve overall efficiency in the echocardiogram ordering workflow. Background: The echocardiogram ordering process at Medical City North Hills Hospital currently faces challenges, specifically the absence of a dedicated mechanism for ordering bubble studies. This deficiency introduces the risk of oversights, particularly in cases of syncope and stroke, thereby compromising diagnostic precision. Acknowledging these challenges, …


Dilemma In Managing Patients Presenting With Nstemi & Concurrent Gi Bleed, Mehak Sachdeva, Kathleen Mattingly, Franklin Hernandez, Jonathan Grube Jan 2025

Dilemma In Managing Patients Presenting With Nstemi & Concurrent Gi Bleed, Mehak Sachdeva, Kathleen Mattingly, Franklin Hernandez, Jonathan Grube

North Florida Division GME Research Day 2025

No abstract provided.


Denovo Malignancy After Liver Transplantation In Patients With And Without Hepatocellular Carcinoma, Mohammad Abuassi, Carson Creamer, Harsimran Kalsi, Kobina Essilfie-Quaye, Tony S. Brar, Yaseen Perbtani Jan 2025

Denovo Malignancy After Liver Transplantation In Patients With And Without Hepatocellular Carcinoma, Mohammad Abuassi, Carson Creamer, Harsimran Kalsi, Kobina Essilfie-Quaye, Tony S. Brar, Yaseen Perbtani

North Florida Division GME Research Day 2025

No abstract provided.


Sodium-Glocuse Cotransporter-2 Inhibitor Decreases The Risk Of Heart Failure Hospitalization & Regardless Of Left Ventricular Ejection Fraction, Hussein A. Noureldine, Thais Schwartz, Qusai Alqudah, Maryam Alhousseini, Ann T. Tong Jan 2025

Sodium-Glocuse Cotransporter-2 Inhibitor Decreases The Risk Of Heart Failure Hospitalization & Regardless Of Left Ventricular Ejection Fraction, Hussein A. Noureldine, Thais Schwartz, Qusai Alqudah, Maryam Alhousseini, Ann T. Tong

North Florida Division GME Research Day 2025

No abstract provided.


Improving Colon & Rectal Cancer Screening At Medical City North Hills Clinic, Basil Nduma, Sharvani Raguthu, Gurunath Subrahmanyam, John Sturgeon Jan 2025

Improving Colon & Rectal Cancer Screening At Medical City North Hills Clinic, Basil Nduma, Sharvani Raguthu, Gurunath Subrahmanyam, John Sturgeon

North Texas Research Forum 2025

Introduction: Colorectal cancer (CRC) is the third leading cause of cancer-related deaths globally. Despite its severity, fewer than half of eligible Americans undergo annual screening. The U.S. Preventive Services Task Force (USPSTF) recommends CRC screening from age 45 to 75, with personalized assessments for those aged 76 to 85. The current CRC screening rate at the Medical City North Hills Internal Medicine Residents’ Clinic is 9.3%, significantly below the target rate of over 66%. Objective: This project aimed to increase the CRC screening rate from 9.3% to over 66% at the Medical City North Hills Internal Medicine Residents Clinic, in …


Navigating The Complexity Of Ards And Cardiogenic Shock With Veno-Arterial Ecmo: A Case Report, Sanjana Kesireddy, Mohan Sengodan Jan 2025

Navigating The Complexity Of Ards And Cardiogenic Shock With Veno-Arterial Ecmo: A Case Report, Sanjana Kesireddy, Mohan Sengodan

North Texas Research Forum 2025

INTRODUCTION: When deciding between VA ECMO (veno-arterial ECMO) and VV ECMO (veno-venous ECMO), the primary consideration is the underlying pathology affecting the patient’s heart and lungs. VA ECMO provides support for both the cardiovascular and respiratory systems, making it suitable for patients experiencing cardiogenic shock or combined cardiac and respiratory failure. In contrast, VV ECMO is used exclusively for respiratory failure, offering support to patients with severe lung dysfunction but intact cardiac function. CASE PRESENTATION: 41 year old male with no known past medical history presented s/p cardiac arrest secondary to aspiration pneumonia due to alcohol and opioid intoxication. Chest …


Use Of Va Ecmo In Patients With Acute Pulmonary Embolism Presenting With Obstructive Cardiogenic Shock Undergoing Mechanical Thrombectomy, Luke Taylor, Otoniel Espinoza, Omar O. Hernandez, Shannon Biggers, Shirin Miller, Srinivas Yallapragada, Amer Alaiti, Andrew Fredericks, Song Li, Claudius Mahr Jan 2025

Use Of Va Ecmo In Patients With Acute Pulmonary Embolism Presenting With Obstructive Cardiogenic Shock Undergoing Mechanical Thrombectomy, Luke Taylor, Otoniel Espinoza, Omar O. Hernandez, Shannon Biggers, Shirin Miller, Srinivas Yallapragada, Amer Alaiti, Andrew Fredericks, Song Li, Claudius Mahr

North Texas Research Forum 2025

BACKGROUND: Management of VA ECMO has substantially evolved over the years. Much literature has been published regarding indications, management, and outcomes; however, limited evidence exists detailing strategies to manage, progress, and wean patients from VA ECMO. We present our experience using a VA ECMO expected progression patient management guideline. METHODS: The VA ECMO Expected Progression Patient Management Guideline, approved on June 1, 2021, consists of six goal-oriented stages with suggestive interventions for managing cardiogenic shock patients undergoing VA ECMO therapy. Patient characteristics and outcomes were collected retrospectively and compared between March 2019 to May 2021 (VA Non-Expected Progression group) and …