Internal Medicine Commons^™

Qi Project On Depression Screening Phq2 And Phq9 In Kingwood Im Clinic, Anam Zara, Sara Shahid, Anusha Putta

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.

Painfully Obvious: Expanding Inpatient Buprenorphine For Opioid Use Disorder, Aline Levy-Sitnoveter, Mark Delic, Jonathan Aires Pinheiro, Eleana Estrella, Sankalp Goberdhan, Lauren Hundley, Richard Henriquez, Shamol Williams

North Florida Division 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.

Post-Operative Afib After Cabg: A Retrospective Analysis, Leonardo A. Almaguer Gongora, Myrna E. Reinhardt, Manuel Jimenez, Luis E. Remedios Carbonell, Daniel Padron, Priya Mohan, Juliette Camejo, Bernardo Reyes

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.

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

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

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

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

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

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.

Identity: Inpatient Dialogue & Engagement With Nurses To Improve Team Dynamics Final Results, Anna Maria Abi Nehme, Ashley Becker, Raheeq Mohamedsaleh, Shin Zaw, Vigneshwar K. Ramasamy, Richard Henriquez, Jorge Restrepo, Ashwini Komarla

North Florida Division 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

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

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

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

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

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 …