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HCA Healthcare

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Articles 601 - 630 of 1097

Full-Text Articles in Internal Medicine

An Unexpected Outcome Of An Ischemic Stroke On Reward Pathways In The Human Brain, Karen Valdez-Cuen, Erica Kozorosky, Ferina Farahnik, Oscar Garcia Jan 2024

An Unexpected Outcome Of An Ischemic Stroke On Reward Pathways In The Human Brain, Karen Valdez-Cuen, Erica Kozorosky, Ferina Farahnik, Oscar Garcia

Central & West Texas GME Research Day 2024

No abstract provided.


Bilateral Renal Artery Thrombosis Presenting As Intractable Abdominal Pain, Yanie Oliva, Ricardo Llorente, Connor Brittain, Ilde Manuel Lee, Boris Ryabtsev, Orlando Enrizo Jan 2024

Bilateral Renal Artery Thrombosis Presenting As Intractable Abdominal Pain, Yanie Oliva, Ricardo Llorente, Connor Brittain, Ilde Manuel Lee, Boris Ryabtsev, Orlando Enrizo

East Florida Division GME Research Day 2024

No abstract provided.


Metastatic Adrenocortical Carcinoma, Beau Blazek, Andrew Chen, Sanaz Siran, Angelina Rodriguez Jan 2024

Metastatic Adrenocortical Carcinoma, Beau Blazek, Andrew Chen, Sanaz Siran, Angelina Rodriguez

Far West Division GME Research Day 2024

No abstract provided.


Do The Anti-Inflammatory Effects Of Statins Benefit Patients In Inflammatory Bowel Disease Flares?, Boyd Caro, Vamsee Mupparaju, Vanessa Florival, Ivan Rascon-Aguilar Jan 2024

Do The Anti-Inflammatory Effects Of Statins Benefit Patients In Inflammatory Bowel Disease Flares?, Boyd Caro, Vamsee Mupparaju, Vanessa Florival, Ivan Rascon-Aguilar

West Florida Division GME Research Day 2024

No abstract provided.


Cemiplimab-Induced Hhs-Dka In A Patient Being Treated For Cutaneous Squamous Cell Carcinoma, Alexander Pyronneau, Kelvin Noronha, Amanda Zucker, Rachel Kennett Jan 2024

Cemiplimab-Induced Hhs-Dka In A Patient Being Treated For Cutaneous Squamous Cell Carcinoma, Alexander Pyronneau, Kelvin Noronha, Amanda Zucker, Rachel Kennett

West Florida Division GME Research Day 2024

No abstract provided.


Navigating Social Media In Healthcare: Implications, Challenges, And Guidelines For Physicians, Charles F. Clinton, Logan Brown, Bhuvaneshwari Muchandi, José Ignacio González Martínez, Candler Boyett Jan 2024

Navigating Social Media In Healthcare: Implications, Challenges, And Guidelines For Physicians, Charles F. Clinton, Logan Brown, Bhuvaneshwari Muchandi, José Ignacio González Martínez, Candler Boyett

South Atlantic Division GME Research Day 2024

No abstract provided.


Cured By Time? Exploring The Complexity Of Diagnosing Acute Encephalopathy, Charles F. Clinton, Avery Stokes, Candler Boyett, Bhuvaneshwari Muchandi, Mario E. Gonzalez Jan 2024

Cured By Time? Exploring The Complexity Of Diagnosing Acute Encephalopathy, Charles F. Clinton, Avery Stokes, Candler Boyett, Bhuvaneshwari Muchandi, Mario E. Gonzalez

South Atlantic Division GME Research Day 2024

No abstract provided.


Profound Hypothyroidism And New Onset Dilated Cardiomyopathy: A Case Report, Savannah Grunhard, Rebecca A. Taylor, Osman Perez Jan 2024

Profound Hypothyroidism And New Onset Dilated Cardiomyopathy: A Case Report, Savannah Grunhard, Rebecca A. Taylor, Osman Perez

South Atlantic Division GME Research Day 2024

No abstract provided.


Improving Depression Screening In Primary Care By Implementing A Systematic Annual Screening Protocol: A Quality Improvement Initiative, Trang Nguyen, Ian Whitaker, Danny Tran, Aidan Lum Kong, Nan Crossley Jan 2024

Improving Depression Screening In Primary Care By Implementing A Systematic Annual Screening Protocol: A Quality Improvement Initiative, Trang Nguyen, Ian Whitaker, Danny Tran, Aidan Lum Kong, Nan Crossley

South Atlantic Division GME Research Day 2024

No abstract provided.


2-Methyl-2-Butanol (2m2b) Ingestion Related Toxicity, Elizabeth Diaz, Darshan B. Bhatty, Ngoc Vu, Sathish Karmegam Jan 2024

2-Methyl-2-Butanol (2m2b) Ingestion Related Toxicity, Elizabeth Diaz, Darshan B. Bhatty, Ngoc Vu, Sathish Karmegam

North Texas GME Research Forum 2024

2-methyl-2-butanol known as Tert-amyl alcohol (TAA) was previously used in the past for its hypnotic, anticonvulsant, and sedative properties.1 Both ethanol and 2M2B stimulate GABA-A receptors causing similar CNS effects.1 Animal studies have shown that toxicity is greater than 2-pentanol, 3-methyl-1-butanol, and ethanol1. 2M2B is replacing ethanol due to its low cost per dose, high potency, and does not produce a hangover as it is not metabolized to aldehydes.1 This case report describes the clinical course of a patient after intoxication with 2M2B and bringing awareness as it is difficult to confirm diagnosis since there are no specific clinical features …


Early Implementation Of Chf Orders And Physician Education​, Qazi Haider, Tapannita Padhi, Hunter Thornberg, Barry Brown, Alexandra Villacres, Justin Roy P. Sanchez, Ashley Henderson Jan 2024

Early Implementation Of Chf Orders And Physician Education​, Qazi Haider, Tapannita Padhi, Hunter Thornberg, Barry Brown, Alexandra Villacres, Justin Roy P. Sanchez, Ashley Henderson

North Texas GME Research Forum 2024

Each year, 700,000 patients are hospitalized with acute decompensated congestive heart failure. In order to effectively treat these patients, they require delicate management of volume status. Measuring volume status incorporates the following components: recording strict inputs and outputs of urine/fluids, recording daily standing weights and fluid restriction. This project focused on recording daily weights as a measure of accurate volume status and how that affected length of hospital stay. Data will be gathered by patient chart review including patient's admitted from Jan 2023 -Jan 2024 at Medical City Weatherford admitted with a primary/admitting diagnosis of congestive heart failure. Using PDSA …


Increasing Online Reviews And New Patients In Clinic With Qr Codes, Tristan Fun, Danielle Ford Jan 2024

Increasing Online Reviews And New Patients In Clinic With Qr Codes, Tristan Fun, Danielle Ford

North Texas GME Research Forum 2024

Introduction: Patient census at the Medical City Internal Medicine Grand Prairie clinic has been lower comparatively to other HCA Healthcare clinics. Although the cause can be multifaceted, the clinic’s online presence (e.g. Google Maps) is minimal. One initial issue with the clinic’s online presence was the lack of reviews on the Google page for the clinic. One way to increase online reviews is to provide Quick Response (QR) codes in the clinic for patients to scan on their smartphone. The goal of this project is to increase the number of Google reviews for the clinic through QR codes to at …


Comparing The Ppv Of At-Home Screening Tests With Chronic Anticoagulant And/Or Antiplatelet Therapies, Bradley Gustafson, Nasima Mehraban, Amjad Awan, Michele Mccarroll Jan 2024

Comparing The Ppv Of At-Home Screening Tests With Chronic Anticoagulant And/Or Antiplatelet Therapies, Bradley Gustafson, Nasima Mehraban, Amjad Awan, Michele Mccarroll

North Texas GME Research Forum 2024

BACKGROUND: With the rising incidence and mortality of colorectal cancer (CRC), early diagnosis and treatment is imperative. At-home CRC screening kits are a non-invasive Federal Drug Association (FDA) approved designed to detects either hemoglobin or DNA markers associated for CRC and high-grade polyps. Therefore, therapies that have a propensity to increase rates of gastrointestinal bleeding could theoretically lead to higher false positive rates. The goal of this study was to determine the positive predictive value of at-home screening tests when applied to patients on therapies such as antiplatelet, anticoagulant, non-steroidal anti-inflammatory (NSAID), or a combination of the three. METHODS: The …


Clinical Outcomes Following Interventions By Different Modalities Of Percutaneous Coronary Intervention (Pci): An Updated Systematic Review And Network Meta-Analysis, Hamza Naveed, Mary Adnan, Mohammad Hamza, Mahboob Alam Jan 2024

Clinical Outcomes Following Interventions By Different Modalities Of Percutaneous Coronary Intervention (Pci): An Updated Systematic Review And Network Meta-Analysis, Hamza Naveed, Mary Adnan, Mohammad Hamza, Mahboob Alam

Gulf Coast Division GME Research Symposium 2024

No abstract provided.


Retrospective Analysis For Incidence Of Takotsubo Cardiomyopathy Compared Against Insurance Coverage Type, Kevyn Niu, Iftekhar Baig Jan 2024

Retrospective Analysis For Incidence Of Takotsubo Cardiomyopathy Compared Against Insurance Coverage Type, Kevyn Niu, Iftekhar Baig

West Florida Division GME Research Day 2024

No abstract provided.


A Common Complaint With An Unexpected Diagnosis: A Case Of Mycobacterium Avium Complex Pulmonary Abscesses, Maryam Fallahi, Mark Cheneler, Qazi Haider, Madhukanth Reddy Jan 2024

A Common Complaint With An Unexpected Diagnosis: A Case Of Mycobacterium Avium Complex Pulmonary Abscesses, Maryam Fallahi, Mark Cheneler, Qazi Haider, Madhukanth Reddy

North Texas GME Research Forum 2024

Introduction: Mycobacterial infections are an atypical organism for pulmonary infections. These infections are classically separated in tuberculous (MTB) and nontuberculous (NTM) groups due to their differing pathogenicity and microbiologic therapy regimens. MTB is typically treated with a 4-drug therapy known as RIPE (rifampin, isoniazid, pyrazinamide, and ethambutol) however NTM is typically treated with 3- or 4-drug therapy with a backbone of rifampin, macrolide, and ethambutol. Due to the long courses of therapy required for NTM, stringent diagnostic criteria of clinical, radiologic, and microbiologic findings are required. Despite meeting all 3 criteria for diagnosis, not every patient is a candidate for …


A Case Report Of Florid Liver Failure Responding Favorably To Targeted Therapy With Cetuximab And Encorafenib Following Treatment With Irinotecan And Bevacizumab In Metastatic Colorectal Cancer, Maryam Fallahi, Omar Garcia, Joseph Kim, Ray Page Jan 2024

A Case Report Of Florid Liver Failure Responding Favorably To Targeted Therapy With Cetuximab And Encorafenib Following Treatment With Irinotecan And Bevacizumab In Metastatic Colorectal Cancer, Maryam Fallahi, Omar Garcia, Joseph Kim, Ray Page

North Texas GME Research Forum 2024

Introduction: Colorectal cancer, commonly known as colon cancer, is a globally widespread and formidable malignancy originating from the epithelial cells lining the colon and rectum. This disease, demonstrating geographical and demographic variations, particularly prevails in Western countries. The progression of colon cancer typically spans years, initiated by the development of adenomatous polyps, presenting an opportune timeframe for early detection and intervention. The substantial morbidity and mortality rates associated with colon cancer underscore its significance as a public health concern. Various risk factors, such as age, family history, genetic predisposition, inflammatory bowel diseases, and lifestyle factors like diet and physical activity, …


Evaluating The Impact Of Early Palliative Care Consultations On 30-Day And 90-Day Readmissions Among Patients With Decompensated Cirrhosis: A National Perspective, Aya Akhras, Saadia Nabi, Kristen Santana, Mohammed Akram, Mahesh Tummala, Carmen Tormo Carrillo, Luis Santiago Zayas, Waseem Wahood, Sinay A. Ceballos, Deannys Batista, Alisha Menon, Bernardo J. Reyes, Franklin Kasmin Jan 2024

Evaluating The Impact Of Early Palliative Care Consultations On 30-Day And 90-Day Readmissions Among Patients With Decompensated Cirrhosis: A National Perspective, Aya Akhras, Saadia Nabi, Kristen Santana, Mohammed Akram, Mahesh Tummala, Carmen Tormo Carrillo, Luis Santiago Zayas, Waseem Wahood, Sinay A. Ceballos, Deannys Batista, Alisha Menon, Bernardo J. Reyes, Franklin Kasmin

East Florida Division GME Research Day 2024

No abstract provided.


Hidden In Plain Sight: A Case Of Hiatal Hernia Causing Recurrent Pancreatitis, Jason Nguyen, Kevin Gopala Rao, Carmen Tormo Carrillo, Priya Mohan, Mohammed Akram, Werner Andrade-Ortiz, Bernardo Reyes Jan 2024

Hidden In Plain Sight: A Case Of Hiatal Hernia Causing Recurrent Pancreatitis, Jason Nguyen, Kevin Gopala Rao, Carmen Tormo Carrillo, Priya Mohan, Mohammed Akram, Werner Andrade-Ortiz, Bernardo Reyes

East Florida Division GME Research Day 2024

No abstract provided.


Evaluating The Effect Of Vitamin D Supplementation On Long Term Prednisone Dosage In Systemic Lupus Erythematosus, Ellen Yos, Mohamed Faris Jan 2024

Evaluating The Effect Of Vitamin D Supplementation On Long Term Prednisone Dosage In Systemic Lupus Erythematosus, Ellen Yos, Mohamed Faris

South Atlantic Division GME Research Day 2024

No abstract provided.


Bronchobiliary Fistula And Bilioptysis: A Rare Complication Of Hepatic Lobe Abscess, Pranav Mahadevan, Pratik Patel, Domenick Roma, Nikola Tankosic Jan 2024

Bronchobiliary Fistula And Bilioptysis: A Rare Complication Of Hepatic Lobe Abscess, Pranav Mahadevan, Pratik Patel, Domenick Roma, Nikola Tankosic

South Atlantic Division GME Research Day 2024

No abstract provided.


Discharge Implementation Project: Ascertaining If Discharge Implementation Orders Overall Improves Discharge Metrics At A Texas Hospital, Zachary Paras, Omar Nawab, Komthorn Cunvong, Jackson V. Littlejohn, Sathish Karmegam Jan 2024

Discharge Implementation Project: Ascertaining If Discharge Implementation Orders Overall Improves Discharge Metrics At A Texas Hospital, Zachary Paras, Omar Nawab, Komthorn Cunvong, Jackson V. Littlejohn, Sathish Karmegam

North Texas GME Research Forum 2024

There are several factors preventing discharges out of the hospital within 24 hours that ultimately affects metrics for both hospital systems and physicians. These factors include pending labs, imaging, or procedures; pending placement approval at a facility outside of the hospital upon discharge; notification of family and caretakers; secured funding for devices and medicines; and others. In an attempt to mitigate preventable extra days spent in the hospital once a patient is medically ready for discharge, a Texas hospital implemented a discharge order set for providers to utilize that informs all involved parties including case management, PT/OT, social work, nurses, …


The Effects Of Cannabis Use On Adverse Cardiovascular Outcomes, Mortality, And Cost Of Hospitalization: Retrospective Study Using National Inpatient Sample, Rabab Elsadek, Zeeshan Ismail, Isaac Loseke, Hashim Al-Ani, Mona Fikry, Suzanne Zentko Jan 2024

The Effects Of Cannabis Use On Adverse Cardiovascular Outcomes, Mortality, And Cost Of Hospitalization: Retrospective Study Using National Inpatient Sample, Rabab Elsadek, Zeeshan Ismail, Isaac Loseke, Hashim Al-Ani, Mona Fikry, Suzanne Zentko

North Florida Division GME Research Day 2024

No abstract provided.


Non-Invasive Ventilatory Support, Tube Feeding & Risk Of Aspiration Pneumonia, Jason Mae Chacon, Zuhaib Murtaza, Sarah Barraza, Judy Jin, Payal Passi Jan 2024

Non-Invasive Ventilatory Support, Tube Feeding & Risk Of Aspiration Pneumonia, Jason Mae Chacon, Zuhaib Murtaza, Sarah Barraza, Judy Jin, Payal Passi

Central & West Texas GME Research Day 2024

No abstract provided.


To Have And To Not Hold: Long-Acting Insulin For Npo Patients With Diabetes, William Hicks, Cindy Iwuagwu, Suzan Khalil, Juan Pablo Meruvia Garron, Cynthia Schwartz, Carlos Botero Suarez, Ashwini Komarla, Mustafa Kinaan Jan 2024

To Have And To Not Hold: Long-Acting Insulin For Npo Patients With Diabetes, William Hicks, Cindy Iwuagwu, Suzan Khalil, Juan Pablo Meruvia Garron, Cynthia Schwartz, Carlos Botero Suarez, Ashwini Komarla, Mustafa Kinaan

North Florida Division GME Research Day 2024

No abstract provided.


Esophageal Foreign Body: A Case Of The Hidden Wire Brush, Rebecca Ashton Taylor, Sandra Scott, William Jones, Jonnalagadda Veeraen Jan 2024

Esophageal Foreign Body: A Case Of The Hidden Wire Brush, Rebecca Ashton Taylor, Sandra Scott, William Jones, Jonnalagadda Veeraen

South Atlantic Division GME Research Day 2024

No abstract provided.


Stop Horsing Around: A Case Of Cenbuterol Toxicity, Justin Sanchez, Mark Cheneler, Alexandra Villacres Jan 2024

Stop Horsing Around: A Case Of Cenbuterol Toxicity, Justin Sanchez, Mark Cheneler, Alexandra Villacres

North Texas GME Research Forum 2024

Introduction: Clenbuterol is a medication that is relatively unknown outside of the equestrian and bodybuilding worlds. It acts as a sympathomimetic compound with beta-2 agonism and can cause tachycardia and bronchodilation. It is utilized for this bronchodilation as a means of improving equestrian performance. Its sympathomimetic effects were utilized in the bodybuilding community as a weight loss medication by increasing catabolic metabolism. Here we present a case of intentional clenbuterol toxicity for weight loss. Case presentation: A 34-year-old woman with past medical history of migraines presented to the emergency department for evaluation of palpitations and an EKG showed sinus …


Retrospective Study: Adverse Effects Of Hyperglycemia In Nondiabetic Critically Ill Patients With Myocardial Infarction, Enkhbileg Batbileg, Jourdan Harper, Daniel Moore, Carol Wang, Sarah Barraza Jan 2024

Retrospective Study: Adverse Effects Of Hyperglycemia In Nondiabetic Critically Ill Patients With Myocardial Infarction, Enkhbileg Batbileg, Jourdan Harper, Daniel Moore, Carol Wang, Sarah Barraza

Central & West Texas GME Research Day 2024

No abstract provided.


Duodenal Ulcer Complicated By Pneumobilia After Chronic Use Of Prednisone, Mihran Ogaryan, Sandra Abadir, Ariel Ahl, Muhammad Durrani, Nusayba Ahmed, Kumar Desai Jan 2024

Duodenal Ulcer Complicated By Pneumobilia After Chronic Use Of Prednisone, Mihran Ogaryan, Sandra Abadir, Ariel Ahl, Muhammad Durrani, Nusayba Ahmed, Kumar Desai

Far West Division GME Research Day 2024

No abstract provided.


Left Bundle Branch Block After Moderna Covid-19 Booster, Yamann Sahlool, Neil Gerts, Yann Dacquay, Mihran Ogaryan, Saro Avedikian, Jeong Hwan Kim, Vishva Dev, Jasprit Takher Jan 2024

Left Bundle Branch Block After Moderna Covid-19 Booster, Yamann Sahlool, Neil Gerts, Yann Dacquay, Mihran Ogaryan, Saro Avedikian, Jeong Hwan Kim, Vishva Dev, Jasprit Takher

Far West Division GME Research Day 2024

No abstract provided.