Internal Medicine Commons^™

Challenges Of Cerebral Hyperperfusion Syndrome: A Clinical Case Report, Ruth Williams, Ranga Rathakrishnan

East Florida Division GME Research Day 2023

Introduction: Cerebral Hyperperfusion syndrome (CHS) is a clinical syndrome of hypertension, headache, neurological deficits, with or without seizures, following a revascularization procedure. It is characterized by an excessive and sudden increase in cerebral blood flow. The mechanism is largely not understood but theories involve impaired cerebrovascular autoregulation (thought to be mitigated by collateral circulation), free radical damage, and baroreceptor reflex damage, possible from the procedure itself1 . Common presentations include severe ipsilateral headache to the side of the lesion with typical onset within 12 hours to 6 days, but can occur up to one month, after carotid revascularization processes2 . …

Cardiac Tamponade In The Setting Of Severe Sepsis And Adrenal Insufficiency, Ayesha Choudhry, Matthew Cardeiro, Angelina Hong, Adekunle Bamgboye

East Florida Division GME Research Day 2023

Introduction: Pericardial effusions can have various etiologies, including infectious, autoimmune, drug induced, endocrinologic, among others. Cardiac tamponade occurs when large effusions compress the heart and can lead to obstructive shock.

Case Description: A 48-year-old female with a history of hypothyroidism and pituitary adenoma resection presented with subjective fevers and generalized weakness for the past 5 days. She was lethargic with muffled heart sounds on exam. Vitals showed a heart rate 95 beats per minute, blood pressure 63/51, respiratory rate 18 breaths per minute, with normal temperature. Labs on admission were significant for white blood cell count of 11,500/L, hemoglobin 10.8 …

Surviving The Apprehensive Methicillin-Sensitive Staphylococcus Aureus (Mssa) Bacteremia: A Case Of Bacteremia With An Undetermined Source Of Infection Leading To Suspected Cardioembolic Ischemia And Biochemical Septic Shock, Greisy D. Curbelo Sesin, Eduardo Marino-Urbino, Christopher Fontela, Melanio J. Rodriguez, Jorge A. Diaz, Shivaan C. Oomrigar, Ramon Mendoza Bello, Yoandy Rodriguez Fuentes

East Florida Division GME Research Day 2023

Introduction: This research presents a complex case of a 70-year-old male with acute metabolic encephalopathy and biochemical septic shock, later attributed to cardioembolic ischemia, resulting from Methicillin-Sensitive Staphylococcus Aureus (MSSA) bacteremia with an elusive source of infection.

Case Description: The 70-year-old patient, with a medical history of hypertension and aortic valve stenosis status post-Coronary Artery Bypass Grafting and bioprosthetic valve replacement on dual anti-platelet therapy (clopidogrel and aspirin), was admitted following an unwitnessed fall and a day of vomiting and generalized weakness. Upon arrival, the patient exhibited altered mental status, hypotension, and acidosis. Initial diagnostic workup raised suspicion of biochemical …

Atraumatic Splenic Rupture: An Unaccustomed Complication Of H. Parainfluenzae Endocarditis, Daniel P. High, Jose M. Acosta-Rullan, Danay Herrera, Mauricio Danckers

East Florida Division GME Research Day 2023

No abstract available.

Fatigue More Than Just Anemia: A Case Report Of Undiagnosed Pbc, Sarah Barraza, Payal Passi, George Matus, Michaela Mckissack

Central & West Texas GME Research Day 2023

No abstract provided.

A Retrospective Study Comparing Mortality Rates Between Vaccinated And Unvaccinated Kidney Transplant Recipients, Anaam Fayyaz, Judy Pozzerle, Suresh Antony

Central & West Texas GME Research Day 2023

No abstract provided.

Spontaneous Intercostal Artery Bleeding With Hemothorax, Raafia Sajjad, Legesse Tebeje

Central & West Texas GME Research Day 2023

No abstract provided.

Severe Ivc Thrombosis Presenting As Abdominal Pain In Antiphospholipid Syndrome, Arya Nikjoo, Aswin Srinivasan, Ali Abbasi

Gulf Coast Division GME Research Day 2023

No abstract provided.

Systematic Review Of Coronary Air Embolism Following Percutaneous Lung Biopsy, Hytham Rashid, Tusharkumar Pansuriya, Aswin Srinivasan, Branden Wilson, Haris Ahmed

Gulf Coast Division GME Research Day 2023

No abstract provided.

Bioprosthetic Valve Endocarditis Causing Non-St Elevation Myocardial Infarction, Cassie Robertson, Lakshmi Tatineni, Talha Qasmi, Sivatej Sarva, Ramesh Kesavan, Michael Daniel

Gulf Coast Division GME Research Day 2023

No abstract provided.

A Rare Case Of Pres In A Patient On Bevacizumab-Awwb Chemotherapy, Alexander Rhodes, John Punla, Aswin Srinivasan, An Dao, Syed Raza

Gulf Coast Division GME Research Day 2023

No abstract provided.

A Unique Cross-Sectional Study Of Short-Term Transoral Incisionless Fundoplication Outcomes, Alexandria Dennison, Corbin Stephens, Syed Jafri

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Thsd7a Associated Membranous Nephropathy Leading To Metastatic Neuroendocrine Carcinoma, Angel Juarez, Lidice Galindo, Maryam Gondal

South Atlantic Division GME Research Day 2023

No abstract provided.

Pembrolizumab-Induced Polymyalgia Rheumatica, Jessica Thomas, Alexandra E. Thomson, Savannah Grunhard, Rohit Bishnoi

South Atlantic Division GME Research Day 2023

No abstract provided.

Treatment And Mortality Of Myocardial Injury After Noncardiac Surgery, Hany Youssef, Rahul Mhaskar, Kelsi Thompson, Jose Nicolas Codolosa

West Florida Division GME Research Day 2023

No abstract provided.

Novel Esophageal Perforation, Alexandra Moran, Bhavesh Shukla, Jeffrey Ramsey, Gregory Hicks

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Empagliflozin Induced Fanconi Syndrome In A Patient With Covid-19, Nicole Fernandez, Gilad Guez, Edgar Escasinas

Capital Division GME Research Day 2023

No abstract provided.

Size Matters Not: A Retrospective Analysis Of Rectal Foreign Bodies, Kevyn Niu, Brendan Gregg, Vanessa Florival, Yizhi Liu

West Florida Division GME Research Day 2023

No abstract provided.

Contained Rupture Of A Left Coronary Sinus Of Valsalva Aneurysm: A Case Report, Kipson Charles, Andrew T. Abraham, Arroj Ali, Ann Tong

North Florida Division GME Research Day 2023

No abstract provided.

Moyamoya Disease Presenting As An Intracranial Hemorrhage In A 69-Year-Old Male, Jorge Rodriguez, Brittany Chandani, David G. Gelikman, Ankur Garg, Olga Karasik

North Florida Division GME Research Day 2023

No abstract provided.

Veillonela Discitis: A Rare Presentation And Review Of Literature, Akankcha Alok, Vidya Sagar Kollu, Gautam Kalyatanda

North Florida Division GME Research Day 2023

No abstract provided.

To Echo Or Not To Echo: Improving Appropriate Use Of Echocardiography In Evaluation Of Syncope, William Hicks, Cindy Iwuagwu, Suzan Khalil, Juan Pablo Meruvia Garron, Cynthia Schwartz, Floyd Burke

North Florida Division GME Research Day 2023

No abstract provided.

Improving Patient Knowledge On Exercise And Dietary Recommendations: Quality Improvement In An Outpatient Setting, Shannon Mcmenamin, Nicky Chopra

TriStar Division Research Day 2023

No abstract provided.

Improving The Blood Product Administration Process At Hca Florida Osceola Hospital, Kar Shun Constant Mak, Neha Meda, Natalia Tejada, Parasto Asnaashari, Joshua Sutarwan, Joshua Shultz, Maria Wallis-Crespo, Sarah Tinsley

North Florida Division GME Research Day 2023

No abstract provided.

Rare Case Of Aortic Valve Endocarditis Causing Inferior Stemi, William Zvagelsky, Marcarthur Limpiado, Shruti Verma, Minar Rane, Emadeldeen Elgwairi, Rajendran Sabapathy

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Utilizing A Mechanical Aspiration Device To Debulk Intracardiac Mass, Vivek Nadipalli, Ahmed Mahmood, Muhammad Uzair Lodhi, Christel Cuevas, Scott Mckinstry, Thomas Alexander

Gulf Coast Division GME Research Day 2023

No abstract provided.

A Rare Case Of Takotsubo Cardiomyopathy Following Elective Transesophageal Cardioversion, Rebecca Smidy, Michael Gindi, Dhruv Reddy, Jacob Poliakoff

West Florida Division GME Research Day 2023

No abstract provided.

Acute Multiorgan Failure In A 27-Year-Old Non-Drug User, Tatiana Gusan, Angelina Hong, Sarah Kaufman, Nathan Zaher

East Florida Division GME Research Day 2023

Introduction: Hypertensive emergency is defined as a systolic blood pressure greater than 180 mmHg or diastolic pressure over 120 mmHg with signs of end organ damage. The pathophysiology of a hypertensive emergency leads to an inability to maintain tissue perfusion resulting in organ hypoxia that often leads to temporary, and in more severe cases, permanent damage.

Case Description: A 27-year-old gentleman with no known past medical history presented with acute bilateral blurry vision, headache and bilateral lower extremity weakness for the past two days. His blood pressure was 266/169 and heart rate 99 beats per minute on presentation. Bloodwork demonstrated …

Pain In The Back – A Rare Case Of Atraumatic Paraspinal Compartment Syndrome, Muhammad Rehan, Jodi Perry

East Florida Division GME Research Day 2023

Introduction: Paraspinal Compartment Syndrome (PCS) is a well-documented complication after trauma and orthopedic injuries though incidence of atraumatic PCS in individuals with substance use disorder (SUD) is not well documented. We present a case of a middle-aged man with acute PCS after intravenous (IV) amphetamine use.

Case Description: 40-years-old male with a history of substance use disorder was brought in for evaluation after being found wandering naked in the streets. He admitted to relapsing and using 0.5 grams of IV amphetamine. He was found to be agitated, energetic, and endorsed visual and auditory hallucinations. Initial physical examination showed no focal …

A Unique Presentation Of Libman-Sacks: Non-Bacterial Tricuspid Valve Endocarditis, August Rakutt, Lauren Hampton, Johnathan Frunzi

West Florida Division GME Research Day 2023

No abstract provided.