Internal Medicine Commons^™

Spontaneous Rupture Of A Splenic Artery Aneurysm With Hemoperitoneum; Case Presentation, Vlad Denis Constantin, Ion Motofei, Gelu Valentin Stefanescu, Adrian Silaghi

Journal of Mind and Medical Sciences

Aneurysms of the splenic artery are relatively rare, being found in patients with portal hypertension, multiparous, atherosclerosis, or in young people with various genetic diseases. In the uncomplicated forms, splenic artery aneurysms are often difficult to diagnose either because of the asymptomatic evolution, or because of the non-specific symptoms. In cases of trauma or large sizes, aneurysms can be complicated by rupture, which can cause hemoperitoneum with the risk of death if specific treatment is not initiated as soon as possible. Depending on the location of the splenic aneurysm, comorbidities, the patient's general condition or life-threatening complications, laparotomy, laparoscopy, endovascular …

Challenges Of Anticoagulant Treatment In Atrial Fibrillation With Liver Disease, Alina Doina Nicoara, Andra Iulia Suceveanu, Ionut Eduard Iordache, Iulia Tania Andronache, Andreea Nelson Twakor, Andreea Georgiana Sunda, Ioan Cristian Nichita, Anca Pantea Stoian, Felix Voinea, Adrian Paul Suceveanu

Journal of Mind and Medical Sciences

Managing anticoagulation therapy in individuals with atrial fibrillation who also have liver disease is highly challenging due to altered blood clotting processes and the risk of bleeding due to liver dysfunction. The literature highlights the complex nature of anticoagulant therapy in these patients, emphasizing the need for personalized treatment methods that take into account both thrombosis and bleeding risks. Research has shown a higher occurrence of atrial fibrillation in people with cirrhosis, highlighting the need to find the best anticoagulation methods based on the severity of liver disease and patient-specific factors. The debate over the safety and effectiveness of direct …

Diabetes Mellitus And Associated Complications In The Digestive Tract, Ioana Paunica, Vlad Denis Constantin, Dragos Serban, Cristian Paius, Bogdan Gaspar, Dragos Epistatu, Valentin Verlas, Roxana Sfetea, Liliana Florina Andronache, Cristian Balalau, Daniela Gabriela Bălan, Alexandru Florin Motofei, Adrian Silaghi

Journal of Mind and Medical Sciences

Diabetes mellitus presents an increasing prevalence and severe multisystemic complications, with notable personal, professional and social implications. Diabetes is generally known by hyperglycemia and subsequent metabolic disorders. In addition to hyperglycemia, it appears that other factors (related to anthropometric-pathophysiology and genome-based subphenotyping) are involved not only in the clinical course but also in the occurrence of diabetes complications. This review presents several diabetes-induced complications on the digestive tract (periodontal disease, xerostomia, oral infections, dental caries, taste disturbances, gastroesophageal reflux disease, gastroparesis, gastric ulcer and cancer, diabetic enteropathy, inflammatory bowel diseases, colorectal cancer, etc.), many of them with major implications and …

Hepatotoxicity Induced By Immune Checkpoint Inhibitors, Flaviu Muresan, Olga Hilda Orasan, Angela Cozma, Madalina Daiana Bancos, Lorena Ciumarnean, Mircea Vasile Milaciu, Tinca Codruta Pocol, Nicoleta Valentina Leach, Teodora Gabriela Alexescu, Ovidiu Vasile Fabian, George Ciulei, Mirela Georgiana Perne

Journal of Mind and Medical Sciences

Immune checkpoint inhibitors (ICIs) are an effective immunotherapeutic approach for cancers affecting the lung, skin, kidney, mammary gland, or certain hematologic malignancies. Regarding the prognosis of these oncological conditions, treatments with ICIs open new therapeutic perspectives with benefits for both patients and healthcare providers. A drawback of immune checkpoint inhibition is the occurrence of immune-related adverse events that can involve a wide range of organs, such as the liver. Given widespread usage of immunotherapy, the number of patients who suffer from this unwanted condition has increased. Hepatopathy induced by ICIs can be severe and can even lead to death. Detecting …

Enhancing Patient Safety: The Role Of Interdisciplinary Teams In Reducing Blood Culture Contamination, Austin Patrick Eisenberg, Fady M. Awad, Brian Watson, Mohammed Faris

HCA Healthcare Journal of Medicine

Background

Blood cultures are vital to diagnostic workups among many hospitalized patients, providing valuable information about bloodstream infections (BSIs), which cause roughly 250 000 deaths annually between North America and Europe. Despite advances in health care, blood culture contamination remains a substantial problem, with deleterious effects on patient mortality, patient and hospital costs, and microbial resistance. This article reviews the repercussions of blood culture contamination on the health care system and delineates evidence-based strategies to decrease contamination rates.

Methods

To reduce blood culture contamination rates, our health care facility undertook a quality improvement initiative. A task force was created, consisting …

The Contribution Of Neutrophil Extracellular Traps To Coagulopathy In Patients With Covid-19-Related Thrombosis, Carolyn Enochs, Gabriela Delevati Colpo, Lucy Couture, Lynae Baskin, Ana E Cahuiche, Eunyoung Angela Lee, Shahid Nimjee, Louise D Mccullough

Faculty, Staff and Student Publications

COVID-19 is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and is associated with hypercoagulability and increased incidence of thrombotic events. In this study, we investigated the levels of neutrophil extracellular trap biomarkers and von Willebrand factor to assess if these could predict the occurrence of a thrombotic event in COVID-19 patients. We enrolled 202 patients hospitalized with symptomatic COVID-19 infection. Of those, 104 patients did not experience any type of thrombotic events before or during their hospitalization. These patients were compared to the other cohort of 98, who experienced thrombotic events before or during their hospitalization. In total, …

There Is "Thorn" Than Meets The Eye, Zaid Alnabulsi

Conference Presentation Abstracts

No abstract provided.

Chronic Intestinal Pseudo-Obstruction: A Debilitating Complication Of Scleroderma, Pawan Gyawali

Conference Presentation Abstracts

No abstract provided.

Myxedema Coma Due To Interrupted Levothyroxine Therapy, Tajuldeen Al Hasani

Conference Presentation Abstracts

No abstract provided.

The Kitchen Sink Approach: A Case Of Idiopathic Non-Histaminergic Angioedema, Vickie Xin

Conference Presentation Abstracts

No abstract provided.

Rheumatoid Arthritis And Anca Vasculitis Overlap: A Rare Case With Renal And Respiratory Involvement, Ayed Shahatit

Conference Presentation Abstracts

No abstract provided.

Cardiac Tamponade As An Initial Manifestation Of Lung Adenocarcinoma, Lark Steafo

Conference Presentation Abstracts

No abstract provided.

Disseminated Lyme Leading To Complete Heart Block, Lara Hakim

Conference Presentation Abstracts

No abstract provided.

Fevers, Lung Nodules, And A Colon Polyp: A Case Of Fusobacterium Nucleatum Endocarditis, Elizabeth Jakubowski

Conference Presentation Abstracts

No abstract provided.

Disseminated Mac In A Patient With Aids, Emma Glover

Conference Presentation Abstracts

No abstract provided.

A Rare Case Of An Immune Checkpoint Inhibitor-Induced Myopericarditis, Morgan Korn

Conference Presentation Abstracts

No abstract provided.

Dead For 22 Minutes: Case Of Pea Arrest In 31-Year-Old Woman With Hemorrhagic Pheochromocytoma, Vera Nattler

Conference Presentation Abstracts

No abstract provided.

A Case Of Acute Hypotension Following Initiation Of Ripe Therapy, Nathanial Bartosek

Conference Presentation Abstracts

No abstract provided.

Streptococcus Dysgalactiae: Identifying A Usual Presentation Of An Unusual Organism, Julia Meireles

Conference Presentation Abstracts

No abstract provided.

Unexpected Turn: Abdominal Cramping To Cardiac Tamponade Postheart Cath, Ayesha Sharif

Conference Presentation Abstracts

No abstract provided.

The Diagnostic And Clinical Challenges Of A Unique Case Of Complex Regional Pain Syndrome Secondary To Massage Gun Use, Mitchell Sarkisov

Conference Presentation Abstracts

No abstract provided.

A Retrospective, Propensity-Score-Matched Analysis Of The Outcomes And Effect On Length-Of-Stay Of A Newly Created Hospitalist Medicine Procedure Service, Saria Alazmeh

Conference Presentation Abstracts

No abstract provided.

Severe Ulcerative Duodenitis From Iga Vasculitis In An Older Adult, Usman Bin Hameed

Conference Presentation Abstracts

No abstract provided.

When The Laparotomy Is Negative: Pseudo-Obstruction And Pneumatosis Intestinalis As A Complication Of Systemic Sclerosis, Marina Lopes Machado

Conference Presentation Abstracts

No abstract provided.

The Role Of Titratable Diuresis In Decompensated Heart Failure, Mohamad El Shami

Conference Presentation Abstracts

No abstract provided.

Turning The Tide-Bispecific Antibodies In Penta-Refractory Multiple Myeloma, Yagnapriya Ammakola, Atulya A. Khosla, Berk Celik, Ishmael Jaiyesimi

Conference Presentation Abstracts

No abstract provided.

Atypical Thyroid Storm Presenting In The Setting Of Metastatic Anaplastic Thyroid Cancer, Berk Celik

Conference Presentation Abstracts

No abstract provided.

Isolated Spleen Involvement As The Only Manifestation Of Sarcoidosis: A Rare Case Report, Karan Chhabra, Atulya A. Khosla, Florian Bukovec, Dilip Khanal

Conference Presentation Abstracts

No abstract provided.

Granulomatosis With Polyangiitis And Malignant Pheochromocytoma: A Syndromic Conundrum With Overlapping Clinical Features, Pawan Gyawali

Conference Presentation Abstracts

No abstract provided.

Flash Leukostatic Pulmonary Edema In A Female With Chronic Phase Cml And Congestive Failure- A Delicate Balance Between Diuresis And Leukapheresis, Tanya Amal

Conference Presentation Abstracts

No abstract provided.