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Articles 361 - 390 of 622
Full-Text Articles in Internal Medicine
When Skin Necrosis Mimics: Diagnostic And Therapeutic Challenges Of Calciphylaxis In A Ckd Patient With A Mechanical Heart Valve, Sienna Luk, Harshil Parekh, Vaishnavi Singh, Darshan Bhatty, Sathish Karmegam
When Skin Necrosis Mimics: Diagnostic And Therapeutic Challenges Of Calciphylaxis In A Ckd Patient With A Mechanical Heart Valve, Sienna Luk, Harshil Parekh, Vaishnavi Singh, Darshan Bhatty, Sathish Karmegam
North Texas Research Forum 2025
Calciphylaxis is a rare but serious condition characterized by the calcification and thrombosis of small blood vessels, predominantly affecting patients with end-stage renal disease (ESRD). Diagnosis can be challenging due to overlapping features with other vascular conditions, such as warfarin-induced skin necrosis (WSN). We present a case of a patient with ESRD and typical risk factors—peritoneal dialysis, hyperparathyroidism, and warfarin use—who exhibited classic skin findings suggestive of calciphylaxis. However, two skin biopsies were inconclusive. Management involved addressing the patient's calciphylaxis risk factors, optimizing dialysis, and initiating sodium thiosulfate therapy. The case was further complicated by the need to replace warfarin, …
Warm Autoimmune Hemolytic Anemia Camouflaged As Persistent Anemia Post-Embolization For Abnormal Uterine Bleeding: A Case Report, Nischal Pokhrel, Sathish Karmegam
Warm Autoimmune Hemolytic Anemia Camouflaged As Persistent Anemia Post-Embolization For Abnormal Uterine Bleeding: A Case Report, Nischal Pokhrel, Sathish Karmegam
North Texas Research Forum 2025
This case report presents a 42-year-old female with heavy menstrual bleeding and syncope, initially diagnosed with AUB due to fibroids. The patient's hemoglobin (Hb) dropped from 11.8 g/dl to 7.3 g/dl within three days, despite multiple PRBC transfusions. Uterine artery embolization (UAE) was performed, but Hb levels continued to decline, prompting further investigation. Additional testing revealed normal iron studies, vitamin B12, and folic acid levels. The peripheral blood smear showed mild anisocytosis, and the ANA screen was negative. However, elevated lactate dehydrogenase (LDH) at 571 U/L, a positive DAT for IgG, and a reticulocyte count of 6.37 were observed. These …
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
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 Patients with massive/sub-massive pulmonary embolism (PE) and right ventricular strain have a significant risk of hemodynamic collapse. VA ECMO support provides an excellent salvage option for patients with acute/unstable pulmonary embolism with obstructive cardiogenic shock undergoing mechanical thrombectomy. Using VA-ECMO for a “protective PE” procedure allows control of hemodynamics and enables interventionalists to perform the thrombectomy in a more controlled environment. Here, we present our experience. Methods A retrospective data analysis on consecutive VA ECMO patients with cardiogenic shock secondary to pulmonary embolism was abstracted from August 2022 to June 2024. Results Patient characteristics and outcomes are described in …
Effective Communication In The Pronunciation Of Brain Death, Sumanth Reddy, Artur Amirkhanyan, Jeremiah Avarana, Praneetha Arge, Alicia Lay
Effective Communication In The Pronunciation Of Brain Death, Sumanth Reddy, Artur Amirkhanyan, Jeremiah Avarana, Praneetha Arge, Alicia Lay
North Texas Research Forum 2025
Background: Clinical brain death determination requires both technical proficiency and sensitive communication with families. However, residents often report inadequate training and confidence in performing and discussing these examinations. This study evaluated an educational intervention combining didactic training and simulation to improve residents’ competence in brain death protocols and family communication. Methods: A mixed-methods cohort study was conducted with resident physicians. Participants completed a pre-intervention questionnaire assessing baseline knowledge, experience, and confidence in brain death determination and communication. An educational session reviewed clinical criteria, examination protocols, and communication strategies. Residents then engaged in an in-person simulation with standardized actors portraying grieving …
Necrotizing Alternaria Pneumonia In An Immunocompetent Male, Joel Mathews, Jose Aguilar-Martinez, Sean Sojdie, Zain Tariq, Tamer Hudali
Necrotizing Alternaria Pneumonia In An Immunocompetent Male, Joel Mathews, Jose Aguilar-Martinez, Sean Sojdie, Zain Tariq, Tamer Hudali
North Texas Research Forum 2025
Abstract: Alternaria species is a rare cause of invasive fungal pneumonia, typically described as an opportunistic pathogen, usually seen in immunocompromised patients producing virulent forms of sinus, cutaneous, and ocular infections. Alternaria species sparingly affect immunocompetent individuals and are often managed without any medical interventions. We present a case of invasive fungal necrotizing pneumonia caused by Alternaria alternata species in an immunocompetent 28-year-old male with only a past medical history of well-controlled asthma managed with an as-needed albuterol inhaler. His complaints included worsening foul-smelling productive cough with yellow-dark brown sputum along with subjective fevers, chills, chest pain, and dyspnea for …
Curtain-Like Vision Loss: A Case Report On Semaglutide And Its Effects On Vision, Sereena Jivraj, Jonathan Eledge, Amenda Khoei, Amnah Andrabi
Curtain-Like Vision Loss: A Case Report On Semaglutide And Its Effects On Vision, Sereena Jivraj, Jonathan Eledge, Amenda Khoei, Amnah Andrabi
North Texas Research Forum 2025
Background: Semaglutide, a glucagon-like peptide-1 receptor agonist (GLP-RA), was introduced and approved by the United States Food and Drug Administration (FDA) for the management of type 2 diabetes in 2017. Since then, the medication has garnered much more attention for its ability to aid with weight loss. Until recently, the most significant side effects of semaglutide noted were mostly gastrointestinal symptoms such as nausea, vomiting, and diarrhea due to the drug’s mechanism of action of delayed gastric emptying. However, a singular cohort study from Harvard Medical School in conjunction with Massachusetts Eye and Ear of 16,827 patients recently suggested a …
Efficacy Of Pegloticase In Combination With Methotrexate In Tophaceous Gout: Case Report, Rabia S. Mahfooz, Amita J. Dsouza, Neil Maithel, Naser Elkhalili
Efficacy Of Pegloticase In Combination With Methotrexate In Tophaceous Gout: Case Report, Rabia S. Mahfooz, Amita J. Dsouza, Neil Maithel, Naser Elkhalili
Gulf Coast Division GME Research Day 2025
No abstract provided.
Vonoprazan Vs. Lansoprazole In The Healing & Maintenance Phase Of Erosive Esophagitis, Sushil Rayamajhi, Syed Hasham Ali, Hareesha Bharadwaj, Ali Tariq
Vonoprazan Vs. Lansoprazole In The Healing & Maintenance Phase Of Erosive Esophagitis, Sushil Rayamajhi, Syed Hasham Ali, Hareesha Bharadwaj, Ali Tariq
North Florida Division GME Research Day 2025
No abstract provided.
Drug Induced Sweet's Syndrome Secondary To Pegfilgrastim: A Rare Case, Renuka Mahatara, Abhi Rao, Ian Whitaker, Bradley Saylors, Charles Holladay
Drug Induced Sweet's Syndrome Secondary To Pegfilgrastim: A Rare Case, Renuka Mahatara, Abhi Rao, Ian Whitaker, Bradley Saylors, Charles Holladay
South Atlantic Division GME Research Day 2025
No abstract provided.
From Dermis To Digestive Tract: When Skin Flaps Do More Than Expected, Supritha Chintamaneni, Bilal Ashraf, Galvin Dhaliwal, Aakriti Soni, Amandeep Kaur
From Dermis To Digestive Tract: When Skin Flaps Do More Than Expected, Supritha Chintamaneni, Bilal Ashraf, Galvin Dhaliwal, Aakriti Soni, Amandeep Kaur
Gulf Coast Division GME Research Day 2025
No abstract provided.
Coexisting Type A And B Aortic Dissection With Extension To Carotid Arteries Resulting In Acute Ischemic Stroke, Dung Nguyen, Jilpa Shah, Amnah Andrabi
Coexisting Type A And B Aortic Dissection With Extension To Carotid Arteries Resulting In Acute Ischemic Stroke, Dung Nguyen, Jilpa Shah, Amnah Andrabi
North Texas Research Forum 2025
Coexisting Type A and B aortic dissection with extension to carotid arteries resulting in acute ischemic stroke Abstract Background: Acute aortic dissection (AAD) is a rare cause of ischemic stroke. Additionally, it is even rarer to have a combined type A and type B aortic dissection. ADD is a high-mortality disease that can lead to immediate decompensation and can be masked by stroke-like symptoms, which can result in delayed or missed diagnosis. We report a patient with acute ischemic stroke (AIS) with subsequent combined type A and type B aortic dissection. Case Report: A 47-year-old man was admitted to the …
Beyond Appearances: A Case Report Of Mistaken Identity In Dialysis Access, Ephrem D. Demie, Shahin Owji, Mohammad Shafiq, Srikanth Raayasa
Beyond Appearances: A Case Report Of Mistaken Identity In Dialysis Access, Ephrem D. Demie, Shahin Owji, Mohammad Shafiq, Srikanth Raayasa
Gulf Coast Division GME Research Day 2025
No abstract provided.
Resident And Fellow Call Schedule: Implementation And Analysis, Joshua Gelber, Dj Jiang, Syed Basit Haider
Resident And Fellow Call Schedule: Implementation And Analysis, Joshua Gelber, Dj Jiang, Syed Basit Haider
Gulf Coast Division GME Research Day 2025
No abstract provided.
Sle And Aps Synergy: Aortic Dissection, Neil Maithel, Ali Asghar, Rabia Mahfooz, Ibrahim Musa, Hasnan Ijaz, Thomas Alexander
Sle And Aps Synergy: Aortic Dissection, Neil Maithel, Ali Asghar, Rabia Mahfooz, Ibrahim Musa, Hasnan Ijaz, Thomas Alexander
Gulf Coast Division GME Research Day 2025
No abstract provided.
Atypical Presentation Of Moyamoya Disease Presenting With Severe Headache: A Case Report, Nilay Bhatt, Tirth Vyas
Atypical Presentation Of Moyamoya Disease Presenting With Severe Headache: A Case Report, Nilay Bhatt, Tirth Vyas
Gulf Coast Division GME Research Day 2025
No abstract provided.
The Gut Feeling: Diagnosing The Unexpected Ogilvie’S Syndrome, Sakina Haider, Jenny Cherenfant, Supritha Chintamaneni, Rama Laxman
The Gut Feeling: Diagnosing The Unexpected Ogilvie’S Syndrome, Sakina Haider, Jenny Cherenfant, Supritha Chintamaneni, Rama Laxman
Gulf Coast Division GME Research Day 2025
No abstract provided.
Micra-Scopic Hero: Rare Unroofed Cornoary Sinus Complicating Pacemaker Placement, Suhas Tatapudi, E Castillo, Jeby Kalathoor, Zuhair Ali, Hytham Rashid, R Cargioli
Micra-Scopic Hero: Rare Unroofed Cornoary Sinus Complicating Pacemaker Placement, Suhas Tatapudi, E Castillo, Jeby Kalathoor, Zuhair Ali, Hytham Rashid, R Cargioli
Gulf Coast Division GME Research Day 2025
No abstract provided.
Incidental Discovery Of Bilateral Pheochromocytoma In A Patient With Lifelong Hypertension, Umema Irfan, Sara Shahid, Anam Zara
Incidental Discovery Of Bilateral Pheochromocytoma In A Patient With Lifelong Hypertension, Umema Irfan, Sara Shahid, Anam Zara
Gulf Coast Division GME Research Day 2025
No abstract provided.
Improving Internal Medicine And Emergency Department Communication - The Ed Map Project, Syed Raza, Srinidhi Shyamkumar, Eric Riha, Zuhair Ali
Improving Internal Medicine And Emergency Department Communication - The Ed Map Project, Syed Raza, Srinidhi Shyamkumar, Eric Riha, Zuhair Ali
Gulf Coast Division GME Research Day 2025
No abstract provided.
Hydralazine Induced Anca Vasculitis, Justin Huang, Yasasvi Sabbineni, Sumanth Reddy, Hani Khair
Hydralazine Induced Anca Vasculitis, Justin Huang, Yasasvi Sabbineni, Sumanth Reddy, Hani Khair
North Texas Research Forum 2025
Hydralazine is a vasodilator commonly used for hypertension. Hydrazine is commonly used in patients who can not tolerate ACEs and ARBs, resistant hypertension, and during pregnancy. Hydralazine has also been implicated in ANCA-associated vasculitis and drug-induced lupus erythematosus. Vasculitis is the presence of inflammatory leukocytes in vessel walls, inflammation can cause loss of vessel integrity which can lead to bleeding and downstream tissue ischemia and necrosis. Antineutrophil cytoplasmic antibody (AΝCΑ)-associated vаsсulitiѕ (ΑΑV) is a necrotizing vаsсսlitis that does not substantially involve the deposition of immune complexes. AΑV predominantly affects small vessels and is associated with ANСΑ specific for myeloperoxidase (MPO-ΑNCΑ) …
Pembrolizumab Induced Myasthenia Gravis, Praise Ohabor, Alexis Lopez Cruz, Deekshita Valiveti, Brandi Addison, Zuhair Ali
Pembrolizumab Induced Myasthenia Gravis, Praise Ohabor, Alexis Lopez Cruz, Deekshita Valiveti, Brandi Addison, Zuhair Ali
Gulf Coast Division GME Research Day 2025
No abstract provided.
Chronic Obstructive Pulmonary Disease In A Young Adult With Long-Term Phenytoin Use, Secondhand Smoke Exposure, And Multiple Allergen Sensitivities: A Clinical Case Report, Dominic Bewley, Karen Valadez-Cuen, Beatrice Odhiambo, Micheline Tantchou
Chronic Obstructive Pulmonary Disease In A Young Adult With Long-Term Phenytoin Use, Secondhand Smoke Exposure, And Multiple Allergen Sensitivities: A Clinical Case Report, Dominic Bewley, Karen Valadez-Cuen, Beatrice Odhiambo, Micheline Tantchou
Central & West Texas and San Antonio GME Research Day 2025
No abstract provided.
Defend The Season: A Quality Approach To Influenza Vaccination, Robert Reinhart, Michaela Mckissack
Defend The Season: A Quality Approach To Influenza Vaccination, Robert Reinhart, Michaela Mckissack
Central & West Texas and San Antonio GME Research Day 2025
No abstract provided.
Health Inequities In An Undocumented Immigrant Woman With Scleroderma: A Case Report Of Uninsured Care Challenges, Jorge Aboytes, Jose Loayzam, I Cantu
Health Inequities In An Undocumented Immigrant Woman With Scleroderma: A Case Report Of Uninsured Care Challenges, Jorge Aboytes, Jose Loayzam, I Cantu
Gulf Coast Division GME Research Day 2025
No abstract provided.
Anca-Associated Pauci-Immune Glomerulonephritis Causing Aki In The Elderly: A Case Report, Jameel Osborne, Nimmy Joy, Nicolas Hernandez, Rodrigo Alfaro
Anca-Associated Pauci-Immune Glomerulonephritis Causing Aki In The Elderly: A Case Report, Jameel Osborne, Nimmy Joy, Nicolas Hernandez, Rodrigo Alfaro
Central & West Texas and San Antonio GME Research Day 2025
No abstract provided.
Distinguishing Dress From Morbilliform Drug Reactions: A Challenge In An Underserved Community Hospital, Ivan Mogollon, Francisco Arias, Catherine Matos, Luis Salcedo, Michelle Lopez
Distinguishing Dress From Morbilliform Drug Reactions: A Challenge In An Underserved Community Hospital, Ivan Mogollon, Francisco Arias, Catherine Matos, Luis Salcedo, Michelle Lopez
Gulf Coast Division GME Research Day 2025
No abstract provided.
From Resistance To Remission: Transforming Recalcitrant Plaque Psoriasis With Secukinumab And Methotrexate, Rabia S. Mahfooz, Annmary Behanan, Amita J. Dsouza, Naser Elkhalili
From Resistance To Remission: Transforming Recalcitrant Plaque Psoriasis With Secukinumab And Methotrexate, Rabia S. Mahfooz, Annmary Behanan, Amita J. Dsouza, Naser Elkhalili
Gulf Coast Division GME Research Day 2025
No abstract provided.
A Rare Case Of Pulmonary Amyloidosis Causing Cystic Lung Disease In Sjogren's Syndrome, Suhas Kandimalla, Jordan Torres, Ramesh Kesavan, Siva T. Sarva
A Rare Case Of Pulmonary Amyloidosis Causing Cystic Lung Disease In Sjogren's Syndrome, Suhas Kandimalla, Jordan Torres, Ramesh Kesavan, Siva T. Sarva
Gulf Coast Division GME Research Day 2025
No abstract provided.
Severe Hypokalemic Paralysis Following Rituximab Infusion In A Patient With Type I Rta, Ayham Alsaab, Yousuf Sherwani, Emily Devine, Sarah Faheem, Vikas Gullapalli, Mohan Sengodan
Severe Hypokalemic Paralysis Following Rituximab Infusion In A Patient With Type I Rta, Ayham Alsaab, Yousuf Sherwani, Emily Devine, Sarah Faheem, Vikas Gullapalli, Mohan Sengodan
North Texas Research Forum 2025
Rituximab is a CD-20 monoclonal antibody used in the treatment of _. Rituximab is a steroid-sparing agent that can be used to control a variety of diseases. (find sources but I found several possible uses). As with any therapy, there are side effects. One potential side effect of Rituximab that has only been described a few times in the literature is hypokalemia. One such report is a case report from 2020 that describes symptomatic hypokalemia in an 18-year-old female with steroid-dependent nephrotic syndrome after her 6th rituximab infusion, with K dropping from 4.0 prior to infusion to 2.3 at the …
Out Of Left Field Lv Thrombus: Incidental Finding In Patient Presenting With Abdominal Pain, Chak Lam Yeung, Shivani Gandi, Shakir Al-Ezzi, Nicole Huang, Adhikari Pragyan
Out Of Left Field Lv Thrombus: Incidental Finding In Patient Presenting With Abdominal Pain, Chak Lam Yeung, Shivani Gandi, Shakir Al-Ezzi, Nicole Huang, Adhikari Pragyan
North Texas Research Forum 2025
Introduction: Left Ventricular thrombus (LVT) is one of the most feared complications post myocardial infarction due to the high incidence of embolization. LVT typically form after myocardial infarction and the presence of low ejection fraction (EF), both of which contribute to Virchow’s triad for thrombus formation. LVT are less common in the absence of these risk factors or pre-existing cardiovascular disease. This case report explores the incidental discovery of LVT in a patient, without any known cardiovascular disease, who presented for treatment of acute pancreatitis. Case Presentation: 42-year-old male with past medical history of alcohol use disorder and recurrent pancreatitis …