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2025

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Articles 481 - 510 of 622

Full-Text Articles in Internal Medicine

Of Bugs And Bruton's: Infection Risks In Btki Therapy, Musa Kiyani, Owen Clanahan Jan 2025

Of Bugs And Bruton's: Infection Risks In Btki Therapy, Musa Kiyani, Owen Clanahan

East Florida Division GME Research Day 2025

No abstract provided.


A Case Of Recurrent Pleural Effusion Secondary To Thoracic Endometriosis Syndrome After Discontinuation Of Oral Contraceptives, Kevin Gopala-Rao, Luis Santiesteban, Carmen Tormo Carrillo, Christian Almanzar Zorilla, Mauricio Danckers Jan 2025

A Case Of Recurrent Pleural Effusion Secondary To Thoracic Endometriosis Syndrome After Discontinuation Of Oral Contraceptives, Kevin Gopala-Rao, Luis Santiesteban, Carmen Tormo Carrillo, Christian Almanzar Zorilla, Mauricio Danckers

East Florida Division GME Research Day 2025

Introduction: Thoracic endometriosis syndrome (TES) is a rare condition in which functional endometrial tissue spreads to the thoracic cavity. Manifestations of TES include catamenial hemoptysis, pneumothorax, and pleural effusions along with symptoms of dyspnea, cough, and pleuritic chest pain.1 Approximately 6 to 10% of women of reproductive-age women develop TES with concurrent pelvic endometriosis in 80% of patients.2 Treatment of TES includes medical management with progesterone-based oral contraceptive pills (OCPs) and surgical management involving cardiothoracic surgery. We present a case of recurrent pleural effusions in a patient who was non-compliant with medical management of TES. Methods: Data was collected during …


The Demographics Of Vasopressor Requirements In Covid-19 Patients, Sammy R. Ghaoui, Paloma A. Molina, Romina Flores, Adela Bazbaz, Daryelle Varon, Joseph Varon Jan 2025

The Demographics Of Vasopressor Requirements In Covid-19 Patients, Sammy R. Ghaoui, Paloma A. Molina, Romina Flores, Adela Bazbaz, Daryelle Varon, Joseph Varon

Gulf Coast Division GME Research Day 2025

No abstract provided.


Assessing The Effectiveness Of A Rapid Response Training Course, Nasima Mehraban, Caroline Brooke, Vivek Punjabi, Veeranna Vibhuti Jan 2025

Assessing The Effectiveness Of A Rapid Response Training Course, Nasima Mehraban, Caroline Brooke, Vivek Punjabi, Veeranna Vibhuti

North Texas Research Forum 2025

Introduction: Rapid response teams are crucial in healthcare settings for managing clinical emergencies. To enhance the preparedness of interns in handling such situations, we developed a rapid response training course. This study aimed to evaluate the course's effectiveness by examining changes in residents' self-reported confidence levels before and after completing the training. Methods: A group of interns participated in five simulated rapid response scenarios. Before the training, participants rated their confidence level on a scale from 1 (not confident in running a rapid response) to 10 (very confident). Following the training, they reassessed their confidence level. Pre- and post-training ratings …


Cryptococcal Meningitis In A Patient With Multiple Sclerosis On Fingolimod, Syed Hassan Amir, Teena Mathew Jan 2025

Cryptococcal Meningitis In A Patient With Multiple Sclerosis On Fingolimod, Syed Hassan Amir, Teena Mathew

North Texas Research Forum 2025

Background: There are a host of pathogens that thrive only when the host is weakened enough to be susceptible – Cryptococcus is one such organism that causes fatal meningitis, primarily in HIV patients. Those immunocompromised by other means are also susceptible. Among them, patients with multiple sclerosis (MS) pose a significant challenge as what may initially be considered an MS flare could mask a serious underlying infection. Objective: This case study discusses an MS patient on Fingolimod, an immunosuppressant, that likely made them vulnerable to cryptococcal meningitis. Pathogenesis: Cryptococci are encapsulated yeast that enter the body via inhalation of spores …


When Osteoporosis Masks Multiple Myeloma: A Diagnostic Pitfall, Neil Maithel, Rabia Mahfooz, Easlie Chen, Ali Asghar, Aftab Mahmood Jan 2025

When Osteoporosis Masks Multiple Myeloma: A Diagnostic Pitfall, Neil Maithel, Rabia Mahfooz, Easlie Chen, Ali Asghar, Aftab Mahmood

Gulf Coast Division GME Research Day 2025

No abstract provided.


Severe Hypercalcemia In A Patient Taking Chronic Shark Fin Supplements, Sumanth Reddy, Bishwas Upadhyay Jan 2025

Severe Hypercalcemia In A Patient Taking Chronic Shark Fin Supplements, Sumanth Reddy, Bishwas Upadhyay

North Texas Research Forum 2025

BACKGROUND/INTRODUCTION: In this study, we discuss a case of an 86 year old Vietnamese female who presents with severe hypercalcemia, 15.0, who presented with progressively worsening physical debility which resulted in the patient being wheelchair bound after being found to be taking chronic calcium supplements. Hypercalcemia is a metabolic abnormality that is known to cause muscle weakness, changes in sensorium, dehydrations, nausea, anorexia, polyuria, constipation, fatigue, and depression. CASE PRESENTATION: Patient is an 85 year old female with significant medical history of osteoarthritis who presented to the emergency department for generalized fatigue for the past 2 weeks. Patient reports that …


Bridging Knowledge And Practice: Exploring The Medical City Arlington Internal Medicine Handbook, Laura Montoya, Evangelista Ezenduka, Shivani Agarwal, Mike Nguyen, Fatima Safi, Nikhil Madhav, Dallin Beus, George Yeung, Hayan Kundi Jan 2025

Bridging Knowledge And Practice: Exploring The Medical City Arlington Internal Medicine Handbook, Laura Montoya, Evangelista Ezenduka, Shivani Agarwal, Mike Nguyen, Fatima Safi, Nikhil Madhav, Dallin Beus, George Yeung, Hayan Kundi

North Texas Research Forum 2025

Internal medicine residents face a wide range of challenging medical conditions during their training and need to be equipped with both the knowledge and flexibility to handle whatever comes their way. As part of a collaborative initiative, we present the Medical City Arlington Internal Medicine Handbook, a practical resource built by residents, for residents. This handbook brings together practical insights, evidence-based practices, and specialized clinical expertise, all with the goal of enhancing the diagnostic and treatment skills of internal medicine practitioners. It covers a broad spectrum of conditions, from common ailments to rare and complex diseases, and provides in-depth management …


Hemophagocytic Lymphohistiocytosis In A 55-Year-Old Female With Dengue Fever: A Case Report, Martin Twumampofo, Huy Vuong, Karen Valadez-Cuen, Oswaldo Renteria, Hector Zepeda Jan 2025

Hemophagocytic Lymphohistiocytosis In A 55-Year-Old Female With Dengue Fever: A Case Report, Martin Twumampofo, Huy Vuong, Karen Valadez-Cuen, Oswaldo Renteria, Hector Zepeda

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


The Importance Of Early Source Control: A Case Of Resistant Mrsa, Jack Demirjian, Paul Mathew Jan 2025

The Importance Of Early Source Control: A Case Of Resistant Mrsa, Jack Demirjian, Paul Mathew

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Pemetrexed Induced Pancolitis: A Case Report, Jack Demirjian, Christina Tompkins, Amelia Mellor, Aasia Khan Jan 2025

Pemetrexed Induced Pancolitis: A Case Report, Jack Demirjian, Christina Tompkins, Amelia Mellor, Aasia Khan

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Not Your Average Syncope: A Case Of Bifascicular Block, Shuchita Jhaveri, Maria Amigo, Zahoor Khan, Marloe Prince Jan 2025

Not Your Average Syncope: A Case Of Bifascicular Block, Shuchita Jhaveri, Maria Amigo, Zahoor Khan, Marloe Prince

Gulf Coast Division GME Research Day 2025

No abstract provided.


Should Sglt-2 Inhibitors Be Withheld In The Hospital Setting Due To Increasing Prevalence Of Euglycemic Dka, Raja Hamsa Chitturi, Franklin Hernandez, Charmaine Butt, Karthikram Komanduri, Mitra Chandan Jan 2025

Should Sglt-2 Inhibitors Be Withheld In The Hospital Setting Due To Increasing Prevalence Of Euglycemic Dka, Raja Hamsa Chitturi, Franklin Hernandez, Charmaine Butt, Karthikram Komanduri, Mitra Chandan

North Florida Division GME Research Day 2025

No abstract provided.


Fibrillary Glomerulonephritis Associated With Hepatitis C: A Case Report Of Progression To End-Stage Renal Disease, Boney Lapsiwala, Karthik Kasireddy, Marisha Sharma, Mayank Singh, Vaishnavi Singh, Victor Canela Jan 2025

Fibrillary Glomerulonephritis Associated With Hepatitis C: A Case Report Of Progression To End-Stage Renal Disease, Boney Lapsiwala, Karthik Kasireddy, Marisha Sharma, Mayank Singh, Vaishnavi Singh, Victor Canela

North Texas Research Forum 2025

A Case of DNAJB9 with rapid renal progression to End-Stage Renal Disease in a patient with previously treated HCV Background Fibrillary glomerulonephritis (FGN) is a rare and progressive kidney disease, accounting for 0.5% to 1.4% of native kidney biopsies. It is characterized by non-amyloid fibrillar deposits in the extracellular matrix. Although historically regarded as idiopathic, recent studies have revealed associations with autoimmune diseases, malignancies, and Hepatitis C virus (HCV) infection. DNAJB9, a proteomic marker identified through mass spectrometry, has been consistently found in FGN cases, regardless of congophilia. This case illustrates FGN in a patient with a history of successfully …


Under-Utilization Of Non-Selective Beta-Blocker In Patients With Clinically Significant Portal Hypertension & Esophageal Varices, Sohaib Ahmed, Ana Moraga, Syed Usman Mumtaz, Varun Mehta, Boran Mao, Juan Pablo Meruvia, Amar Mandalia, Shamol Williams Jan 2025

Under-Utilization Of Non-Selective Beta-Blocker In Patients With Clinically Significant Portal Hypertension & Esophageal Varices, Sohaib Ahmed, Ana Moraga, Syed Usman Mumtaz, Varun Mehta, Boran Mao, Juan Pablo Meruvia, Amar Mandalia, Shamol Williams

North Florida Division GME Research Day 2025

No abstract provided.


Thyroid Storm And High Output Heart Failure, A Perfect Storm, Gunjan Mundhra, Haris Ahmed, Rebecca Schuyler, Karina Bidani, Justin Gisel Jan 2025

Thyroid Storm And High Output Heart Failure, A Perfect Storm, Gunjan Mundhra, Haris Ahmed, Rebecca Schuyler, Karina Bidani, Justin Gisel

South Atlantic Division GME Research Day 2025

No abstract provided.


Herpes Zoster? Pfo? Or Both?, Thomas Mizera, Amelia Mellor, Vinh Ngo, Micheline Tantchou, Oscar Munoz Jan 2025

Herpes Zoster? Pfo? Or Both?, Thomas Mizera, Amelia Mellor, Vinh Ngo, Micheline Tantchou, Oscar Munoz

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Granulomatosis With Polyangitis Presenting As Cavernous Sinus Thrombosis And Oculomotor Nerve Palsy: A Case Report, Kempes Chan, Nanda Gopalan Jan 2025

Granulomatosis With Polyangitis Presenting As Cavernous Sinus Thrombosis And Oculomotor Nerve Palsy: A Case Report, Kempes Chan, Nanda Gopalan

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


A Rare Case Of Prolonged Life Expectancy In A Patient With Duchenne Muscular Dystrophy, Sara Shahid, Mina Choudhry, Anam Zara Jan 2025

A Rare Case Of Prolonged Life Expectancy In A Patient With Duchenne Muscular Dystrophy, Sara Shahid, Mina Choudhry, Anam Zara

Gulf Coast Division GME Research Day 2025

No abstract provided.


Successful Treatment Of Mirizzi Syndrome With Spyglass-Guided Electrohydraulic Lithotripsy, Bushra Bangash, Aakriti Soni, Galvin Dhaliwal, Ahmed Ouni Jan 2025

Successful Treatment Of Mirizzi Syndrome With Spyglass-Guided Electrohydraulic Lithotripsy, Bushra Bangash, Aakriti Soni, Galvin Dhaliwal, Ahmed Ouni

Gulf Coast Division GME Research Day 2025

No abstract provided.


A Rare Case Of Right Sided May-Thurner Syndrome Diagnosis And Treatment, Sania Moonnumackel, Akhil Gade, Anand Karthik, Machaiah Madhrira Jan 2025

A Rare Case Of Right Sided May-Thurner Syndrome Diagnosis And Treatment, Sania Moonnumackel, Akhil Gade, Anand Karthik, Machaiah Madhrira

North Texas Research Forum 2025

Introduction: May-Thurner Syndrome (MTS) is a phenomenon commonly described as acquired stenosis of the left common iliac vein secondary to compression by the right common iliac artery. Right sided MTS is a rare syndrome that can happen due to a left sided inferior vena cava (IVC) and abdominal aorta with a high bifurcation which results in the right common iliac vein being compressed by the left internal iliac artery. It is a rare presentation of this condition which can commonly be missed and management guidelines are less defined compared to classic MTS. Case Report: A 63-year- old female with past …


An Atypical Presentation Of Pheochromocytoma, Ali Asghar, Neil Maithel, Ibrahim Musa, Hasnan Ijaz, Thomas Alexander Jan 2025

An Atypical Presentation Of Pheochromocytoma, Ali Asghar, Neil Maithel, Ibrahim Musa, Hasnan Ijaz, Thomas Alexander

Gulf Coast Division GME Research Day 2025

No abstract provided.


An Atypical Presentation Of Anti-Caspr2 Autoimmune Encephalomyelitis, Aaron De La Cruz, Sarita Thanedar, Shao-Ting Min, Prabhdeep Singh, Hitesh Gidwani Jan 2025

An Atypical Presentation Of Anti-Caspr2 Autoimmune Encephalomyelitis, Aaron De La Cruz, Sarita Thanedar, Shao-Ting Min, Prabhdeep Singh, Hitesh Gidwani

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


A Rare Case Of Pseudo-Pseudo Meigs Syndrome With Systemic Lupus Erythematosus, Rabia Mahfooz, Grant Patterson, Neil Maithel, Daniel Kim Jan 2025

A Rare Case Of Pseudo-Pseudo Meigs Syndrome With Systemic Lupus Erythematosus, Rabia Mahfooz, Grant Patterson, Neil Maithel, Daniel Kim

Gulf Coast Division GME Research Day 2025

No abstract provided.


Anomalous Aortic Origin Of Right Coronary Artery With Malignant Course Presenting As Non-St Elevation Myocardial Infarction (Nstemi) In A Middle-Aged Female, Ahmad Karzoun, Hamza Alkowatli, Mir Hussaini, Ahmad Ghafoor, Muhammad Faiz Jan 2025

Anomalous Aortic Origin Of Right Coronary Artery With Malignant Course Presenting As Non-St Elevation Myocardial Infarction (Nstemi) In A Middle-Aged Female, Ahmad Karzoun, Hamza Alkowatli, Mir Hussaini, Ahmad Ghafoor, Muhammad Faiz

West Florida Division GME Research Day 2025

No abstract provided.


Two Is Not Always Better Than One: An Intersting Case Of Inflammatory Myositis With Dual Myositis Specific Antibodies, Neil Maithel, Rabia Mahfooz, Ali Asghar, Paul S. Bongat Jan 2025

Two Is Not Always Better Than One: An Intersting Case Of Inflammatory Myositis With Dual Myositis Specific Antibodies, Neil Maithel, Rabia Mahfooz, Ali Asghar, Paul S. Bongat

Gulf Coast Division GME Research Day 2025

No abstract provided.


Too Rash To Rule Out The Rash, Fnu Swatisikta, Chinar Singh Jan 2025

Too Rash To Rule Out The Rash, Fnu Swatisikta, Chinar Singh

East Florida Division GME Research Day 2025

No abstract provided.


From Deposition To Infection, A Rare Case Of Osteomyelitis In Tumor Calcinosis, Munazzah Kaleem, Alexander Newell, Wendy Phillips, Saravanan Balamuthusamy Jan 2025

From Deposition To Infection, A Rare Case Of Osteomyelitis In Tumor Calcinosis, Munazzah Kaleem, Alexander Newell, Wendy Phillips, Saravanan Balamuthusamy

North Texas Research Forum 2025

Background/Intro Tumor calcinosis is a rare disease, and its association with greater trochanteric pain syndrome, abscess formation, and Osteomyelitis has not been well studied. Case presentation A 63-year-old woman with a known history of tumor calcinosis presents with right hip pain for 5 days. She woke up with a pain that was constant, alleviated with resting and getting worse with exertion and rolling on that side. She reports a t-max of 101F. Ct scan revealed a 9 x 4 x 11cm rim enhancing right great trochanteric collection and/ or severe bursitis. Orthopedic surgery evaluated the patient and, had low suspicion …


Pacing-Induced Cardiomyopathy After Leadless Pacemaker Placement, Kathleen Mattingly, Ann Opondo, Abdullah Elnaji, Heena Patel, Jonathan Grube, Heather Reed, Justin Reed Jan 2025

Pacing-Induced Cardiomyopathy After Leadless Pacemaker Placement, Kathleen Mattingly, Ann Opondo, Abdullah Elnaji, Heena Patel, Jonathan Grube, Heather Reed, Justin Reed

North Florida Division GME Research Day 2025

No abstract provided.


Rx On The Rocks: Prescribing Solutions For Alcohol Use Disorder, Arisa Gonzalez, Laura Botero, Adlin Lawrence, Kenneth Jimenez, Eric Chen, Richard Henriquez, Shamol Williams Jan 2025

Rx On The Rocks: Prescribing Solutions For Alcohol Use Disorder, Arisa Gonzalez, Laura Botero, Adlin Lawrence, Kenneth Jimenez, Eric Chen, Richard Henriquez, Shamol Williams

North Florida Division GME Research Day 2025

No abstract provided.