Internal Medicine Commons^™

Finding Grace With Advanced Cirrhosis: Improving Palliative Care Consult Utilization, Saud Khan, Samuel Kwiatkowski, Anjali Lukose, Amanda Rivera Miranda, Priscilla Phan, Amar Mandalia

North Florida Division GME Research Day 2024

No abstract provided.

Syncope With Too Much Iron-Y: Hemochromatosis As A Possible Contributing Factor In Acute Liver Failure, Andrew Ondracek, Joshua Wais, Joseph Petkiewicz, Robert Ondracek

West Florida Division GME Research Day 2024

No abstract provided.

The First Reported Case Of Relapsing Polychondritis Presenting With Invasive Squamous Cell Carcinoma, Navpreet Uppal, Lili Janasky, Maha Abdulla, Mohamad Saad

East Florida Division GME Research Day 2024

No abstract provided.

Outcomes Of Endovascular Revascularization Therapy In Patients With Critical Limb Ischemia Admitted On The Weekend, Nameer Ascandar, Bobby Malik, Fru Che, Amatul Khan

West Florida Division GME Research Day 2024

No abstract provided.

Post Operative Atrial Fibrillation After Coronary Artery Bypass Grafting In Octogenarians: A Systematic Review, M Eliann Reinhardt, Manuel Jimenez, Priya Mohan, Bernardo Reyes

East Florida Division GME Research Day 2024

No abstract provided.

Exploring The Digital Landscape: A Survey On Social Media Engagement Among Rheumatology Fellows, Sathvik Saineni, Richa Purohit, Reanne Mathai, Rajan Sambandan, Richard M. Perez, Neha Bhanusali

North Florida Division GME Research Day 2024

No abstract provided.

Thymoma With Paraneoplastic Myasthenia Gravis, Dallin Beus, Sherwin Thomas, Amnah Andrabi

North Texas GME Research Forum 2024

Background: Myasthenia gravis is an autoimmune neuromuscular disorder characterized by muscle weakness and fatigue. Paraneoplastic myasthenia gravis, a rare manifestation of this condition, is often associated with underlying malignancies, such as thymic tumors. We present the case of a 51-year-old female patient with a mediastinal mass who developed paraneoplastic myasthenia gravis, highlighting the diagnostic challenges and therapeutic considerations in such cases. Case Description: A 51-year-old female presented with a one-month history of progressive muscle weakness, diplopia, and dysphagia. Clinical examination and serological tests led to the diagnosis of myasthenia gravis. Computed tomography (CT) imaging revealed a 6 cm mediastinal mass, …

Regional Retrospective Review Of Sickle Cell Crisis Management, Joane Titus, Joshua Shultz

North Florida Division GME Research Day 2024

No abstract provided.

Improving Gout Therapy In The Patriot Clinic, Jerativat Satayarekha, Vigelo Servera Jr., Nicholas Maggio, Nathaniel Rosa-Santiago, Fariha N. Mirza, Sahar Safavi, Kaiser Ali, Ashwini Komarla

North Florida Division GME Research Day 2024

No abstract provided.

Acute Mesenteric Ischemia Secondary To Lupus Vasculitis, Karen Valdez-Cuen, Ammar Mahmood, Mohammad Ridha, Fahad Omar

Central & West Texas GME Research Day 2024

No abstract provided.

Overcoming The Storm With Impella, Daniel J. Avila Castillo, Alexander Rhodes, Hamza Naveed, Danyal Syed, Syed Danyal Raza, Zuhair Ali, Sivatej Sarva

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

Knight Watch: Illuminating Feedback For Round-The-Clock Excellence In Internal Medicine, Joane Titus, Katie Lamar, Harrison Stubbs, Felipe Flores, Natalie Rivera Vargas, Mark Johnson, Olga Karasik

North Florida Division GME Research Day 2024

No abstract provided.

Congenital Atrial Septal Defect Presenting With Tamponade Physiology And An Associated Viral Illness, Angel G. Juarez, Gabriela Jhon, Rami N. Khouzam, Randall Goodroe, Russell F. Stahl, Mohamed Faris

South Atlantic Division GME Research Day 2024

No abstract provided.

Mcs Assisted High Risk Multi-Vessel Percutaneous Intervention In Cardiogenic Shock Patient With Lv Thrombus, Amanpreet Kaur, Akhil Gade, Srinivasan Rajaganapathy, Ruben Abreu, Victor Delprincipe

North Texas GME Research Forum 2024

Background: Acute coronary syndrome patients presenting with Cardiogenic shock carry a very high mortality risk >70% without appropriate intervention in a timely fashion. Here we present a patient requiring an axial pump mechanical circulatory support despite having an apical thrombus. Case report: 55-year-old male with past medical history of type 2 diabetes mellitus and medication noncompliance was transferred from outside facility for high risk ACS with EKG showing ST segment elevation in inferior and anterolateral leads. Lab showed hsTroponin more than 125K, BG 556, HCO3 17, and Beta hydroxybutyrate of 41.87 indicating DKA. Emergent coronary angiography showed mid LAD artery …

A Retrospective Study On The Effect Of Raas Pathway Inhibitors At Decreasing The Risk Of Acute Coronary Syndrome In Hypertensive Patients With Rheumatoid Arthritis As Compared To Other Antihypertensives, Yousuf Sherwani, Asad Risvi, Senthil Thambidorai

North Texas GME Research Forum 2024

Rheumatoid arthritis (RA) is a chronic multi-system inflammatory disease of which is characterized by articular and extra-articular involvement. Patients with RA have a higher risk of mortality when compared with the general population, which is due predominantly to increased cardiovascular disease. Due to the higher incidence of CVD and MI in RA patients it has been postulated that enhanced systemic inflammation plays an important role in the pathogenesis of CVD in RA patients. Previous studies have shown that ant inflammatory medication such as systemic steroids and immune blockers have been shown to decrease the risk of MI in patients with …

Anchoring Sepsis Management: A Retrospective Cohort Study On Fluid Resuscitation In Advanced And End-Stage Renal Disease With Sepsis, Hunter Reed, Abraheim Al-Nasseri, Adam Robarge, Uzman Kazi

West Florida Division GME Research Day 2024

No abstract provided.

Differences In Clinical Interventions And Outcomes In Septic Patients With Heart Failure A Prospective Single Center Experience From The Sepsisquad Investigators, Jose Rodriguez Castro, Manjot Malhi, Rafael Miret, Kristen Santana, Anna Feliszek, Kevin Gopala Rao, Lyanne Rolon, Garrett Wagner, Siddarth Kathuria, Raiko Diaz, Daniel Heller, Mauricio Danckers

East Florida Division GME Research Day 2024

No abstract provided.

Exploring The Landscape Of Artificial Intelligence In Rheumatology: Insights, Perceptions, And Future Considerations From A Survey Of United States Rheumatology Fellows, Sathvik Saineni, Richa Purohit, Reanne Mathai, Rajan Sambandan, Richard M. Perez, Neha Bhanusali

North Florida Division GME Research Day 2024

No abstract provided.

Comparing Large Language Models Accuracy In Following Interval Surveillance Colonoscopy Guidelines, Olufemi Osikoya, Gregory Brennan

North Texas GME Research Forum 2024

Introduction: Providing pathology results and appropriate recommendations after resection of colon polyps is mandatory. Large language models (LLMs) such as ChatGPT and Google Bard, have shown promise in clinical workflows such as pathology results letters. We tested whether LLMs could provide appropriate surveillance recommendations based on current guidelines from the US multi-society task force for post-colonoscopy follow-up. Methods: Our aim was to compare the accuracy of ChatGPT 3.5, ChatGPT 4, and Google Bard in providing appropriate interval surveillance recommendations. An example prompt being “Write a patient pathology result letter after a colonoscopy with one tubular adenoma polyp (< 10mm) resected. Include recommendations for when the next surveillance colonoscopy should be completed.” Seventeen different post polypectomy surveillance queries and responses were analyzed (correct, partially correct, incorrect) compared to USMSTF guidelines. Results: When …

A Case Of Mediastinitis From Esophageal Perforation Presenting As Gastric Volvulus/Para-Esophageal Hernia, Anam Zara, Bushra Bangash, Renu Thomas, Asad Rehman, Karthik Vadamalai, Zuhair Ali, Mishal Mazhar

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

The Ethical Concerns Of Improper Semaglutide Administration After Acquisition From A Compounded Pharmacy, Syed Basit Haider, Renu Thomas, E’Joven Reed, Aneesha Shaju, Bushra Bangash, Jakob Schnell, Edrianna Mae Ablola

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

The Utility Of Cologuard In A Real-World Community Setting, Abhinav K. Rao, Shivam Kalra, Danny Tran, Angeli Patel, Ibrahim Al-Saadi, Levi C. Diggins, Ian Whitaker, Shannon Kang, Kunaal Patel, Eyad Gharaibeh, Ali Khalifa, Don C. Rockey, Brett Van Leer-Greensberg

South Atlantic Division GME Research Day 2024

No abstract provided.

A Challenging Diagnosis Of Intestinal Tuberculosis Mimicking Crohn's Disease, Justin Sanchez, Gabriel Gonzales, Monte Troutman

North Texas GME Research Forum 2024

Intestinal tuberculosis (ITB) is an underrecognized disease that shares many clinical, radiologic, endoscopic, and pathologic features with Crohn's disease, making differentiation difficult. This poses a significant problem as initiation of immunosuppressives for an assumed diagnosis of CD in a patient with ITB can lead to exacerbation of infection and life-threatening consequences. A 30-year-old Nepali man with a medical history only significant for Raynaud disease presented with a febrile illness, right lower quadrant abdominal pain, and productive cough over the course of a month. He immigrated from Nepal 3 years prior to presentation, denying other risk factors or specific symptoms of …

Developing Toolkit For Adults With Autism Spectrum Disorder In An Oncology Outpatient Clinic, Brittany J. Johnson Dnp, Fnp-C

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Autistic adults are at higher risk of being diagnosed with co-occurring health conditions, and yet they are a vulnerable group for disparities in access and outcomes. One of the key barriers to better outcomes is poor patient-provider communication. This study the use of AASPIRE’s AHAT communication toolkit as a channel between healthcare workers and autistic adults to facilitate their appointments within the outpatient oncology department, as well as assessing healthcare providers’ knowledge and self-efficacy in caring for the patients. Sixteen healthcare providers (12 registered nurses and four patient care assistants) completed pre and post intervention surveys and utilized the AHAT …

Predicting Endothelium-Dependent Diastolic Function (Fmd)And Its Correlation With The Degree Of Coronary Artery Disease (Cad) And Plaque Vulnerability For Cardiovascular Events, Guangming Zhang, Jing Yang, Hanghang Xing, Hongning Yin, Guoqing Gu

Faculty, Staff and Student Publications

OBJECTIVE: This study aims to investigate the correlation between vascular endothelium-dependent diastolic function (FMD) and the degree of coronary artery disease (CAD), plaque vulnerability, and its predictive value for cardiovascular events.

METHODS: Initially, patients (n=100) who were admitted from January 2020 to January 2021 and intended to undergo percutaneous coronary intervention (PCI) were selected. Further, FMD in all patients was determined before the procedure and divided into a high-FMD group (≥4.2%) and a low-FMD group (

RESULTS: No significant differences were observed concerning general information, number of coronary arteries-associated branches, lesion type, involvement of the left main stem (LM), the …

Efficacy Of Mavacamten In Hypertrophic Obstructive Cardiomyopathy: A Systematic Review And Meta-Analysis, Hamza Naveed, Maryam Adnan, Mohammad Hamza, Mahboob Alam

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

Sunitinib Induced Gomerular Thrombotic Microangiopathy, Aisha Khan

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

New Intern Meditech Admission Bootcamp, Matthew G. Baska, Ashkan Nasr Md, Akash Patel

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

Spontaneous Superior And Inferior Pancreaticouduodenal Artery Pseudoaneurysms In The Setting Of A Retoroperitoneal Hematoma Surrounding The Pancreatic Head, Asad Rehman, Jordan Torres, Salman Islam, Bushra Bangash, Lakshmi Tatineni, Aneesha Shaju

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

Screen It Out! Improving Colon Cancer Screening Among Kingwood Clinic Patients, Daniel J. Avila Castillo, Bhavin Patel, Dhruv Patel, Rajeev Raghavan, Zuhair Ali

Gulf Coast Division GME Research Symposium 2024

No abstract provided.