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Articles 931 - 960 of 5352

Full-Text Articles in Internal Medicine

Culture Negative Endocarditis Masquerading As Idiopathic Leukocytoclastic Vasculitis, Sania Moonnumackel, Manish Pandey, Randy Nguyen, Reuben Abreu, Seline Haci, Neelima Paladugu, Machaiah Madhrira Jan 2025

Culture Negative Endocarditis Masquerading As Idiopathic Leukocytoclastic Vasculitis, Sania Moonnumackel, Manish Pandey, Randy Nguyen, Reuben Abreu, Seline Haci, Neelima Paladugu, Machaiah Madhrira

North Texas Research Forum 2025

Background: Infective endocarditis (IE) is a challenging disease to diagnose often presenting with heterogeneous features. Blood cultures are the gold standard for diagnosing endocarditis, but it is important to know that up to 20 % of cases of infective endocarditis have negative blood cultures. Leukocytoclastic vasculitis (LCV) is a small vessel vasculitis and is idiopathic in 50% of cases. LCV is a rare but possible presentation of Infective endocarditis. Hence IE should be part of the differential diagnosis when LCV is diagnosed. Case summary: A 53-year-old male patient presenting right lower extremity pain and vesiculobullous lesions over bilateral upper and …


Unmasking Multicentric Reticulonodular Histiocytoma: A Rare Impostor Of Rheumatoid Arthritis, Rabia S. Mahfooz, Neil Maithel, Annmary Behanan, Naser Elkhalili Jan 2025

Unmasking Multicentric Reticulonodular Histiocytoma: A Rare Impostor Of Rheumatoid Arthritis, Rabia S. Mahfooz, Neil Maithel, Annmary Behanan, Naser Elkhalili

Gulf Coast Division GME Research Day 2025

No abstract provided.


Covid-19-Induced Activation Of Atypical Hemolytic Uremic Syndrome In A 40-Year-Old Woman With A Family History Of Ahus, Neil Maithel, Ibrahim Musa, Rabia Mahfooz, Ali Asghar, Jorge Garza, Aftab Mahmood Jan 2025

Covid-19-Induced Activation Of Atypical Hemolytic Uremic Syndrome In A 40-Year-Old Woman With A Family History Of Ahus, Neil Maithel, Ibrahim Musa, Rabia Mahfooz, Ali Asghar, Jorge Garza, Aftab Mahmood

Gulf Coast Division GME Research Day 2025

No abstract provided.


Effective Managment Of Relapsing Henoch-Schonlein Purpura With Nephropathy In An Adult With Long-Term Use Of Azathioprine, Rabia S. Mahfooz, Neil Maithel, Loiacono Agostina, Minha Aslam, Naser Elkhalili Jan 2025

Effective Managment Of Relapsing Henoch-Schonlein Purpura With Nephropathy In An Adult With Long-Term Use Of Azathioprine, Rabia S. Mahfooz, Neil Maithel, Loiacono Agostina, Minha Aslam, Naser Elkhalili

Gulf Coast Division GME Research Day 2025

No abstract provided.


Unveiling The Mystery: Infected Endocarditis Masquerading As Right Atrial Thrombus In A Port-A-Catheter Patient, Rabia S. Mahfooz, Annmary Behanan, Babivigasan Gunasegaran, Srikrishnan Pichuthirumalai, Hannan Chaugle Jan 2025

Unveiling The Mystery: Infected Endocarditis Masquerading As Right Atrial Thrombus In A Port-A-Catheter Patient, Rabia S. Mahfooz, Annmary Behanan, Babivigasan Gunasegaran, Srikrishnan Pichuthirumalai, Hannan Chaugle

Gulf Coast Division GME Research Day 2025

No abstract provided.


Necrotic Pancreatitis Due To Cronobacter Sakazakii Infection, Daler Kudratov, Jehidy Batista Michelena, David Benitez, Meghan Myppala, Adam Gomez, Oswaldo Renteria, Juan Rodriguez, Kuljot Bansi Jan 2025

Necrotic Pancreatitis Due To Cronobacter Sakazakii Infection, Daler Kudratov, Jehidy Batista Michelena, David Benitez, Meghan Myppala, Adam Gomez, Oswaldo Renteria, Juan Rodriguez, Kuljot Bansi

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Low Thyroglobulin Levels And Negative Whole Body Scan: A Double Hit, Leading To The Suggested Papillary Thyroid Cancer Remission, Karen Valadez-Cuen, Nikita Patel, Huy Vuong, Sergio Rovner, Cesar Abbud Jan 2025

Low Thyroglobulin Levels And Negative Whole Body Scan: A Double Hit, Leading To The Suggested Papillary Thyroid Cancer Remission, Karen Valadez-Cuen, Nikita Patel, Huy Vuong, Sergio Rovner, Cesar Abbud

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


A Rare Presentation Of Prothrombin G20210a Mutation As A Right Ventricular Thrombus, Amelia Mellor, Abedayo Olusanya, Daniel Ortiz Jan 2025

A Rare Presentation Of Prothrombin G20210a Mutation As A Right Ventricular Thrombus, Amelia Mellor, Abedayo Olusanya, Daniel Ortiz

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Identity: Inpatient Dialogue & Engagement With Nurses To Improve Team Dynamics Final Results, Anna Maria Abi Nehme, Ashley Becker, Raheeq Mohamedsaleh, Shin Zaw, Vigneshwar K. Ramasamy, Richard Henriquez, Jorge Restrepo, Ashwini Komarla Jan 2025

Identity: Inpatient Dialogue & Engagement With Nurses To Improve Team Dynamics Final Results, Anna Maria Abi Nehme, Ashley Becker, Raheeq Mohamedsaleh, Shin Zaw, Vigneshwar K. Ramasamy, Richard Henriquez, Jorge Restrepo, Ashwini Komarla

North Florida Division GME Research Day 2025

No abstract provided.


Almost Partial Colectomy For Suspected Malignant Stricture, Ultimately Saved By Intraoperative Findings, Mahnoor Hashmi, Bushra Bangash, Asad Rehman, Muhammad Durrani, Ismail Hader Jan 2025

Almost Partial Colectomy For Suspected Malignant Stricture, Ultimately Saved By Intraoperative Findings, Mahnoor Hashmi, Bushra Bangash, Asad Rehman, Muhammad Durrani, Ismail Hader

Gulf Coast Division GME Research Day 2025

No abstract provided.


A Swelling Mystery: Hereditary Angioedema In Pregnancy, Karen Valadez-Cuen, Andrea Francis, Alison Rossduetscher, Micheline Tantchou Jan 2025

A Swelling Mystery: Hereditary Angioedema In Pregnancy, Karen Valadez-Cuen, Andrea Francis, Alison Rossduetscher, Micheline Tantchou

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Silent Signals: Endocarditis Disguised As Low-Back Pain In A Rheumatology Clinic, Ahmad Alomari, Miguel Rodriguez Jan 2025

Silent Signals: Endocarditis Disguised As Low-Back Pain In A Rheumatology Clinic, Ahmad Alomari, Miguel Rodriguez

North Florida Division GME Research Day 2025

No abstract provided.


Improving Gout Therapy In Patriot Clinic Final Results, Jerativat Satayarekha, Vigelo Servera Jr, Nicholas Maggio, Nathaniel Rosa Santiago, Fariha N. Mirza, Sahar Safavi Jan 2025

Improving Gout Therapy In Patriot Clinic Final Results, Jerativat Satayarekha, Vigelo Servera Jr, Nicholas Maggio, Nathaniel Rosa Santiago, Fariha N. Mirza, Sahar Safavi

North Florida Division GME Research Day 2025

No abstract provided.


Case Report: Left Internal Mammary Artery (Lima)/Coronary Steal Syndrome (Css) In Severe Coronary Artery Disease And End-Stage Renal Disease, Fahed Alsayed, Muhannad Badran, Sara Khasawneh, Mohan Sengodan Jan 2025

Case Report: Left Internal Mammary Artery (Lima)/Coronary Steal Syndrome (Css) In Severe Coronary Artery Disease And End-Stage Renal Disease, Fahed Alsayed, Muhannad Badran, Sara Khasawneh, Mohan Sengodan

North Texas Research Forum 2025

Background: LIMA/coronary steal syndrome is a rare but significant complication in patients with severe coronary artery disease (CAD) who have undergone coronary artery bypass grafting (CABG) and concurrently have high-flow arteriovenous (AV) fistulas for hemodialysis. The left internal mammary artery (LIMA) is a preferred conduit for CABG due to its long-term patency and ability to sustain myocardial perfusion. However, in patients with end-stage renal disease (ESRD) requiring hemodialysis, excessive AV fistula flow can divert blood away from the LIMA graft, leading to myocardial ischemia despite graft patency. Early recognition and appropriate intervention are essential to prevent further deterioration of cardiac …


The Impact Of Early Vs. Late Intubation On Morality Among Obese Patients With Idiopathic Pulmonary Fibrosis, Peter Holleb, Enkhbileg Batbileg, Brandon Chong, Jameel Osborne Jan 2025

The Impact Of Early Vs. Late Intubation On Morality Among Obese Patients With Idiopathic Pulmonary Fibrosis, Peter Holleb, Enkhbileg Batbileg, Brandon Chong, Jameel Osborne

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Refractory Hydrocephalus Treated With Ventriculo-Cholecystic Shunt In An Adult, Deekshita Valiveti, Munanchu Poudel, Rahul Dadhwal Jan 2025

Refractory Hydrocephalus Treated With Ventriculo-Cholecystic Shunt In An Adult, Deekshita Valiveti, Munanchu Poudel, Rahul Dadhwal

Gulf Coast Division GME Research Day 2025

No abstract provided.


Strategies To Enhance Involvement In Research And The Use Of Hiv Prevention Services In Black Men Who Have Sex With Men (Bmsm): The Voices Of Bmsm, Chijoke Anyaehie, Brittany L. Gardner, Paris Green, John Bonelli, Hong Van Tieu, Melonie Walcott Jan 2025

Strategies To Enhance Involvement In Research And The Use Of Hiv Prevention Services In Black Men Who Have Sex With Men (Bmsm): The Voices Of Bmsm, Chijoke Anyaehie, Brittany L. Gardner, Paris Green, John Bonelli, Hong Van Tieu, Melonie Walcott

Gulf Coast Division GME Research Day 2025

No abstract provided.


Mycobacteria Tuberculosis Pericarditis In Immunocompromised Patient, David Benitez, Martin Twumampofo, Aasia Khan, Oscar Garcia Jan 2025

Mycobacteria Tuberculosis Pericarditis In Immunocompromised Patient, David Benitez, Martin Twumampofo, Aasia Khan, Oscar Garcia

Central & West Texas and San Antonio GME Research Day 2025

No abstract provided.


Not So Sle-Ghtly Bloody, A Nguyen, Napat Rangsipat, Shai Ring, Suhas Tatapudi, Cassie Robertson, Achi Chary, Damon Cao Jan 2025

Not So Sle-Ghtly Bloody, A Nguyen, Napat Rangsipat, Shai Ring, Suhas Tatapudi, Cassie Robertson, Achi Chary, Damon Cao

Gulf Coast Division GME Research Day 2025

No abstract provided.


The Hungriest Of Bones, Srinidhi Shyamkumar, Syed Raza, Eric Riha, Zuhair Ali Jan 2025

The Hungriest Of Bones, Srinidhi Shyamkumar, Syed Raza, Eric Riha, Zuhair Ali

Gulf Coast Division GME Research Day 2025

No abstract provided.


When Leukemia Takes A Bite: Unusual Gastric Involvement In B-All, Supritha Chintamaneni, Bilal Ashraf, Sushovan Guha Jan 2025

When Leukemia Takes A Bite: Unusual Gastric Involvement In B-All, Supritha Chintamaneni, Bilal Ashraf, Sushovan Guha

Gulf Coast Division GME Research Day 2025

No abstract provided.


Mechanical Ground Level Fall With Incidental Findings Of Suspected Multiple Myeloma: A Case Report, Mohammed Irfan Khan, Jeffrey Lesser, Shuchita Jhaveri, Neethu George, Shai Ring, Kaylah Perez, Julian Nguyen Jan 2025

Mechanical Ground Level Fall With Incidental Findings Of Suspected Multiple Myeloma: A Case Report, Mohammed Irfan Khan, Jeffrey Lesser, Shuchita Jhaveri, Neethu George, Shai Ring, Kaylah Perez, Julian Nguyen

Gulf Coast Division GME Research Day 2025

No abstract provided.


Duodenorenal Fistula Post-Lithotripsy: A Rare Complication, Anam Zara, Aarohi Parikh, Duyen Quach, Ismail Hader, Georg Elias Jan 2025

Duodenorenal Fistula Post-Lithotripsy: A Rare Complication, Anam Zara, Aarohi Parikh, Duyen Quach, Ismail Hader, Georg Elias

Gulf Coast Division GME Research Day 2025

No abstract provided.


Bleeding Lungs: A Case Of Hydralazine Induced Systemic Lupus Erythematosus With Diffuse Alveolar Hemorrhage, Damara Miller, Munanchu Poudel, Neil Maithel, Deekshita Valiveti, Arjun Kamath, Rahul Dadhwal, Ali Mohammed, Rene Franco Jr., Abhay Vakil, Zuhair Ali Jan 2025

Bleeding Lungs: A Case Of Hydralazine Induced Systemic Lupus Erythematosus With Diffuse Alveolar Hemorrhage, Damara Miller, Munanchu Poudel, Neil Maithel, Deekshita Valiveti, Arjun Kamath, Rahul Dadhwal, Ali Mohammed, Rene Franco Jr., Abhay Vakil, Zuhair Ali

Gulf Coast Division GME Research Day 2025

No abstract provided.


Assessing And Improving Resident Understanding Of Inpatient Sepsis, Hamza Naveed, E'Joven Reed, Mike Wong Jan 2025

Assessing And Improving Resident Understanding Of Inpatient Sepsis, Hamza Naveed, E'Joven Reed, Mike Wong

Gulf Coast Division GME Research Day 2025

No abstract provided.


To Bridge Or Not To Bridge, Diane Habib, Negar Niknam, Mohammed Rajab, Lea El Achkar, Mahyar Mahmoudi Jan 2025

To Bridge Or Not To Bridge, Diane Habib, Negar Niknam, Mohammed Rajab, Lea El Achkar, Mahyar Mahmoudi

Gulf Coast Division GME Research Day 2025

No abstract provided.


A Match Made In Heaven: The Heart And The Kidney, A Case Report On Uremic Pericardial Effusion With Complete Resolution Post Transplant, Sania Moonnumackel, Victor Delprincipe, Vivek Bhupathi, Srinivasan Rajaganapathy, Anand Karthik, Machaiah Madhrira Jan 2025

A Match Made In Heaven: The Heart And The Kidney, A Case Report On Uremic Pericardial Effusion With Complete Resolution Post Transplant, Sania Moonnumackel, Victor Delprincipe, Vivek Bhupathi, Srinivasan Rajaganapathy, Anand Karthik, Machaiah Madhrira

North Texas Research Forum 2025

Introduction: Pericardial effusion resulting from uremic pericarditis is a complication associated with chronic kidney disease (CKD). In patients with advanced CKD or End Stage renal disease (ESRD) renal transplant is the definitive treatment to improve long term outcomes. However, the presence of a large pericardial effusion poses a risk of hemodynamic compromise during transplant surgery. Options of stabilizing the patient with aggressive dialysis, pericardiocentesis or pericardial window can be considered. Here we present a case of a patient with advanced CKD who underwent pre-emptive kidney transplant and in three months had complete resolution of a large pericardial effusion noted pre-operatively. …


Todd's Paralysis: Sharpnel-Induce Seizure, Kenny Tran, Alain Folefack Jan 2025

Todd's Paralysis: Sharpnel-Induce Seizure, Kenny Tran, Alain Folefack

North Texas Research Forum 2025

When evaluating seizure in war veterans, distinguishing new-onset hemiparesis with aphasia from stroke can be challenging due to prior brain injury and anticonvulsant therapy. This case involves a patient with a shrapnel injury displaying stroke-symptoms after a seizure highlights the differences between stroke and seizure-related deficits in this population. Careful consideration of imaging, history and clinical presentation are essential for accurate diagnosis and management.


Streamlining Bubble Study Requests In Echo Orders: A Qi Initiative, Vineeth Lekkala, Sharvani Raguthu, Taher Yusufali, Mahmood Ahmad, Mohan Sengodan Jan 2025

Streamlining Bubble Study Requests In Echo Orders: A Qi Initiative, Vineeth Lekkala, Sharvani Raguthu, Taher Yusufali, Mahmood Ahmad, Mohan Sengodan

North Texas Research Forum 2025

Introduction: This quality improvement project centers around the implementation of a dedicated mechanism for ordering bubble studies in echocardiograms at Medical City North Hills Hospital. Drawing inspiration from successful implementations observed at Medical City Denton Hospital, the project aims to address existing challenges, standardize practices, and improve overall efficiency in the echocardiogram ordering workflow. Background: The echocardiogram ordering process at Medical City North Hills Hospital currently faces challenges, specifically the absence of a dedicated mechanism for ordering bubble studies. This deficiency introduces the risk of oversights, particularly in cases of syncope and stroke, thereby compromising diagnostic precision. Acknowledging these challenges, …


Improving Annual Wellness Visit Documentation In Clinic, Chak Lam Yeung, Gurunath Subramanyam, Krishna Ramesh, Mohammad Nadim, Jasmyne Bowser, John Sturgeon Jan 2025

Improving Annual Wellness Visit Documentation In Clinic, Chak Lam Yeung, Gurunath Subramanyam, Krishna Ramesh, Mohammad Nadim, Jasmyne Bowser, John Sturgeon

North Texas Research Forum 2025

Introduction: Medicare beneficiaries who received an annual wellness visit (AWV) were noted to have reduced Medicare spending. Review of Medical City North Hills Internal Medicine Clinic data showed that 44% of eligible patients received an AWV. Improper documentation and coding were the primary reasons eligible AWVs were not accounted for even though they were performed. Majority of incomplete documentation was missing information regarding patient’s functional ability, level of safety, home safety, and activities of daily living. The information is normally obtained from a questionnaire completed by the patient prior to the visit. Questionnaire was noted by residents to be unorganized …