Don't Meth With Drugs: A Rare Presentation Of Methamphetamine Induces Hypokalemic Periodic Paralysis,
2025
HCA Healthcare
Don't Meth With Drugs: A Rare Presentation Of Methamphetamine Induces Hypokalemic Periodic Paralysis, Hamza Naveed, Crystal Ike, Srinidhi Shyamkumar, Sarva Sivatej, Ramesh Kesavan, Zuhair Ali
Gulf Coast Division GME Research Day 2025
No abstract provided.
A Flea-Borne Mystery: Unraveling Murine Typhus In A Patient With Unexplained Encephalopathy,
2025
HCA Healthcare
A Flea-Borne Mystery: Unraveling Murine Typhus In A Patient With Unexplained Encephalopathy, Jose Loayza Pintado, Jorge Aboytes Trevino, Ceasar Uribe
Gulf Coast Division GME Research Day 2025
No abstract provided.
An Atypical Case Of Epec-Hus In An Adult,
2025
HCA Healthcare
An Atypical Case Of Epec-Hus In An Adult, Rabia S. Mahfooz, Annmary Behanan, Babivigasan Gunasegaran, Amita J. Dsouza
Gulf Coast Division GME Research Day 2025
No abstract provided.
Hearts Hidden Message: Right Ventricular Thrombus Reveals Esophageal Adenocarcinoma,
2025
HCA Healthcare
Hearts Hidden Message: Right Ventricular Thrombus Reveals Esophageal Adenocarcinoma, Devika Adusumilli, Seline Haci, Jafri Imran, Arman Vaghefi, Mehdi Khalafi, Ikponmwosa Iyamu, Sarvanan Balamuthusamy
North Texas Research Forum 2025
Introduction Right ventricular thrombi are uncommon, usually found with concurrent pulmonary emboli and associated with significant mortality. They often originate from deep vein thrombi but may also be due to primary intracardiac processes . A right ventricular thrombus can be an unexpected marker for underlying malignancies, including esophageal cancer. This occurs due to the hypercoagulable state often induced by malignancy. Here we report a presentation where the identification of a right ventricular thrombus led to the diagnosis of esophageal cancer. Case Presentation Our patient is a 57-year old male with no past medical history who experienced an episode of dizziness …
When Skin Necrosis Mimics: Diagnostic And Therapeutic Challenges Of Calciphylaxis In A Ckd Patient With A Mechanical Heart Valve,
2025
HCA Healthcare
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,
2025
HCA Healthcare
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,
2025
HCA Healthcare
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,
2025
HCA Healthcare
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,
2025
HCA Healthcare
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,
2025
HCA Healthcare
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,
2025
HCA Healthcare
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,
2025
HCA Healthcare
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,
2025
HCA Healthcare
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,
2025
HCA Healthcare
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,
2025
HCA Healthcare
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,
2025
HCA Healthcare
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,
2025
HCA Healthcare
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,
2025
HCA Healthcare
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,
2025
HCA Healthcare
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,
2025
HCA Healthcare
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.
