Internal Medicine Commons^™

Discharge Implementation Project: Ascertaining If Discharge Implementation Orders Overall Improves Discharge Metrics At A Texas Hospital, Zachary Paras, Omar Nawab, Komthorn Cunvong, Jackson V. Littlejohn, Sathish Karmegam

North Texas GME Research Forum 2024

There are several factors preventing discharges out of the hospital within 24 hours that ultimately affects metrics for both hospital systems and physicians. These factors include pending labs, imaging, or procedures; pending placement approval at a facility outside of the hospital upon discharge; notification of family and caretakers; secured funding for devices and medicines; and others. In an attempt to mitigate preventable extra days spent in the hospital once a patient is medically ready for discharge, a Texas hospital implemented a discharge order set for providers to utilize that informs all involved parties including case management, PT/OT, social work, nurses, …

Individualizing Patient Education To Reduce Heart Failure Readmissions, Melissa M. Andersen

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Heart failure (HF) is a chronic condition with high readmission rates, often due to inadequate patient knowledge about home care and symptom management. Individualized patient education combined with standardized approaches could improve patient outcomes.

Objective: This project’s goal was to determine if using individual patient knowledge to create a personalized education along with standard HF education would improve patient HF knowledge, improve home management and decrease HF readmission rates.

Methods: This pilot quality improvement (QI) project was conducted in an acute care hospital using a convenience sample of 29 patients admitted due to a HF exacerbation using pre-posttest design. …

The Effects Of Cannabis Use On Adverse Cardiovascular Outcomes, Mortality, And Cost Of Hospitalization: Retrospective Study Using National Inpatient Sample, Rabab Elsadek, Zeeshan Ismail, Isaac Loseke, Hashim Al-Ani, Mona Fikry, Suzanne Zentko

North Florida Division GME Research Day 2024

No abstract provided.

Non-Invasive Ventilatory Support, Tube Feeding & Risk Of Aspiration Pneumonia, Jason Mae Chacon, Zuhaib Murtaza, Sarah Barraza, Judy Jin, Payal Passi

Central & West Texas GME Research Day 2024

No abstract provided.

To Have And To Not Hold: Long-Acting Insulin For Npo Patients With Diabetes, William Hicks, Cindy Iwuagwu, Suzan Khalil, Juan Pablo Meruvia Garron, Cynthia Schwartz, Carlos Botero Suarez, Ashwini Komarla, Mustafa Kinaan

North Florida Division GME Research Day 2024

No abstract provided.

Esophageal Foreign Body: A Case Of The Hidden Wire Brush, Rebecca Ashton Taylor, Sandra Scott, William Jones, Jonnalagadda Veeraen

South Atlantic Division GME Research Day 2024

No abstract provided.

Stop Horsing Around: A Case Of Cenbuterol Toxicity, Justin Sanchez, Mark Cheneler, Alexandra Villacres

North Texas GME Research Forum 2024

Introduction: Clenbuterol is a medication that is relatively unknown outside of the equestrian and bodybuilding worlds. It acts as a sympathomimetic compound with beta-2 agonism and can cause tachycardia and bronchodilation. It is utilized for this bronchodilation as a means of improving equestrian performance. Its sympathomimetic effects were utilized in the bodybuilding community as a weight loss medication by increasing catabolic metabolism. Here we present a case of intentional clenbuterol toxicity for weight loss. Case presentation: A 34-year-old woman with past medical history of migraines presented to the emergency department for evaluation of palpitations and an EKG showed sinus …

Retrospective Study: Adverse Effects Of Hyperglycemia In Nondiabetic Critically Ill Patients With Myocardial Infarction, Enkhbileg Batbileg, Jourdan Harper, Daniel Moore, Carol Wang, Sarah Barraza

Central & West Texas GME Research Day 2024

No abstract provided.

Duodenal Ulcer Complicated By Pneumobilia After Chronic Use Of Prednisone, Mihran Ogaryan, Sandra Abadir, Ariel Ahl, Muhammad Durrani, Nusayba Ahmed, Kumar Desai

Far West Division GME Research Day 2024

No abstract provided.

Left Bundle Branch Block After Moderna Covid-19 Booster, Yamann Sahlool, Neil Gerts, Yann Dacquay, Mihran Ogaryan, Saro Avedikian, Jeong Hwan Kim, Vishva Dev, Jasprit Takher

Far West Division GME Research Day 2024

No abstract provided.

Hemophagocytic Lymphohistiocytosis In Covid-19, Patel Dharmik, Adit Dharia, Muddassir Salman

West Florida Division GME Research Day 2024

No abstract provided.

Clostridium Perfringens As A Rare Cause Of Spontaneous Bacterial Peritonitis, Javier Escobar, Dean Hasan, Mohamed Faris

South Atlantic Division GME Research Day 2024

No abstract provided.

A Rare Case Of Eggerthella Lenta In Lower Extremity Necrotizing Soft Tissue Infection: A Case Report, Natalia M. Raimundi Santos, Natalia C. Badillo Velez, Sandeep Rathod, Hassan Tahir Khokhar, Wendy M. Timirau, Naja Naddaf

South Atlantic Division GME Research Day 2024

No abstract provided.

Hydralazine-Induced Anca-Associated Vasculitis Presenting As Crescentic Glomerulonephritis, Yoan Rodriguez, Hovra Zahoor, Christian Castro-Ruiz, Neda Shahoori, Reuben Maggard

South Atlantic Division GME Research Day 2024

No abstract provided.

Multidisciplinary Management For Large And Difficult Choledocholithiasis: The Role Of Choledochotomy, Jilpa Shah, Balu Chandra

North Texas GME Research Forum 2024

Extracranial carotid artery aneurysm is a rare sequela of atherosclerosis, trauma, and conditions of chronic inflammation. Standard treatments include antiplatelet medications, open resection, or endovascular stenting. Transcarotid artery revascularization (TCAR) has become a well-recognized alternative treatment in the past few decades. This case study documents the first reported case of Horner’s syndrome post-TCAR for an internal carotid artery (ICA) aneurysm. A 68 year-old male with intermittent double vision was referred to vascular surgery clinic with brain CT angiography showing a 9mm saccular aneurysm with dissection flap of the right cervical ICA. Prior attempts by neuro-interventional radiology were unsuccessful due to …

Streptococcocal Induced Toxic Shock Syndrome: Importance Of Diagnosis And Initiating Life Saving Treatment, Lincy Sakwa, Danielle Ford

North Texas GME Research Forum 2024

Toxic Shock Syndrome (TSS) is a toxin induced illness characterized by fever, rash, and hypotension. TSS low incidence report and rapid onset of clinical symptoms makes getting to the diagnosis critical so that treatment can be started as soon as possible. A 65-year-old woman was brought into the emergency department (ED) after being found on the floor unresponsive during a well fair check. It was noted that she has not been seen or heard from by her family members in the last five days. She has no known past medical history and she was unresponsive and hemodynamically unstable in the …

Polypharmacy And Potentially Inappropriate Prescribing In Geriatric Population, Maryam Burney, Barry Brown, Victoria Nguyen, Garrett Furth, Ambreen I. Ahmed, Abigail Hulsizer

North Texas GME Research Forum 2024

Polypharmacy is a ubiquitous concern among patients, especially geriatric patients, who are at a higher risk of clinical burden. It is associated with an increase in healthcare costs, decreased functional status, and adverse drug events, contributing to geriatric syndromes, such as falls, cognitive decline, and urinary retention. Geriatric care is multi-tiered, requiring assistance and care from a thorough physician who is attune to the potential risks of medications that are commonly prescribed. Smaller communities, often with less resources and clinical providers and with an aging population, especially at the hospital setting, are vulnerable to oversights when it comes to medication …

Small Cell Carcinoma Of The Ovary, Hypercalcemic Type: A Rare Case, Clare Rudman, Erin Onat, Sierra Sandler, Jennifer Griffith

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

Case Report: Streptococcus Gallolyticus Prosthetic Joint Infection, Jeffrey Dickerson, Liza Salloum, Amaan Sheikh, Madhukanth Reddy, Bryan Youree

North Texas GME Research Forum 2024

Streptococcus gallolyticus, part of the Streptococcus bovis/Streptococcus equinus complex (SBSEC) formerly known as Group D streptococi, is strongly associated with colorectal cancer and infective endocarditis. Its appearance in septic arthritis is rare, and its role in septic arthritis has not been as thoroughly investigated. We present the case of a 69 year old male with a history of atrial fibrillation and hypertension who was admitted to our hospital after undergoing a right knee replacement in 2023 with a chief complaint of right knee pain, fever, and chills. Arthrocentesis and blood cultures were performed, and the patient was started on …

A Rare Case Of Anoxic Brain Injury Secondary To Masld-Induced Hyperammonemia, Renu Thomas, Nhu Chau T. Nguyen, Daniel Bao, Jonathan Tang, Uzma Ali, Damon Cao

Gulf Coast Division GME Research Symposium 2024

No abstract provided.