Journal of Community Hospital Internal Medicine Perspectives最新文献_第10页

Transient Cortical Blindness After Cardiac Catheterization: A Case Report and Review of Possible Neurological Etiologies 心导管插入术后一过性皮质性失明:一例报告及可能的神经学病因分析

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1249

Maharshi Raval, Jaahnavee Trivedi, Ishbel Curry, Labdhi Sanghvi, Sagar Patel, Paul Alexandrov, Walid Saber, Dennis Aumentado, Motasem Al-Yacoub, Ibrahim Elgabry

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PARATHYROID HORMONE RELATED PEPTIDE HYPERCALCEMIA AS A PRESENTATION OF ENDOMETRIAL CLEAR CELL CARCINOMA 甲状旁腺激素相关肽高钙血症作为子宫内膜透明细胞癌的表现

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1271

Claudia Georges, Biplov Adhikari, Soumya Koundaveety, Robert Jones, Kalyan Paudel, Christopher Haas

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Takotsubo Syndrome: Is it just a “broken heart”? Takotsubo综合症:这只是一颗“心碎”吗?

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1262

Haris Muhammad, Angila Bag, Aparna Iyer

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Cryoglobulinemia Leading to the Diagnosis of Low Grade Serous Ovarian Carcinoma 低温球蛋白血症导致低级别浆液性卵巢癌的诊断

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1247

Garo Hagopian, Christopher Grant, Jerry Lou, Cary Johnson, Zahra Pakbaz

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Pseudo-Thrombotic Microangiopathy – An Unusual Presentation of Cobalamin Deficiency 假性血栓性微血管病-钴胺素缺乏的一种不寻常的表现

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1263

Shannay Bellamy, Ramsha Riaz, Chike Onyali, Jieqi Liu, Natasha Kasabwala

{"title":"Pseudo-Thrombotic Microangiopathy – An Unusual Presentation of Cobalamin Deficiency","authors":"Shannay Bellamy, Ramsha Riaz, Chike Onyali, Jieqi Liu, Natasha Kasabwala","doi":"10.55729/2000-9666.1263","DOIUrl":"https://doi.org/10.55729/2000-9666.1263","url":null,"abstract":"Vitamin B12 is a water-soluble vitamin cofactor for many enzymatic reactions in the body. It plays a vital role in the normal maturation of red blood cells and in producing proteins needed for normal neurological function. The most common presentations of vitamin B12 deficiency are hematological abnormalities and neurological manifestations. Pseudo-thrombotic microangiopathy, a syndrome of hemolysis and thrombocytopenia, may mimic the presentation of thrombotic microangiopathies such as thrombotic thrombocytopenic purpura, an uncommon presentation of vitamin B12 deficiency. We present the case of a 58-year-old male with no significant past medical history who presented with severe macrocytic anemia and thrombocytopenia with laboratory findings suggestive of hemolytic anemia. He was found to have vitamin B12 deficiency with positive serological markers suggesting pernicious anemia is the underlying cause. Our case demonstrates that vitamin B12 deficiency should be considered in cases of suspected thrombotic microangiopathy, especially in the setting of significantly elevated lactate dehydrogenase levels and low reticulocyte count to avoid the initiation of unnecessary and expensive treatment modalities such as plasmapheresis.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"14 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135774761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of POCUS in the management of New-onset Tachyarrhythmia in the setting of SARS-CoV-2: A Case Report POCUS在SARS-CoV-2背景下新发心动过速治疗中的作用:1例报告

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1261

Barath Prashanth Sivasubramanian, Diviya Bharathi Ravikumar, Bhavya Vyas, Viraj Panchal, Srikanth Puli, Gerard Kiernan, Vikramaditya Samala Venkata

{"title":"Role of POCUS in the management of New-onset Tachyarrhythmia in the setting of SARS-CoV-2: A Case Report","authors":"Barath Prashanth Sivasubramanian, Diviya Bharathi Ravikumar, Bhavya Vyas, Viraj Panchal, Srikanth Puli, Gerard Kiernan, Vikramaditya Samala Venkata","doi":"10.55729/2000-9666.1261","DOIUrl":"https://doi.org/10.55729/2000-9666.1261","url":null,"abstract":"Introduction: SARS-CoV-2 infection is associated with myocardial inflammation, new onset cardiomyopathy, and arrhythmias. Here, we describe the utilization of POCUS and management of concurrent new onset atrial tachycardia and heart failure with reduced ejection fraction (HfrEF) in a patient with SARS-CoV-2 infection. Presentation: An 80-year-old female with multiple medical problems presented with sudden onset of shortness of breath and cough. She tested positive for SARS-CoV-2. Initially, she was hypoxic on room air and her heart rhythm was sinus tachycardia. CT angiogram of the chest showed consolidation, pleural effusion, and absence of pulmonary embolism. Because of persistent tachycardia, repeat EKGs and POCUS were performed. Subsequent EKGs showed intermittent atrial tachycardia and sinus tachycardia. Initially, home beta blockers were continued on admission, and additional dosages were considered for rate control, but Cardiac POCUS revealed HfrEF and was subsequently confirmed by comprehensive cardiac echocardiogram, consistent with SARS-CoV-2 infection-related cardiomyopathy. Beta blockers were discontinued, and treatment with amiodarone and furosemide showed improvement in symptoms. The patient was discharged with oral amiodarone and supplemental oxygen. Additionally, once patient's hemodynamics improved, oral carvedilol was also started as part of GDMT for HfrEF. Follow-up echocardiogram 4 months later showed recovery of systolic EF to 60%. Conclusion: It is essential to consider new onset HFrEF in the evaluation and management of new onset tachyarrhythmias since IV fluids and AV nodal blocking agents can be harmful in decompensated HFrEF. With the advent of POCUS, HFrEF can be quickly identified, and therapy can be tailored to that diagnosis","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"13 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135774767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Maryland ACP Chapter Winners at Mulholland Mohler Residents Meeting - 2023 马里兰州ACP分会获奖者穆赫兰莫勒居民会议- 2023

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1265

Maryellen Woodward

引用次数: 0

Impact of Socioeconomic Status on Heart Failure 社会经济地位对心力衰竭的影响

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1258

Ranbir S Walia, Robert Mankoff

{"title":"Impact of Socioeconomic Status on Heart Failure","authors":"Ranbir S Walia, Robert Mankoff","doi":"10.55729/2000-9666.1258","DOIUrl":"https://doi.org/10.55729/2000-9666.1258","url":null,"abstract":"Heart failure has emerged as a substantial health burden in the United States in the last few decades. This study examined the hypothesis that socioeconomic factors such as education level, social position, employment status, and poverty have a strong confounding influence on the risk for heart failure. To access relevant data, 12 published studies were retrieved from MEDLINE, Google Scholar, and Web of Science. A cross-sectional analysis of the identified studies confirmed that the four socioeconomic factors predisposed individuals to an elevated risk of heart failure-related complications. Despite their interdependencies, educational level, employment status, social position, and poverty independently confounded cardiovascular risk among individuals. Notably, individuals from households with low education were at a higher risk of these diseases. At the same time, households without employed family members were less likely to report cases of heart failure than those with low socioeconomic status. Additionally, individuals from disadvantaged backgrounds faced a greater risk for heart failure complications. The findings from this study found a strong association between socioeconomic status and heart failure risks.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"13 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135774770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association of Liver Function Test with Severity of Dengue Fever in Suburbs of Islamabad 伊斯兰堡郊区登革热严重程度与肝功能检测的关系

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1250

Hina Saghir, Maryam Tariq, Numrah Safdar, Ambreen Zahoor, Fouzia Rashid, Shaheer Ellahi Khan, Seemab Abid, Hassan Mumtaz

{"title":"Association of Liver Function Test with Severity of Dengue Fever in Suburbs of Islamabad","authors":"Hina Saghir, Maryam Tariq, Numrah Safdar, Ambreen Zahoor, Fouzia Rashid, Shaheer Ellahi Khan, Seemab Abid, Hassan Mumtaz","doi":"10.55729/2000-9666.1250","DOIUrl":"https://doi.org/10.55729/2000-9666.1250","url":null,"abstract":"Aim: This study aimed to identify the key parameters to assist the early diagnosis of Dengue Infection to prevent severe outcomes. Methodology: A cross-sectional study was conducted from June 2022 to December 2022 at a tertiary care hospital. 149 patients who presented with dengue symptoms for less than 5 days were enrolled in the study. Hepatic functioning was assessed by monitoring Serum Alanine Transaminase (ALT) (normal = 7-56 IU/L), and serum Aspartate Transaminase (AST) (normal = 10-40 IU/L) levels. Abdominal ultrasound and chest X-Ray were performed, and findings were recorded. Statistical analysis was done using SPSS Version 24. Results: 81 patients (54.36%) were found to have Classical DF, while 46 patients (45.64%) were diagnosed with DHF or DSS. Dengue fever is more common in males than in females, and it disproportionately affects those under the age of 30. Only 81 (54.63%) of the total 149 individuals developed DF, but of those, 79 (74.4%) had normal ALT levels and 2 (4.26%) had elevated ALT levels. Among the 68 patients with DHF (45.64%), 41 (87.23%) had elevated ALT, while only 23 (22.55%) had normal ALT and all 4 (8.51%) with DSS did as well. The p-value for the correlation between platelet count and elevated ALT levels is 0.007, which is statistically significant. Conclusion: Management of dengue disease requires close monitoring of hepatic enzyme levels, particularly ALT and AST, along with the platelet count. It will aid in reducing the severity of the dengue virus. In addition, there should be particular outdoor exposure guidelines, particularly during dengue season evenings, i.e., monsoon.","PeriodicalId":15460,"journal":{"name":"Journal of Community Hospital Internal Medicine Perspectives","volume":"12 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135774774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Real-world data of leukopenia evaluation as seen in a community academic center 在社区学术中心看到的白细胞减少评估的真实数据

Journal of Community Hospital Internal Medicine Perspectives Pub Date : 2023-11-04 DOI: 10.55729/2000-9666.1273

Suma Sri Chennapragada, Shivani Sharma, Neelakanta Dadi, Richard P Mansour, Runhua Shi

引用次数: 0