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Percutaneous Endoscopic Gastrostomy: A Possible Trigger for Dieulafoy's Lesion. 经皮内镜胃造瘘术：Dieulafoy 病变的可能诱因。
HCA healthcare journal of medicine Pub Date : 2024-03-29 eCollection Date: 2024-01-01 DOI: 10.36518/2689-0216.1587
Ali Tariq Alvi, Elsa Tchouambou, Murali Shankar
{"title":"Percutaneous Endoscopic Gastrostomy: A Possible Trigger for Dieulafoy's Lesion.","authors":"Ali Tariq Alvi, Elsa Tchouambou, Murali Shankar","doi":"10.36518/2689-0216.1587","DOIUrl":"10.36518/2689-0216.1587","url":null,"abstract":"<p><strong>Introduction: </strong>Upper gastrointestinal (GI) bleeding is a medical condition commonly seen in clinical practice due to variable etiologies and a multitude of presentations. The patients can present with hematemesis, melena, or hematochezia in case of severe bleeding. The initial evaluation should involve assessing the hemodynamic status with adequate resuscitation followed by diagnostic tests to identify the source and potentially treat it. Dieulafoy's lesion, sometimes referred to as Dieulafoy's disease, is a rare cause of upper GI bleeding with no clear risk factors, which makes it a diagnostic conundrum. Here we describe an unusual case of Dieulafoy's lesion developing following percutaneous endoscopic gastrostomy (PEG) placement.</p><p><strong>Case presentation: </strong>We describe a case of a 70-year-old female patient with a past medical history of hyperlipidemia, well-controlled hypertension, and an ischemic cerebrovascular accident, which caused neurologic dysphagia and placement of a PEG tube 3 weeks prior. She presented to the emergency department due to melena, with hypotension of 90/50 mmHg, tachycardia of 126 beats/minute, and hemoglobin of 5.6 g/dl. An endoscopy revealed a Dieulafoy's lesion on the lesser curvature of the stomach just across the PEG tube, which was managed with epinephrine and hemoclips.</p><p><strong>Conclusion: </strong>This is a rare case of Dieulafoy's lesion on the lesser curvature of the stomach, potentially developing due to PEG placement.</p>","PeriodicalId":73198,"journal":{"name":"HCA healthcare journal of medicine","volume":"5 1","pages":"45-48"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10939086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Presentations of Cutaneous Disease in Various Skin Pigmentations: Acne Vulgaris - Comedonal Acne. 各种皮肤色素沉着的皮肤病表现：大疱性痤疮 -粉刺。
HCA healthcare journal of medicine Pub Date : 2024-03-29 eCollection Date: 2024-01-01 DOI: 10.36518/2689-0216.1634
Christopher M Wong, Christina Guo, Christian J Scheufele, Daniel A Nguyen, Jean Elizze M Charles, Michael Carletti, Stephen E Weis
{"title":"Presentations of Cutaneous Disease in Various Skin Pigmentations: Acne Vulgaris - Comedonal Acne.","authors":"Christopher M Wong, Christina Guo, Christian J Scheufele, Daniel A Nguyen, Jean Elizze M Charles, Michael Carletti, Stephen E Weis","doi":"10.36518/2689-0216.1634","DOIUrl":"10.36518/2689-0216.1634","url":null,"abstract":"<p><p>Description Acne vulgaris is a common inflammatory skin condition of the pilosebaceous unit in adolescents and young adults and is primarily characterized by the presence of open and closed comedones. In patients of various skin pigmentations, skin-colored comedones may be difficult to appreciate and lead to incorrect or delayed diagnosis of acne. To aid in the identification of acne vulgaris in patients of various skin pigmentations, we present comedonal acne in different skin types and commonly encountered differential diagnoses. With its significant volume and burden of disease, acne vulgaris should be correctly identified in various skin pigmentations by primary care clinicians for the initiation of appropriate management.</p>","PeriodicalId":73198,"journal":{"name":"HCA healthcare journal of medicine","volume":"5 1","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10939092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Variation in Transcript Reports Among Residency Applicants: An Anesthesia Program's Perspective. 住院实习申请者成绩单报告的差异：麻醉专业的视角。
HCA healthcare journal of medicine Pub Date : 2024-03-29 eCollection Date: 2024-01-01 DOI: 10.36518/2689-0216.1598
Alex M Hendon, Imani Thornton
{"title":"Variation in Transcript Reports Among Residency Applicants: An Anesthesia Program's Perspective.","authors":"Alex M Hendon, Imani Thornton","doi":"10.36518/2689-0216.1598","DOIUrl":"10.36518/2689-0216.1598","url":null,"abstract":"<p><strong>Background: </strong>With recent changes made to move USMLE Step 1 and COMLEX Level 1 scores to Pass/Fail, it becomes necessary to find other metrics to evaluate residency candidates. One conserved metric included in all residency applications is medical school transcripts. This study aims to highlight the highly varied transcript reporting in a new era of holistic applicant review.</p><p><strong>Methods: </strong>Medical school transcripts were extracted from the Electronic Residency Application Service applications to our anesthesiology residency program for the 2021-2022 application cycle. All personally identifiable information was removed. Results were categorized and tallied by 2 independent reviewers. Overall, we assessed transcript information from 156 allopathic and osteopathic medical schools. Transcript data were separated into 9 different categories.</p><p><strong>Results: </strong>The most common grading system for allopathic medical schools was Pass/Fail. The most common grading system for osteopathic medical schools was Pass/Fail and Letter Grades. There were several medical schools that had unique grading systems and many of those did not provide a grading key for interpretation. Less than half of the allopathic and osteopathic schools offered Honors or High Pass in their grading systems, often with little information provided as to how these grades were earned.</p><p><strong>Conclusion: </strong>The information provided on medical school transcripts is extremely variable. Although many schools reported grades as Pass/Fail, there was no majority or consistent presentation among the transcripts. Much of the information provided on transcripts required interpretation by its reviewer and made the process of holistic applicant review more difficult.</p>","PeriodicalId":73198,"journal":{"name":"HCA healthcare journal of medicine","volume":"5 1","pages":"5-9"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10939090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Unusual Case of Microcystic Serous Cystadenoma in a 19-Year-Old Male Patient. 一名 19 岁男性患者的微囊浆液性囊腺瘤罕见病例
HCA healthcare journal of medicine Pub Date : 2024-03-29 eCollection Date: 2024-01-01 DOI: 10.36518/2689-0216.1510
Jamie Lee Aldakkour, Alvin Boyd Newman-Caro, Ashley Henning
{"title":"An Unusual Case of Microcystic Serous Cystadenoma in a 19-Year-Old Male Patient.","authors":"Jamie Lee Aldakkour, Alvin Boyd Newman-Caro, Ashley Henning","doi":"10.36518/2689-0216.1510","DOIUrl":"10.36518/2689-0216.1510","url":null,"abstract":"<p><strong>Introduction: </strong>Microcystic serous cystadenomas are uncommon, benign neoplasms rarely known to progress to malignancy. They are typically asymptomatic and inadvertently discovered during imaging for another unrelated condition. When discovered, they are commonly found in females over 60 years of age.</p><p><strong>Case presentation: </strong>In this case report, we examine a unique presentation of a serous cystadenoma discovered when a 19-year-old male presented with symptoms of abdominal pain, nausea, and vomiting.</p><p><strong>Conclusion: </strong>Previous studies on serous cystadenomas in a younger male demographic are rare. Therefore, this study will provide additional insight into the signs, symptoms, diagnosis, and management of cystadenomas in young patients.</p>","PeriodicalId":73198,"journal":{"name":"HCA healthcare journal of medicine","volume":"5 1","pages":"35-37"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10939088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Acknowledgement to the HCA Healthcare Journal of Medicine's Reviewers and Editors for the Second Half of 2023 向《HCA 医疗保健医学杂志》2023 年下半年的审稿人和编辑致谢
HCA healthcare journal of medicine Pub Date : 2024-02-29 DOI: 10.36518/2689-0216.1828
Bruce Deighton, Hossein Akhondi, Barbara L Gracious, G. Donini
{"title":"An Acknowledgement to the HCA Healthcare Journal of Medicine's Reviewers and Editors for the Second Half of 2023","authors":"Bruce Deighton, Hossein Akhondi, Barbara L Gracious, G. Donini","doi":"10.36518/2689-0216.1828","DOIUrl":"https://doi.org/10.36518/2689-0216.1828","url":null,"abstract":"","PeriodicalId":73198,"journal":{"name":"HCA healthcare journal of medicine","volume":"11 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140412634","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
Significance of Chronic Kidney Disease on Morbidity and Mortality in Hospitalized Patients With COVID-19 慢性肾病对 COVID-19 住院患者发病率和死亡率的影响
HCA healthcare journal of medicine Pub Date : 2023-12-29 DOI: 10.36518/2689-0216.1562
Varsha Suresh, Alexis Finer, Aarushi Varshney, Kay Thi Khine, Ishak Mansi, Abdo Asmar
{"title":"Significance of Chronic Kidney Disease on Morbidity and Mortality in Hospitalized Patients With COVID-19","authors":"Varsha Suresh, Alexis Finer, Aarushi Varshney, Kay Thi Khine, Ishak Mansi, Abdo Asmar","doi":"10.36518/2689-0216.1562","DOIUrl":"https://doi.org/10.36518/2689-0216.1562","url":null,"abstract":"","PeriodicalId":73198,"journal":{"name":"HCA healthcare journal of medicine","volume":" 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139144021","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
A Rare Case of Candida glabrata Cervical Spondylodiscitis 一个罕见的念珠菌颈椎盘炎病例
HCA healthcare journal of medicine Pub Date : 2023-12-29 DOI: 10.36518/2689-0216.1577
Angelina M Hong, Lily Hyungjung Lim, Ali Tariq Alvi, Pallavi Aneja
{"title":"A Rare Case of Candida glabrata Cervical Spondylodiscitis","authors":"Angelina M Hong, Lily Hyungjung Lim, Ali Tariq Alvi, Pallavi Aneja","doi":"10.36518/2689-0216.1577","DOIUrl":"https://doi.org/10.36518/2689-0216.1577","url":null,"abstract":"","PeriodicalId":73198,"journal":{"name":"HCA healthcare journal of medicine","volume":" 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139144164","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
Contemplation 沉思
HCA healthcare journal of medicine Pub Date : 2023-12-29 DOI: 10.36518/2689-0216.1662
Nayda Parisio Poldiak
{"title":"Contemplation","authors":"Nayda Parisio Poldiak","doi":"10.36518/2689-0216.1662","DOIUrl":"https://doi.org/10.36518/2689-0216.1662","url":null,"abstract":"","PeriodicalId":73198,"journal":{"name":"HCA healthcare journal of medicine","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139143593","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
Impact of Psychiatry Clerkship Rotation in Attitudes Towards Mental Illness and Psychiatry as a Career Among Medical Students 精神病学实习轮转对医学生对待精神疾病和将精神病学作为职业的态度的影响
HCA healthcare journal of medicine Pub Date : 2023-12-29 DOI: 10.36518/2689-0216.1569
Jae Kim, Brian Blum, Shivani A. Kaushal, Sara Khan, Patrick Hardigan, Clara Alvarez Villaba
{"title":"Impact of Psychiatry Clerkship Rotation in Attitudes Towards Mental Illness and Psychiatry as a Career Among Medical Students","authors":"Jae Kim, Brian Blum, Shivani A. Kaushal, Sara Khan, Patrick Hardigan, Clara Alvarez Villaba","doi":"10.36518/2689-0216.1569","DOIUrl":"https://doi.org/10.36518/2689-0216.1569","url":null,"abstract":"","PeriodicalId":73198,"journal":{"name":"HCA healthcare journal of medicine","volume":"27 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139147591","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
On the Discontinuation of Enteral Feeding in Head and Neck Cancer: A Case Report 关于头颈部癌症患者停止肠内喂养：病例报告
HCA healthcare journal of medicine Pub Date : 2023-12-29 DOI: 10.36518/2689-0216.1583
Kyle Fisk, Ana Sanchez
{"title":"On the Discontinuation of Enteral Feeding in Head and Neck Cancer: A Case Report","authors":"Kyle Fisk, Ana Sanchez","doi":"10.36518/2689-0216.1583","DOIUrl":"https://doi.org/10.36518/2689-0216.1583","url":null,"abstract":"","PeriodicalId":73198,"journal":{"name":"HCA healthcare journal of medicine","volume":"113 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139146886","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
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