A5033804963- Esophageal and GI Pathology
- Respiratory Support and Mechanisms
- Vascular Anomalies and Treatments
- Pulmonary Hypertension Research and Treatments
- Pneumocystis jirovecii pneumonia detection and treatment
- Family and Patient Care in Intensive Care Units
- Intensive Care Unit Cognitive Disorders
- COVID-19 Clinical Research Studies
- Tracheal and airway disorders
- Pleural and Pulmonary Diseases
- Long-Term Effects of COVID-19
- Medical Imaging and Pathology Studies
- Vasculitis and related conditions
- Otolaryngology and Infectious Diseases
- Nosocomial Infections in ICU
- Cardiac and Coronary Surgery Techniques
- Heart Failure Treatment and Management
- Otitis Media and Relapsing Polychondritis
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Trauma Management and Diagnosis
- Lymphatic Disorders and Treatments
- Neurosurgical Procedures and Complications
- Social Media in Health Education
- Vascular anomalies and interventions
- Mobile Health and mHealth Applications
Einstein Medical Center Philadelphia
2019-2021
Cleveland Clinic
2020
Thomas Jefferson University
2020
McLaren Regional Medical Center
2016-2019
Michigan State University
2017-2019
McLaren Health Care
2018
In critically ill patients with coronavirus disease 2019, there has been considerable debate about when to intubate acute respiratory failure. Early expert recommendations supported early intubation. However, as we learned more this disease, the risks versus benefits of intubation are less clear. We report our findings from an observational study aimed compare difference in outcomes 2019 who were intubated later course. need for was defined either at admission or within 2 days having a...
Most benign primary cardiac tumours are myxomas; non-myxomatous less common but comprise a wide variety. Cardiac lipoma is rare A 70-year-old Caucasian woman with right breast cancer status postpartial mastectomy underwent surveillance MRI of the and was found to have possible atrial (RA) mass. She also reported frequent headaches palpitations. transoesophageal echocardiogram which showed 2.6×1.6×1.6 cm echogenic mass at superior vena cava (SVC) RA junction. anticoagulated for thrombus...
<h3>BACKGROUND:</h3> The COVID-19 outbreak in the United States has disproportionately affected Black individuals, but little is known about factors that underlie this observation. Herein, we describe these associations with mortality a largely minority underserved population. <h3>METHODS:</h3> This single-center retrospective observational study included all adult subjects laboratory-confirmed SARS-Cov-2 treated our ICU between March 15 and May 10, 2020. <h3>RESULTS:</h3> 128 critically ill...
Lung cancer is one of the leading causes cancer-related mortality and categorized into small cell lung (SCLC) non-small (NSCLC). We present a patient with epidermal growth factor receptor (EGFR)-mutant-NSCLC who developed metastatic SCLC after initial therapy second-generation EGFR-tyrosine kinase inhibitor, afatinib. A 65-year-old male non-smoker was diagnosed adenocarcinoma right lung, stage IVA (M1a). Due to tumor positivity for EGFR-Exon 19 deletion, started on oral afatinib, which...
Background: We report post-coronary artery bypass outcomes and factors affecting the from Genesee County, MI, where population is distinctly characterized by a higher prevalence of renal failure (RF), diabetes, obesity smoking than national average. Methods: performed retrospective cohort study on 1133 patients undergoing isolated CABG at our hospital June 2012 to July 2017. Primary outcome was association between preoperative hemoglobin A1c (HbA1c) all-cause postoperative mortality after...
Introduction: Only 12% of Americans have proficient health literacy (HL). Patients hide this fact from others including physicians. This quality improvement (QI) project was developed to compare internal medicine (IM) resident physicians’ (RPs) ability accurately predict patients with low HL and improve IM-RPs’ understanding its impact on patients.Aim statement: Over six-months, our aim increase the IM residents’ HL-knowledge by 30% as measured an HL-Knowledge-Based-Survey.Methods: After IRB...
Background: Septic shock is a life-threatening condition with underlying circulatory and cellular/metabolic abnormalities.Vitamin C thiamine are potential candidates for adjunctive therapy; they expected to improve outcomes based on recent experimental clinical research.The aim of the Ascorbic Acid Thiamine Effect in Shock (ATESS) trial evaluate effects early combination therapy intravenous vitamin recovery from organ failure patients septic shock.Methods: This study randomized,...
Concurrent Pneumocystis jirovecii (PJ) and pulmonary histoplasmosis (PHP) are rare in a single HIV individual. We present challenging case of concomitant PJ PHP young A 44-year-old man presented to the emergency department with progressive symptoms. He was hypoxic bilateral opacities on chest radiograph. CT showed geographical pattern ground-glass attenuation. started receiving intravenous antibiotics addition oral Bactrim for suspected PJ. also began itraconazole, given recent bat-droppings...
To assess the role for intravenous fluid (IVF) resuscitation in postarrest state. Primary outcome was survival to hospital discharge and 30-day mortality. Secondary outcomes were associations with amount of vasopressor use mechanical ventilation days.Retrospective study design.Single-center tertiary Philadelphia, Pennsylvania.All patients admitted intensive care unit between 2018 2019.Patients divided into two groups based on IVF received within 24 h <30 mL/kg (restricted) over 30...
A 56-year-old Caucasian woman with severe chronic obstructive pulmonary disease (COPD) on home oxygen presented a exacerbation. Vitals included blood pressure of 111/73 mm Hg, pulse 102/minute, respiratory rate 13/minute and O2 saturation 84% 2–3 L/minute by nasal cannula. She was lethargic, confused wheezing. placed bi-level positive airway (BiPAP) but her mentation continued to deteriorate. White cell counts were normal. Chest X-ray showed hyperinflated lungs no infiltrates. Arterial gases...
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Key Clinical Message A 44‐year‐old immunocompetent man with gastroenteritis received supportive care and empiric antibiotics. After an initial response, he developed septic shock. Blood cultures grew Gram‐positive bacilli antibiotic adjustment. However, succumbed within 36 h. the patient's death, Listeria monocytogenes was identified on blood culture.
Oesophageal varices are a dilated submucosal venous plexus in the lower third of oesophagus which result from increased pressure portal system. The system is connected to systemic circulation specific locations referred as sites portosystemic anastomosis. An increase therefore reflected at these anastomotic sites, causing manifestations such oesophageal varices, rectal caput medusae and splenorenal shunts. Varices do not cause symptoms until they leak or rupture this main complication...