A5051445787- Venous Thromboembolism Diagnosis and Management
- Renal Diseases and Glomerulopathies
- Helminth infection and control
- Organ Transplantation Techniques and Outcomes
- Pituitary Gland Disorders and Treatments
- Vascular Tumors and Angiosarcomas
- Parasites and Host Interactions
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Regulation of Appetite and Obesity
- Tuberous Sclerosis Complex Research
- Myasthenia Gravis and Thymoma
- Renal Transplantation Outcomes and Treatments
- Electrolyte and hormonal disorders
- Adrenal Hormones and Disorders
- Biomarkers in Disease Mechanisms
- Pharmacological Effects and Toxicity Studies
- Ultrasound in Clinical Applications
- Renal cell carcinoma treatment
- Bipolar Disorder and Treatment
- Adipokines, Inflammation, and Metabolic Diseases
- Sepsis Diagnosis and Treatment
- Hemodynamic Monitoring and Therapy
- Reproductive System and Pregnancy
- Vasculitis and related conditions
- Atrial Fibrillation Management and Outcomes
Washington University in St. Louis
2019
University of Florida
2015-2017
Florida College
2015-2016
University of the West Indies
2009-2013
Successful simultaneous pancreas-kidney transplantation (SPK) improves quality-of-life and prolongs kidney allograft patient survival in type-1 diabetic (T1DM) patients. However, the use of SPK type-2 (T2DM) patients remains limited. We examined a national transplant registry for 35 849 T2DM disease who received between 2000 2016 survived first 3 months with functioning kidney, categorized as: deceased-donor alone (DD-KA, 68%), living-donor (LD-KA, 30%), or (2%). Among recipients, 6% had...
Hyponatremia is a very commonly encountered clinical entity with potentially dangerous effects and for which many precipitating factors have been identified. We present case of valproic acid (VPA) overdose causing profound hyponatremia, one the lowest serum sodium levels ever documented in literature. A 54-year-old woman hypothyroidism, hypertension bipolar disorder presented somnolence after intentionally ingesting 7,500 mg VPA. She was drowsy but easily arousable no hemodynamic compromise...
Aim: To determine and study the relationship between adiponectin inflammatory markers in obese, non-obese, type 2 diabetic non-diabetic Trinidadians.Methods: It was a cross-sectional comprised of 133 subjects Trinidadians. Anthropometric indices were measured adiponectin, marker levels, lipid profiles glucose fasting blood samples.Results: Adiponectin levels significantly lower (P = 0.003) diabetics (n 60) than non 73). No correlation found. negatively correlated with BMI adjusting for age...
Antineutrophil cytoplasmic antibody (ANCA) associated vasculitis rarely affects females of reproductive age. A 28-year-old African American woman presented at 8 weeks gestation with intractable vomiting attributed to hyperemesis gravidarum. She was found have acute kidney injury that unresponsive vigorous fluid resuscitation and urine sediment examination suggestive an underlying glomerulonephritis. Serum c-ANCA PR3 were elevated there no peripheral eosinophilia. During her course she also...
Tuberous sclerosis complex is a rare multisystemic genetic disorder associated with the development of benign hamartomas. Angiomyolipomas are one such characteristic finding that may be seen in 55–80% tuberous patients. While being normally asymptomatic, they can also cause significant morbidity and mortality. We present case patient recently discovered bilateral renal angiomyolipomas, admitted for hematuria who underwent left artery embolization; however, worsening function necessitated...
Bowel obstruction is a documented but rare presentation of adrenal insufficiency (AI). We report case acute AI manifesting as intestinal pseudo-obstruction (IPO) in patient with underlying iatrogenic suppression. An 83 years old female was admitted for partial small bowel that failed to resolve conservative management. She then underwent exploratory laparotomy where no mechanical found and the manually decompressed. Postoperatively she developed swelling her right ankle which similar...
We report the case of a 22-year-old African American female who presented to another facility for routine follow-up in 34th week pregnancy with lower extremity swelling and nephrotic-range proteinuria. Although she was normotensive, it initially thought that had preeclampsia. She monitored carefully delivery induced at 37 weeks gestation. transferred our hospital, where diagnosed systemic lupus erythematosus (SLE) based on clinical laboratory criteria. Renal biopsy revealed surprising...
Schistosomiasis is a parasitic disease which the third most devastating tropical in world. It rarely seen USA and can present an acute or chronic, indolent fashion. This clinical vignette will highlight presentation, diagnosis treatment of chronic intestinal schistosomiasis.This case 72 year-old Philippine retired nurse with unremarkable medical history who presented for her routine screening colonoscopy. Examination was unremarkable, lab tests were normal. Colonoscopy showed multiple 2-4 mm...