A5072470825- Thyroid Cancer Diagnosis and Treatment
- Cardiac Arrest and Resuscitation
- Health Literacy and Information Accessibility
- Helicobacter pylori-related gastroenterology studies
- Pituitary Gland Disorders and Treatments
- Neuroblastoma Research and Treatments
- Eosinophilic Esophagitis
- Long-Term Effects of COVID-19
- Respiratory Support and Mechanisms
- Social Media in Health Education
- Intensive Care Unit Cognitive Disorders
- Neurological and metabolic disorders
- Thyroid Disorders and Treatments
- Mechanical Circulatory Support Devices
- COVID-19 Clinical Research Studies
- Biomedical and Engineering Education
- Atherosclerosis and Cardiovascular Diseases
- Fungal and yeast genetics research
- COVID-19 and healthcare impacts
- Intramuscular injections and effects
- Signaling Pathways in Disease
- Potassium and Related Disorders
- Aortic Thrombus and Embolism
- Clostridium difficile and Clostridium perfringens research
- Blood Coagulation and Thrombosis Mechanisms
Christiana Care Health System
2025
Thomas Jefferson University
2013-2024
Thomas Jefferson University Hospital
2020-2024
Jefferson Hospital
2020-2021
Abington Memorial Hospital
2020-2021
Philadelphia College of Osteopathic Medicine
2019-2020
Abstract Insulinomas are rare neuroendocrine neoplasms and causes of hypoglycemia. They present with neuroglycopenic symptoms, including confusion seizures. Suspected diagnosis must be confirmed through bloodwork imaging. The majority insulinomas benign cured surgically; less than 10% malignant. Malignant a unique challenge in managing persistent hypoglycemia tumor burden. We case young woman who presented Whipple triad high-grade masses her pancreas, liver, distant lymph node metastases on...
Wooden chest syndrome (WCS) describes a finding of fentanyl-induced skeletal muscle rigidity causing ventilatory failure. Known primarily to anesthesiology, pulmonary, and critical care fields, WCS is rare complication that may affect patients all ages if exposed intravenous fentanyl, characterized by patient's inability properly ventilate. Given the rise synthetic opioid deaths across United States in past decade, an understanding fentanyl's effects on body necessary. In this article, we...
Abstract Background Severe acute respiratory syndrome coronavirus 2 infection can lead to a constellation of viral and immune symptoms called disease 2019. Emerging literature increasingly supports the premise that severe promotes prothrombotic milieu. However, date there have been no reports aortic occlusion, itself rare phenomenon. We report case fatal occlusion in patient with Case A 59-year-old Caucasian male past medical history peripheral vascular presented emergency department for...
The internet is increasingly used to access patient education materials. average American reading level has been found be that of a 7th- 8th-grade student, prompting the National Institutes Health (NIH) and Medical Association (AMA) advise materials written between 4th- 6th-grade level. purpose this study was evaluate current for most common musculoskeletal oncological tumors. A Google search performed with all location filters off account geographic variability related 28 orthopedic primary...
Acromegaly is a rare pituitary condition stemming from hypersecretion of growth hormone (GH). Classic presentation involves enlarged hands, feet, and coarse facial features. However, late-onset cardiac manifestations develop in the absence disease control. Of various complications, heart failure rarest (3%-4% cases). Here we present case acromegaly diagnosed after patient exhibited symptoms failure, with eventual placement left ventricular assist device (LVAD) as bridge to orthotopic...
Abstract Disclosure: R. Goldberg: None. F. Thelmo: I. Ahmed: Introduction The cosyntropin stimulation test (CST), which utilizes a synthetic adrenocorticotropic hormone (ACTH) analog to stimulate the adrenal glands release cortisol, is used help define presence or absence of insufficiency (AI). In primary and secondary AI, cortisol inappropriately low (<18 mcg/dL) when measured 30 minutes 60 after administration cosyntropin. aim this study was assess utilization CST in Jefferson...
Abstract Disclosure: G. Umarji: None. F. Thelmo: S.A. Jabbour: Vitamin D-dependent rickets type 2A (VDDR2A) also known as hereditary 1,25 (OH)2D resistant is due to biallelic loss-of-function mutations in the gene encoding vitamin D receptor on chromosome 12q13.11, thus, it represents a true form of tissue resistance D. It scarce with approximately only 120 cases reported. A 37-year-old male was referred endocrinology by neurosurgery for evaluation metabolic bone disease. Seven years ago, he...
Abstract Disclosure: F.L. Thelmo: None. M. Murugesh: B. Simon: Introduction: The autoantibody GAD (anti-glutamic acid decarboxylase) is highly associated with Type 1 diabetes (T1DM) and Latent Autoimmune Diabetes in Adulthood (LADA). If detected before the onset of overt diabetes, typically 80% patients abnormal glucose tolerance progress to insulin deficiency need for treatment after 5 years.[1] Stiff Person Syndrome (SPS) also antibodies, but SPS, antibodies are believed be different...
Abstract Disclosure: M.S. Maharaul: None. F. Thelmo: I. Ahmed: Introduction: Lymphocytic hypophysitis secondary to ruptured Rathke’s cleft cyst (RCC) is a rare entity. cysts are benign fluid-filled intra-sellar that originate from the remnants of pouch and contain mucoid material. Most asymptomatic; some may get symptomatic during expansion rupture releasing liquid content trigger local inflammation. Surgical resection followed by glucocorticoids usually curative. Case: A 42-year-old female...
Abstract Disclosure: M. Murugesh: None. F. Thelmo: J. Watari: The most common cause of a sellar mass is notably pituitary adenoma (84.6%), followed by craniopharyngioma (3.2%), cystic nonneoplastic lesion (2.8%), inflammatory (1.1%), meningioma (0.94%). Epidermoid cysts are benign congenital inclusion that can occur anywhere in the body, with about 7% percent occurring head and neck region. Very rarely, they present intracranially, accounting for 0.3-1.8% primary tumors. We rare case...
Epiphrenic esophageal diverticula (EED) is a rare condition that usually presents with dysphagia in patients known motility disorder. In this article, we present unique case of EED presenting hemoptysis clinical workup negative for any pulmonary pathology. Esophagogastroduodenoscopy revealed arteriovenous malformations within the successfully managed argon plasma coagulation (APC), leading to resolution patient’s symptoms.
Rosal, Nathaniel; Tzarnas, Stephanie; Thelmo, Franklin; Madara, John Author Information
Abstract Disclosure: F.L. Thelmo: None. A. Mehrab: S.A. Jabbour: A 66-year-old white male had been following steadily with our practice for greater than a decade where we were managing his post-ablative hypothyroidism from toxic multinodular goiter 20 years prior. Many later, the patient developed hypercalcemia and was found to have asymptomatic primary hyperparathyroidism. He did not meet any indication parathyroidectomy. In early January 2021, referred clinical geneticist at behest of wife...
Abstract Disclosure: F.L. Thelmo: None. J. Watari: J.L. Miller: Thyroglobulin (TG) remains a clinical mainstay for monitoring of disease burden and recurrence in patients with differentiated thyroid cancer. TG levels are expected to be low undetectable who undergo total thyroidectomy less than 30 ng/mL lobectomy. We describe case 52-year-old patient underwent lobectomy 16 mm minimally invasive follicular carcinoma (single vessel angioinvasion) was later found have level excess 2,000 despite...
Introduction: Asthma is an obstructive lung disease characterized by airway inflammation, mucus overproduction, and reactivity of bronchial smooth muscle. Early in the pandemic, there was conflicting data as to whether asthma a risk factor for certain aspects hospitalization with coronavirus 19 (COVID-19). We aimed identify associations hospital length stay (LOS) or requirement mechanical ventilation (MV) among hospitalized patients COVID-19. Methods: This retrospective chart review our...
INTRODUCTION: Background: H.pylori is a common chronic bacterial infection that affects over 70 percent of adult populations, in particular persons from developing nations and low socioeconomic status. It has been well established this can lead to carcinoma diseases such as anemia or peptic ulcer disease. Objective: There are insufficient guidelines on how approach patients with dyspeptic symptoms who relocated where the prevalence high reside United States. The main objective our study...
1N/A, PA 2Abington Hospital - Jefferson Health, Abington, 3Abington 4Abington Abington