Immune thrombocytopenic purpura (ITP) has been reported following vaccinations such as MMR well after viral infections hepatitis C and HIV. Few case reports have of ITP COVID-19 vaccines. Herein, we present a patient who presented with severe platelet count 0 receiving the second dose BNT162b2 mRNA vaccine (also known Pfizer BioNTech). She subsequently recovered prolonged treatment course.

Entamoeba histolytica is a pathogenic protozoan endemic to Asia, Africa, and Central South America. However, with increased travel emigration, it becoming common parasitic infection leading many worldwide deaths. We present case of young Hispanic male immigrant an amebic liver abscess. This report highlights the complexities diagnosing treating E. infection.

Introduction: Coronavirus Disease 2019 (COVID-19) has increased the burden of hospitalised pneumonia cases and related complications. Spontaneous Pneumothorax (PT) Pneumomediastinum (PM) have been reported in both spontaneously breathing ventilated patients with COVID19 pneumonia. Aim: To determine incidence outcomes spontaneous alveolar air leak events COVID-19 Materials Methods: This prospective cohort study was carried out from June 2020 to 2021 at a tertiary care centre Western India....

<ns4:p><ns4:bold>Background: </ns4:bold>The annual incidence and mortality rates of pancreatic cancer has been rising. We analyzed trends by demographics geographic location.</ns4:p><ns4:p> <ns4:bold>Methods: </ns4:bold>Data was obtained from the Surveillance, Epidemiology, End Results (SEER) registry 17 were available to assess 2000 2019.</ns4:p><ns4:p> <ns4:bold>Results: </ns4:bold> The consistently increased over time 2019. Incidence highest in males (14; 95% Cl, 13.9,14.1) blacks (15.4...

755 Background: The annual incidence and mortality rates of pancreatic cancer has been rising. We analyzed trends by demographics geographic location. Methods: Data obtained from the Surveillance, Epidemiology, End Results (SEER) registry 17 were available to assess 2000 2019. Results: consistently increased over time Incidence was highest in males (14; 95% Cl, 13.9,14.1) blacks (15.4 Cl,15.2, 15.6). Alaska (16.2; 14.1, 18.5), lowest Utah (10.7; 10.4, 11.0). at 0.85% per year (95% 0.76,...

Abstract Purpose In 2019, the National Comprehensive Cancer Network (NCCN) recommended genetic testing for all patients with pancreatic ductal adenocarcinoma (PDAC). To evaluate status of implementation these guidelines in a loco-regional setting, we performed retrospective, observational study among newly diagnosed PDAC who received oncologic care at Northeast Georgia Medical Center Georgia. Methods Chart abstraction from January 1, 2020 to December 31, 2021, was include information on...

e16311 Background: Patients with mutations in BRCA 1/2 genes are at increased risk for pancreatic ductal cell adenocarcinoma (PDAC) addition to breast and ovarian cancer. In 2019, the NCCN updated its guidelines recommending gene testing all patients PDAC include associated genes: ATM, BRCA1, BRCA2, CDKN2A, MSH2, MLH1, MSH6, EPCAM, PALB2, STK11, TP53. This retrospective, observational study reports on adherence genetic screening recommendations among newly diagnosed who received oncologic...

Introduction: Acute ischemic disorders of the intestine are result a sudden reduction or occlusion in blood flow through mesenteric arteries. Atrial fibrillation and other cardiac arrhythmias often involved development acute intestine. This study aims to determine in-hospital outcomes patients diagnosed with arrhythmias. Methods: We utilized National Inpatient Sample database identify adult intestine, using International Classification Diseases 10th Edition (ICD-10-CM) codes from 2016 2018....

Introduction: Campylobacter jejuni is one of the leading causes bacterial gastroenteritis. Atypical presentations including Guillain Barre syndrome, reactive arthritis, irritable bowel intussusception, small obstruction, miscarriages, peritonitis, perforation, and myocarditis have also been reported but are rare. Here authors report a rare case campylobacter induced obstruction. Case Description/Methods: A 75-year-old man presented with low-grade fever, nausea, vomiting, abdominal pain,...

Introduction: Disparities in colorectal cancer screening among Africans have been reported since the early 1990s due to a multitude of reasons including limited access screening, low participation, structural racism and socioeconomic conditions. This may further exacerbated by COVID-19 pandemic. The study aims evaluate effects pandemic on amongst African Americans during 2020 2021. Methods: We performed retrospective National Health Interview Survey (NHIS) compare responses before 2019...

Introduction: Insulin resistance is well-described in obesity, type II diabetes mellitus and can also be caused by pancreatic cancer. New onset (NODM) may the earliest sign of cancer, with less than 1% patients developing cancer within 5 years. Additionally, worsening previously well-controlled despite weight loss has been thought to an early manifestation Currently, no screening options are available for detection. This study aimed evaluate effect pre-diagnosis HbA1c BMI values on staging...

Introduction: High impact tweets have the potential to reach a global audience; Twitter is therefore an important medium for information dissemination and used by many physicians. “Influencers” - accounts that produce frequent high lead conversation in different fields on Twitter, quality of they share public depends their level expertise. Studies shown positive correlation between influence academic productivity specific medical subspecialties like cardiology. This relationship has however...

Introduction: Drug induced liver injury (DILI) is one of the leading causes acute failure within United States. While several classes drugs are known to cause DILI, a recent uptick in herbal and dietary supplement DILI has been observed, accounting for 9% all cases. Here authors present case 28-year-old due an ashwagandha supplement. Case Description/Methods: A man with past medical history hypertension presented emergency department generalized itching, worsening malaise, jaundice. He...