A5009915227- Sarcoidosis and Beryllium Toxicity Research
- Cardiac Valve Diseases and Treatments
- Pulmonary Hypertension Research and Treatments
- Cardiac Imaging and Diagnostics
- Cardiac Structural Anomalies and Repair
- Congenital Heart Disease Studies
- Gastrointestinal disorders and treatments
- Esophageal and GI Pathology
- Cardiac Arrhythmias and Treatments
- Cardiomyopathy and Myosin Studies
- Folate and B Vitamins Research
- Atrial Fibrillation Management and Outcomes
- Gastrointestinal Bleeding Diagnosis and Treatment
- Mechanical Circulatory Support Devices
- Infective Endocarditis Diagnosis and Management
- Cancer therapeutics and mechanisms
- Cardiovascular Function and Risk Factors
- Acute Myocardial Infarction Research
- Pericarditis and Cardiac Tamponade
- Vasculitis and related conditions
- Infectious Diseases and Tuberculosis
- Lung Cancer Treatments and Mutations
- Vascular anomalies and interventions
- Potassium and Related Disorders
- Metabolism and Genetic Disorders
Regional Health
2024
Unity Health System
2023-2024
Rochester General Hospital
2019-2024
Unity Hospital
2022-2024
Lake Erie College of Osteopathic Medicine
2023
Sands
2023
SUNY Upstate Medical University
2020
Syracuse VA Medical Center
2020
Partial anomalous pulmonary venous return (PAPVR) is a congenital anomaly in which some of the veins drain erroneously into superior vena cava (SVC) or directly right atrium (RA). We present four cases PAPVR presenting adults. discussed various presentations, diagnostic approaches and challenges management these patients. Our first case had drainage from upper lobe lung to SVC was managed medically with riociguat ambrisentan. The second patient an unsuccessful attempt at repair vein. other...
Introduction Non-variceal upper gastrointestinal bleeding (UGIB) is a major burden on the health care system. The timing of endoscopy has been an ongoing debate and data association early with better or worse clinical outcome are conflicting. In our study, we aimed to identify benefits versus risks performing urgent in regards number endoscopic interventions, length hospital stay, packed red blood cells (PRBCs) transfused, mortality. Methodology This retrospective record-based study. A total...
Biliary-enteric fistula is a rare complication of cholelithiasis that can lead to gallstone ileus. Gallstone impaction in the duodenum and pylorus extremely gastric outlet obstruction, condition known as Bouveret syndrome. syndrome needs be diagnosed managed timely fashion, it has high mortality rate. We describe case an elderly patient who presented with secondary biliary calculus first part duodenum.
A 91-year-old male presented to the emergency room with hemodynamically significant upper gastrointestinal bleeding. The patient underwent an esophagogastroduodenoscopy (EGD), which showed frank blood in duodenum interfering visualization. Hence, urgent interventional radiology (IR)-guided arteriogram and embolization. An EGD done 48 hours later a giant, non-bleeding, cratered duodenal ulcer visible vessel vascular coils partially protruding into bulb lumen. had no evidence of bleeding post...
We report a patient with risk factors for both microbial keratitis and endophthalmitis, which were initially challenging to distinguish. Cultures of corneal scrapings yielded several organisms, including an uncultivable Gram-negative rod, eventually identified as Kingella negevensis. negevensis is so named because most strains have been isolated in the Negev, desert region southern Israel. The epidemiology K. remains incompletely understood. found no other reports literature this organism...
A 65-year-old female with a significant history of two previous mitral valve replacement surgeries for regurgitation was found to have severe again. She determined flail anterior leaflet and underwent redo open sternotomy replacement. This report serves provide an example uncommon case failure in effort alert clinicians this potential complication.
<ns4:p>Extra gonadal germ cell tumors most frequently occur in the anterior mediastinum, retro-peritoneum, and pineal suprasellar regions. The infrequency of its occurrence inside gastrointestinal tract makes it an arduous diagnostic challenge.</ns4:p><ns4:p> A 23 year old male with no significant past medical history presented to emergency department increasing abdominal pain, diarrhea, episodic vomiting for 3 weeks. Review systems was positive melena shortness breath on exertion. Fullness...
ABSTRACT Ectopic varices account for 1%–5% of all variceal bleeding episodes. The most common presentation cecal is an acute episode a massive lower gastrointestinal hemorrhage. However, can be found incidentally and silent prolonged period time before presenting with Through this case 63-year-old woman, we would like to highlight the paucity literature in treatment nonbleeding varices.
Aim: There is limited data on clinical outcomes of delayed cardioversion (DCV) compared with early (ECV) in paroxysmal atrial fibrillation (AF) patients. Methods: We utilized from National Inpatient Sample (2015-2020) and propensity-score matched analysis to determine adjusted odds ratio (aOR) major outcomes, including 17,879 AF cases: 9725 8154 underwent ECV DCV, respectively. Results: Compared ECV, DCV was associated higher acute heart failure (AHF; aOR 1.79 [1.67-1.92]; p < 0.01), median...
Introduction: Chest pain is the second most common presenting symptom in emergency department (ED). 5.1% of all presentations with chest are acute coronary syndrome (ACS). ACS includes ST-segment elevation myocardial infarction (STEMI), non-ST segment (NSTEMI), and unstable angina (UA). We present a case UA that progressed to STEMI after regadenoson stress test. Case: A 55 years old male 30 pack-year smoking history presented ED sudden onset, sharp, left-sided associated diaphoresis lasted...
Cardiac sarcoidosis (CS) and arrhythmogenic right ventricular cardiomyopathy (ARVC) are rare causes of arrhythmias associated with sudden cardiac death. Differentiation between both is important for proper management.We present a 56-year-old man arrest was diagnosed to have ARVC based on magnetic resonance imaging (MRI). He developed gradually worsening shortness breath over the next 1 year. CS unmasked after positron emission tomography (PET). Patient treated methotrexate. A repeat PET scan...
Ammonia is a well-recognized neurotoxin. Awareness about hyperammonemia, in the absence of liver cirrhosis, may help lifesaving, prompt diagnosis, and treatment. We present case 53-year-old male who presented to emergency department (ED) with altered mental status (AMS). He was unresponsive occasional eye opening. Initial labs were normal except for mildly elevated blood alcohol level. Serum ammonia levels very high (305 umol/L). improved lactulose. had similar admissions later on. Urine...
Millions of endoscopic procedures are performed in the US every year and use procedural sedation analgesia (PSA) is increasing with more being outside operating theater gaining popularity due to reduced costs. Patients having usually expect that they would be deeply sedated during procedure despite verbal counseling pre-procedure clinic visits often dissatisfied awareness discomfort. In order better educate patients, written supplementary reading material was provided which stated a clear...
Immune thrombocytopenia (ITP) is a diagnosis of exclusion and can be challenging at times to make the diagnosis. We herein present case 73-year-old male with history chronic ITP, who presented hospital sepsis developed thrombocytopenia. His did not improve resolution but improved ITP treatment including immunoglobulins steroids. Platelet-associated IgG antibody levels are inversely proportional platelet counts. The increased in sepsis. would like highlight that other causes should also considered
INTRODUCTION: Ammonia is a well-known toxin, mostly studied in Hepatic encephalopathy. While, it related to severe liver disease 90% cases, the remaining 10% constituted by disturbances its excretion or over production from other etiologies. [1] Awareness of hyperammonemia absence hepatic may lead lifesaving prompt diagnosis and treatment. We present mysterious case recurrent without known disease. CASE DESCRIPTION/METHODS: A 53 year old male with prior history well controlled hypertension...