A5040307676- Infective Endocarditis Diagnosis and Management
- Cardiovascular Effects of Exercise
- Cardiac Imaging and Diagnostics
- Mechanical Circulatory Support Devices
- Cardiac Structural Anomalies and Repair
- Cancer Diagnosis and Treatment
- COVID-19 Clinical Research Studies
- Cardiac tumors and thrombi
- Cardiac Arrest and Resuscitation
- Streptococcal Infections and Treatments
- Atrial Fibrillation Management and Outcomes
- Venous Thromboembolism Diagnosis and Management
- Cardiac Valve Diseases and Treatments
- Tracheal and airway disorders
- Antimicrobial Resistance in Staphylococcus
- Vasculitis and related conditions
- Acute Myocardial Infarction Research
- Lung Cancer Treatments and Mutations
- Occupational and environmental lung diseases
- Esophageal and GI Pathology
- Pleural and Pulmonary Diseases
- Oral and Maxillofacial Pathology
- Soil Carbon and Nitrogen Dynamics
- Eosinophilic Esophagitis
- Bacterial Infections and Vaccines
Creighton University
2020-2023
St. Joseph's Hospital and Medical Center
2020-2022
Tucson Orthopaedic Institute
2022
University School
2020-2021
American University
2021
Theodore Roosevelt High School
2020
Maricopa Medical Center
2020
Arizona Department of Education
2020
University of Arizona
2020
Solitary fibrous tumors (SFT) represent a unique subset of mostly benign heterogeneous with mesenchymal cell origins. These have been reported in the past as being indolent, slowly evolving clinical course and low potential for malignancy. Although found systemically, incidence SFT arising intrathoracically, from pleura lung, is relatively poorly documented medical literature. rare phenomenon, but even rarer circumstances, these are associated distinctive paraneoplastic syndromes, such...
A 30-year-old male presented to the emergency department with dyspnea, fatigue, orthopnea, and paroxysmal nocturnal dyspnea for past three months. The patient admitted anabolic steroid use 11 years. Transthoracic echocardiography was significant severely dilated left ventricle, diffuse hypokinesis, ejection fraction < 15%, grade II diastolic dysfunction. diagnosed decompensated, non-ischemic cardiomyopathy stage C, New York Heart Classification (NYHA) class III > IV, likely from of...
In this article, we report a case of 61-year-old male who was diagnosed with SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), presenting distress requiring intubation and hemodynamic support, marked D-Dimer troponin I elevation, worsening ST-elevation myocardial infarction on repeat electrocardiograms, negative coronary angiogram ruling out artery thrombosis or occlusion. With diffuse ST-segment elevation electrocardiograms reduced ejection fraction echocardiography in the...
Infective endocarditis (IE) is classified as an infection of any cardiac valve or endocardial surface and often associated with high morbidity mortality. Certain bacteria such gram-positive cocci viridans group streptococci have predilection for both naïve damaged valvular tissues, accounting the majority IE cases. In very infrequent instances, gram-negative (GNB), more specifically non-meningococcal, non-gonococcal GNB, been shown to cause IE. The following a case young male diagnosed...
Neurofibromatosis 1 (NF1) is a genetic condition of variable presentations. It has been shown to increase the risk multiple cancers. Therefore, NF1 identified as tumor-provoking condition. We present case 39-year-old woman with who was diagnosed initially papillary thyroid carcinoma (PTC) and subsequently presented painful breast lump. Core biopsy revealed an invasive ductal (IDC) for which selective estrogen receptor modulator (SERM) therapy initiated. A lumpectomy performed soon after,...
Right atrial (RA) masses are rare, challenging to diagnose, and potentially life-threatening with high mortality if untreated. We present a patient presenting diffuse large B-cell lymphoma in the brain that was incidentally found have RA mass. For better definition of mass, extensive workup using multimodality imaging including chest computed tomography, transthoracic echocardiography, transesophageal cardiac magnetic resonance imaging, left heart catheterization warranted. The demonstrated...
A 60-year-old man with a history of methamphetamine and tobacco dependence was evaluated for COPD, found to have saber-sheath appearance the trachea based on CT imaging findings.
It is routinely believed that patients with electrocardiographic findings of ST elevation myocardial infarction (STEMI) will have evidence obstructive coronary artery disease on angiography. Although this the situation in majority STEMI instances, a small percentage cases, presenting are found to minimal no blockage subsequent angiography, termed MI non-obstructive arteries (MINOCA). MINOCA heterogenous entity multiple causes, making focused diagnostic workup important select an appropriate...
Infective endocarditis (IE) is classified as an infection of any cardiac valve or endocardial surface. This condition associated with high morbidity and mortality; hence, early diagnosis rapid intervention are extremely vital. Although IE frequently found to infect only one heart valve, rare instances have shown multi-valvular involvement. Many conditions can present similar IE, often delaying the IE. Coccidioidomycosis (or Valley Fever), a fungal endemic in Southwestern United States,...
INTRODUCTION: Hepatocellular carcinoma (HCC) is a highly malignant tumor that mostly diagnosed at an advanced stage. Here, we report metastatic HCC in elderly man with hepatitis C virus (HCV) and alcoholic cirrhosis. Literature sparse on chest wall metastasis. CASE DESCRIPTION/METHODS: A 69-year-old Caucasian presented because of growing left mass, back pain, weight loss for three months. He had never visited physician before; history was pertinent tobacco smoking alcohol dependence....
INTRODUCTION: Cardiovascular dysphagia is a rarely diagnosed entity. We report megalatriensis in an 80-year-old man with history of atrial fibrillation and severe mitral regurgitation who presented progressive unintentional weight loss. CASE DESCRIPTION/METHODS: An regurgitation, two-month solid food 60-pound He was noted to have prior recurrent admissions for aspiration pneumonia. Initial computed tomography (CT) scan revealed massively dilated esophagus large bolus, left atrium (LA),...
SARS-CoV-2, the novel Coronavirus of 2019, and its associated coagulopathy has been reported to have many deleterious complications involving cardiovascular system.Despite these observed effects, there is a paucity reports regarding SARS-CoV-2 cardiac thrombus formation.In absence thrombi in heart are typically seen left ventricle, with right (RHT) being very uncommon.When present, RHT usually pulmonary embolism (PE), which can lead sided failure some cases.In rare instances, present PE.In...
Evidence is limited on the best management strategies to ensure adequate cardiac function after out of hospital arrest found be due ventricular arrhythmia from Takotsubo Cardiomyopathy (TC). With a small number TC cases subsequently leading cardiogenic shock with biventricular failure, even less known regarding optimal treatment approaches. Here, we present unique case middle-aged female brought into multiple arrests, likely associated acquired long QT syndrome, that went onto develop severe...
A gravida 3, para 2, 26-year-old pregnant female with history of prior tricuspid valve replacement, was found to have severe stenosis the homograft on diagnostic transthoracic echocardiogram during routine cardiac testing.
Introduction: Coronary Artery Disease (CAD) occurs equally in males and females is the most common cause of death both genders worldwide. The pre/peri-menopausal female believed to have minimal coronary atherosclerosis based primarily on non-invasive techniques, with limited angiography data. Cardiac computed tomography (CCTA) a more sensitive, anatomical diagnostic tool for quantifying atherosclerosis, but women been underrepresented underdiagnosed. goal this study was quantify population....