Frequency and prevalence of obesity and related comorbidities in West Texas.
Abstract The aim of this cross-sectional study was to estimate the frequency and prevalence of obesity and its association with diabetes mellitus, systemic hypertension, hyperlipidemia, coronary artery disease, myocardial infarction, and obstructive sleep apnea in West Texas adults. Data were extracted from 9528 clinic patients: 2287 (24.4%) were normal weight or underweight, and 7057 (75.5%) were overweight or obese (28.9% and 46.6%, respectively). We observed a lower prevalence of any degree of obesity in men compared to women (43.8% vs 48.6%). Diabetes mellitus (odds ratio [OR] = 2.56; 95% confidence interval [...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Edwards S, Bijlani S, Fairley H, Lloyd N, Rivas AM, Payne JD Tags: Proc (Bayl Univ Med Cent) Source Type: research

Effect of extracorporeal membrane oxygenation transport on short- and long-term survival in patients with acute respiratory distress syndrome.
Abstract Venovenous extracorporeal membrane oxygenation (ECMO) has emerged as an important tool in the treatment of acute respiratory distress syndrome (ARDS). The creation of portable ECMO circuits and pumps has supported the development of interfacility ECMO programs. Prior studies have demonstrated that ECMO transport is safe; however, long-term outcomes for these patients remain unknown. Retrospective analysis of our 5-year experience identified 58 patients transported on ECMO and 82 patients cannulated at our institution. When short-term (30 days) and long-term (1 year) outcomes were compared between t...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Steimer DA, Hernandez O, Ogola G, Mason DP, Schwartz GS Tags: Proc (Bayl Univ Med Cent) Source Type: research

Inhaled epoprostenol utilization pattern after implementation of an administration policy.
This study analyzed epoprostenol utilization patterns in patients with ARDS after implementation of this administration policy. Drug responders and nonresponders were compared for clinical outcomes and physiologic changes before and after use, and policy compliance was evaluated. Of 79 eligible patients, 30 fulfilled inclusion criteria: 14 (47%) had ARDS and 16 (53%) had non-ARDS. In all patients with ARDS, epoprostenol was a second rescue agent after neuromuscular blockade, prone positioning, corticosteroids, and extracorporeal membrane oxygenation. Epoprostenol was associated with statistically significant improvement of...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Collier TE, Kataria V, Modrykamien A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Tracheal resection for tracheal stenosis.
In conclusion, tracheal stenosis patients have significant comorbidities that increase the risks after resection. However, these patients should still be considered for surgery for an improved quality of life and eventual resolution of severe stenosis. PMID: 32063757 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Jamil A, Still S, Schwartz GS, Podgaetz E, Mason DP Tags: Proc (Bayl Univ Med Cent) Source Type: research

Factors contributing to unintentional parathyroidectomy during thyroid surgery.
Abstract Unintentional parathyroidectomy during thyroid surgery has an incidence ranging between 1% and 31% across institutions. Many studies have identified malignancy and central neck dissection as risk factors for losing parathyroid glands, but few studies have evaluated the impact of other factors such as lymphocytic thyroiditis, hyperthyroidism, or concomitant primary hyperparathyroidism. The purpose of this study was to investigate which factors contribute to parathyroid loss during thyroid surgery. Charts of 269 patients undergoing thyroid surgery at a tertiary care medical center from 2010 to 2013 were ret...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Mencio M, Calcatera N, Ogola G, Mahady S, Shiller M, Roe E, Celinski S, Preskitt J, Landry C Tags: Proc (Bayl Univ Med Cent) Source Type: research

Evaluation of the safety and efficacy of the central venous administration of potassium chloride including the measurement of intracardiac potassium concentrations.
In conclusion, within the limitations of our sample size, our study demonstrated the safety and efficacy of the central venous infusion of 20 mEq KCl in 100 cc 5% dextrose in sterile water administered over 1 hour. PMID: 32063759 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Hootkins R, Emmett M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Advances in endoscopy for colorectal polyp detection and classification.
Abstract While colonoscopy is considered the gold standard for colon cancer screening, recent advancements in endoscopes have allowed for improved visualization of the colonic mucosa and improved polyp detection rates. Newer technologies also allow for assessment of structural changes for polyp discrimination and determination of histologic type. Classification of polyps prevents the need for a histopathologic report, which requires the additional time and expertise of a pathologist and adds to the overall cost. This review considered advances in endoscopic technologies reported in PubMed over the past 12 years. T...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Pamudurthy V, Lodhia N, Konda VJA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Recurrent thyrotoxicosis following near-total thyroidectomy.
We report the unusual recurrence of thyrotoxicosis following a near-total thyroidectomy. The patient, a 27-year-old woman, elected to have a total thyroidectomy and began levothyroxine after the procedure. Approximately 2 years later, recurrent thyrotoxicosis was evident off levothyroxine. Vascularized thyroid tissue was noted on ultrasound, and a radioactive iodine scan indicated increased uptake in the right thyroid region. She began antithyroid medication and was subsequently treated with radioactive iodine once a euthyroid state was achieved. We discuss the implications of this rare scenario-recurrence of thyrotoxicosi...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Gaschen P, Cordero J, Peiris AN Tags: Proc (Bayl Univ Med Cent) Source Type: research

Hypothyroidism following gastric sleeve surgery resolved by ingesting crushed thyroxine tablets.
We present a 35-year-old woman with longstanding iatrogenic hypothyroidism treated with thyroxine, whose thyroid-stimulating hormone level rose following a gastric sleeve procedure despite taking levothyroxine daily. PMID: 32063762 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Fain K, Rojas AP, Peiris AN Tags: Proc (Bayl Univ Med Cent) Source Type: research

Resolution of hypercalcemia in primary hyperparathyroidism with vitamin D replacement.
We present a case of primary hyperparathyroidism with a positive parathyroid scan and history of nephrolithiasis. The patient had normal albumin and renal function but was vitamin D deficient. After treatment with vitamin D for 13 months, her parathyroid hormone values declined in parallel with the elevation in vitamin D. Although her total calcium normalized, her ionized calcium remained elevated throughout treatment. We believe vitamin D deficiency should be carefully monitored in primary hyperparathyroidism. PMID: 32063763 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Rojas AP, Fain K, Peiris AN Tags: Proc (Bayl Univ Med Cent) Source Type: research

Hypervitaminosis D without toxicity.
We report a case with marked hypervitaminosis D (25(OH)D 196 ng/mL) without clinical or biochemical toxicity and normal serum calcium, phosphorus, and 1,25(OH)2D levels. The decline and normalization of the patient's 25(OH)D and urine calcium after cessation of supplements indicated that these supplements were the likely etiology of her hypervitaminosis D. Over-the-counter medications would benefit from regulation by the Food and Drug Administration to prevent incidental toxicity, as seen in our patient. PMID: 32063764 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Rahesh J, Chu V, Peiris AN Tags: Proc (Bayl Univ Med Cent) Source Type: research

Massively elevated creatine kinase levels in antihistamine-induced rhabdomyolysis.
Abstract Rhabdomyolysis is the destruction of skeletal muscle tissue with release of intracellular components into the circulation. Elevation of creatine kinase levels in serum is indicative of muscle damage and is associated with acute kidney injury. Antihistamines are a rare cause of nontraumatic rhabdomyolysis. Herein we describe a case of intentional ingestion of diphenhydramine resulting in rhabdomyolysis with subsequent elevation in creatine kinase levels exceeding 2 million IU/L. Aggressive intravenous volume expansion rapidly lowered creatine kinase levels and improved renal function. PMID: 32063765 [...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Ramakrishna KN, Shah A, Martinez-Balzano CD Tags: Proc (Bayl Univ Med Cent) Source Type: research

Insomnia in elderly people.
Abstract An elderly man presented with chronic sleep problems that had recently worsened. He had evidence of disseminated vascular disease with residual left-sided weakness following a stroke. The examination was otherwise unremarkable, but his metabolic profile revealed electrolyte and vitamin deficiencies and an elevated parathyroid hormone level. Electrolytes and vitamins are critical for maintaining physiological balance. Facilitating sleep is especially important in older people for gait stability and sustaining emotional and physical health. Addressing these issues in this patient resulted in improvement, ju...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Jayakumar P, Sharma A, Lippmann S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Gastroparesis managed with peroral endoscopic pyloromyotomy.
Abstract Gastroparesis is delayed gastric emptying in the absence of mechanical obstruction. Cases are attributed to narcotic use, smoking, diabetes, and postsurgical complications; however, several incidences are unknown. Treatment options include diet modification, gut-stimulating medications (e.g., metoclopramide, domperidone), laparoscopic pyloroplasty, and, in the most severe cases, partial gastrectomy with Roux-en-Y reconstruction. Recently, a novel therapy has been developed, peroral endoscopic pyloromyotomy (POP). This procedure is similar to a laparoscopic pyloroplasty; however, it is performed completely...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Clothier JS, Leeds SG, Ebrahim A, Ward MA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Use of 68Ga DOTATATE, a new molecular imaging agent, for neuroendocrine tumors.
We present a case where 68Ga DOTATATE was used to diagnose a well-differentiated neuroendocrine tumor. PMID: 32063768 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: LeBlanc RA, Oza UD, Hayden R, Fanous H Tags: Proc (Bayl Univ Med Cent) Source Type: research

Large pancreatic mass with chylous ascites.
We present a case of PPL that presented as a pancreatic mass with chylous ascites and describe the incidence, clinical features, diagnostic approach, and most commonly used treatment regimens for PPL. PMID: 32063769 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Badrinath M, Tambe A, Mandru R, Saleem S, Heisig D Tags: Proc (Bayl Univ Med Cent) Source Type: research

Treatment of colon cancer with multiple liver metastases.
We present the case of a 34-year-old woman who had about 50 liver metastases from an adenocarcinoma of the sigmoid colon. Neoadjuvant chemotherapy led to a remarkable response of the hepatic metastases. The patient was subjected to sigmoidectomy with primary anastomosis and synchronous treatment of all liver metastases. The number of liver lesions should not in itself present a contraindication to resection. This is the first report of successful concomitant surgical treatment of sigmoid adenocarcinoma and multimetastatic liver disease. PMID: 32063770 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Kykalos S, Vergadis C, Garoufalia Z, Sotiropoulos GC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Renal cell carcinoma with metastases to the rectum and gastric body.
Abstract Our case highlights renal cell carcinoma with metastases to the gastric body and rectum presenting as melena and dyspnea. Renal cell carcinoma frequently metastasizes to the lungs, lymph nodes, bones, and liver; gastrointestinal metastasis is rare. PMID: 32063771 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Bernshteyn M, Masood U, Smith-Hannah A, Manocha D Tags: Proc (Bayl Univ Med Cent) Source Type: research

Nivolumab-induced immune-mediated neurotoxicity in Hodgkin lymphoma.
We describe a case of nivolumab immune-mediated neurotoxicity in a 42-year-old Hispanic man with relapsed Hodgkin lymphoma who presented with unilateral facial droop, dysarthria, and dysphagia 1 week after receiving nivolumab. His symptoms rapidly improved with steroids, intravenous immunoglobulin, and infliximab. PMID: 32063772 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Lopez J, Yarlagadda N, Gheith Z, Mohan M, Sasapu A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Relapsed angioimmunoblastic T-cell lymphoma with large pericardial effusion.
We present a case of a subtype, angioimmunoblastic T-cell lymphoma, in which a patient previously treated with chemotherapy and autologous stem cell transplant relapsed with B symptoms and large pericardial/pleural effusions. Recurrent lymphoma was confirmed on pericardial tissue biopsy. Treatment was trialed with lenalidomide and the effusions resolved. Five months later she died from septic shock and multiorgan failure. Our case highlights the need for rapid evaluation of B symptoms and/or new effusions in patients with a known history of angioimmunoblastic T-cell lymphoma. PMID: 32063773 [PubMed] (Source: Baylor Un...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Sawhney R, Volkmer RD, Cooper B Tags: Proc (Bayl Univ Med Cent) Source Type: research

Erythrophagocytosis by leukemic blasts in acute myeloid leukemia with a normal karyotype and no detectable mutations.
We report a 62-year-old woman with acute myeloid leukemia with monocytic features and a normal karyotype noted to have erythrophagocytosis by leukemic blasts. PMID: 32063774 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Collins NG, O'Connor HM, Lindsey KG Tags: Proc (Bayl Univ Med Cent) Source Type: research

Pulmonary sarcomatoid carcinoma presenting as subcutaneous nodules.
Abstract Subcutaneous nodules secondary to metastasis can be a presenting symptom of lung cancer. Underlying cancer must be ruled out in patients presenting with multiple subcutaneous nodules with suspicious history, physical, and radiological findings. Prognosis is extremely poor with limited treatment options. PMID: 32063775 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Tambe A, Ramadas P, Williams M, Gambhir HS, Naous R Tags: Proc (Bayl Univ Med Cent) Source Type: research

Extramedullary hematopoiesis masquerading as a cranial (clivus) tumor.
We report an unusual location for EMH that masqueraded as a cranial tumor. PMID: 32063776 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Krause JR, Baugh L, Kelley S, Onofrio A, Snipes G Tags: Proc (Bayl Univ Med Cent) Source Type: research

Acquired hemophilia A.
We present a clinical series of nine patients diagnosed and treated for acquired hemophilia A at our institution. Among these nine patients, there were five men and four women with a median age of 64 years. All patients presented with bleeding diathesis. Factor eight inhibitor bypassing agent and/or recombinant factor VIIa were predominantly used for control of active bleeding. For elimination of autoantibodies, either steroids alone or the combination of steroids with rituximab or oral cyclophosphamide was used. Despite aggressive measures, two of the patients had a poor outcome; seven of the nine patients (77%) had a goo...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Pandey Y, Atwal D, Konda M, Roy A, Sasapu A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Trazodone overdose-induced Prinzmetal's angina pectoris.
Abstract A 29-year-old man presented to the emergency department with chest pain after ingestion of 25 tablets of 50 mg trazodone. Initial electrocardiography revealed a 3-mm ST-segment elevation in leads II, III, and aVF along with reciprocal ST-segment depression in anterior wall leads. Cardiac catheterization showed normal epicardial coronary arteries. His subsequent electrocardiograms showed resolution of ST-segment changes with uneventful recovery. PMID: 32063778 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Karki BR, Prasai P, Ruhela A, Sedhai YR Tags: Proc (Bayl Univ Med Cent) Source Type: research

The ketogenic diet and the QT interval.
This report highlights a case of QT prolongation with torsades de pointes in a patient with baseline congenital long QT syndrome, believed to be precipitated by metabolic changes associated with the "ketogenic diet." PMID: 32063779 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Sudhakaran S, Yazdani L, Wheelan KR, Rao PK Tags: Proc (Bayl Univ Med Cent) Source Type: research

Takotsubo cardiomyopathy and acute manic attack.
We present a 64-year-old white woman with an acute manic episode complicated by rhabdomyolysis and takotsubo cardiomyopathy. PMID: 32063780 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Idris A, Christensen JL, Hamandi M, Bayya S, Wang Z, Sayfo S, Dib C, Potluri S, Szerlip M, Al-Azizi KM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Atrial fibrillation induced by peripherally inserted central catheters.
We present a case of atrial fibrillation possibly triggered by migration of the tip of the PICC deep into the right atrium. Retraction of the tip resulted in resolution of the arrhythmia. PMID: 32063781 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Golamari R, Sedhai YR, Ramireddy K, Bhattacharya P Tags: Proc (Bayl Univ Med Cent) Source Type: research

Transesophageal echocardiography guidance for atrial-caval thrombus removal with the AngioVac system.
Abstract Thromboembolectomy is often guided with fluoroscopy. For intracardiac and great vessel thromboemboli, transesophageal echocardiography (TEE) can assess these thrombi, guide precise suction catheter placement, prevent intracardiac injury, and serve as a hemodynamic monitor. TEE can also be used to assess blood flow and thrombotic material reduction following embolectomy. TEE is a low-risk, high-value, real-time imaging modality that facilitates thromboembolectomy and increases patient safety. PMID: 32063782 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Miller SD, Lee DC, Dollar BT, Schepel SR, Shestopalov A, Culp WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Basilar tip aneurysm Wingspan stent-assisted coil embosurgery via P1 to P1 approach.
Abstract Wide neck basilar tip aneurysms are challenging to secure with coil embosurgery despite balloon remodeling and stent-assisted coiling. In patients with favorable posterior circle of Willis anatomy, the traditional antegrade placement of two stents that span the basilar apex to both proximal posterior cerebral arteries (P1s) can be avoided by implanting a single stent across the P1s and basilar apex via a retrograde posterior communicating artery approach. This case report details the first use of the high radial force Wingspan stent placed in this fashion during basilar aneurysm coiling repair. PMID:...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Lesley WS, Lyon K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Anomalous origin of the left coronary artery from pulmonary artery misdiagnosed as postpartum cardiomyopathy.
Abstract A 30-year-old woman with a history of presumed postpartum cardiomyopathy presented to her primary care physician's office with crescendo angina and shortness of breath. She was found to be in supraventricular tachycardia, managed with the Valsalva maneuver, and was discharged home without any further workup. She again presented with exertional symptoms. Her electrocardiogram revealed abnormal T waves and her stress test was strongly positive. Cardiac catheterization revealed an absent left coronary ostium and a dilated right coronary artery, with large collaterals supplying the left coronary system; coron...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Nepal S, Carhart RL, Kadura S, Barreto S, Greca I Tags: Proc (Bayl Univ Med Cent) Source Type: research

Natural conception resulting in a ruptured heterotopic pregnancy in a multiparous woman.
Abstract A 31-year-old multigravida woman 16 weeks pregnant by natural conception presented with right lower abdominal pain and bloody emesis. She was hypotensive and anemic with hemoperitoneum resulting from rupture of an ectopic pregnancy. At operation, she was found to have a right tubal heterotopic pregnancy with attachments to the appendix and omentum. PMID: 32063785 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Shenoy VB, Buckley CJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Importance of imaging in knee pain.
Abstract A 72-year-old woman with a prior history of stage IIIa lung adenocarcinoma was seen with complaints of knee pain, swelling, and difficulty sleeping at night for 1 month. Although mimicking osteoarthritis, patellofemoral syndrome, and iliotibial band syndrome, radiographs showed a lytic lesion suspicious for metastatic disease. The right tibial lesion was excised, saphenous neurolysis was performed, and radiation treatment and four cycles of chemotherapy were administered. This case shows the importance of early imaging in patients with knee pain of prolonged duration seen in the primary care setting. ...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Gibson EJ, Mukkamala P, Lopez L, Goldson TM, Forjuoh SN Tags: Proc (Bayl Univ Med Cent) Source Type: research

Prosthetic joint infection due to Mycobacterium moriokaense in an immunocompetent patient after a total knee replacement.
Abstract Nontuberculous mycobacteria (NTM) are a rare cause of prosthetic joint infection (PJI) that is documented to affect immunocompromised patients primarily. In this case report, we describe an immunocompetent patient with a rare case of PJI caused by Mycobacterium moriokaense after a total knee replacement. This patient is the eighth reported case of PJI caused by NTM and the first reported case in an immunocompetent individual. Because PJI caused by NTM is rare and difficult to treat, it is essential to include it in the differentials during initial workup of suspected PJI, especially in the context of nega...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Singh J, Antony SJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Rectus femoris intrasubstance tear in a collegiate football kicker and its mechanism.
Abstract Rectus femoris muscle belly tears have not been reported in the literature to our knowledge. This is a case of an isolated rectus femoris intrasubstance tear in a healthy college football kicker possibly caused by the eccentric and concentric load cycles associated with kicking activities. Dynamic ultrasound was crucial in establishing a diagnosis and investigating the mechanism behind this rare injury. PMID: 32063788 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Patel SJ, Nguyen DD, Heldt B, Jayaram P Tags: Proc (Bayl Univ Med Cent) Source Type: research

Prophylactic ureteral catheter placement for minimally invasive colorectal surgery.
We present a case of ureteral catheter placement wherein the patient required readmission for renal failure with intervention under local anesthesia. This case highlights the importance of patient selection for catheter placement and clinical follow-up, as well as the need for prospective studies to determine the risk-benefit ratio of preoperative catheters. PMID: 32063789 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Dowd KE, Muse TO, Lowry PS, Essani R Tags: Proc (Bayl Univ Med Cent) Source Type: research

Simultanagnosia as the presenting symptom in neuro-ophthalmology.
We report two unusual cases of simultanagnosia and juxtaposed homonymous visual field loss involving aqueductal stenosis-related obstructive hydrocephalus and cardiac arrest due to Brugada syndrome. Clinicians should be aware that simultanagnosia can be the presenting symptom of neuro-ophthalmic disease. PMID: 32063790 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Wang R, Hopping G, Al Othman B, Tabba S, Kini A, Lee AG Tags: Proc (Bayl Univ Med Cent) Source Type: research

Managing a long-recurring primary orbital hemangiopericytoma.
We present a 61-year-old woman with longstanding, recurrent benign orbital hemangiopericytoma and results of its successful removal. PMID: 32063791 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Mian MA, Gilliland GD Tags: Proc (Bayl Univ Med Cent) Source Type: research

Necrotizing fasciitis of the scalp stemming from odontogenic infection.
We present a rare case of odontogenic infection progressing to acute cervicofacial necrotizing fasciitis of the scalp and neck. PMID: 32063792 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Lee MH, Votto SS, Read-Fuller AM, Reddy LV Tags: Proc (Bayl Univ Med Cent) Source Type: research

Erythrodermic psoriasis secondary to systemic corticosteroids.
We present a 58-year-old woman with psoriasis who, after an abrupt discontinuation of systemic corticosteroids, developed erythrodermic psoriasis with extensive body surface involvement requiring hospital admission. Erythrodermic psoriasis requires a high index of suspicion to diagnose it in a timely fashion and treat it to prevent complications. PMID: 32063793 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Heinrich M, Cook E, Roach J, Juarez RM, Payne D, Atkins R, Stetson C Tags: Proc (Bayl Univ Med Cent) Source Type: research

The case of the magenta woman (DRESS syndrome).
Abstract Drug reaction with eosinophilia and systemic symptoms, otherwise known as DRESS syndrome, is a rare, potentially life-threatening drug-induced hypersensitivity reaction that primarily involves a widespread skin rash, fever, hematological abnormalities, lymphadenopathy, and organ injury. Anti-epileptics, sulfonamides, and allopurinol are the most common triggers, but other offending medications have been reported in the literature. Vancomycin has been increasingly reported over the past 5 years, with 26 cases reported to date. Here we describe a case of a 44-year-old woman who presented with a cutaneous dr...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Swali R, Ghazarian A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Allergic contact dermatitis of adjacent normal skin from 5-fluorouracil for the treatment of flat facial warts.
In this report, we present a 21-year-old woman who developed allergic contact dermatitis of the adjacent normal skin after topical application of 5-fluorouracil to the face for the treatment of flat warts. PMID: 32063795 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Asad U, Nguyen J, Sturgeon A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Baylor Scott & White Health news.
Baylor Scott & White Health news. Proc (Bayl Univ Med Cent). 2020 Jan;33(1):119-122 Authors: Orticio C PMID: 32063796 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Orticio C Tags: Proc (Bayl Univ Med Cent) Source Type: research

Thinking fast and slow in medicine.
PMID: 32063797 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Michel JB Tags: Proc (Bayl Univ Med Cent) Source Type: research

An update on dimensions of consciousness.
Abstract Evidence is presented to support the hypothesis that "binding" of the senses to produce a combined sensory experience is made possible by the allocation of each sense to its own dimension. PMID: 32063798 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Walling PT Tags: Proc (Bayl Univ Med Cent) Source Type: research

Effect of topical dermatologic medications in humans on household pets.
PMID: 32063799 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Asad U, Boothe D, Tarbox M Tags: Proc (Bayl Univ Med Cent) Source Type: research

The Peachtree Road Race in Atlanta at 50: Reflections on a running career.
PMID: 32063800 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Cantwell JD Tags: Proc (Bayl Univ Med Cent) Source Type: research

A global perspective on newborn congenital hypothyroidism screening.
Abstract Congenital hypothyroidism (CH) is a thyroid hormone deficiency syndrome in newborns resulting from incomplete thyroid development and decreased thyroid hormone biosynthesis or thyroid-stimulating hormone secretion. Without early treatment, newborns with CH have irreversible neurological deficits and long-term metabolic complications. Therefore, several countries have implemented widespread newborn screening to identify and treat CH in newborns. Although newborn screening has improved diagnosis and treatment outcomes for CH, several questions remain concerning the etiology and increased incidence of CH in ...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Kopel J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Interfaith dialogue in medicine.
Abstract A moral crisis has swept through the United States dividing social, political, and religious organizations with corrupt and ineffectual leadership. However, the present moral crisis has its roots in the technological and cultural shifts of the last half century. The goal of interfaith dialogue is not merely to exchange pleasantries, but to build a mutual collaboration addressing the moral and ethical issues with a unified voice. Interfaith dialogue has the potential to pull us out of our individualism and, in focusing on our relationships, create a new sensibility about being human. And were that new sens...
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Kopel J, Mackenzie D, Gorga C, Wunsch Ii DC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Robert Wilson Jackson, MD (1932-2010).
This article commemorates the life and contributions of one of the most influential sports surgeons in the history of orthopedic surgery, Dr. Robert Jackson. PMID: 32063803 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2020 Category: Universities & Medical Training Authors: Rizkalla JM, Nimmons SJB, Polo F, Jones AL Tags: Proc (Bayl Univ Med Cent) Source Type: research