Hospitalizations for ketoacidosis in type 1 diabetes mellitus, 2008 to 2018
In conclusion, there was a significant decrease in both LOS and THC, potentially reflecting improvements in the management of DKA in patients with T1DM.PMID:34970023 | PMC:PMC8682866 | DOI:10.1080/08998280.2021.1978741 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Asim Kichloo Zain El-Amir Farah Wani Hafeez Shaka Source Type: research

Role of inflammatory markers in the preoperative evaluation of patients undergoing salvage total hip arthroplasty
In conclusion, CRP levels are useful in the preoperative evaluation for periprosthetic joint infection before salvage THA.PMID:34970024 | PMC:PMC8682832 | DOI:10.1080/08998280.2021.1977077 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Jessica L Hughes Bryce C Allen Courtney Shaver Source Type: research

Utilization of submandibular ultrasound to measure oral cavity changes with interventions in routine airway management
Proc (Bayl Univ Med Cent). 2021 Sep 28;35(1):20-23. doi: 10.1080/08998280.2021.1980318. eCollection 2022.ABSTRACTUltrasound is a quick, noninvasive, inexpensive tool that can provide an accurate airway assessment. Tongue thickness, oral cavity height, and their relationship were measured using submandibular ultrasonography with and without oral airway interventions during intubation in 26 patients. The mean tongue thickness to oral cavity height ratio was 0.83 ± 0.03. The percent change of tongue thickness to oral cavity height decreased significantly by 36.47% with an oral airway and by 43.49% with laryngoscope interventions (P
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Alexandra Helbing Esther Lee Raymond Pla Eric Heinz Source Type: research

Outpatient colectomy-a dream or reality?
In conclusion, our study suggests that appropriately selected patients can be successfully managed in the outpatient setting without increased complications following partial colectomy when preoperative preparation and education are put in place alongside our colon ERAS pathway and minimally invasive surgical techniques.PMID:34970026 | PMC:PMC8682818 | DOI:10.1080/08998280.2021.1973327 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Stephen Campbell Alessandro Fichera Scott Thomas Harry Papaconstantinou Rahila Essani Source Type: research

Corneal surgically induced astigmatism in resident surgeons
In conclusion, centroid values of SIA with junior surgeons were more than the proposed established values, but likely not clinically significant, with at most a difference of
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Timothy Sipos Kendall Bicknell Source Type: research

Imaging findings in invasive rhino-orbito-cerebral mucormycosis in post-COVID-19 patients
In conclusion, early detection of extrasinus spread of mucormycosis by imaging is important so that aggressive treatment can be given and mortality can be reduced.PMID:34970028 | PMC:PMC8682837 | DOI:10.1080/08998280.2021.1981100 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Gunjan Jindal Aaftab Sethi Kanika Bhargarva Sanjay Sethi Amit Mittal Ujjwala Singh Shreya Singh Amit Shrivastava Source Type: research

Impact of the Texas-Wide Premedical Mentoring Program during the COVID-19 pandemic
In conclusion, program participation was associated with decreasing application knowledge gaps, easing anxiety, and providing alliance for mentees. The TPMP had a similarly positive influence on the mental wellness of mentees and mentors as well as contributed to medical student mentors' sense of fulfillment.PMID:34970029 | PMC:PMC8682816 | DOI:10.1080/08998280.2021.1980357 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Nicole L Alexander Jessica C Sheu Alexandra M Villagran Christi J Guerrini Eric A Storch Source Type: research

Alternative publication metrics in the time of COVID-19
This study analyzed Altmetric Attention Scores for the top 25 publications on COVID-19 and the top 25 non-COVID-19 publications in 2020. There were significantly higher levels of social attention scores across multiple metrics for COVID-19 articles than for non-COVID-19 articles for that year. There was a slightly higher goodness of fit between Altmetric Attention Scores and academic citations for COVID-19 publications than for non-COVID-19 publications, although trendline differences were not significant. These results suggest that researchers should be aware that their studies can become highly visible on publicly availa...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Christopher J Peterson Caleb Anderson Kenneth Nugent Source Type: research

Application of beta-blockers in burn management
Proc (Bayl Univ Med Cent). 2021 Nov 22;35(1):46-50. doi: 10.1080/08998280.2021.2002110. eCollection 2022.ABSTRACTSevere burn injuries cause chronic inflammation, which produces a subsequent hypermetabolic response that starts immediately and persists for at least 3 years. The hypermetabolic state, which is thought to be due to postburn elevations of endogenous catecholamines and cortisol, is associated with a number of harmful physiologic derangements including immunosuppression, impaired wound healing, muscle catabolism, and hepatic dysfunction. Beta-blockers have become first line agents for reducing these adverse effect...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Jonathan Kopel Gregory L Brower Grant Sorensen John Griswold Source Type: research

Meta-analysis of randomized controlled trials on primary ambulatory thromboprophylaxis in patients with nonpancreatic gastrointestinal cancers receiving chemotherapy
Proc (Bayl Univ Med Cent). 2021 Sep 16;35(1):51-55. doi: 10.1080/08998280.2021.1973340. eCollection 2022.ABSTRACTPrimary ambulatory thromboprophylaxis (PATP) in patients with solid malignancies is not routinely indicated. We performed a meta-analysis of randomized controlled trials (RCTs) to determine the benefit and risk of PATP in patients with nonpancreatic gastrointestinal cancers receiving chemotherapy. RCTs with venous thromboembolism (VTE) reduction as primary or secondary endpoints were included. A total of 1932 patients from subgroups of 3 RCTs were eligible. The VTE incidence was 1.26% and 2.55% in PATP and contr...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Thura Win Htut Kyaw Zin Thein Donald Paul Quick Thein Hlaing Oo Source Type: research

Management of asymptomatic severe hypertriglyceridemia
We present a rare case that could not be controlled by medical management and required plasmapheresis.PMID:34970033 | PMC:PMC8682841 | DOI:10.1080/08998280.2021.1960123 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Nathalie V Scherer Dipesh Bista Source Type: research

Immune thrombocytopenic purpura secondary to < em > Helicobacter pylori < /em >
We present a patient with upper gastrointestinal bleeding complicated by severe thrombocytopenia. Endoscopy revealed gastritis with pathology positive for Helicobacter pylori. Platelet count normalized after triple antibiotic therapy. The precise mechanism by which H. pylori causes immune thrombocytopenic purpura remains unclear; however, there are several plausible mechanisms. This case highlights the importance of keeping H. pylori in the differential in patients presenting with thrombocytopenia.PMID:34970034 | PMC:PMC8682849 | DOI:10.1080/08998280.2021.1973293 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Lintu Ramachandran Luqman Baloch Taha Mohamed Djirdeh Yadwinder Sidhu Nicole Gentile Mario Affinati Source Type: research

Utilization of a SARS-CoV-2-positive donor for liver transplantation
Proc (Bayl Univ Med Cent). 2021 Oct 15;35(1):62-63. doi: 10.1080/08998280.2021.1985888. eCollection 2022.ABSTRACTLiver transplantation rates have been negatively affected by the pandemic caused by coronavirus disease 2019 (COVID-19), the disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Current practice in the liver transplant community is to avoid utilizing SARS-CoV-2-positive donors for liver transplantation unless there is a compelling reason such as recipient illness severity. In this case, we report the use of a donor who had a positive exposure to and symptom history for COVID-19 and tes...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Anji E Wall Gregory J McKenna Nicholas Onaca Richard Ruiz Johanna Bayer Hoylan Fernandez Eric Martinez Amar Gupta Medhat Askar Cedric W Spak Giuliano Testa Source Type: research

Mucoid-producing lesion following hip arthroplasty
Proc (Bayl Univ Med Cent). 2021 Sep 22;35(1):64-65. doi: 10.1080/08998280.2021.1973333. eCollection 2022.ABSTRACTA 54-year-old patient with a history of total hip arthroplasty (THA) presented with recurrent bladder infections, gross hematuria, and sediment in urine. The urinary complaints were unresponsive to transurethral resection and partial cystectomy. On further evaluation, a communicating fistulous tract was discovered between the site of hip arthroplasty, ischiorectal fossa, and bladder. Bladder involvement as a morbid delayed complication of total hip arthroplasty is an unusual finding, particularly in the form of ...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Rachel Vopni Katherine E Dowd Erin T Bird Source Type: research

Secondary syphilis as an initial presentation of HIV
Proc (Bayl Univ Med Cent). 2021 Aug 6;35(1):66-67. doi: 10.1080/08998280.2021.1953952. eCollection 2022.ABSTRACTSyphilis, a sexually transmitted infection caused by the spirochete Treponema pallidum, generally presents in distinct stages that sequentially progress in a predictable pattern. However, in the case of syphilis and HIV coinfection, the progression of the disease may be atypical, and syphilis may be the initial presentation of an underlying HIV infection in an undiagnosed patient. These patients can initially present with symptoms of secondary syphilis and can have a rapid and aggressive initial course. Here we d...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Mahir Khan Tanisha Kaur Tung Phan Mohamed Yassin Source Type: research

Diagnosis and interpretation of testing for cat scratch disease
We describe a case of a 44-year-old woman with six cats who presented with a painful left inguinal mass, had splenic lesions on imaging, and had positive serology but a negative polymerase chain reaction test for B. henselae.PMID:34970038 | PMC:PMC8682836 | DOI:10.1080/08998280.2021.1984791 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Nasim Khalfe Doris Lin Source Type: research

Generalized lichen nitidus in a 6-year-old girl with Down syndrome
Proc (Bayl Univ Med Cent). 2021 Aug 25;35(1):70-72. doi: 10.1080/08998280.2021.1960131. eCollection 2022.ABSTRACTLichen nitidus is a generally asymptomatic disease identified by shiny, flesh-colored papules that are often limited to the trunk, upper limbs, and genitalia. Here, we describe a generalized presentation of lichen nitidus in a 6-year-old girl with Down syndrome. Lichen nitidus shares a known association with Down syndrome, and several case studies document patients with Down syndrome developing generalized lichen nitidus. The extensive nature of our patient's lichen nitidus, as well as the uncommon distribution,...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Joshua A Peterson Travis S Dowdle William D Boothe Brett A Austin Cloyce L Stetson Source Type: research

Multiple painful plaques and the Sweet's syndrome
We present a rare case of Sweet's syndrome. A 39-year-old woman with subjective fevers, polyarthralgia, and malaise presented with worsening painful erythematous plaques on the trunk, arms, and legs. Further examination with biopsy revealed a diagnosis of acute febrile neutrophilic dermatosis, or Sweet's syndrome. Diagnosis by skin biopsy is crucial, and onset requires prompt evaluation for serious associated disorders such as leukemias, inflammatory bowel disease, thyroid disease, sarcoidosis, and infectious etiologies. In general, symptoms and cutaneous manifestations of Sweet syndrome respond rapidly to treatment with s...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Debra Lee Daniel Baird Michelle Tarbox Source Type: research

Basal cell carcinoma arising within a longstanding hemangioma
Proc (Bayl Univ Med Cent). 2021 Aug 23;35(1):76-77. doi: 10.1080/08998280.2021.1960132. eCollection 2022.ABSTRACTBasal cell carcinomas have been reported to arise within several different tumors. Without careful attention to detail, basal cell carcinomas may go unnoticed when presenting within or directly adjacent to another distinct tumor. The increased use and accessibility of dermoscopy has allowed dermatologists to detect skin cancers that might otherwise be undetected by the naked eye. This case report details a collision, detected by dermoscopy, of a basal cell carcinoma developing within a long-standing hemangioma (...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Dylan Maldonado Ashley Sturgeon Michelle Babb Tarbox Source Type: research

Rosai-Dorfman disease in a symptomatic elderly man
Proc (Bayl Univ Med Cent). 2021 Aug 12;35(1):78-79. doi: 10.1080/08998280.2021.1957381. eCollection 2022.ABSTRACTAn 81-year-old man presented with anemia, fatigue, weight loss, and recurrent urinary tract infections and was found to have diffuse large adenopathy and infiltrating renal masses. Surgical excision of a lymph node and histologic evaluation led to the diagnosis of Rosai-Dorfman disease, a rare histioproliferative condition that classically presents with enlarged cervical lymph nodes bilaterally. It also can involve additional nodal chains and/or have extranodal manifestations. The condition can self-resolve or h...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Gaurav Synghal Risha Bhavan Sharad K Jain Umesh D Oza Source Type: research

Early esophageal neuroendocrine tumor
We present a unique case of an esophageal neuroendocrine tumor found in the setting of dysplasia associated with Barrett's esophagus. The tumor was removed endoscopically. This case highlights the incidence, prognosis, and management of esophageal neuroendocrine tumors.PMID:34970043 | PMC:PMC8682829 | DOI:10.1080/08998280.2021.1955562 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Heather Branstetter Atin Agarwal Scott Paulson Anh D Nguyen Vani Konda Source Type: research

Cervical hibernoma
We present two cases of histology-proven neck hibernoma treated with radical excision.PMID:34970044 | PMC:PMC8682869 | DOI:10.1080/08998280.2021.1963177 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Mohammed Bhairis Massime El Hammoumi Moaad Amraoui Faycal El Oueriachi El Hassane Kabiri Source Type: research

Hemoglobin Wayne causing a falsely elevated hemoglobin A1c
This study describes a patient who was found to have falsely elevated HbA1c values secondary to hemoglobin Wayne, a rare hemoglobin variant. Although hemoglobin Wayne is often clinically silent, falsely elevated HbA1c results could lead to unnecessary medical interventions that could cause patient harm. This variation in results highlights the importance of utilizing additional measurements such as glucose readings and evaluating for hemoglobin variants when results are discordant.PMID:34970045 | PMC:PMC8682848 | DOI:10.1080/08998280.2021.1984792 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Alexis Bejcek David Wenkert Source Type: research

Acute coronary artery dissection after multiple bee stings
We report a case of a 33-year-old man who presented with anterior wall acute myocardial infarction immediately after honeybee stings without the presence of cutaneous manifestations other than the bee sting lesions. Emergent coronary arteriography revealed dissection of the proximal left anterior descending artery, which was treated with balloon dilation with an excellent outcome.PMID:34970046 | PMC:PMC8682857 | DOI:10.1080/08998280.2021.1958579 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Gaspar Del Rio-Pertuz Jose Correa-Guerrero Emilio Abuabara-Franco Erwin E Argueta-Sosa Mostafa Abohelwa Nicholas G Kounis Kenneth Nugent Source Type: research

Acute aortic dissection in the Marfan syndrome during the COVID-19 epidemic
Proc (Bayl Univ Med Cent). 2021 Sep 17;35(1):88-90. doi: 10.1080/08998280.2021.1973320. eCollection 2022.ABSTRACTA 17-year-old boy with a recent diagnosis of COVID-19 infection was admitted with acute chest pain due to type A aortic dissection and was subsequently diagnosed with the Marfan syndrome. Literature shows an increased rate of aortic dissection during flu season. The hypothesis is that a cytokine storm triggers the dissection.PMID:34970047 | PMC:PMC8682858 | DOI:10.1080/08998280.2021.1973320 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Amjad Basheer Madiha Rasool Hina Amin Stephanie Saucier Source Type: research

Acute inflammatory edema as a variant of pseudocellulitis resolved after transcatheter aortic valve implantation
We report an unusual case of a nonobese patient in the outpatient setting with acute inflammatory edema.PMID:34970048 | PMC:PMC8682824 | DOI:10.1080/08998280.2021.1974271 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Mojahed Mohammad K Shalabi Nicole N Dacy Ronald E Grimwood Katherine Fiala Meredith Amenell Source Type: research

Myocardial infarction and factor VIII elevation in a 36-year-old man
We report a 36-year-old man who had a myocardial infarction despite lacking traditional cardiac risk factors. He developed end-stage heart failure and renal insufficiency necessitating a HeartMate II left ventricular assist device (LVAD). While on the transplant list, he experienced two episodes of LVAD thrombosis 6 months apart, prompting device exchange and escalation of anticoagulation therapy. He eventually underwent a successful heart-kidney transplant before suffering an extensive left lower extremity deep vein thrombosis 6 weeks later. A thrombophilia workup revealed elevated factor VIII activity of 319% (normal ran...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Amit Alam Harsh Doshi Divya N Patel Keval Patel Dreamy James Jesus Almendral Source Type: research

Shotgun recoil causing severe acute aortic regurgitation years after replacement of the aortic valve and ascending aorta
We describe a 64-year-old man who had undergone replacement of his aortic valve and ascending aorta 14 years earlier (at age 50) and suddenly developed severe aortic regurgitation after firing his shotgun while hunting. Such an event has not been reported previously.PMID:34970050 | PMC:PMC8682860 | DOI:10.1080/08998280.2021.1984793 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Justin Arunthamakun Ravi Vallabhan Ramy Ayad Charles C Roberts Source Type: research

Successful pregnancy with left ventricular assist device failure in the setting of peripartum cardiomyopathy
We present a case of a pregnant 31-year-old woman with a history of heart failure due to peripartum cardiomyopathy from a previous pregnancy. She had a left ventricular assist device (LVAD) and was on warfarin due to recurrent thrombosis of her device. During her course, she had multiple cardiac complications, including thrombosis of the LVAD, which required deactivation. At 32 weeks, a cesarean section was performed due to acute decompensation, and a transthoracic echocardiogram revealed a left ventricular ejection fraction of 30% to 34%, a dilated left ventricle, and moderate global hypokinesis. This case highlights the ...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Aurelio Vargas Sabiha Armin Edward Yeomans Source Type: research

Laparoscopic repair of large diaphragmatic hernia after left ventricular assist device implantation followed by orthotopic heart transplantation
We describe a patient with a diaphragmatic hernia with incarcerated colon and small bowel treated previously with a HeartMate 3 LVAD and subsequent transplantation. This case highlights the need to consider the diagnosis of diaphragmatic hernia based on symptoms after HeartMate 3 implantation and/or subsequent transplantation, as well as the ability to manage these hernias with a minimally invasive laparoscopic approach to minimize postoperative morbidity and mortality.PMID:34970052 | PMC:PMC8682844 | DOI:10.1080/08998280.2021.1984820 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Kevin Chin Marc A Ward Dan M Meyer Christine E Sanchez Steven G Leeds Source Type: research

Herbal hepatitis due to use of alternative medicines for Lyme disease
We report a case in which Lyme disease was treated with an herbal mixture due to protracted symptoms despite intravenous antibiotics. This mixture was associated with hepatotoxicity. General providers should be aware of the fact that homeopathic remedies may be associated with hepatotoxicity, and herbalists need better understanding of the safety risks of the individual components in remedy mixtures.PMID:34970053 | PMC:PMC8682861 | DOI:10.1080/08998280.2021.1974272 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Robert P Perrillo James R Burton Lindsey M Westbrook Source Type: research

Traumatic intrachoroidal nail implantation
We present a unique case of a large IOFB that was fully embedded within the choroid, where enucleation was pursued due to inability to safely remove the IOFB.PMID:34970054 | PMC:PMC8682831 | DOI:10.1080/08998280.2021.1974261 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Aliza Epstein Natalie Homer Donovan Reed Ryan Young Vikram D Durairaj Source Type: research

Air under the diaphragm-perforation or Chilaiditi sign?
Proc (Bayl Univ Med Cent). 2021 Aug 23;35(1):108-110. doi: 10.1080/08998280.2021.1961550. eCollection 2022.ABSTRACTChilaiditi sign is a rare radiological finding in which the colon is interposed between the liver and the abdominal wall. Once patients become symptomatic, the condition is called Chilaiditi syndrome. We discuss a unique patient who presented with intermittent abdominal pain for 2 years that worsened 6 months before presentation. Her radiological evaluation revealed Chilaiditi sign. She was treated conservatively and the sign resolved. We emphasize the importance of conservative management in Chilaiditi syndro...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Shobha Mandal Sneha Singh Barun Kumar Ray Rahul Kumar Thakur Anish Kumar Shah Victor Kolade Source Type: research

Aggressive angiomyxoma of the female urethra
We report a very rare case of urethral aggressive angiomyxoma, managed by surgical excision, in a 40-year-old woman who presented with severe hematuria with clot retention.PMID:34970056 | PMC:PMC8682819 | DOI:10.1080/08998280.2021.1988833 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Mohamed Elsaqa Mahmoud Elsabbagh Hend A Sharafeldin Nahed M Baddour Source Type: research

Vulvar syringomas
Proc (Bayl Univ Med Cent). 2021 Sep 30;35(1):113-114. doi: 10.1080/08998280.2021.1977076. eCollection 2022.ABSTRACTSyringomas on the vulvar skin are relatively rare and generally bilateral. They are usually asymptomatic but can be symptomatic, with vulvar discomfort, burning, and/or pruritus. Management options include topical steroids, topical retinoids, and oral antihistamines. Cases refractory to conservative treatment may require procedural intervention, such as cryotherapy, excision, or electrosurgery. Here we describe a case of symptomatic vulvar syringomas refractory to medical management that were successfully trea...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Mojahed Mohammad K Shalabi Katie Homan Lindsay Bicknell Source Type: research

Labor epidural analgesia with severe thrombocytopenia
We present a case of a 24-year-old parturient, who was otherwise healthy and without prior thrombocytopenia, who underwent epidural placement in the setting of undiagnosed severe thrombocytopenia. Her workup remained inconclusive, and the presumptive diagnosis of severe preeclampsia was made. She was given a platelet transfusion and underwent an uncomplicated spontaneous vaginal delivery. After recovery of her platelet count, the epidural catheter was safely removed approximately 60 hours after placement without any signs or symptoms of an epidural hematoma.PMID:34970058 | PMC:PMC8682822 | DOI:10.1080/08998280.2021.1961551...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Sagar Patel Kara Bennett Weike Tao Source Type: research

Patrick Romanell, William Osler, and philosophy in medicine
Proc (Bayl Univ Med Cent). 2021 Sep 16;35(1):117-120. doi: 10.1080/08998280.2021.1973284. eCollection 2022.ABSTRACTIn 1974, Patrick Romanell (1912-2002) published a paper in the Bulletin of the New York Academy of Medicine taking William Osler (1849-1919) to task for dismissing philosophy as a distinguishing feature of the nature of medicine. Osler had expressed this thought in the Silliman Lectures given at Yale in 1913 on the Evolution of Modern Medicine. That the nature of medicine is underpinned by an understanding of the nature of man requires that the pedagogy and practice of medicine incorporate not only the empiric...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Michael H Malloy Source Type: research

Sunscreen: a brief walk through history
Proc (Bayl Univ Med Cent). 2021 Sep 1;35(1):121-123. doi: 10.1080/08998280.2021.1966602. eCollection 2022.ABSTRACTThe sunscreens we see today were paved by our ancestors' sun protection methods, followed by scientific discovery in the more recent era and the trials and errors of the sunscreen formulations that followed. This history highlights sun protection methods used over the centuries and the varying degrees of agreeable sensorial properties or comforts in these methods.PMID:34970060 | PMC:PMC8682817 | DOI:10.1080/08998280.2021.1966602 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Madeeha Drissi Emily Carr Chad Housewright Source Type: research

The history of organ transplantation
Proc (Bayl Univ Med Cent). 2021 Oct 19;35(1):124-128. doi: 10.1080/08998280.2021.1985889. eCollection 2022.ABSTRACTSince ancient times, mythology has included tales of creatures made of an amalgamation of others, transferring body parts and skin. In the 1950s, with no other medical options for then incurable diseases, including nephritis, teams of scientists, surgeons, and generous patients started the field of organ transplant with the first successful kidney transplant in a human. The scientific discoveries and innovations since that first successful transplant in 1954 have turned the mythical concept of transplant into ...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Kristen D Nordham Scott Ninokawa Source Type: research

Discovery of caisson disease: a dive into the history of decompression sickness
Proc (Bayl Univ Med Cent). 2021 Sep 1;35(1):129-132. doi: 10.1080/08998280.2021.1967021. eCollection 2022.ABSTRACTWith the Industrial Revolution and the invention of compressed air came mysterious symptoms of unknown etiology. Through careful observation and diligent work from physicians in the 19th century, the true nature of caisson disease was identified and described. By studying thousands of casualties, these scientists were able to identify the cause of caisson disease, develop effective treatment plans for laborers, and institute procedures to prevent this malady. Over the next 100 years, numerous advancements in di...
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Scott Ninokawa Kristen Nordham Source Type: research

Compounders of the COVID crisis: the "perfect storm"
Proc (Bayl Univ Med Cent). 2021 Aug 23;35(1):133-136. doi: 10.1080/08998280.2021.1961568. eCollection 2022.ABSTRACTCultural and societal factors have placed some demographic, racial, and ethnic groups at increased risk of contracting and dying from coronavirus disease (COVID-19). This commentary addresses these population disparities and other potential modulators that negatively impact associated health outcomes in the US population, with specific reference to the need for greater self-responsibility.PMID:34970063 | PMC:PMC8682850 | DOI:10.1080/08998280.2021.1961568 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Barry A Franklin Source Type: research

A reflection from a polio patient at the Texas Scottish Rite Hospital for Children in Dallas
Proc (Bayl Univ Med Cent). 2021 Aug 23;35(1):137-138. doi: 10.1080/08998280.2021.1961561. eCollection 2022.ABSTRACTSimilar to the current coronavirus pandemic, the polio pandemic during the early 20th century impacted the entire world, leaving many children permanently disabled. The Texas Scottish Rite Hospital for Children was created to address this need. In this article, Dewain Collins tells his story of being treated for polio by Dr. William Beall Carrell at Scottish Rite in the 1930s.PMID:34970064 | PMC:PMC8682835 | DOI:10.1080/08998280.2021.1961561 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Jonathan Kopel Source Type: research

Suffering and divine impassibility
Proc (Bayl Univ Med Cent). 2021 Oct 19;35(1):139-141. doi: 10.1080/08998280.2021.1981674. eCollection 2022.ABSTRACTMany theologians believe in the doctrine of divine impassibility: that God does not experience pain or pleasure from the actions of creation. However, the question inevitably touches upon our personal relationship and journey with God, a journey involving deep joys and pains. This discussion of divine impassibility relates to the medical profession, which seeks to heal the sick and comfort the dying.PMID:34970065 | PMC:PMC8682814 | DOI:10.1080/08998280.2021.1981674 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Jonathan Kopel Franklyn C Babb William Hasker Mark Webb Carmine C Gorga K J Oommen Gregory L Brower Andrew Coleman Source Type: research

His last breath
Proc (Bayl Univ Med Cent). 2021 Oct 4;35(1):142-143. doi: 10.1080/08998280.2021.1984708. eCollection 2022.ABSTRACTDying alone in a hospital bed is not what I envision when I think about my own death. As a third-year medical student, I have the honor of serving as leader for No One Dies Alone at my medical institution. I want to share my story to inspire others to participate in vigils with one who is dying or to assist in the efforts to contact family.PMID:34970066 | PMC:PMC8682854 | DOI:10.1080/08998280.2021.1984708 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Viridiana Saenz Bernard Karnath Source Type: research

Correction
Proc (Bayl Univ Med Cent). 2021 Nov 17;35(1):i. doi: 10.1080/08998280.2021.2004842. eCollection 2022.ABSTRACT[This corrects the article DOI: 10.1080/08998280.2019.1668675.].PMID:34970067 | PMC:PMC8682827 | DOI:10.1080/08998280.2021.2004842 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Source Type: research

Hospitalizations for ketoacidosis in type 1 diabetes mellitus, 2008 to 2018
In conclusion, there was a significant decrease in both LOS and THC, potentially reflecting improvements in the management of DKA in patients with T1DM.PMID:34970023 | PMC:PMC8682866 | DOI:10.1080/08998280.2021.1978741 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Asim Kichloo Zain El-Amir Farah Wani Hafeez Shaka Source Type: research

Role of inflammatory markers in the preoperative evaluation of patients undergoing salvage total hip arthroplasty
In conclusion, CRP levels are useful in the preoperative evaluation for periprosthetic joint infection before salvage THA.PMID:34970024 | PMC:PMC8682832 | DOI:10.1080/08998280.2021.1977077 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Jessica L Hughes Bryce C Allen Courtney Shaver Source Type: research

Utilization of submandibular ultrasound to measure oral cavity changes with interventions in routine airway management
Proc (Bayl Univ Med Cent). 2021 Sep 28;35(1):20-23. doi: 10.1080/08998280.2021.1980318. eCollection 2022.ABSTRACTUltrasound is a quick, noninvasive, inexpensive tool that can provide an accurate airway assessment. Tongue thickness, oral cavity height, and their relationship were measured using submandibular ultrasonography with and without oral airway interventions during intubation in 26 patients. The mean tongue thickness to oral cavity height ratio was 0.83 ± 0.03. The percent change of tongue thickness to oral cavity height decreased significantly by 36.47% with an oral airway and by 43.49% with laryngoscope interventions (P
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Alexandra Helbing Esther Lee Raymond Pla Eric Heinz Source Type: research

Outpatient colectomy-a dream or reality?
In conclusion, our study suggests that appropriately selected patients can be successfully managed in the outpatient setting without increased complications following partial colectomy when preoperative preparation and education are put in place alongside our colon ERAS pathway and minimally invasive surgical techniques.PMID:34970026 | PMC:PMC8682818 | DOI:10.1080/08998280.2021.1973327 (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Stephen Campbell Alessandro Fichera Scott Thomas Harry Papaconstantinou Rahila Essani Source Type: research

Corneal surgically induced astigmatism in resident surgeons
In conclusion, centroid values of SIA with junior surgeons were more than the proposed established values, but likely not clinically significant, with at most a difference of
Source: Baylor University Medical Center Proceedings - December 31, 2021 Category: Universities & Medical Training Authors: Timothy Sipos Kendall Bicknell Source Type: research