The most common cause of hemoptysis worldwide: a fluke?
We describe a patient with recurrent hemoptysis from a chronic infection not commonly found in the USA. PMID: 24688193 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Nat A, Nat A, Sharma A, Shastri G, Iannuzzi MC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Stress-induced (takotsubo) cardiomyopathy following thoracic epidural steroid injection for postherpetic neuralgia.
We present what may be the first documented case of takotsubo cardiomyopathy following a thoracic epidural steroid injection. The 77-year-old patient had many risk factors predisposing her to takotsubo cardiomyopathy, including gender, postmenopausal status, and numerous recent stressful events in her life. Although she presented to the emergency department with symptoms of an acute myocardial infarction, her findings on electrocardiography, echocardiography, coronary angiography, and cardiac enzymes supported the diagnosis of takotsubo cardiomyopathy. While takotsubo cardiomyopathy is rare, it is important for the clinici...
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: McKernan NP, Rondeau BJ, McAllister RK Tags: Proc (Bayl Univ Med Cent) Source Type: research

Takotsubo cardiomyopathy following epidural steroid injection: yet another way to break the heart.
PMID: 24688195 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Schussler JM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Irregular cardiac rhythm with wide QRS complexes.
PMID: 24688196 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Glancy DL, Singh M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Inverted P waves, QRS complexes, and T waves in lead I in a 64-year-old woman.
PMID: 24688197 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Glancy DL, Prout DL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Triple-hit lymphoma.
We report a case of a triple-hit lymphoma in a 72-year-old man. This lymphoma was diagnosed using morphology, flow cytometry, immunochemistry, and cytogenetics. Since many triple-hit lymphomas have not been documented in the literature, it is important to bring attention to this entity, as this lymphoma has different prognostic and therapeutic implications than other diffuse large B-cell lymphomas, thus making a correct and early diagnosis important. PMID: 24688198 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Pemmaraju N, Gill J, Gupta S, Krause JR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Small bowel intussusception causing a postoperative bowel obstruction following laparoscopic low anterior resection in an adult.
We present a case of an adult patient who underwent laparoscopic low anterior resection for rectal cancer and developed a small bowel intussusception causing obstruction requiring surgery. To our knowledge, this is the first report of a small bowel intussusception masquerading as a postoperative ileus in an adult. While most postoperative delayed bowel function is attributed to ileus, abscess formation, or anastomotic leak, other uncommon etiologies, including intussusception, may occur and are important to include in the differential diagnosis. PMID: 24688199 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Hussain AS, Warrier R, Papaconstantinou HT Tags: Proc (Bayl Univ Med Cent) Source Type: research

Fatal abdominal hemorrhage associated with gallbladder perforation due to large gallstones.
We present the case of a 68-year-old woman who died of hemorrhagic shock following gallbladder perforation due to very large gallstones. This case provides additional support for consideration of prophylactic cholecystectomy in patients with very large gallstones. PMID: 24688200 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Soto LR, Levine HR, Celinski SA, Guileyardo JM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Methemoglobinemia precipitated by benzocaine used during intubation.
Abstract Methemoglobinemia is a rare cause of tissue hypoxia that can quickly become fatal without immediate recognition and prompt treatment. It refers to an increase in methemoglobin in the red blood cells, which can be due to genetic deficiency of the enzymes responsible for reducing hemoglobin or can develop after exposure to oxidizing agents or xenobiotics. Local anesthetics, particularly benzocaine, have long been implicated in the formation of methemoglobin. Benzocaine is used for teething pain as well as before invasive procedures such as intubation and transesophageal echocardiogram. In this case report, ...
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Afzal A, Collazo R, Fenves AZ, Schwartz J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Where is that hemodialysis catheter (superior vena cava or aorta)? A case of intraarterial catheter placement.
We present a case of a previously unrecognized intraarterial placement of a central venous catheter (CVC)-in this case, a large-bore hemodialysis catheter in an 82-year-old woman. CVC insertions have become a common practice in hospitals due to a variety of indications, and tunneled CVCs still remain an important form of access in patients with end-stage renal disease. Intraarterial puncture is a common complication during CVC insertion, while intraarterial (mis)placement is fairly uncommon and if unrecognized can lead to significant morbidity and mortality. PMID: 24688202 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Tan V, Schwartz JC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Renal failure due to Capnocytophaga canimorsus generalized Shwartzman reaction from a dog bite (DF-2 nephropathy).
We report a case of a 54-year-old man who developed gram-negative sepsis with multiorgan failure and generalized Shwartzman reaction after sustaining a dog bite. The causative organism was the fastidious gram-negative rod Capnocytophaga canimorsus, which is a commensal organism found in the oral flora of dogs and cats. More than 30 years after it was first described and despite technological advances in identification techniques, proper identification of this organism remains a challenge. In light of the increase in pet ownership as well as the increase in the different immunocompromised populations of the 21st century, we...
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Tan V, Schwartz JC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Imaging manifestations of a dreaded obstetric complication in the immediate postpartum period.
We report a case of HELLP syndrome in which the diagnosis was reaffirmed via imaging findings. PMID: 24688204 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Levine H, Zarghouni M, Cannon W Tags: Proc (Bayl Univ Med Cent) Source Type: research

Fetal demise due to cord entanglement in the early second trimester.
In this report, we describe a rare cause of in utero fetal death, a complex entanglement of the umbilical cord around the fetal neck. At the 16th gestational week of pregnancy, routine fetal ultrasonography showed no fetal heartbeat. Thereafter, the fetus was delivered vaginally in the breech presentation. The neck was found to be encircled by multiple tight loops of the umbilical cord. Other than a thin and elongated neck, there were no dysmorphic features and no chromosomal abnormality on cytogenetic analysis. PMID: 24688205 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Ergin RN, Yayla M, Ergin AS Tags: Proc (Bayl Univ Med Cent) Source Type: research

Ingrown toenails (unguis incarnatus): Nail braces/bracing treatment.
Abstract Nail bracing is a safe, simple, and inexpensive treatment option that avoids surgery, requires no anesthetic, requires no recovery period, allows wearing the existing shoes, offers immediate relief from pain, and allows the practice of daily activities. Braces can be used for prolonged periods of times. If recurrence occurs, reapplication of bracing is usually required. PMID: 24688206 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Chiriac A, Solovan C, Brzezinski P Tags: Proc (Bayl Univ Med Cent) Source Type: research

Tributes to George J. Race, MD, PhD.
Authors: PMID: 24688207 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Cardiologist in the shadow of Angkor Wat: A medical mission to Cambodia.
Abstract In a medical mission to Cambodia, our team of doctors, dentists, and nurses saw over 1000 patients during 4 days of clinics. The most common cardiovascular problems were hypertension (11%) and heart murmurs (3%). Obesity and a history of diabetes were very rare. Unlike the cardiac patients I typically see in my Atlanta office, the Cambodians were trim and muscular from their predominantly farming and, less often, construction jobs. They are a gentle, seemingly happy people, appreciative of whatever limited medical help we could offer. Tuberculosis was the most prevalent serious illness noted. PMID: 2...
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Cantwell JD Tags: Proc (Bayl Univ Med Cent) Source Type: research

A tale of Congress, continuing medical education, and the history of medicine.
Abstract Well-intentioned attempts by the Senate Finance Committee to improve the content and quality of continuing medical education (CME) offerings had the unanticipated consequence of decimating academically oriented history of medicine conferences. New guidelines intended to keep CME courses free of commercial bias from the pharmaceutical industry were worded in a fashion that caused CME officials at academic institutions to be reluctant to offer CME credit for history of medicine gatherings. At the 2013 annual conference of the American Association for the History of Medicine, we offered a novel solution for ...
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Partin C, Kushner HI, Horton ME Tags: Proc (Bayl Univ Med Cent) Source Type: research

Mentoring: A tale of two poems, filling graveyards, and learning the art of medicine.
Abstract Polar approaches to mentoring are reflected in this pair of poems, which on first inspection appear to be unrelated. Mentoring comes in different forms, and combining medicine, mentoring, and poetry in one essay is an opportunity to explore the vital role mentoring plays in medical education. A nod toward the humanistic side of medicine is also illuminated by the selected poetry and associated discussion. PMID: 24688210 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Partin C Tags: Proc (Bayl Univ Med Cent) Source Type: research

HIPAA: A flawed piece of legislation.
PMID: 24688211 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Authors: Weisse AB Tags: Proc (Bayl Univ Med Cent) Source Type: research

Facts and ideas from anywhere.
Authors: PMID: 24688212 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2014 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Invited commentary: Role of alpha-2 agonists for postoperative pain relief.
PMID: 24415849 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Farag E, Yared M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Dexmedetomidine infusion for analgesia up to 48 hours after lung surgery performed by lateral thoracotomy.
In conclusion, the known opioid-sparing properties of dexmedetomidine in the immediate postoperative period are maintained over 48 hours. PMID: 24381392 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Ramsay MA, Newman KB, Leeper B, Hamman BL, Hebeler RF, Henry AC, Kourlis H, Wood RE, Stecher JA, Hein HA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Sedation levels during propofol administration for outpatient colonoscopies.
Abstract The levels of sedation required for patients to comfortably undergo colonoscopy with propofol were examined. One hundred patients undergoing colonoscopy with propofol were enrolled. In addition to standard-of-care monitoring, sedation level was monitored with the Patient State Index (PSI) obtained from a brain function monitor, transcutaneous carbon dioxide (tcpCO2) was monitored with the TCM TOSCA monitor, and end-tidal carbon dioxide was monitored via nasal cannula. The Ramsay Sedation Score (RSS) was also assessed and recorded. After baseline data were obtained from the first 40 consecutive patients en...
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Ramsay MA, Newman KB, Jacobson RM, Richardson CT, Rogers L, Brown BJ, Hein HA, De Vol EB, Daoud YA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Newly diagnosed acromegaly presenting with hypertriglyceridemic pancreatitis with normal amylase and lipase levels.
We present a case of hypertriglyceridemic pancreatitis confirmed by imaging, with normal pancreatic enzymes. Hypertriglyceridemia in this patient was likely secondary to acromegaly. The hypertriglyceridemic pancreatitis appears to be secondary to somatotrophic pituitary adenoma. PMID: 24381394 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Sotello D, Rivas AM, Nugent KM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Steroid-resistant nephrotic syndrome secondary to primary focal segmental glomerulosclerosis and smoldering multiple myeloma.
We present a patient with steroid-resistant nephrotic syndrome due to focal segmental glomerulosclerosis along with smoldering multiple myeloma. While investigating the cause of proteinuria, a monoclonal gammopathy with a negative kidney biopsy for myeloma-related pathology was discovered. PMID: 24381395 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Shah R, Shah N, Shah A, Mehta AN Tags: Proc (Bayl Univ Med Cent) Source Type: research

Systemic mastocytosis with associated acute myelogenous leukemia.
We present a case of a 62-year-old woman who was diagnosed with SM-AML. After initial treatment with a standard regimen of cytosine arabinoside (Ara-C)/idarubicin, her bone marrow showed residual blasts. She was subsequently treated with a second induction regimen of clofarabine and high-dose Ara-C, which resulted in remission of AML, although a residual mast cell infiltrate persisted in her bone marrow. After consolidation therapy with clofarabine/Ara-C, the patient received a stem cell allograft. A follow-up bone marrow showed no residual blasts but persistent mast cells occupying about 5% of the marrow volume. PMID...
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Zhrebker L, Cooper B, Krause JR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Smooth muscle neoplasms of the vulva masquerading as Bartholin gland duct cysts.
We present a case of vulvar leiomyoma and a case of leiomyosarcoma that clinically mimicked Bartholin duct cysts. Identification of leiomyosarcomas in this region is particularly important; due to the risk of recurrence, patients may need radiation and/or chemotherapy in addition to adequate surgical treatment and appropriate follow up. Prior series have shown that risk of recurrence is related to inadequate resection and not to the size or grade of tumor. It is critical that pathologists recognize smooth muscle tumors of the vulva and communicate to clinicians the importance of clear margins and wide local excision in cas...
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Levy RA, Winham WM, Bryant CS, Quick CM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Multicentric Castleman's disease and HIV.
Abstract Multicentric Castleman's disease (MCD) is a rare lymphoproliferative disorder found with a higher frequency in HIV-seropositive patients. Human herpes virus 8 is found in virtually all cases of HIV-associated MCD. The majority of cases of MCD in patients with HIV are also associated with Kaposi's sarcoma. The dysregulated production of human IL-6 is thought to be an important factor in the pathogenesis of MCD. HIV-seropositive individuals with MCD have a significantly greater risk of developing non-Hodgkin lymphomas than their HIV-seronegative counterparts. MCD occurring in HIV patients has been associate...
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Krause JR, Robinson SD, Vance EA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Disseminated Kaposi's sarcoma without cutaneous involvement.
Abstract Kaposi's sarcoma (KS) is a low-grade vascular tumor caused by infection with human herpesvirus 8. Prior to the AIDS epidemic, KS was rare in the United States. With the advent of highly active antiretroviral therapy, KS has become far less common, now occurring at a rate of about 6 cases per million people each year. It is still seen most commonly in those infected with HIV, and cutaneous manifestations represent the most common presentation. In this case, we describe a patient with disseminated AIDS-associated KS lacking cutaneous manifestations. PMID: 24381399 [PubMed] (Source: Baylor University Me...
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Shepard B, Tompkins D, Baker D, Stroup J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Mucocele of the appendix.
Abstract Mucocele of the appendix is a term used to describe a dilated, mucin-filled appendix. It is most commonly the result of epithelial proliferation, but can be caused by inflammation or obstruction of the appendix. Two cases of mucocele of the appendix are presented with a discussion of the histologic and radiologic features as well as the surgical management. PMID: 24381400 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Louis TH, Felter DF Tags: Proc (Bayl Univ Med Cent) Source Type: research

Laryngeal actinomycosis.
We present a case of laryngeal actinomycosis with findings on computed tomography, magnetic resonance imaging, and positron emission tomography. PMID: 24381401 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Lensing F, Abele T, Wiggins R, Quigley E Tags: Proc (Bayl Univ Med Cent) Source Type: research

Infective endocarditis superimposed on a massively calcified severely stenotic congenitally bicuspid aortic valve.
We describe a 55-year-old man who presented with a stroke resulting from active infective endocarditis (IE) involving a heavily calcified bicuspid aortic valve. The case highlights the infrequency of IE involving a heavily calcified valve, the inability of the infection to penetrate the calcific deposits, and the ability of the infection to spread to the adjacent soft tissues, leading to ring abscess and its multiple complications. PMID: 24381402 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Sarmast S, Schussler JM, Ko JM, Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Group beating in a 69-year-old man with a previous silent myocardial infarct.
PMID: 24381403 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Glancy DL, Lathia VN Tags: Proc (Bayl Univ Med Cent) Source Type: research

Irregular cardiac rhythm with combined rheumatic mitral stenosis and aortic stenosis.
PMID: 24381404 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Glancy DL, Gaines TG Tags: Proc (Bayl Univ Med Cent) Source Type: research

Energy and macronutrient intake of a female vegan cyclist during an 8-day mountain bike stage race.
This report describes the dietary intake of a vegan mountain biker (height, 161 cm; weight, 49.6 kg; body mass index, 19.1 kg/m(2); relative peak power output, 4.6 W/kg) during the Transalp Challenge 2004 (altitude climbed, 22,500 m; total distance, 662 km), illustrating an aggressive dietary strategy that allowed the cyclist to be competitive. She finished the 8-stage event in 42 hours (mixed category, rank 16; 514 minutes behind the winners of this category), cycling with an average heart rate of 79.5% of laboratory-determined maximum, spending 892 minutes and 1627 minutes at intensities below and above 80%, respectively...
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Wirnitzer KC, Kornexl E Tags: Proc (Bayl Univ Med Cent) Source Type: research

Tributes to Marvin J. Stone, MD, on his retirement.
Authors: PMID: 24381406 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Sabrina Dean Phillips, MD: a conversation with the editor.
PMID: 24381407 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Phillips SD, Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Looking back and looking forward: The white coat lecture.
PMID: 24381408 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Knowlan DM Tags: Proc (Bayl Univ Med Cent) Source Type: research

A medical student trapped behind the Berlin Wall, 1961.
PMID: 24381409 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Authors: Lathan SR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Facts and ideas from anywhere.
Authors: PMID: 24381410 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2014 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Migraine disability, healthcare utilization, and expenditures following treatment in a tertiary headache center.
In this study we examined the changes in healthcare utilization and expenditures as well as the impact on disability and workplace productivity with treatment in a tertiary headache care center that used initial treatment settings of inpatient and outpatient care and considered the difference between those with episodic migraine and those with chronic migraine and its complications. Tertiary care was found to produce positive reductions in disability, healthcare utilization, and expenditures. These results suggest that earlier tertiary-level intervention may avoid the complications of migraine that occur in some patients a...
Source: Baylor University Medical Center Proceedings - October 1, 2013 Category: Universities & Medical Training Authors: Freitag FG, Lyss H, Nissan GR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Advance care planning knowledge and documentation in a hospitalized cancer population.
This study gives us a baseline of information in evaluating future interventions directed to improve the quality of patient-physician communication regarding end-of-life planning. PMID: 24082411 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2013 Category: Universities & Medical Training Authors: Barakat A, Barnes SA, Casanova MA, Stone MJ, Shuey KM, Miller AM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Incidence and severity of respiratory insufficiency detected by transcutaneous carbon dioxide monitoring after cardiac surgery and intensive care unit discharge.
Abstract Patients undergoing coronary artery bypass surgery and/or heart valve surgery using a median sternotomy approach coupled with the use of cardiopulmonary bypass often experience pulmonary complications in the postoperative period. These patients are initially monitored in an intensive care unit (ICU) but after discharge from this unit to the ward they may still have compromised pulmonary function. This dysfunction may progress to significant respiratory failure that will cause the patient to return to the ICU. To investigate the severity and incidence of respiratory insufficiency once the patient has been ...
Source: Baylor University Medical Center Proceedings - October 1, 2013 Category: Universities & Medical Training Authors: Lagow EE, Leeper BB, Jennings LW, Ramsay MA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Outcome assessment of 603 cases of concomitant inferior turbinectomy and Le Fort I osteotomy.
Abstract This retrospective study assessed the outcome of 603 patients undergoing partial inferior turbinectomies (PIT) in association with Lefort I osteotomy. The study included 1234 patients from a single private practice; these patients had dentofacial deformities and underwent Lefort I osteotomy procedures. For the full patient group, 888 patients (72%) were women; in the turbinectomy group, 403 (67%) were women. The anteroposterior, transverse, and vertical dimensions of the mandible, maxilla, and occlusal plane of each subject were assessed, in addition to cephalometric analysis and determination of the pres...
Source: Baylor University Medical Center Proceedings - October 1, 2013 Category: Universities & Medical Training Authors: Movahed R, Morales-Ryan C, Allen WR, Warren S, Wolford LM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Copper deficiency (hypocupremia) and pancytopenia late after gastric bypass surgery.
We describe a woman with previous gastric bypass surgery who presented with pancytopenia and bone marrow biopsy findings consistent with a myelodysplastic syndrome with excess blasts. She was found to be significantly copper deficient. With replacement copper therapy, her cytopenias quickly resolved. We discuss the distinctive clinical and hematologic features of this rare cause of significant cytopenias and provide recommendations for monitoring and treatment of such patients. Moreover, this case is an important reminder that bariatric patients should have routine follow-ups after surgery and continue dietary supplements ...
Source: Baylor University Medical Center Proceedings - October 1, 2013 Category: Universities & Medical Training Authors: Robinson SD, Cooper B, Leday TV Tags: Proc (Bayl Univ Med Cent) Source Type: research

Isolated atrial amyloidosis and the importance of molecular classification.
We present the case of an 83-year-old hospitalized woman with known atrial fibrillation and previous pacemaker implantation who had cardiac arrest unresponsive to attempted resuscitation. Autopsy disclosed prominent amyloidosis involving the left atrium, and subsequent molecular studies identified the amyloidogenic material as alpha atrial natriuretic factor. Since the clinical management and genetic implications of the various diseases associated with amyloidosis are markedly different, we stress the importance of molecular classification whenever possible. PMID: 24082415 [PubMed - as supplied by publisher] (Source: ...
Source: Baylor University Medical Center Proceedings - October 1, 2013 Category: Universities & Medical Training Authors: Podduturi V, Armstrong DR, Hitchcock MA, Roberts WC, Guileyardo JM Tags: Proc (Bayl Univ Med Cent) Source Type: research

The Heerfordt-Waldenström syndrome as an initial presentation of sarcoidosis.
The Heerfordt-Waldenström syndrome as an initial presentation of sarcoidosis. Proc (Bayl Univ Med Cent). 2013 Oct;26(4):390-392 Authors: Denny MC, Fotino AD Abstract Sarcoidosis is a granulomatous disease of unclear etiology, which commonly presents with cough, dyspnea, chest pain, fever, weight loss, arthralgias, and erythema nodosum. Heerfordt-Waldenström syndrome, a rare presentation of sarcoidosis, is characterized by the presence of parotid gland enlargement, facial palsy, anterior uveitis, and fever. Here we present a case of a 59-year-old nonsmoking African American woman who presented wit...
Source: Baylor University Medical Center Proceedings - October 1, 2013 Category: Universities & Medical Training Authors: Denny MC, Fotino AD Tags: Proc (Bayl Univ Med Cent) Source Type: research

Unusual dermal pleomorphic calcifications in a case of inflammatory breast carcinoma.
We report an unusual case in which inflammatory breast carcinoma led to the presence of pleomorphic dermal calcifications identified on the initial mammographic examination. PMID: 24082417 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2013 Category: Universities & Medical Training Authors: Yactor AR, Zarghouni M, Wang JC, Hamilton RR, Spigel JJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Basal cell adenoma of the breast.
Abstract Salivary gland-like neoplasms of the breast are a known entity. A single novel case of basal cell adenoma of the breast is presented, and the presentation, treatment, and morphologic features of this case are discussed. PMID: 24082418 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2013 Category: Universities & Medical Training Authors: Van Vrancken M, Mir M, Herlihy W Tags: Proc (Bayl Univ Med Cent) Source Type: research

Critical lower limb ischemia from an embolized Angio-Seal closure device.
Abstract Vascular closure devices were introduced in the early 1990s in an effort to reduce time to hemostasis, enable early ambulation, and improve the comfort of patients undergoing femoral artery access for endovascular procedures. Many of these devices leave a foreign component in or around the artery, which can lead to complications such as hematoma, pseudoaneurysm, infection, or limb ischemia. Here we present a case where device embolization led to arterial occlusion and critical limb ischemia. PMID: 24082419 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2013 Category: Universities & Medical Training Authors: Cianci C, Kowal RC, Feghali G, Hohmann S, Stoler RC, Choi JW Tags: Proc (Bayl Univ Med Cent) Source Type: research