Acute pancreatitis secondary to hypertriglyceridemia precipitated by diabetic ketoacidosis in a previously undiagnosed ketosis-prone patient with diabetes mellitus.
We report a case of acute pancreatitis secondary to hypertriglyceridemia precipitated by diabetic ketoacidosis and postulate that this unusual presentation is due to the patient being prone to ketosis. PMID: 29706815 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Ramachandran V, Vila DM, Cochran JM, Caruso AC, Balchandani R Tags: Proc (Bayl Univ Med Cent) Source Type: research

Thoracoscopic management of a mediastinal abscess caused by extra-esophageal migration of a metal brush bristle.
We describe the thoracoscopic management of a mediastinal abscess caused by a foreign body perforation in a patient with an intact esophagus. PMID: 29706816 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Ebrahim A, Still S, Schwartz G Tags: Proc (Bayl Univ Med Cent) Source Type: research

The PHACES syndrome: Multiple episodes of reproliferation of subglottic hemangioma.
This article illustrates a patient who has had multiple episodes of reproliferation of subglottic hemangioma after weaning from propranolol therapy. PMID: 29706817 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Holdgraf RW, Kress M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Multiple admissions to the coronary care unit due to falsely elevated cardiac troponin.
Abstract The measurement of cardiac troponin, released from injured cardiomyocytes, is of paramount importance in the diagnosis of acute myocardial infarction. Elevated troponin can be encountered, however, in patients with cardiomyopathy, significant cardiac arrhythmias, vasculitis, right-sided heart strain, critical systemic illnesses, stroke, drug toxicity (such as Adriamycin), poisons (such as snake venoms), renal failure, seizure, and rhabdomyolysis. If the clinical picture is not consistent with any of these causes, a false-positive result should be considered. We herein describe a 94-year-old man with a pri...
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Ayan M, Gheith Z, Ananthula A, Salih M, Vallurupalli S, Mehta JL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Acute myocardial infarction triggered by use of synthetic cannabis.
This report highlights the cardiovascular risks of these drugs. PMID: 29706819 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Mills B, Dishner E, Velasco CE Tags: Proc (Bayl Univ Med Cent) Source Type: research

Systolic anterior motion of the mitral valve after aortic valve replacement.
We present a case of severe systolic anterior motion developing intraoperatively after aortic valve replacement for aortic valve stenosis. PMID: 29706820 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Zaki JF, Markham T, Choi W, Moise O, Aijazi M, Sheinbaum R Tags: Proc (Bayl Univ Med Cent) Source Type: research

Late rhythm changes after operative closure of a ventricular septal defect.
PMID: 29706821 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Glancy DL Tags: Proc (Bayl Univ Med Cent) Source Type: research

High-intensity, sport-specific cardiac rehabilitation training of a 22-year-old competitive cyclist after spontaneous coronary artery dissection.
Abstract A 22-year-old man with spontaneous coronary artery dissection wanted to assess the feasibility of returning to competitive cycling. He was referred to the cardiac rehabilitation (CR) program at Baylor Hamilton Heart and Vascular Hospital where staff designed a high-intensity, sport-specific training program that simulated the movements and forces associated with his goal activity. The program was symptom limited and enabled the patient to train earlier and at a higher intensity than is typically allowed in conventional CR programs. Daily exercise training was customized to match the physical demands of co...
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Weber N, Weber A, Carbone P, Lawrence A, Bilbrey T, Schussler JM, Adams J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Locally advanced carcinosarcoma of the pancreas.
We report a case of pancreatic carcinosarcoma diagnosed in our institution, review tumor clinicopathological characteristics, and describe our medical and surgical management strategy. PMID: 29706823 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Still SA, Becerra CR, Clement-Kruzel SE, Cavaness KM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Late breast cancer recurrence with bone marrow metastases and acute pulmonary hypertension.
We report here a unique case of parallel progression of these bone marrow metastases in a patient with breast cancer who had a relapse a few years after treatment of her primary breast cancer, and she presented with diffuse marrow involvement and pulmonary hypertension without any definitive metastases elsewhere. PMID: 29706824 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Atwal D, Ramos JM, Makhoul I Tags: Proc (Bayl Univ Med Cent) Source Type: research

Medulloblastoma in a toddler with Gorlin syndrome.
We report a male toddler with multicentric posterior fossa tumor and calcifications along the falx cerebri, suggesting MB and GS. Pathology revealed nodular MB. His testing confirmed a germline SUFU mutation. His tumor resolved with three induction cycles of chemotherapy, but he died of respiratory failure due to infection at 20 months of age. Overlooking calcifications along the falx cerebri in children with MB can induce significant morbidity. PMID: 29706825 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Al-Rahawan MG, Trevino S, Jacob R, Murray JC, Al-Rahawan MM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Rectal cancer presenting with synchronous intraperitoneal spread of disease.
Abstract There are differing definitions regarding what portion of the large intestine should be considered "rectum" as opposed to "colon." The transition from intra- to extraperitoneal rectum results in potentially disparate patterns of spread for rectal cancer dependent on tumor location relative to the peritoneal reflection. Here we report the case of a 50-year-old woman with a mid to upper rectal adenocarcinoma who presented with a synchronous biopsy-proven tumor implant in the peritoneal cavity. Her case highlights issues of varying definitions of organ anatomy within the literature, the r...
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Leiker A, Khatri G, Meyer J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Hepatocellular carcinoma disguised as liver abscesses.
Abstract The incidence of hepatocellular carcinoma (HCC) is growing rapidly in the United States. Nonalcoholic fatty liver disease and nonalcoholic steatohepatitis are being increasingly recognized as known risk factors for the development of HCC. However, this risk seems to be associated with their progression to cirrhosis. This case demonstrates an unusual initial presentation of HCC masquerading as liver abscesses in a previously healthy woman with nonalcoholic fatty liver disease without cirrhosis. Our patient's clinical presentation was suspicious for an infectious etiology due to her ongoing fever in the set...
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Gowarty J, Ghauri A, Martinez G, Birdwell AL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Symptomatic hypercalcemia and scarring alopecia as presenting features of sarcoidosis.
Abstract Sarcoidosis is a multisystem granulomatous disease most frequently affecting the lungs, lymph nodes, and eyes. Skin involvement occurs in approximately 25% to 35% of cases, with the scalp uncommonly affected. Abnormal calcium metabolism is associated with sarcoidosis and other granulomatous disorders and most commonly presents as hypercalciuria (40%-60%) and, less frequently, hypercalcemia (10%-20%). Symptomatic hypercalcemia is unusual, presenting in 14 mg/dL, 3.5 mmol/L), scarring alopecia, and acute-on-chronic kidney failure. PMID: 29706828 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Frieder J, Kivelevitch D, Menter A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Scurvy in 2017 in the USA.
We describe a 65-year-old man with dyspnea, fatigue, anemia, and bleeding diathesis from scurvy and emphasize the importance of dietary history and the critical role of vitamin C in diagnosis and management of this forgotten entity. PMID: 29706829 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Baradhi KM, Vallabhaneni S, Koya S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Christiaan Barnard's views on euthanasia.
PMID: 29706830 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Cooper D Tags: Proc (Bayl Univ Med Cent) Source Type: research

Vulnus sclopetarium (gunshot wound).
Abstract Fading from the vernacular, the Latin phrase vulnus sclopetarium is a quaint, mystifying, and fascinating term that is translated as gunshot wound. There is a fulminating paucity of published information regarding the meaning of this term and the etymology. Trauma surgeons, military surgeons, and scholars of the medical aspects of the civil war may be familiar with the term. Vulnus is easily deciphered from ancient Latin as wound, whereas the origin of sclopetarium proves more difficult to discern. No guns were present in ancient Rome because guns were not invented until around the 13th century; hence, no...
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Partin C Tags: Proc (Bayl Univ Med Cent) Source Type: research

How I met some pioneers of cardiology.
PMID: 29706832 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Solis RM Tags: Proc (Bayl Univ Med Cent) Source Type: research

The trouble with troponin.
PMID: 29706833 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Michel JB, Schussler JM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Relation of behavioral health to quality health care.
This article provides background on integrated care, offers a description of the breadth of behavioral health, and notes institutions such as the Veterans Health Administration in which behavioral health is utilized. We also propose that behavioral health contributes to quality health care and is part of best practices, even as it is provided in a practical and cost-effective way within a medical center primary care setting. PMID: 29706834 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Buscemi D, Hendrick SS Tags: Proc (Bayl Univ Med Cent) Source Type: research

The undead in culture and science.
Abstract The undead have a significant role in mythology, religion, folklore, and literature. In the 1800s, the word zombie was used to describe reanimated corpses in the Caribbean who often worked on plantations doing long, arduous field work. The movie White Zombie was released in 1932 and exploited this folklore, but it ignored the fact that zombies represent one outcome in Vodou religious beliefs regarding death and the migration of spirits following death. The interest in zombies eventually led to sociological and medical investigations into zombification. Wade Davis reported that powders used by malevolent p...
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Nugent C, Berdine G, Nugent K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Mindfulness in the social media age.
PMID: 29706836 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Roberts FC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Nuclear Whole-Body Bone Scanning for Leprosy.
PMID: 29706837 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Joob B, Wiwanitkit V Tags: Proc (Bayl Univ Med Cent) Source Type: research

Some Comments on President Trump's Medical Examination in January 2018.
PMID: 29706838 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Cantwell JD Tags: Proc (Bayl Univ Med Cent) Source Type: research

Baylor Scott & White Health news.
Baylor Scott & White Health news. Proc (Bayl Univ Med Cent). 2018 Apr;31(2):255-256 Authors: PMID: 29706839 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Facts and ideas from anywhere.
PMID: 29706840 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - April 1, 2018 Category: Universities & Medical Training Authors: Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Factors among patients receiving prone positioning for the acute respiratory distress syndrome found useful for predicting mortality in the intensive care unit.
In conclusion, in a group of patients with severe ARDS treated with prone positioning, only APACHE II, plateau pressure, and driving pressure were associated with mortality in the intensive care unit. PMID: 29686542 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Modrykamien AM, Daoud Y Tags: Proc (Bayl Univ Med Cent) Source Type: research

Overall survival and brain death frequency following out-of-hospital cardiac arrest.
Abstract Out-of-hospital cardiac arrest (OHCA) is a major cause of mortality that is responsible for over 300,000 deaths in the United States each year. Underlying cardiac etiologies remain the most common culprit. Despite medical advances in the treatment of coronary artery disease, the mortality following OHCA remains dismal. Additionally, of those who survive the initial event, many are left with debilitating and irreversible anoxic brain injuries. Therefore, improving survival as well as neurologic outcome is of primary importance in this group. Our goal was to evaluate the underlying etiologies, neurologic ou...
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Howard CE, Garrett JS, Stoler RC, Schussler JM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Thrombolytic use in the region around Amarillo, Texas, in patients with ST elevation myocardial infarction.
Abstract Appropriate administration of thrombolytic therapy is particularly important for ST elevation myocardial infarction (STEMI) patients who are unable to access primary percutaneous coronary intervention (PCI) in a timely manner. We evaluated the current state of thrombolytic therapy in the Panhandle region of West Texas where access to primary PCI is poor. The medical records of 79 patients transferred from 20 outlying facilities to the two hospitals in Amarillo, Texas, for STEMI in 2016 were retrospectively evaluated for time of onset of chest pain, initial electrocardiogram findings, medication reconcilia...
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: McMaster KS, Chatterjee T, McBrayer D, Brabham D Tags: Proc (Bayl Univ Med Cent) Source Type: research

Effects of eplerenone on markers of myocardial fibrosis, 6-minute walk distance, and quality of life in adults with tetralogy of Fallot and complete transposition of the great arteries.
In conclusion, PINP and PIIINP levels are as high as or higher in patients with TOF and TGA than in patients with normal cardiac anatomy and heart failure, whereas G3 levels are lower. Eplerenone is well tolerated by adults born with congenital heart disease. PMID: 29686545 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Sodhi SS, Zhang TJ, McDonald R, Al Rashida V, Kondapalli N, Barger P, Ludbrook P, Cedars AM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Usefulness of left ventricular mass change to predict progression of renal dysfunction in Hispanics.
Abstract There is a strong relation between metabolic syndrome (MetS) and left ventricular (LV) mass in Hispanic patients. This population also tends to have a higher incidence of kidney disease, with progression to dialysis. We analyzed the change in LV mass in 982 Hispanic patients with MetS and used these data to anticipate the progression of renal dysfunction. Glomerular filtration rate (GFR) was calculated using the formula described by the Chronic Kidney Disease Epidemiology Collaboration. Echocardiographic data were collected using 2-dimensionally guided M-mode echocardiography measures. The data collected ...
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Said S, Teleb M, Albaghdadi AO, Kanu O, Wardi M, Ngamdu KS, Sroush LR, Michael M, Asatrian A, Salman RS, Mukherjee D Tags: Proc (Bayl Univ Med Cent) Source Type: research

Comparison of a standardized negative pressure wound therapy protocol after midline celiotomy to primary skin closure and traditional open wound vacuum-assisted closure management.
Abstract A negative pressure wound therapy (NPWT) protocol using Hydrofera Blue® bacteriostatic foam wicks and silver-impregnated foam overlay to close midline skin incisions after emergency celiotomy was compared to primary skin closure only and traditional open wound vacuum-assisted closure management as part of a quality improvement initiative. This single-institution retrospective cohort study assessed all consecutive emergency celiotomies from July 2013 to June 2014 excluding clean wounds. Included variables were demographics, wound classification, NPWT days, and surgical site occurrences (SSOs). Primary ...
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Regner JL, Forestiere MJ, Munoz-Maldonado Y, Frazee R, Isbell TS, Isbell CL, Smith RW, Abernathy SW Tags: Proc (Bayl Univ Med Cent) Source Type: research

Evaluating predictors of invasive candidiasis in patients with and without candidemia on micafungin.
Abstract Numerous risk factors have been linked to invasive candidiasis; however, they are nonspecific and often trigger empiric antifungal therapy in a large number of patients. Identification of more precise predictors could promote judicious use of empiric echinocandins. In this retrospective review, 127 patients with blood cultures positive for Candida spp. were compared to a randomly selected cohort of 134 patients on empiric micafungin for ≥3 days and with blood cultures negative for Candida spp. Factors associated with candidemia included total parenteral nutrition (TPN; 26.0% vs 15.7%, P = 0.040), ...
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Carr A, Colley P, Berhe M, Nguyen HL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Reflections of health care professionals on e-learning resources for patient safety.
Abstract There is a paucity of evidence on how health care professionals view e-learning as a means of education to achieve safer health care. To address this gap, the reflections of health care professionals who used the resources on BMJ Learning were captured and analyzed. Key themes emerged from the analysis. Health care professionals are keen to put their e-learning into action to achieve safer health care and to learn how to follow guidelines that will help them achieve safer health care. Learners wanted their learning to remain grounded in reality. Finally, many commented that it was difficult for their indi...
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Walsh K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Evidence-based pain medicine for primary care physicians.
This article will discuss the role of physical rehabilitation, pain psychology, pharmacotherapy, and procedural interventions in the treatment of chronic pain. Given the current epidemic of drug-related deaths, particular emphasis is placed on the alternatives to opioid therapy. Unfortunately, death is not the only significant complication from opioid therapy, and this article discusses many of the most common side effects. This article provides general guidelines on the most appropriate utilization of opioids with emphasis on the recent Centers for Disease Control and Prevention guidelines, risk stratification, and patien...
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Owen GT, Bruel BM, Schade CM, Eckmann MS, Hustak EC, Engle MP Tags: Proc (Bayl Univ Med Cent) Source Type: research

Incarcerated diaphragmatic hernia following Heimlich maneuver.
We present a case of an incarcerated diaphragmatic hernia secondary to Heimlich maneuver. PMID: 29686551 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Truong T, Salire K, De Cicco I, Cherian S, Aisenberg G Tags: Proc (Bayl Univ Med Cent) Source Type: research

Myocardial ischemia in an adolescent secondary to nutritional thiamine deficiency.
We present an 18-year-old patient with a history of nasopharyngeal carcinoma and total parenteral nutrition (TPN) dependence who experienced neurological manifestations and heart failure, likely due to underlying thiamine deficiency, dehydration, and vasodilation. The patient exhibited heart failure due to thiamine deficiency that was overlooked by her care team secondary to a reaction to preservatives associated with vitamins in TPN, lapse in communication, and decreased compliance. PMID: 29686552 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Lefevre C, Mallett LH, Wick L Tags: Proc (Bayl Univ Med Cent) Source Type: research

Pulmonary artery twisting during lung transplantation.
Abstract To the radiologist, complications of lung transplant are believed to occur along a time continuum, which is key given the nonspecific clinical and imaging findings. Pulmonary artery twisting in the immediate and early postoperative period is a known complication of transplantation, but receives relatively little attention. Early recognition is paramount due to the high morbidity and mortality of such a complication. This case highlights some imaging manifestations of the pulmonary artery. PMID: 29686553 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Lichliter A, Oros J, Laurie L Tags: Proc (Bayl Univ Med Cent) Source Type: research

Diagnosing and treating postpartum uterine artery pseudoaneurysm.
We present a case of a 19-year-old woman 6 weeks postpartum after low transverse cesarean delivery with recurrent heavy vaginal bleeding requiring a blood transfusion. Transvaginal sonogram revealed a UAP. Embolization of the uterine artery was performed, with resolution of her symptoms. PMID: 29686554 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Parr K, Hadimohd A, Browning A, Moss J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Diagnosing deep cerebral venous thrombosis.
We present a case of CVT in a young patient who presented with loss of consciousness with no headache or focal deficits, the usual type of presentation. PMID: 29686555 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Khan UM, Janani CS, LaMonte MP Tags: Proc (Bayl Univ Med Cent) Source Type: research

Usefulness of a left ventricular assist device in patients with left ventricular noncompaction.
We present 2 such patients with LVNC who, following failed medical management, received a left ventricular assist device (LVAD): one for long-term management and one as a bridge to transplant. Both were managed successfully without thromboembolic events to date. The success of these cases suggests that LVAD placement is a viable therapy in patients with LVNC as a bridge to transplant or as long-term management. PMID: 29686556 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Hashemi H, Raza FS, Harmon DM, Alias T, Felius J, Sherwood MJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Coronary artery fistula between the left anterior descending artery and pulmonary artery.
Abstract Coronary artery fistula is a rare anomalous connection between a coronary artery and a cardiac chamber or major vessel. Here we present the case of a 36-year-old woman who presented with sharp, substernal chest pain, dyspnea, and dizziness. A fistula between her left anterior descending artery and pulmonary trunk was found. Herein, we describe our approach and review the epidemiology, pathophysiology, diagnosis, and treatment options. PMID: 29686557 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Al-Douri A, Cedars A, Tran D Tags: Proc (Bayl Univ Med Cent) Source Type: research

The dilemma of refractory hypoxemia after inferior wall myocardial infarction.
Abstract Patent foramen ovale (PFO) occurs in 25% of people. The decision on whether to close the PFO found after myocardial infarction and specifically right ventricular infarction is debated, with no solid guidelines addressing this subject. Here we present the case of a 59-year-old man who presented with a myocardial infarction and was found to have PFO. He was treated with revascularization of the culprit artery, followed by supportive care. PMID: 29686558 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Albaghdadi A, Teleb M, Porres-Aguilar M, Porres-Munoz M, Marmol-Velez A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Late presentation of acute myocardial infarction due to ramus intermedius disease.
PMID: 29686559 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Glancy DL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Specificity of training in cardiac rehabilitation to facilitate a patient's return to strenuous work following aortic valve replacement.
Abstract A 30-year-old male roughneck worker on an oil rig underwent aortic valve replacement and subsequently enrolled in the Baylor Heart and Vascular Hospital exercise-based cardiac rehabilitation (CR) program. He expressed a strong desire to return to his physically demanding job. Based on his unique job requirements, CR staff designed and implemented comprehensive tests and a 5-week specific physical training program that included 6 exercises simulating his job functions. The selected exercises are not typically prescribed in traditional CR programs but mimicked the muscular strength/endurance required to per...
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Jenkins N, Adams J, Bilbrey T, McCray S, Schussler JM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Dedifferentiated parosteal osteosarcoma of the calvaria.
We present a case of a 57-year-old man with a partially ossified progressive enlarging left skull mass in the left temporoparietal region, with erosion of the outer table. Radiological diagnosis of dedifferentiated parosteal osteosarcoma was suggested, and histopathology confirmed the diagnosis. PMID: 29686561 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Mangla R, Mangla M, Li S, Abdelbaki A, Bansal I, Kumar A, Kumar Y Tags: Proc (Bayl Univ Med Cent) Source Type: research

Spontaneous tumor lysis syndrome in small cell lung cancer.
We present a case of tumor lysis syndrome in a patient with small cell lung cancer. PMID: 29686562 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Dean RK, Subedi R, Lee M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Pulmonary lymphangioleiomyomatosis associated with aggressive renal angiomyolipoma.
We present a young woman with LAM with an aggressive renal angiomyolipoma confirmed at autopsy. PMID: 29686563 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Cooper A, Baugh L, Kelley S, Huang H, Guileyardo J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Primary epithelioid angiosarcoma of the temporal bone with initial presentation of otalgia.
Abstract Primary angiosarcoma of the bone is exceedingly rare. Here, we report a case of epithelioid angiosarcoma arising from the right temporal bone in a 57-year-old woman who presented with otalgia that was refractory to conventional treatment. PMID: 29686564 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Ai D, Zreik RT, Harris FS, Hill G, Shan Y Tags: Proc (Bayl Univ Med Cent) Source Type: research

Chronic neutrophilic leukemia.
We present a case of chronic neutrophilic leukemia and discuss the criteria for diagnosis and the significance of mutations found in this leukemia. PMID: 29686565 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2018 Category: Universities & Medical Training Authors: Bredeweg A, Burch M, Krause JR Tags: Proc (Bayl Univ Med Cent) Source Type: research