Invited Commentary: Changing the conversation at the end of life: How the language we use impacts surrogates' decision-making burden.
PMID: 28966471 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Kilpatrick LB Tags: Proc (Bayl Univ Med Cent) Source Type: research

Fiftieth anniversary of the first heart transplant: The progress of American medical research, the ethical dilemmas, and Christiaan Barnard.
PMID: 28966472 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Alivizatos PA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Cardiologist with a big heart: the Allen and Shelly Dollar saga.
PMID: 28966473 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Cantwell JD Tags: Proc (Bayl Univ Med Cent) Source Type: research

Facts and ideas from anywhere.
PMID: 28966474 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2017 Category: Universities & Medical Training Authors: Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Effects of epidural analgesia on recovery after open colorectal surgery.
In conclusion, our study revealed that the benefits of EA in patients undergoing open colorectal surgery are limited, as it does not influence immediate postoperative cardiopulmonary complications or hospital length of stay. PMID: 28670050 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Elsharydah A, Zuo LW, Minhajuddin A, Joshi GP Tags: Proc (Bayl Univ Med Cent) Source Type: research

Ineffectiveness of magnetic resonance imaging enhancement to predict fibroid volume reduction after uterine artery embolization.
In conclusion, pre-UAE size and ADC, but not contrast enhancement, predicted fibroid diameter reduction. Enhancing and nonenhancing fibroids had a similar size reduction after UAE. Nonenhancement should not be considered a contraindication to UAE. PMID: 28670051 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Bao G, Hu L, Charles HW, Deipolyi AR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Imaging and clinical predictors of spontaneous bacterial peritonitis diagnosed by ultrasound-guided paracentesis.
Abstract Spontaneous bacterial peritonitis (SBP) is a potentially life-threatening complication of ascites diagnosed by paracentesis. We determined predictors of SBP to facilitate patient selection. The 301 paracenteses performed in 119 patients (51 women, 68 men) from July to November 2015 were retrospectively reviewed. Presentation, lab data, depth of the deepest ascites pocket on ultrasound, total volume of ascites removed, absolute neutrophil count, and complications were studied. Of 301 paracenteses, 16 (5%) diagnosed SBP. On univariate analysis, SBP was associated negatively with history of cirrhosis and pos...
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Sideris A, Patel P, Charles HW, Park J, Feldman D, Deipolyi AR Tags: Proc (Bayl Univ Med Cent) Source Type: research

The Everyday Cognition Scale in Parkinson's disease.
Abstract This brief report describes caregiver ratings on the Everyday Cognition (ECog) scale, a psychometrically robust measure of cognitively driven daily activities that was initially designed for other neurodegenerative conditions, in individuals with Parkinson's disease (PD). In 49 individuals with PD, those with suspected PD dementia had more difficulties across ECog domains than those with normal cognition or mild cognitive impairment. Results from multiple regression analyses revealed that activities captured by the ECog were related to measured cognitive ability, over and above disease duration and demogr...
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Cooper RA, Benge J, Lantrip C, Soileau MJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Rate of contralateral hip fracture after dynamic hip screw vs intramedullary nail for treatment of pertrochanteric hip fractures.
In conclusion, there was no difference in the rate of subsequent contralateral hip fracture when comparing HSSP with CMN. Additionally, the time to second surgery between the two treatment modalities was found to be statistically insignificant. It is unclear if bisphosphonate use increased the odds of having a contralateral fracture, regardless of the surgical intervention. The difference in the bisphosphonate effect using propensity score matching suggests that the results may be due to confounding variables and bias. PMID: 28670054 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Hughes JD, Bartley JH, Brennan KL, Maldonado YM, Brennan ML, Chaput CD Tags: Proc (Bayl Univ Med Cent) Source Type: research

Effect of thrombus aspiration on angiography and outcome in patients undergoing primary coronary angioplasty.
Abstract Thrombus exerts a major impact on the performance and outcome of primary and rescue interventions in acute ST-elevation myocardial infarction. Although the optimal treatment of thrombotic lesions is still controversial, thrombus aspiration provides an effective method to achieve successful reperfusion during primary angioplasty. We compared clinical and angiographic outcomes in 286 patients with acute ST-elevation myocardial infarction undergoing primary percutaneous transluminal coronary angioplasty (PTCA) and thrombus aspiration with those who underwent conventional PTCA without thrombus aspiration. Thr...
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Chacko P, Jayaprakash K, Misiriya KJR, Madhavan S, Kumary VS, Jayaprasad N, Jayaprakash VL, George R Tags: Proc (Bayl Univ Med Cent) Source Type: research

Clinical experience with machine log file software for volumetric-modulated arc therapy techniques.
In conclusion, the Mobius FX method for pretreatment of patient-specific QA is capable of producing results similar to those obtained by traditional methods. PMID: 28670056 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Vazquez-Quino LA, Huerta-Hernandez CI, Rangaraj D Tags: Proc (Bayl Univ Med Cent) Source Type: research

Review of screening studies for atrial fibrillation in rural populations of 11 countries.
Abstract Atrial fibrillation (AF) is a common cardiac arrhythmia, and pathological burden can be influenced by environmental factors. The rural environment may influence the burden of AF, although no systematic review studies have been conducted to address this issue. We performed a systematic review of AF screening studies conducted in rural global populations to determine the burden, risk factors, and screening methods surrounding AF in these settings. Out of the 1792 articles gathered from a keyword search of medical databases and reference lists, 18 publications from 11 countries were included in our analysis....
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Gavino AI, McLachlan CS Tags: Proc (Bayl Univ Med Cent) Source Type: research

Management of complex regional pain syndrome.
Abstract Complex regional pain syndrome (CRPS) is a relatively rare, chronic, and debilitating condition that significantly impacts the patient's quality of life. There is an overall paucity of literature addressing the management of CRPS in immunocompromised patients. We define features of CRPS, outline its treatment options, and describe a course of CRPS management for a 35-year-old patient who had heart transplantation requiring immunosuppressive medications. PMID: 28670058 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Lo JC, Cavazos J, Burnett C Tags: Proc (Bayl Univ Med Cent) Source Type: research

Management of pelvic floor disorder in a diethylstilbestrol daughter.
This report describes a DES daughter treated for uterine cancer who presented with a foreshortened vagina of 4 cm and stage III pelvic organ prolapse. She underwent successful vaginal native tissue reconstructive surgery with uterosacral colpopexy and anterior and posterior repair to lengthen her vagina and treat her prolapse. She then developed stress incontinence and underwent periurethral bulking 5 months later. She has been followed for 2 years with no recurrence of prolapse or incontinence. PMID: 28670059 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Chung CP, Cao S, Wakabayashi G, Han ES Tags: Proc (Bayl Univ Med Cent) Source Type: research

Deglutition syncope.
Abstract Deglutition syncope, also known as swallow syncope, is a neurally mediated reflex syndrome. The common intervention of the heart, esophagus, and stomach by the vagus nerve is central to its pathogenesis, whereby swallowing causes inhibition of the cardiac conduction system. It is most commonly associated with disorders of the esophagus, both organic and functional. Herein we describe the case of a 48-year-old man presenting with transient syncopal episodes that occurred while eating caused by an intrathoracic stomach due to a hiatal hernia. PMID: 28670060 [PubMed - in process] (Source: Baylor Univers...
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Patel N, Ibrahim S, Shah J, Orellana-Barrios MA, Paterick TE, Tajik AJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Thoracentesis-reverting cardiac tamponade physiology in a patient with myxedema coma and large pleural effusion.
We report a case of a 53-year-old woman with severe hypothyroidism presenting with myxedema coma and refractory shock. Her hemodynamic status failed to respond to fluid resuscitation and vasopressors. A transthoracic echocardiogram and chest radiograph demonstrated a pericardial fluid accumulation associated with a large left-sided pleural effusion. Thoracostomy tube insertion resulted in prompt improvement of the patient's hemodynamic status. Our finding demonstrates that a large pleural effusion may play an important role in cardiac tamponade physiology. PMID: 28670061 [PubMed - in process] (Source: Baylor Universit...
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Werlang ME, Pimentel MR, Diaz-Gomez JL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Novel technique of selective stent deployment in complicated thoracic aortic aneurysm.
Abstract A 72-year-old woman presented with a thoracic aortic aneurysm that was found to have increased from 5.1 cm to 7.1 cm. Due to the increase in size, the aortic aneurysm required endovascular repair. After deployment of a GORE C-TAG stent graft, a distal type 1 endoleak was still present, requiring deployment of another stent to achieve total coverage. The aorta had an angled anatomical variation often associated with type 1 endoleaks causing technical difficulty with conventional deployment of the graft. By employing a novel Parachute technique, the graft was selectively deployed at the distal end, and the ...
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Young A, Kastner L, Vasquez J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Aorto-right atrial fistula after Bentall repair.
We describe a man with the Marfan syndrome and a prior ascending aortic aneurysm resection who presented with knee pain and concern of endocarditis. Transesophageal echocardiogram showed no vegetations, and computed tomography angiogram of the heart showed a possible pseudoaneurysm. Cardiac catheterization and aortogram revealed the diagnosis of an aorto-right atrial fistula, which was then operatively repaired. This case highlights the role that cardiac catheterization with aortogram can play in the detection of aorto-atrial fistula. PMID: 28670063 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Howard CE, Velasco CE, Roullard CP, Rafael A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Coronary arterial aneurysms in previously transplanted (donor) hearts.
Abstract Described herein is a 57-year-old man who had had a cardiac transplant 5 years earlier (at age 52) and died of a ruptured abdominal aortic aneurysm. The donor heart was found to have a fusiform aneurysm, each filled with thrombus, in 2 major epicardial coronary arteries. PMID: 28670064 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Kondapalli N, Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Aortic valve perforation secondary to blunt force trauma.
We report the case of a 63-year-old man who had a motor vehicle collision resulting in transection of the descending thoracic aorta, splenic pseudoaneurysm, and rupture of an aortic valve cusp causing severe aortic regurgitation. Despite replacement of the aortic valve, he died of multiorgan failure. PMID: 28670065 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Mehta S, Wilson G, Suarez K, Chiles CD Tags: Proc (Bayl Univ Med Cent) Source Type: research

Takotsubo cardiomyopathy with Guillain-Barr é syndrome.
Takotsubo cardiomyopathy with Guillain-Barré syndrome. Proc (Bayl Univ Med Cent). 2017 Jul;30(3):307-308 Authors: Gill D, Ruiz VG, Dean R, Liu K Abstract A 70-year-old woman presented with progressive lower extremity weakness and heaviness accompanied with chest pain. Troponin T was elevated, and an echocardiogram showed a left ventricular ejection fraction of 30% and a hypokinetic left ventricular apex. Neurophysiologic testing was consistent with Guillain-Barré syndrome, which was treated with intravenous immunoglobulin therapy. Repeat echocardiogram showed an improved left ventricular...
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Gill D, Ruiz VG, Dean R, Liu K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Doxorubicin chronic cardiomyopathy.
PMID: 28670067 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Glancy DL Tags: Proc (Bayl Univ Med Cent) Source Type: research

Spindle-cell sarcoma involving the major pulmonary arteries.
Abstract Primary pulmonary vasculature tumors are exceptionally rare, with only a few reported cases. Signs and symptoms of such neoplasms vary but include dyspnea, cough, and chest pain. This condition is associated with a high mortality rate and is easily misdiagnosed as a pulmonary artery embolism. We pre-sent a case of pulmonary artery sarcoma that demonstrates the value of cardiac magnetic resonance imaging for accurate diagnosis. PMID: 28670068 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Teleb M, Olivas CC, Kanu O, Ramos LD, Ngamdu KS, Albaghdadi A, El Mallah W Tags: Proc (Bayl Univ Med Cent) Source Type: research

Hypertensive crisis secondary to pheochromocytoma.
We describe a patient with hypoxic respiratory failure requiring extracorporeal membrane oxygenation to stabilize until the pheochromocytoma was discovered and treated. PMID: 28670069 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Greenleaf CE, Griffin LA, Shake JG, Orr WS Tags: Proc (Bayl Univ Med Cent) Source Type: research

Two cancers in one: breast carcinoma with underlying melanoma.
Abstract A 61-year-old woman presented with a diagnosis of metastatic invasive lobular carcinoma of the right breast, and after treatment it had regressed or was stable except for a scalp nodule. When biopsied, the outer edges of the scalp lesion had findings consistent with breast carcinoma; however, the bulk of the tumor's pathology was consistent with melanoma. It appeared that most of the tumor was a highly vascularized melanoma with lobular breast carcinoma noted at its edges. PMID: 28670070 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Douville NA, Sakach EA, Wiewiorowski EA, Herlihy W, Pippen JE Tags: Proc (Bayl Univ Med Cent) Source Type: research

Pleural-based granular cell tumor.
We report the clinical, radiographic, and pathological features of a pleural-based granular cell tumor in a 60-year-old African American man. PMID: 28670071 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Odigwe C, Bradley R, Arya RR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Primary mucoepidermoid carcinoma of the lung with prominent clear cells.
We report a case of a 21-year-old man with a right mainstem bronchus mass composed predominantly of clear cells. This case represents a rare primary pulmonary low-grade mucoepidermoid carcinoma positive for MAML2 rearrangement by fluorescence in situ hybridization with a prominent clear cell component. PMID: 28670072 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Fink DD, Lomas AM, Roden AC, Shah PC, Zreik RT Tags: Proc (Bayl Univ Med Cent) Source Type: research

Ewing's sarcoma of the trachea in an adolescent girl.
We describe an adolescent girl who presented with stridor and was diagnosed with PNET of the trachea. She is in remission following treatment with combination chemotherapy and local radiotherapy. PMID: 28670073 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Puthusseri J, Narayanan G, Preethi TR, Jayapriya G Tags: Proc (Bayl Univ Med Cent) Source Type: research

Persistent hematuria caused by renal cell carcinoma after aortic valve replacement and warfarin therapy.
We present a case of a patient with persistent hematuria who was found to have a renal mass that was not evident on renal ultrasound and computed tomography of the abdomen and pelvis but was seen on magnetic resonance imaging. PMID: 28670074 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Bukhari S, Amodu A, Akinyemi M, Wallach S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Malignant thymoma with metastasis associated with paraneoplastic myasthenia gravis.
We describe a patient who initially presented with a mixed thymic tumor and developed myasthenia gravis 8 years following thymectomy with recurrence of metastatic disease. Metastasis to the pleura, mediastinum, and cervical spine was identified with a positron emission tomography scan when this patient presented with recurring pneumonias and atrial fibrillation. The presentation and diagnosis were clouded by multiple courses of prednisone and chemotherapy for respiratory complications and metastatic disease, respectively. Classical myasthenia gravis symptoms emerged when his prednisone was tapered. The delayed presentation...
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Jazi HH, Harmon DM, Tran T, Denham C Tags: Proc (Bayl Univ Med Cent) Source Type: research

Acute exacerbation of myasthenia gravis with topical imiquimod use.
We report a patient with a history of well-controlled myasthenia gravis who was prescribed imiquimod for lentigo maligna. Treatment was halted after 2 weeks when the patient reported itching and irritating sensations in his throat, consistent with previous myasthenia exacerbations. The symptoms improved once imiquimod use was discontinued. We advise clinicians to be cautious when prescribing imiquimod to a patient with a history of myasthenia gravis. PMID: 28670076 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Saad S, Mansouri B, Housewright C Tags: Proc (Bayl Univ Med Cent) Source Type: research

Mixed phenotypic acute leukemia with leukemia cutis and neuroleukemiosis.
We report a 32-year-old woman with multiple skin lesions and painful peripheral neuropathy. Bone marrow biopsy and skin biopsy confirmed the diagnosis of mixed phenotypic acute leukemia. After induction chemotherapy, she attained marrow remission, her skin lesion resolved completely, and her neurologic symptoms significantly improved. PMID: 28670077 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Poikayil RJ, Narayanan G, Sugathan H, Soman LV Tags: Proc (Bayl Univ Med Cent) Source Type: research

B-lymphoblastic lymphoma of the rectum.
We describe a 26-year-old man who presented with bleeding per rectum and fecal incontinence. Endoscopy showed a large nodular friable lesion narrowing the entire rectal lumen. Biopsy was diagnostic of B-lymphoblastic lymphoma. He was started on chemotherapy with the Berlin-Frankfurt-Münster protocol and achieved complete remission after induction chemotherapy. This is the first report of B-lymphoblastic lymphoma presenting as a rectal lesion in the world literature. PMID: 28670078 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Unnikrishnan P, Narayanan G, Kumar BS, Devi N Tags: Proc (Bayl Univ Med Cent) Source Type: research

Mantle cell lymphoma of the prostate gland treated with holmium laser enucleation.
We describe a case of mantle cell lymphoma of the prostate that caused significant enlargement and bladder outlet obstruction with urinary retention. The obstruction was treated with holmium laser enucleation of the prostate with good functional results. PMID: 28670079 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Milburn PA, Cable CT, Trevathan S, El Tayeb MM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Elastofibroma dorsi.
This report describes the typical location and imaging features of this incidental hypermetabolic mass. PMID: 28670080 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Goyal P, Gandhi D, Gupta S, Li S, Kumar Y, Olsavsky TD, Gupta N Tags: Proc (Bayl Univ Med Cent) Source Type: research

Treatment of chronic lymphocytic leukemia/small lymphocytic lymphoma presenting simultaneously with acquired hemophilia and warm autoimmune hemolytic anemia.
We present a case of a 75-year-old man in whom both diseases were present simultaneously with life-threatening bleeding. This case is an example of the successful initial management and long-term treatment of acquired hemophilia A, warm autoimmune hemolytic anemia, and chronic lymphocytic leukemia/small lymphocytic lymphoma with rituximab, prednisone, and cyclophosphamide. PMID: 28670081 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Williams C, Cable C, Choi J Tags: Proc (Bayl Univ Med Cent) Source Type: research

Pseudothrombotic microangiopathy and vitamin B12 deficiency in pernicious anemia.
Abstract Vitamin B12 deficiency may present as pseudothrombotic microangiopathy. Pseudothrombotic microangiopathy is anemia, thrombocytopenia, and schistocytosis caused by vitamin B12 deficiency. Pseudothrombotic microangiopathy may be mistaken for microangiopathic hemolytic anemia, confounding appropriate treatment. Evaluation of lactate dehydrogenase, reticulocyte count, bilirubin, and platelet count are most helpful in differentiating pseudothrombotic microangiopathy from a true microangiopathic hemolytic anemia. A case of pseudothrombotic microangiopathy due to severe vitamin B12 deficiency is presented. ...
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Veit K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Olmesartan-associated enteropathy.
We present three cases that represent different aspects of this disorder, as well as some unusual features. PMID: 28670083 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Ebrahim VS, Martin J, Murthy S, Odstrcil E, Huang H, Polter D Tags: Proc (Bayl Univ Med Cent) Source Type: research

Medullary angiitis and pauci-immune crescentic glomerulonephritis.
Abstract Although almost all pathological diagnoses made from a native kidney biopsy come from careful examination of the renal cortex, certain diseases have a characteristic medullary component. Medullary angiitis has histological features of interstitial hemorrhage in the medulla with an associated polymorphonuclear leukocyte infiltrate. These findings are primarily found in the setting of antineutrophil cytoplasmic antibody-associated vasculitis. Medullary angiitis identified in the setting of negative immunofluorescence is most suggestive of pauci-immune crescentic glomerulonephritis, as presented in this case...
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Klein J, Rodriguez W, Kuperman M, Szerlip H Tags: Proc (Bayl Univ Med Cent) Source Type: research

The case for computed tomographic angiography for initial management of lower gastrointestinal hemorrhage.
We present a case in which computed tomographic angiography was invaluable in the detection and subsequent empirical transarterial embolization of a lower gastrointestinal hemorrhage and offer evidence as to why it should be a first-line tool in the management of these patients. PMID: 28670085 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Gupton T, Cura M Tags: Proc (Bayl Univ Med Cent) Source Type: research

Posterior reversible leukoencephalopathy syndrome after kratom ingestion.
We report a young man who suddenly developed severe headache, disorientation, and aphasia following ingestion of kratom and Adderall. Computed tomography and magnetic resonance imaging of his head revealed foci of vasogenic edema in the posterior occipital lobes, frontal lobes, and brainstem. In addition, he had a small area of hemorrhage in the left posterior occipital lobe. Lumbar puncture revealed an increased number of red blood cells but no other abnormalities. His initial blood pressure was elevated but returned to normal during hospitalization. This case suggests that kratom can cause posterior reversible encephalop...
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Castillo A, Payne JD, Nugent K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Plasmapheresis for recurrent acute pancreatitis from hypertriglyceridemia.
We describe a 38-year-old obese Hispanic woman with a previous history of acute pancreatitis from diabetic hypertriglyceridemia who presented to the emergency department with a 2-day history of worsening abdominal pain. Plasmapheresis was initiated with one calculated plasma volume exchange using 5% albumin replacement within 24 hours of admission. Following this treatment, the triglyceride level fell 74%. Another session was performed the following day. The final triglyceride level represented a 93% reduction. This case is novel in that the patient presented twice within the same year with hypertriglyceridemic pancreatiti...
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Kopecky K, Moreland A, Hebert C, Colbert GB Tags: Proc (Bayl Univ Med Cent) Source Type: research

Linear IgA bullous dermatosis mimicking oral lichen planus.
Abstract Linear IgA bullous dermatosis (LABD) is an autoimmune disease characterized by blisters on the skin and mucous membranes. Polycyclic, grouped bullae on cutaneous skin are the most characteristic clinical feature of LABD. Lesions are often indistinguishable from bullous pemphigoid or may resemble dermatitis herpetiformis. Oral lesions may be seen in 5% to 70% of patients with LABD, and in some cases, the oral mucosa may be the only area of involvement. Herein, we report a patient with LABD involving only the oral mucosa clinically. The entity histologically mimicked oral lichen planus, which challenges acc...
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Shah S, Mohr B, Parekh P Tags: Proc (Bayl Univ Med Cent) Source Type: research

Usefulness of positron emission tomography to detect cerebral amyloid as a means to diagnose neurodegenerative disease.
We present a case of suspected Alzheimer's disease and discuss the association in this patient between cerebral amyloid angiopathy and Alzheimer's disease, as well as the benefits of a unique nuclear imaging modality, amyloid positron emission tomography, in diagnosing dementia. PMID: 28670089 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Page J, Oza U, Layton K, Padilla C Tags: Proc (Bayl Univ Med Cent) Source Type: research

Neurocysticercosis of the fourth ventricle associated with hydrocephalus.
We report a young Hispanic patient who was diagnosed with neurocysticercosis of the fourth ventricle and subsequent hydrocephalus. PMID: 28670090 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Mullins C, Muniz JA, Sandoval H, Padilla O, Ramos-Duran L Tags: Proc (Bayl Univ Med Cent) Source Type: research

Metastatic calcinosis cutis in end-stage renal disease.
Abstract Alterations in calcium and phosphorus levels and joint pain are a common occurrence in end-stage renal disease patients. However, metastatic calcinosis cutis is a rare diagnosis that often combines these two findings, with extensive soft tissue calcification surrounding a large joint being the hallmark of this disease. The exact mechanism behind this clinical entity is unknown. The treatment and complications can be severe and disabling. Here, we discuss the case of a 26-year-old man presenting with unusually advanced skin and joint calcification of the shoulders, neck, hand, and penis. PMID: 2867009...
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Jaeger VA, Newman MG, Mirkes CR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Invited Commentary: Calcinosis cutis and renal disease: an evolving story.
PMID: 28670092 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Fenves AZ, Kroshinsky D Tags: Proc (Bayl Univ Med Cent) Source Type: research

Pathognomonic STEW: visible clues to systemic amyloidosis.
PMID: 28670093 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Fred HL, van Dijk HA Tags: Proc (Bayl Univ Med Cent) Source Type: research

Humor in medicine: Can laughter help in healing?
PMID: 28670094 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Weisse AB Tags: Proc (Bayl Univ Med Cent) Source Type: research

A great-grandfather's account of the Irish potato famine (1845-1850).
Abstract My great-grandfather, Rodger Cantwell, and his family managed to survive the Irish famine that began in 1845. Blending what family records we have with Kelly's outstanding 2012 book about the era, the following is an historical fictional account of Rodger's saga. PMID: 28670095 [PubMed - in process] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - July 1, 2017 Category: Universities & Medical Training Authors: Cantwell JD Tags: Proc (Bayl Univ Med Cent) Source Type: research