Conference Presentation Abstracts | Internal Medicine | Beaumont Health
 

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Submissions from 2024

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Native Coronary Artery Instead of Saphenous Vein Graft Intervention for Treatment of Significant Saphenous Vein Graft Lesions (NASA Registry), Michaella Alexandrou, Olga Mastrodemos, Ahmed Al-Ogaili, Bavana Rangan, Salman Allana, Athanasios Rempakos, Dimitrios Strepkos, Pedro Carvalho, Deniz Mutlu, and Sandeep Jalli

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Stress Assessment of Interventional Cardiology Fellows and Attendings (STRAIN), Michaella Alexandrou, Athanasios Rempakos, Dimitrios Strepkos, Pedro Carvalho, Deniz Mutlu, Olga Mastrodemos, Bavana Rangan, Sandeep Jalli, Mario Gossl, and Ahmed Al-Ogaili

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Impact of Calcium on the Long-Term Outcomes of Bifurcation Percutaneous Coronary Intervention (PROGRESS-BIFURCATION), Michaella Alexandrou, Dimitrios Strepkos, Pedro Carvalho, Deniz Mutla, Athanasios Rempakos, Oleg Krestyaninov, Dmitrii Khelimskii, Barkin Kultursay, Ufuk Yildirim, and Mahmut Uluganyan

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Myxedema coma due to interrupted levothyroxine therapy, Tajuldeen Al Hasani

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Endoscopic Cystgastrostomy and Necresectomy of Large Walled-Off Necrosis (Retrospective Study), Alsadiq Al-Hillan, Nazli Begum Ozturk, Prekchha Jha, Rabin Neupane, and Laith H. Jamil

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Outcomes of High vs Low Volume Retrograde Chronic Total Occlusion Percutaneous Coronary Intervention Operators: Insights From the PROGRESS-CTO Registry, S Allana, Athanasios Rempakos, M Alexandrou, B Rangan, and E Brilakis

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Esophagitis in a Post-Liver Transplant Patient: A Case of Cytomegalovirus and Herpes Simplex Virus-1 Coinfection, Amira Al-Nabolsi, AmmadJavaid Chaudhary, Taher Jamali, Allyce Caines, and Mazen Elatrache

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Drug-Induced Liver Injury: A Case of Amoxicillin-Clavulanate-Induced Liver Injury, Amira Al-Nabolsi, Barbara Senger, Hassan Eidy, Rami Dali, Mohmaed Musheinesh, and Ashbita Pokharel

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There is "Thorn" Than Meets the Eye, Zaid Alnabulsi

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Fibrolamellar Hepatocellular Carcinoma (FL-HCC) Epidemiology, Survival Characteristics, and Outcomes: Surveillence, Epidemiology, and End Results Database (SEER) Study, Zaid Alnabulsi, Nitya Batra, Atulya Aman Khosla, Abdelrahman M. Attia, Morgan Kiryakoza, Novonil Deb, and Daniel Ezekwudo

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AIDS Associated Cryptosporidial and CMV Cholangiopathy, Nada Alsharif, Luxhman Gunaseelan, Mamoun Souleiman, and Cecilia Big

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Not Your Typical Recurrent Pericarditis Patient!, Tarek Alsibai, Naomi Cret, and Shaiva G. Meka

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Effect of IV Iron-Carbohydrate Supplement on Morbidity and Mortality in Patients with Heart Failure, Yousef Alsmairat and Malitha Hettiarachchi

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Flash leukostatic pulmonary edema in a female with chronic phase CML and congestive failure- a delicate balance between diuresis and leukapheresis, Tanya Amal

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Recurrent Metabolic Encephalopathy in an Adult With Angelman Syndrome, Lennox-Gastaut Syndrome, and VLCAD Deficiency: When Remedy For One Malady is the Catalyst For Another, Tanya Amal, Tucker T. Billups, Michael Brennan, Omar Jameel, Ayesha Sharif, Julia Meireles, Lauren Workman, Shuo Li, and Daniel Misra

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Streptococcus Pneumoniae Neck Abscess in a Patient with Waldenstrom's Macroglobulnemia, Tanya Amal, Paul Johnson, and Ayesha Sharif

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Kartegener Syndrome Presenting With Acute Bronchiectasis Exacerbation Secondary to Achromobacter Xyloxidians Infection, Tanya Amal, Nora Mchiek, Andrew Vrtar, Daniel Nikolaidis, Lark Steafo, and Ovidiu Niculescu

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Pyrexia of Unknown Origin in Non-Small Cell Lung Cancer: A Fatal Diagnostic Dilemma Between Infectious and Neoplastic Fever, Tanya Amal, Luke Schanz, Shuo Li, and Ayesha Sharif

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A Sheep in Wolf's Clothing: Actinomyces Infection Imitating Malignancy, Tanya Amal and Ayesha Sharif

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Turning the tide-Bispecific Antibodies in Penta-Refractory Multiple Myeloma, Yagnapriya Ammakola, Atulya A. Khosla, Berk Celik, and Ishmael Jaiyesimi

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Jejunal Adenocarcinoma: A Rare Cause of Iron Deficiency Anemia, Ahmed Aref, Nazli Begum Ozturk, Michaela Batke, and Naveen Reddy

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Recurrence of Metastatic Pancreatic Neuroendocrine Tumor After Liver Transplantation, Ahmed Aref, Nazli Begum Ozturk, and Laith H. Jamil

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Successful Medical Management of Intramural Duodenal Abscess, Ahmed Aref, Nazli Begum Ozturk, and Laith H. Jamil

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Splenic Infarct Following Roux-en-Y Gastric Bypass Surgery, Khurram Arshad, Yazan Alamro, Rabia Latif, Zaid Mahameed, Omar Nasser Rahal, and Rajiv John

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From Collapse to Recovery: Thiamine Intervention in Cardiac Beriberi, Khurram Arshad, Zaid Mahameed, Rabia Latif, Ruaa Elteriefi, and Yazan Alamro

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Addressing Blood Glucose Fluctuations and Fasting Challenges in Sheehan Syndrome: A Case Study, Huyam Awadalla Hassan Awadalla, Amna Nadeem Kiani, Wael Taha, Naisargee Nilesh Solanki, Ali Lattouf, Angela Shermetaro, and Adrianna Taweel

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A Protocol to Manage Esophageal Food Impaction, Mohamad Ayas and Tusar Desai

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A Case of Acute Hypotension Following Initiation of RIPE Therapy, Nathanial Bartosek

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Unmasking the Uncommon: CMV Colitis in an Immunocompetent Patient - A Diagnostic Challenge, Nathanial Bartosek, Ihab Kassab, Prekchha Jha, and Fadi Odish

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Alcohol and Sepsis: A Deadly Duo Leading to Acute Esophageal Necrosis, Nathanial Bartosek, Usha Kellampali, Mohammed Alkhero, and Firdous Siddiqui

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The Conundrum of MRSA Cholecystitis and Cholestatic Liver Enzyme Elevation, Nathanial Bartosek, Nazli Begum Ozturk, Usha Kellampalli, and Ketan Rana

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Next-Generation Sequencing in Patients With Lung Cancer Undergoing Immunotherapy: Retrospective Review, Akshee Batra, Atulya Aman Khosla, David Alejos, Jinah Kim, Sienna Searles, Akshit Chitkara, Karan Jatwani, Abhinav Vyas, Hibba T. Rehman, Shahid S. Ahmed, and Rohit Singh

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Retrospective Analysis on Association of Body Mass Index and Immune Checkpoint Inhibitor Response, Akshee Batra, Abhinav Vyas, Atulya Aman Khosla, Akshit Chitkara, David Alejos, Xiaocao Xu, Karan Jatwani, Hibba T. Rehman, Shahid S. Ahmed, and Rohit Singh

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Association Between Congenital Heart Disease and Cancer: A Meta-Analysis of 30 Million Patients, Nitya Batra, Vikash Jaiswal, Atulya Aman Khosla, Novonil Deb, Ananya Vadhera, Muhammad Hanif, Aanchal Sawhney, Maha Hameed, Daniel Ezekwudo, and Ishmael A. Jaiyesimi

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A Rare Case of Primary Sclerosing Pneumocytoma in a Healthy Female, Nitya Batra, Atulya Aman Khosla, Mohammad Muhsin Chisti, VIkash Jaiswal, and Ashbita Pokharel

Myeloid Sarcoma in a Patient With Marfan Syndrome, Nitya Batra, Atulya Aman Khosla, Shyam Poudel, and Daniel Ezekwudo

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Trilaciclib Use For Prevention of Hematological Adverse Events in Chemotherapy: A Meta-Analysis of Real-World Studies and Clinical Trials, Nitya Batra, Atulya Aman Khosla, A B. Shrestha, V Jaiswal, Zaid Alnabulsi, Morgan Kiryakoza, and Mohmmad Muhsin Chisti

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PROMising Developments: Trends of Patient-Reported Outcomes in Waldenstrom Macroglobulinemia Clinical Trials, Nitya Batra, Rahul Mishra, Madhan Srinivasan, Avi Harisingani, Mahnoor Sukaina, Tulika Garg, Suhana Preet Kaur, Saida Ansar, Sameer Deshmukh, and Atulya Aman Khosla

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Promising Developments: Trends of Patient-Reported Outcomes in Diffuse Large B Cell Lymphoma Clinical Trials, Nitya Batra, Manhoor Sukaina, Rahul Mishra, Madhan Srinivasan Kumar, Avi Harisingani, Sameer Deshmukh, Tulika Garg, Kamalpreet Singh Walia, Sadia Ansar, Suhana Preet Kaur, Atulya Aman Khosla, Karan Jatwani, Mohammad Muhsin Chisti, and Muhammad Salman Faisal

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Feeling Something Deeper: A Case of Hyalinizing Clear Cell Carcinoma of Lung Primary With Suspected Lynch Syndrome, Hussein Bazzy, Cameron Hubbard, Ahmad Tahawi, Narayana Gandham, Richard Zekman, Phillip V. Kaplan, Erich J. Schwartz, and Kevin Jamil

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Socioeconomic Disparities in Survival Outcomes of Patients With NSCLC With Brain Metastases: A Real-World Analysis, Shreyas S. Bellur, Shahzaib Ahmad, Vivek Bhat, Mohammad A. Ganiyani, Ahmad Ozair, Diya Jayram, Atulya Aman Khosla, Vivek Podder, and Manmee S. Ahluwalia

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Socioeconomic Disparities in Survival Outcomes of Patients With SCLC With Brain Metastases: A Nationwide Analysis, Shreyas S. Bellur, Diya Jayram, Shahzaib Ahmad, Vivek Bhat, Ahmad Ozair, Mohammad A. Ganiyani, Atulya Aman Khosla, Vivek Podder, and Manmee S. Ahluwalia

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A Novel Subtype of Minimal Change Disease, Unnati Bhatia, Ritu Calla, Nishant Aggarwal, and Abhishek Swami

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Going Beyond the Glomerulus in ANCA Vasculitis, Unnati Bhatia, Aagamjit Singh, Nishant Aggarwal, Ewelina Niedzialkowska, and Abhishek Swami

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Not-So-Typical Neurologic Effects: Unraveling Lithium Toxicity, Alexsandra Biel, Vickie Xin, Mujtaba Moazzam, and Ramona Berghea

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In-Hospital Outcome of Antegrade Dissection Reentry in Left Anterior Descending Artery Chronic Total Occlusions: Patient Data Pooled Analysis of 4 Multicenter Registries, Marouane Boukhris, Deniz Mutlu, Athanasios Rempakos, Athanasios Aboyans, Victor Rouchard, Michaella Alexandrou, Dimitrios Strepkos, Pedro Carvalho, Alexandre Quadros, and Joseph Dens

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Atypical Thyroid Storm Presenting in the Setting of Metastatic Anaplastic Thyroid Cancer, Berk Celik

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A Rare Case of Myelomatous Ascites With ESKD, Berk Celik, Unnati Bhatia, and Sami S. Zarouk

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Trends in Mortality Due to Pancreatitis Among Patients Aged 55 and Older in the United States: Insights From the CDC WONDER Database, Ammad Javaid Chaudhary, Amira Al-Nabolsi, Muhammad Naveed, Ahila Ali, Rabia Iqbal, Bazil Azeem, Muhammad Omer Rehan, Rabia Asim, Nouman Shafique, Syed-Mohammed Jafri, and Faiza Ashfaque

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The Silent Michigan Epidemic: Unraveling Neurological Changes Posed By Recreational Nitrous Oxide Abuse, Tabssum Chauhan, Mariam Jamil, Nada Alsharif, Antoine Egbe Bessong Tabot, Ammara Aftab, Erin Frankowicz, and Rajiv John

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Isolated Spleen involvement as the only manifestation of Sarcoidosis: a rare case report, Karan Chhabra, Atulya A. Khosla, Florian Bukovec, and Dilip Khanal

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A Meta-Analysis of Models for Predicting the Incidence of Brain Metastasis in Patients With Lung Cancer, Sufal Chhabra, Julia Shin, Yanjia Zhang, Zhenwei Zhang, Md Ashfaq Ahmed, Atulya Aman Khosla, Nitya Batra, Mukesh Roy, Venkataraghavan Ramamoorthy, and Mohammad Muhsin Chisti

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Influence of Hospital Size on Outcomes in St-Segment Myocardial Infarction Among Patients Hospitalized for Non-Cardiac Indications, Jagroop Doad, Rajiv Patel, and George A. Stouffer

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Navigating Recurrent Acute In-Stent-Thrombosis: Insights From a Single Admission Case Study, Antoine Egbe Bessong Tabot, Mariam Jamil, Hussein Gaith, Wafa Ahmed, Mohammad Ali Mozaffari, John Rajiv, and Essa Kadiri

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Mechanical Aortic Valve Thrombosis Presenting as STEMI, Ahmad El-Gammal, Hussein Gaith, Khurram Arshad, Tyler Bankowski, Mohammad Ali Mozaffari, Mohammed Abu-Mahfouz, and Antoine Egbe Bessong Tabot

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Early-Onset Paget's Disease - A Unique Presentation in a Young Female With Elevated Alkaline Phosphatase and Low Back Pain, Farah El Sayed

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Unraveling Secondary Adrenal Insufficiency and an Invasive Pituitary Macroadenoma in a COIVD-19 Positive Patient, Farah El Sayed and Ajaz Ahamad Banka

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Reversible Cerebral Vasoconstriction Syndrome Triggered by Masturbatory Orgasm: A Case Report, Melanie Ermler, Unnati Bhatia, and Maham Siddiqi

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Trends in Hospice Utilization and Place of Death Preferences in Multiple Meyloma-Related Deaths From 2003 to 2020: Analysis of CDC Wonder Database, Muhammad S. Faisal, Mahnoor Sukaina, Rahul Mishra, Atulya Aman Khosla, Nitya Batra, Madha S. Kumar, Noha Soror, Zain I. Ahmad, Karan Jatwani, and Faiz Anwer

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The Mysterious Visitor: A Chilling Encounter With Elizabethkingia Miricola, Faizan Faizee, Mitchell Smielewski, Zachary Smith, and Nader M. Mina

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Instent Thrombosis 20 Years After Stent Placement, Hussein Gaith and Najeebullah Bangash

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Has Colon Cancer Screening Guidelines Reduced Mortality Associated with Colon Cancer?, Sumit Gami, Rakesh Shah, and Malitha Hettiarachchi

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Survival Outcomes of Small Cell Variant Bladder Cancer: Analysis From Nationwide Study, Mohammad A. Ganiyani, Atulya Aman Khosla, Shahzaib Ahmad, Karan Jatwani, Shreyas S. Bellur, Nouman Aziz, Muni Rubens, Mukesh Roy, Bruno R. Bastos, and Manuel Ozambela

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Impact of Treatment Approaches in Patients With Advance Penile Cancer: An Analysis From a Nationwide Study, Mohammad A. Ganiyani, Atulya Aman Khosla, Shahzaib Ahmad, Karan Jatwani, Muni Rubens, Mukesh Roy, Bruno R. Bastos, Manuel Ozambela, Ahmed Eldefrawy, and Murugesan Manoharan

Outcomes of invasive primary urethral cancer in women: An analysis from the national cancer database, Mohammad Arfat Ganiyani, Vivek Podder, Arjun Pon Avudaiappan, Atulya Aman Khosla, Kiran Prabhakar Rao, Ahmad Ozair, Syed S Ahmad, Muni Rubens, Milantia Roy, and Manoharan Mariappan

Treatment strategies and survival outcomes in Non-invasive Primary Urethral Cancer (NPUC): A comprehensive analysis from a large database, Mohammad Arfat Ganiyani, Vivek Podder, Atulya Aman Khosla, Syed S. Ahmad, Arjun Pon Avudaiappan, Ahmad Ozair, Kiran Prabhakar Rao, Milantia Roy, Muni Rubens, and Manoharan Mariappan

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Impact of TP53, RB1, and PTEN mutations on overall survival in metastatic prostate cancer: A multi-center study via the Guardian Research Network, Mohammad Arfat Ganiyani, Pushan Prabhakar, Atulya Aman Khosla, Shreyas S. Bellur, Arjun Pon Avudaiappan, Liz Bond, Suresh Marada, Andrea McCracken, Charlie Hurmiz, and Bruno. R. Bastos

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Implications of HPV Infection on Survival Outcomes in Patients With Penile Squamous Cell Carcinoma: Insights From a Nationwide Study, Rohan Garje, Mohammad A. Ganiyani, Atulya Aman Khosla, Shahzaib Ahmad, Vivek Podder, Shreyas S. Bellur, Diya Jayram, Karan Jatwani, and Manmeet S. Ahluwalia

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Disseminated MAC in a Patient with AIDS, Emma Glover

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Comparison of Inpatient Outcomes and Characteristics of Autoimmune Hepatitis-Primary Biliary Cirrhosis Overlap Syndrome With Autoimmune Hepatitis, and Primary Biliary Cirrhosis in the United States 2016-2019: A Nationally Representative Study, Ritik Mahaveer Goyal, Bhavik Bansal, Esli Medina-Morales, David Kim, Mohamed Ismail, and Aagamjit Singh

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Outcomes of Living Donor Liver Transplantation for Cholangiocarcinoma in the US, Merve Gurakar, Nazli Begum Ozturk, Ahmet Gurakar, Alan Bonder, and Behnam Saberi

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Chronic Intestinal Pseudo-Obstruction: A Debilitating Complication of Scleroderma, Pawan Gyawali

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Granulomatosis with Polyangiitis and Malignant Pheochromocytoma: A Syndromic Conundrum with Overlapping Clinical Features, Pawan Gyawali

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Uterine Leiomyoma: Rare Cause of Pulmonary Embolism, Pawan Gyawali, Prekchha Jha, Sant K. Yadav, and Justin Skrzynski

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Disseminated Lyme Leading to Complete Heart Block, Lara Hakim

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Severe Ulcerative Duodenitis from IgA Vasculitis in an Older Adult, Usman Bin Hameed

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Higher Number of M1 Macrophages and Activated Dendritic Cells Linked to Longer Overall Survival in Patients With Acute Myeloid Leukemia, Paul Hanona, Morgan Kiryakoza, Lorin Sallan, Neil Jairath, Daniel Ezekwudo, and Ishmael A. Jaiyesimi

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Management of Acute Pulmonary Embolism in a Patient With Intracranial Hemorrhage, Alina Hasan, Anusha Alam, and Giovi Grasso-Knight

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Difficult Diagnosis of a SMARCB1/INI1 Gene Deficient Lung Tumor with Brain Metastasis, Javeria Hayat

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Purr-ils of the Liver: A Case of Disseminated Pasteurella in a Patient With MASH Cirrhosis, Joanna Henry, Alaa Abujame, Angela Shermetaro, James Hebden, Hussein Bazzy, Mohamed Musheinesh, Jared Grodman, Katie Sumnicht, and Christopher Cooley

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Epidemiology, Symptomology, Diagnosis and Clinical Implications of Cystic Tumors of Atrioventricular Node (CTAVN): A Systematic Review, Vikash Jaiswal, Nitya Batra, Atulya Aman Khosla, Yusra Mashkoor, Ananya Vadhera, Abhigan B. Shrestha, Novonil Deb, and Mohammad Muhsin Chisti

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Epidemiology, symptomatology, diagnosis and clinical implications of cystic tumors of atrioventricular node (CTAVN): A systematic review, Vikash Jaiswal, Nitya Batra, Atulya A. Khosla, Yusra Mashkoor, Abhigan Babu Shrestha, Novonil Deb, and Mohammad Muhsin Chisti

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Fevers, Lung Nodules, and a Colon Polyp: A Case of Fusobacterium Nucleatum Endocarditis, Elizabeth Jakubowski

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Double Trouble Unmasked: Femoral Pseudoaneurysm and Deep Venous Thromboses Following Coronary Angiography, Mariam Jamil, Antoine Egbe, Khurram Arshad, Yazan Alamro, and Essa Kadiri

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Trends and Disparities in Hospice Care Utilization in Testicular Cancer in the United States of America From 2003 to 2020: Analysis of CDC WONDER Database, Karan Jatwani, Mahnoor Sukaina, Atulya Aman Khosla, Rohit Singh, Tulika Garg, Rutvi Chahal, Archit Patel, Vasanthan M. Kumarasamy, and Dharmesh Gopalakrishnan

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Trends in Preferred Place of Death For Prostate Cancer in the United States from 2003 to 2020: Analysis of CDC WONDER Database, Karan Jatwani, Mahnoor Sukaina, Atulya Aman Khosla, Rohit Singh, Navpreet Singh, Kamalpreet S. Walia, Archit Patel, Vasanthan M. Kumarasamy, and Dharmesh Gopalakrishnan

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Risk Assessment of Myelosuppression With PARP Inhibitors in Prostate Cancer: Insights From FAERS, K Jatwani, M Sarangdhar, V Kolli, Atulya Aman Khosla, and D Gopalakrishnan

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End-of-Life Care Preferences in Patients With Gallbladder Cancer: Shifting Patterns and Disparities Over Two Decades, K Jatwani, M Sukaina, Atulya Aman Khosla, Nitya Batra, R Mishra, M A. Ganiyani, M S. Kumar, R Singh, and S S. Ahmed

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Analysis of a National Database to Evaluate Place-of-Death Preferences Among Patients With Bladder Cancer in the United States of America From 2003 to 2020, K Jatwani, M Sukaina, Atulya Aman Khosla, R Jayesh Patel, V M. Kumarasamy, R Singh, and D Gopalakrishnan

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Ethnic Disparities in Biomarker Testing of Patients With Metastatic NSCLC in the United States: A Real-World Analysis, Diya Jayram, Shreyas S. Bellur, Ahmad Ozair, Shahzaib Ahmad, Mohammad A. Ganiyani, Atulya Aman Khosla, Andrea McCracken, Suresh Marada, Charlie Hurmiz, Steven Bowman, and Manmeet S. Ahluwalia

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Chronic Intestinal Pseudo-Obstruction: A Debilitating Complication of Scleroderma, Prekccha Jha, Nadine S. Kassab, Samiksha Pandey, Ihab Kassab, and Naveen Reddy

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Exploring the Perils of Dental Floss Pick Ingestion: A Case Report and Discussion, Prekchha Jha, Nathanial Bartosek, Ihab Kassab, and Gregg Polidori

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Case of Mistaken Identity: Hyperglycemia Mimicking Intraparenchymal Hemorrhage, Prekchha Jha, Bijay Thapa, and Omar Jameel

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Navigating Clinical Uncertainty: A Convergence of HIV, Positive ANA, and Genetic Cardiomyopathy, Ioannis Karageorgiou, Nicolaas Schimmel, Phillip Marchese, and Tawhida Khatoon

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YouTube as a Reliable Source of Information on Antibody Drug Conjugates: A Qualitative Analysis, Susan H. Karass, Rutvi Chahal, Navpreet Singh, Nikhil Kutheala, Mahnoor Sukaina, Suhana P. Kaur, Nithya Krishnakumaran, Rahul Mishra, Atulya Aman Khosla, Rohit Singh, Tulika Garg, Shahid S. Ahmed, and Karan Jatwani

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Uncommon Presentation of Gastrointestinal Histoplasmosis in an Immunocompromised Patient, Usha Kellampalli, Nathanial Bartosek, Alsadiq Al-Hillan, and Dariusz Lazarczyk

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Exploring Familial Links to Cholangiocarcinoma: Insights Into Genetic Predisposition and Risk Factors, Usha Kellampalli, Nathanial Bartosek, Mohammed Alkhero, and Laith H. Jamil

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A Rare Cause of Acute Respiratory Distress Syndrome (ARDS) in Young Patients, Bikash Khanal, Nathanial Bartosek, and Enrique Calvo-Ayala

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Impact of Race and Ethnicity on Financial Toxicity and Outcomes in Lung Cancer, Atulya A. Khosla, Nitya Batra, Rohit Singh, I Deshmukh, Avi Harisingani, Muni Rubens, Anjali Saxena, Venkataraghavan Ramamoorthy, Ishmael Jaiyesimi, and Aakash Desai

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Euglycemic DKA: commonly missed diagnosis, Atulya A. Khosla, Pawan Gyawali, and Twahida Khatoon