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Proceedings of the Baylor University Medical Center

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https://www.readbyqxmd.com/read/28154469/operative-management-of-dermatofibrosarcoma-protuberans-of-the-breast
#1
(no author information available yet)
No abstract text is available yet for this article.
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28152113/torpedoed-en-route-to-france-and-world-war-i-a-father-s-experience
#2
EDITORIAL
John Davis Cantwell
No abstract text is available yet for this article.
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28152112/on-becoming-a-physician
#3
EDITORIAL
Kenneth G Swan
Ken Swan practiced surgery for 46 years, serving with the US Army Medical Corps in both Vietnam and Desert Storm. After his army service, he joined the faculty of Rutgers Medical School, where he was director of the clinical clerkships at the time of his sudden death in 2014. Among his papers after his death, his son, Kenneth Jr. ("K. G."), found this address to incoming third-year medical students. At a symposium and gala honoring his dad in Newark on May 15, 2015, K. G. read it as a tribute to his father.
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28152111/reflections-on-the-retirement-of-john-w-hyland-md
#4
EDITORIAL
Rolando M Solis
No abstract text is available yet for this article.
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28152110/improving-health-outcomes-through-patient-education-and-partnerships-with-patients
#5
EDITORIAL
Timothy E Paterick, Nachiket Patel, A Jamil Tajik, Krishnaswamy Chandrasekaran
No abstract text is available yet for this article.
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28152109/parliament-of-whores-revisited
#6
EDITORIAL
Herbert L Fred, Mark Scheid
No abstract text is available yet for this article.
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28127154/facts-and-ideas-from-anywhere
#7
EDITORIAL
William Clifford Roberts
No abstract text is available yet for this article.
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28127153/a-1911-postcard-of-the-national-hospital-for-the-paralysed-and-epileptic-highlighting-european-medical-specialty-training
#8
Adeel Zubair, Christopher J Boes
The purpose of this study was to describe the historical importance of a 1911 European hospital postcard sent from one American physician to another. In the late 19th and early 20th centuries, very few formal residency programs existed in America for training physicians. Most authors rightfully emphasize Johns Hopkins Hospital, founded in 1889, as the site of origin of the American medical residency, but these positions were for a chosen few. Many young physicians would go abroad to study medicine after completing medical school, a decision with many benefits and few drawbacks...
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28127152/henry-barton-jacobs-william-osler-s-intimate-friend
#9
Charles S Bryan
William Osler was considered a universal friend by physicians of his era but, as with most people, his intimate friends were few. Henry Barton Jacobs became a close friend as one of the "latchkeyers" who lived next door to the Oslers in Baltimore, and the friendship intensified after Jacobs married Mary Sloan Frick Garrett, the fabulously wealthy widow of a former patient. The couples stayed close after the Oslers moved to Oxford, vacationing together and corresponding frequently. The couple friendship between the Oslers and the Jacobses benefited American medicine in specific ways, including the care of patients with tuberculosis and the care of children...
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28127151/electromyogram-evoked-focal-myositis
#10
Avery Smith, George Snipes, Carolyn Quan
Focal myositis is a rarely reported inflammatory disease of skeletal muscle, particularly of an extremity. It is often misinterpreted as an infectious syndrome, leading to prolonged antibiotic use and a delay in immunosuppressive therapy. Without a confirmed etiology to date, we present a case of recurrent focal myositis following an electromyogram.
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28127150/ruptured-ectopic-pregnancy-with-a-negative-urine-pregnancy-test
#11
Mallory Hughes, Andrew Lupo, Adrianne Browning
Ectopic pregnancy is commonly seen as a differential diagnosis of first-trimester vaginal bleeding. Often the diagnosis is made based on a combination of exam findings, transvaginal ultrasound, and a positive pregnancy test. Our case describes a patient with a history of ectopic pregnancy treated with methotrexate and serial human chorionic gonadotropin measurements that were decreasing appropriately. At the time of evaluation, her urine pregnancy test was negative; however, she was confirmed to have a ruptured tubal ectopic pregnancy...
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28127149/anticonvulsant-hypersensitivity-syndrome-secondary-to-carbamazepine
#12
Shannon C Brown, Robin L Dauterive
Anticonvulsant hypersensitivity syndrome (AHS) is a potentially fatal multiorgan drug reaction that presents with various cutaneous eruptions. There is a genetic predisposition to such reactions. We present a young woman with AHS due to carbamazepine that presented as an atypical erythema multiforme with elevated liver enzymes.
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28127148/identification-of-foramen-of-huschke-with-reversible-herniation-of-temporomandibular-joint-soft-tissue-into-the-external-auditory-canal-on-multidetector-computed-tomography
#13
Shallini Mittal, Samita Singal, Amit Mittal, Rikki Singal, Gunjan Jindal
The foramen of Huschke, or foramen tympanicum, is a developmental defect in the bony part of the external auditory canal (EAC) due to a defect in ossification of normal bone in the first 5 years of life. Seen in the anteroinferior part of the EAC, it can be asymptomatic or present with salivary discharge into the EAC during mastication or as soft tissue swelling in the EAC in the absence of any inflammation, tumor, or trauma. We present a case of a man who presented with herniation of soft tissues of the temporomandibular joint into the EAC through a persistent foramen tympanicum...
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28127147/bullet-fragment-induced-lead-arthropathy-with-subsequent-fracture-and-elevated-blood-lead-levels
#14
Scott A McAninch, Jonathan Adkison, Ridgely Meyers, Michael Benham
Lead foreign bodies in joint spaces, often due to projectiles such as bullets, may cause localized arthropathy. There are no reports of joint fracture related to lead arthropathy. Additionally, lead foreign bodes embedded in the joint space may be a source of systemic lead absorption, causing elevated blood lead levels and toxicity to other organs. We present a young adult patient with retained left hip joint bullet fragments who developed suspected lead arthropathy and subsequent acute left hip fracture, as well as systemic lead absorption demonstrated by elevated blood lead levels...
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28127146/ingestion-of-computer-circuit-boards-causing-esophageal-impaction-and-small-bowel-obstruction
#15
Nizar H Senussi, Nasir Saleem
Foreign body ingestion is common in patients with psychiatric diagnoses. Ingested objects can become impacted in the upper and lower gastrointestinal tract, causing serious complications. We report a case of a schizophrenic who ingested large pieces of computer circuit boards, which impacted at the mid-esophagus, in the stomach, and in the cecum. Endoscopic removal of the esophageal object was unsuccessful, and the foreign objects were removed by esophagotomy and laparotomy. Expeditious removal through endoscopic or surgical means is extremely important, as complications can be life-threatening...
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28127145/an-approach-for-safe-conversion-of-an-oral-endotracheal-tube-to-a-nasal-endotracheal-tube
#16
Michael Hofkamp, Zhiying Diao
We present an approach for safe management of a patient with an oral endotracheal tube who required conversion to a nasal endotracheal tube. A 35-year-old man presented for mandibular fracture repair after multiple injuries sustained in a motor vehicle accident. The patient already had an oral endotracheal tube, and the surgical team requested a nasal endotracheal tube to facilitate surgical exposure and postoperative airway management in anticipation of a wired jaw. A nasal endotracheal tube was inserted through the naris and a video laryngoscope was used to visualize the glottis...
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28127144/a-nodular-ulcerative-form-of-secondary-syphilis-in-aids
#17
Ofelya Gevorgyan, Benjamin D Owen, Arvind Balavenkataraman, Mitchell R Weinstein
An uncommon variant in the pre-AIDS era, lues maligna is a nodular-ulcerative form of secondary syphilis. We present a case of a 41-year-old man with HIV infection who developed fever, chills, nausea, vomiting, right upper quadrant abdominal pain, weight loss, watery diarrhea, and a painless, nonpruritic rash. He had diffuse nodular-ulcerative lesions in various stages of development. He was found to have a CD4 count of 101 cells/mm(3) (22%), an HIV viral load of 2,735,060 copies/mL, and a positive rapid plasma reagin at 1:64...
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28127143/focal-cutaneous-squamous-cell-carcinoma-following-radium-223-extravasation
#18
Katie E Benjegerdes, Shannon C Brown, Chad D Housewright
Long-term sequelae due to extravasation of intravenous radioisotopes resulting in radiation injuries are rarely reported. As the use of radioactive isotopes for the treatment of osteoblastic metastases increases, information regarding the prevention, treatment, and long-term monitoring of suspected extravasation injury will become increasingly important. We present a patient with no previous history of skin cancer who developed an aggressive cutaneous squamous cell carcinoma at the site of prior radium-223 extravasation...
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28127142/subcutaneous-panniculitis-like-t-cell-lymphoma
#19
Mangalapilly T Sugeeth, Geetha Narayanan, Arundhathi V Jayasudha, Rekha A Nair
Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is a rare form of skin lymphoma that is localized primarily to the subcutaneous adipose tissue without involvement of the lymph nodes. Clinically, the skin lesions mimic lipomas, while histologically they resemble panniculitis. We report a case of a young woman with SPTCL. She achieved complete remission after combination chemotherapy.
January 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28127141/blood-group-change-in-acute-myeloid-leukemia
#20
Rakul K Nambiar, Geetha Narayanan, N P Prakash, K Vijayalakshmi
Blood group antigens are either sugars or proteins found attached to the red blood cell membrane. ABO blood group antigens are the most clinically important antigens because they are the most immunogenic. As red blood cell antigens are inherited traits, they are usually not altered throughout the life of an individual. There have been occasional case reports of ABO blood group antigen change in malignant conditions. We report two such cases of ABO antigen alteration associated with acute myeloid leukemia. These patients had suppression of their blood group antigens during their leukemic phase, and the antigens were reexpressed when the patients attained remission...
January 2017: Proceedings of the Baylor University Medical Center
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