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Proceedings of the Baylor University Medical Center

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https://www.readbyqxmd.com/read/28670096/facts-and-ideas-from-anywhere
#1
EDITORIAL
William Clifford Roberts
No abstract text is available yet for this article.
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670095/a-great-grandfather-s-account-of-the-irish-potato-famine-1845-1850
#2
EDITORIAL
John Davis Cantwell
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.
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670094/humor-in-medicine-can-laughter-help-in-healing
#3
EDITORIAL
Allen B Weisse
No abstract text is available yet for this article.
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670093/pathognomonic-stew-visible-clues-to-systemic-amyloidosis
#4
EDITORIAL
Herbert L Fred, Hendrik A van Dijk
No abstract text is available yet for this article.
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670092/invited-commentary-calcinosis-cutis-and-renal-disease-an-evolving-story
#5
EDITORIAL
Andrew Z Fenves, Daniela Kroshinsky
No abstract text is available yet for this article.
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670091/metastatic-calcinosis-cutis-in-end-stage-renal-disease
#6
Victoria A Jaeger, Megan G Newman, Curtis R Mirkes
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...
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670090/neurocysticercosis-of-the-fourth-ventricle-associated-with-hydrocephalus
#7
Carola Mullins, Jonathan A Muniz, Hugo Sandoval, Osvaldo Padilla, Luis Ramos-Duran
Neurocysticercosis is a parasitic infection of the central nervous system with the cysts of Taenia solium, the pig tapeworm. Infection presents with a pleomorphic picture depending on the stage and location of the infection and the immune response of the infected host. Historically confined to the developing world, neurocysticercosis is no longer limited to endemic regions, as globalization, travel, and immigration permit the spread of the infection. We report a young Hispanic patient who was diagnosed with neurocysticercosis of the fourth ventricle and subsequent hydrocephalus...
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670089/usefulness-of-positron-emission-tomography-to-detect-cerebral-amyloid-as-a-means-to-diagnose-neurodegenerative-disease
#8
Jessica Page, Umesh Oza, Kennith Layton, Claudia Padilla
Alzheimer's disease is characterized histologically by the accumulation of a subtype of amyloid protein-beta amyloid-in the brain parenchyma in the form of amyloid plaques. In another neurodegenerative disorder, cerebral amyloid angiopathy, the accumulation of beta amyloid occurs within the walls of the cerebral vessels. With recent advances in imaging technology, we can not only image amyloid plaques in the brain parenchyma at an earlier stage of disease, but can also often correlate the presence of Alzheimer's disease with cerebral amyloid angiopathy...
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670088/linear-iga-bullous-dermatosis-mimicking-oral-lichen-planus
#9
Sheevam Shah, Brooke Mohr, Palak Parekh
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...
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670087/plasmapheresis-for-recurrent-acute-pancreatitis-from-hypertriglyceridemia
#10
Kathleen Kopecky, Amber Moreland, Christopher Hebert, Gates B Colbert
Acute pancreatitis is a known complication of severe hypertriglyceridemia. Therapeutic experience with plasmapheresis is less well reported but has been highly successful in life-threatening presentations. 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...
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670086/posterior-reversible-leukoencephalopathy-syndrome-after-kratom-ingestion
#11
Austin Castillo, J Drew Payne, Kenneth Nugent
Posterior reversible encephalopathy syndrome has been associated with hypertension, preeclampsia, cancer chemotherapy, and drugs of abuse, such as amphetamine and methamphetamine. 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...
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670085/the-case-for-computed-tomographic-angiography-for-initial-management-of-lower-gastrointestinal-hemorrhage
#12
Theodore Gupton, Marco Cura
Lower gastrointestinal hemorrhage remains a common disease, frequently presenting with acute life-threatening symptoms. Although prompt detection and treatment are imperative, it is difficult to diagnose lower gastrointestinal hemorrhage in an accurate and efficient manner. Most available modalities are time consuming. Computed tomographic angiography of the abdomen and pelvis, on the other hand, has the unique capability of rapidly detecting whether life-threatening hemorrhage is occurring and accurately localizing it, thus facilitating definitive treatment...
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670084/medullary-angiitis-and-pauci-immune-crescentic-glomerulonephritis
#13
Jeffrey Klein, William Rodriguez, Michael Kuperman, Harold Szerlip
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...
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670083/olmesartan-associated-enteropathy
#14
Vivian S Ebrahim, Jason Martin, Stacey Murthy, Elizabeth Odstrcil, He Huang, Daniel Polter
Olmesartan, an angiotensin-receptor blocker frequently prescribed for hypertension, has been commercially available since 2002. In 2012, olmesartan-associated enteropathy was described, and the Food and Drug Administration now requires a black-box warning for olmesartan regarding severe diarrhea. The disorder can be life-threatening and often requires hospitalization. We present three cases that represent different aspects of this disorder, as well as some unusual features.
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670082/pseudothrombotic-microangiopathy-and-vitamin-b12-deficiency-in-pernicious-anemia
#15
Kaleb Veit
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...
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670081/treatment-of-chronic-lymphocytic-leukemia-small-lymphocytic-lymphoma-presenting-simultaneously-with-acquired-hemophilia-and-warm-autoimmune-hemolytic-anemia
#16
Chelsea Williams, Christian Cable, Julia Choi
Since both acquired factor VIII inhibitor in non-hemophiliac patients and warm autoimmune hemolytic anemia are uncommon disorders with no case-controlled trials, managing these diseases can be challenging. 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...
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670080/elastofibroma-dorsi
#17
Pradeep Goyal, Darshan Gandhi, Sonali Gupta, Shuo Li, Yogesh Kumar, Thomas D Olsavsky, Nishant Gupta
We present a 60-year-old man with biopsy-proven metastatic squamous cell carcinoma of the right inguinal and external iliac lymph nodes with unknown primary. Hypermetabolic soft tissue masses were identified in bilateral subscapular regions on follow-up positron emission tomography (PET)-computed tomography (CT) after completion of chemoradiation. The right subscapular mass was biopsied under CT guidance, and histopathology showed it to be elastofibroma dorsi. Elastofibroma dorsi is a benign tumor with no malignant potential; due to its ill-defined appearance and tracer uptake on PET-CT, it can be misdiagnosed as soft tissue sarcoma...
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670079/mantle-cell-lymphoma-of-the-prostate-gland-treated-with-holmium-laser-enucleation
#18
Preston A Milburn, Christian T Cable, Sean Trevathan, Marawan M El Tayeb
Mantle cell lymphoma of the prostate is rare and is seldom encountered in general urologic practice. It either arises primarily from the prostate or is a result of metastatic spread from another site. This specific type of lymphoma has an aggressive course and may respond poorly to traditional chemotherapy with frequent relapses. Mantle cell lymphoma occurs in middle age or older, which is also when symptoms of benign prostatic enlargement begin in men. This overlap makes the diagnosis of lymphoma of the prostate difficult and makes the treatment more complex...
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670078/b-lymphoblastic-lymphoma-of-the-rectum
#19
Puthillathu Unnikrishnan, Geetha Narayanan, Bhavya S Kumar, Nandini Devi
Lymphoblastic lymphoma is a neoplasm of immature cells committed to the B-cell or T-cell lineage. B-lymphoblastic lymphoma usually involves lymph nodes and extranodal sites, such as the skin, bone, and soft tissue. The rectum is a very rare site of involvement in B-lymphoblastic lymphoma. 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...
July 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28670077/mixed-phenotypic-acute-leukemia-with-leukemia-cutis-and-neuroleukemiosis
#20
Rona Joseph Poikayil, Geetha Narayanan, Harish Sugathan, Lali V Soman
Leukemia cutis and neuroleukemiosis are two rare extramedullary manifestations of acute leukemia. 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.
July 2017: Proceedings of the Baylor University Medical Center
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