keyword
https://read.qxmd.com/read/37868546/non-diabetic-euglycemic-ketoacidosis-in-an-adult-patient-with-spinal-muscular-atrophy-type-ii
#1
George Khludenev, Elise Le Cam, Bujji B Ainapurapu
Spinal muscular atrophy (SMA) is a rare neuromuscular disease that develops as a result of the degeneration of the anterior horn cells in the spinal cord and lower brainstem motor nuclei, resulting in progressive muscle weakness and atrophy. While the initial presentation of this disease involves diffuse muscular atrophy at an early age, patients with an established diagnosis and later-stage disease often present with gastrointestinal symptoms related to metabolic imbalances. Here, we examine the case of an adult patient with SMA type II who presented with complaints of 12 hours of intractable nausea and vomiting...
September 2023: Curēus
https://read.qxmd.com/read/37068575/fatal-disseminated-coccidioidomycosis-in-cirrhosis-a-case-series
#2
JOURNAL ARTICLE
Jonathan E Blohm, Mrinalini Panthula, Avin Aggarwal, Roberto Swazo, Ankita Ashoka, Bujji Ainapurapu
PURPOSE: Coccidioidomycosis is endemic to the Southwest United States and Mexico. In this case series we describe 3 cases, occurring in the Southwest United States, of patients with disseminated coccidioidomycosis infection in cirrhosis, all with a miliary pattern present on chest imaging. METHODS: This case series was performed conducting a review of patients' electronic health records and thorough review of the literature for coccidioidomycosis infection in patients with liver disease...
April 15, 2023: American Journal of Medicine
https://read.qxmd.com/read/36817274/the-insurance-landscape-for-implant-and-autologous-based-breast-reconstruction-in-the-united-states
#3
JOURNAL ARTICLE
Louisa C Boyd, Jason A Greenfield, Sravya S Ainapurapu, Rachel Skladman, Gary Skolnick, Durai Sundaramoorthi, Justin M Sacks
UNLABELLED: Insurance coverage of postmastectomy breast reconstruction is mandated in America, regardless of reconstructive modality. Despite enhanced patient-reported outcomes, autologous reconstruction is utilized less than nonautologous reconstruction nationally. Lower reimbursement from Medicare and Medicaid may disincentivize autologous-based reconstruction. This study examines the impact of insurance and sociodemographic factors on breast reconstruction. METHODS: A retrospective analysis of the Healthcare Cost and Utilization Project National Inpatient Sample Database from 2014 to 2017 was performed...
February 2023: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/34620650/transplant-clinician-opinions-on-use-of-race-in-the-estimation-of-glomerular-filtration-rate
#4
JOURNAL ARTICLE
Mona D Doshi, Neeraj Singh, Benjamin E Hippen, Kenneth J Woodside, Prince Mohan, Hannah L Byford, Matthew Cooper, Darshana M Dadhania, Sruthi Ainapurapu, Krista L Lentine
BACKGROUND AND OBJECTIVES: Current race-based eGFR calculators assign a higher eGFR value to Black patients, which could affect the care of kidney transplant candidates and potential living donors. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We conducted a survey of staff at adult kidney transplant centers in the United States (December 17, 2020 to February 28, 2021) to assess opinions on use of race-based eGFR equations for waitlisting and living donor candidate evaluation, availability of serum cystatin C testing and measured GFR, and related practices...
October 2021: Clinical Journal of the American Society of Nephrology: CJASN
https://read.qxmd.com/read/34297878/operational-challenges-in-the-covid-era-asymptomatic-infections-and-vaccination-timing
#5
JOURNAL ARTICLE
David A Axelrod, Dilek Ince, Meera N Harhay, Roslyn B Mannon, Tarek Alhamad, Matthew Cooper, Michelle A Josephson, Yasar Caliskan, Asif Sharfuddin, Vineeta Kumar, Alexis Guenette, Mark A Schnitzler, Sruthi Ainapurapu, Krista L Lentine
The coronavirus disease 2019 (COVID-19) pandemic has created unprecedented challenges for solid organ transplant programs. While transplant activity has largely recovered, appropriate management of deceased donor candidates who are asymptomatic but have positive nucleic acid test (NAT) for COVID-19 is unclear as this may reflect active infection or prolonged viral shedding. Furthermore, candidates who are unvaccinated or partially vaccinated continue to receive donor offers. In the absence of prospective data, transplant professionals at U...
July 23, 2021: Clinical Transplantation
https://read.qxmd.com/read/33403170/physostigmine-in-anticholinergic-poisoning-an-old-antidote-with-resurgence
#6
Nicholas G Blackstone, April Olson, Bujji Ainapurapu
Physostigmine is a cholinesterase inhibitor used therapeutically in patients with anticholinergic delirium that is so severe that intubation may be required for airway protection. Given that a wide variety of medications have anticholinergic properties, and the current standard of care is typically a central nervous system depressant, hospitalizations are often lengthy and normally require a critical-care level of attention. Despite this, physostigmine is often underutilized and poorly understood in the clinical setting...
November 28, 2020: Curēus
https://read.qxmd.com/read/28133551/large-left-ventricular-thrombus-in-a-patient-with-systemic-and-venous-thromboembolism-secondary-to-protein-c-and-s-deficiency
#7
Mohit Pahuja, Bujji Ainapurapu, Aiden Abidov
58-year-old Hispanic female presented with an altered mental status. A CT scan of the head demonstrated multiple scattered infarcts and a large right temporal lobe infarct. We also diagnosed the patient with right popliteal and femoral vein thrombosis, bilateral pulmonary embolism, and a transient right radial artery occlusion. Her 12-lead EKG showed lateral ST elevation. Emergent coronary angiogram revealed normal coronaries. Echocardiogram demonstrated a large mobile mass attached to the anterolateral free wall with overall normal contractility of the left ventricle...
2017: Case Reports in Cardiology
https://read.qxmd.com/read/26630886/familiarity-breeds-contempt-frequent-fliers-in-medicine
#8
LETTER
Bujji Ainapurapu
No abstract text is available yet for this article.
December 2015: Southern Medical Journal
https://read.qxmd.com/read/25889928/t2-mapping-of-the-heart-with-a-double-inversion-radial-fast-spin-echo-method-with-indirect-echo-compensation
#9
COMPARATIVE STUDY
Tomoe Hagio, Chuan Huang, Aiden Abidov, Jaspreet Singh, Bujji Ainapurapu, Scott Squire, Denise Bruck, Maria I Altbach
BACKGROUND: The abnormal signal intensity in cardiac T2-weighted images is associated with various pathologies including myocardial edema. However, the assessment of pathologies based on signal intensity is affected by the acquisition parameters and the sensitivities of the receiver coils. T2 mapping has been proposed to overcome limitations of T2-weighted imaging, but most methods are limited in spatial and/or temporal resolution. Here we present and evaluate a double inversion recovery radial fast spin-echo (DIR-RADFSE) technique that yields data with high spatiotemporal resolution for cardiac T2 mapping...
2015: Journal of Cardiovascular Magnetic Resonance
https://read.qxmd.com/read/23689093/trimethoprim-sulfamethoxazole-induced-rhabdomyolysis
#10
JOURNAL ARTICLE
Bujji Ainapurapu, Uday B Kanakadandi
Empiric antibiotic usage is very common in clinical practice and Trimethoprim-Sulfamethoxazole (TMP-SMX) is one such antibiotic used extensively in primary care practice. Some patients experience serious adverse effects to the antibiotics that markedly increase the morbidity and the cost of medical care. We describe one such patient, a previously healthy 40-year-old Hispanic female who developed myositis and rhabdomyolysis secondary to TMP-SMX. To the best of our knowledge, this is the first report of TMP-SMX-induced rhabdomyolysis in an immunocompetent host...
May 2014: American Journal of Therapeutics
https://read.qxmd.com/read/20134381/macrodactylia-fibrolipomatosis-presenting-as-a-small-bowel-obstruction
#11
JOURNAL ARTICLE
Sonya Kenkare, Bujji Ainapurapu
A patient presented with progressive abdominal distention, discomfort, nausea, vomiting, and constipation. The patient also had congenital macrodactyly of the third, fourth, and fifth digits of the left hand. He [corrected] was diagnosed with macrodactylia fibrolipomatosis with multiple small bowel lipomas and complete small bowel obstruction. Macrodactylia fibrolipomatosis is a rare condition characterized by benign fibrofatty infiltration involving the soft tissues of the distal arm or leg with associated dactylomegaly of the associated digits...
March 2010: Southern Medical Journal
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