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2012 Wisconsin Posters and Vignettes

Case Based Vignettes

ELEVATED TROPONIN AND NON-EXERTIONAL HEATSTROKE: A CASE REPORT
Maria Batool, MD, Anushree Agarwal, MD, Krishna Nagendran, MD
Aurora Health Care Internal Medicine Residency Program, Aurora Sinai Medical Center, Milwaukee, WI

MYELOPATHY DUE TO SPINAL CORD COMPRESSION SECONDARY TO EXTRAMEDULLARY HEMATOPOIESIS IN BETA THALESSEMIA MAJOR
Muhammad W. Choudhry, MBBS, Sreelatha Chalasani, MD, MPH, Arlene Gayle, MD
Marshfield Clinic, Marshfield, WI

SPONTANEOUS CORONARY ARTERY DISSECTION ASSOCIATED WITH ELEVATED Lp(a)
Jason R. Darrah, MD and Raju G. Ailiani, MD, FACC
Gundersen Lutheran Medical Foundation, La Crosse, WI

A GREAT CLINICAL PARADOX”: HEPARIN INDUCED THROMBOCYTOPENIA (HIT), AN OVERDIAGNOSED YET AN UNDERRECOGNIZED ENTITY
Narendranath Epperla, MD, Sowjanya Bapani, MD, Steven Yale, MD, FACP
Department of Internal Medicine, Marshfield Clinic, Marshfield, WI

AN ATYPICAL CHEMOTHERAPY COMPLICATION: BCG SEPSIS
Amy N. Evjen, MD and Danyon Wagner, MD
Department of Internal Medicine, Gundersen Lutheran, La Crosse, WI

NOT A FUNGI TO BE WITH
Jeffrey Gehl, MD
Medical College Of Wisconsin, Milwaukee, WI

NOT YOUR TYPICAL SINUS INFECTION
Liana Gonzalez, MD, Catherine Holznecht, MD, Apoorv Broor, MD, FACP
Medical College of Wisconsin, Milwaukee, WI

ESCAPADE WITH EXJADE®: DEFERASIROX-INDUCED FANCONI’S SYNDROME
Noreen Murphy, MD, Mohsein Elramah, MD, Viveka Boddipalli, MD, Jose Torrealba, MD, Micah R. Chan, MD, MPH, FACP
University of Wisconsin School of Medicine and Public Health, Madison, WI

WHAT’S THAT PUSTULE?! BRINGING MASS SPECTROMETRY TO THE BEDSIDE
Brooke Rogers, Emily Fisher, MD, Dai Takahashi, DO, FACP
Medical College of Wisconsin, Milwaukee, WI

AN UNUSUAL CASE OF DYSPHAGIA: THE IMPORTANCE OF PHYSICAL EXAM
Lyndsey Runaas, MD and Ann Sheehy, MD, MS
University of Wisconsin Department of Internal Medicine, Madison, WI

AN UNUSUAL CASE OF RECURRENT PNEUMONIA
Molla Teshome, MD and Habtamu Belete, MD
Aurora Health Care Internal Medicine Residency Program, Aurora Sinai Medical Center, Milwaukee, WI

Research Based Vignettes

THE RELATIONSHIP BETWEEN EXPERIENCE AND OUTCOMES: ANOTHER LOOK AT THE JULY EFFECT
Jennifer Carnahan, MD, MPH, MA, Alexis M. Visotcky, MS, Kathlyn E. Fletcher, MD
Medical College of Wisconsin, Milwaukee, WI

MULTI-ANATOMIC VERSUS NASAL-ONLY SURVEILLANCE CULTURES FOR DETECTION OF MRSA COLONIZATION STATUS AMONG SKILLED NURSING FACILITY RESIDENTS
Elizabeth Duke, MD and Christopher Crnich, MD, FACP
University of Wisconsin, Department of Internal Medicine, Madison, WI

POST BARIATRIC SURGERY HYPOGLYCEMIA – A DESCRIPTIVE ANALYSIS
Rajasree Nambron, MD, Michelle Mathiason, MS, Kara Kallies, BA, Shanu Kothari, MD, Daniel Short, MD, PhD, FACP
Gundersen Lutheran Medical Center, La Crosse, WI

CARBON DIOXIDE INSUFFLATION FOR ERCP- A SYSTEMATIC REVIEW
Naga Swetha Samji, MD, Sarah D. Komanapalli, MD, Praveen K. Roy, MD
Department of Internal Medicine, Marshfield Clinic, Marshfield, WI

Displayed Posters

A CASE OF ENDOBRONCHIAL GRANULAR CELL TUMOR: A RARE ENTITY
Maria Batool, MD and Mouhammed Rihawi, MD
Aurora Health Care Internal Medicine Residency Program, Milwaukee, WI

THROMBOCYTOPENIA AS THE INITIAL PRESENTATION OF ANGIOIMMUNOBLASTIC T-CELL LYMPHOMA: A CASE REPORT
Maria Batool, MD, Biana Leybishkis, MD, Nihad Yasmin, MD
Aurora Health Care Internal Medicine Residency Program, Aurora Sinai Medical Center, Milwaukee, WI

Acute Mitral Regurgitation: Another Great Masquerader?[PDF]
Rinjal Brahmbhatt MD, Jacqueline Kehler MD, and Jonathan Keevil MD
University of Wisconsin School of Medicine and Public Health

Association of Nursing Home Regulatory Compliance and Emergency Department & Inpatient Admissions for Fall-Related Injuries[PDF]
Jill Daubner, Clare Guse, and Donna Peterson
Medical College of Wisconsin, Injury Research Center

Blessing for the Bleeder: Bevacizumab in Hereditary Hemorrhagic Telangiectasia (HHT) – A Novel Therapeutic Approach[PDF]
Narendranath Epperla MD, William Hocking MD FACP
Department of Internal Medicine, Marshfield Clinic, Marshfield, WI, USA Department of Hematology-Oncology, Marshfield Clinic, Marshfield, WI, USA

CERVICAL OSTEOMYELITIS AFTER REPEATED ESOPHAGEAL DILATION FOR DYSPHAGIA ASOCIATED WITH CHEMORADIATION -INDUCED ESOPHAGEAL STRICTURES
Jingbo Huang, MD, Victor Abrich, MD, Scott Erickson, MD
Department of Internal Medicine, Marshfield Clinic, Marshfield, WI

IIB OR NOT IIB? THAT IS THE QUESTION
Thomas Jensen, MD and Aimee Welsh, MD
Medical College of Wisconsin, Milwaukee, WI

THE CASE OF CANCER INCOGNITO
Thomas Jensen, MD and Mark Malkin, MD
Medical College of Wisconsin, Milwaukee, WI

RESPIRATORY FAILURE IN CRYPTOGENIC ORGANIZING PNEUMONIA
Matthew Kolinski, DO and Jayshil Patel, MD
Medical College of Wisconsin, Milwaukee, WI

ERYTHROMYCIN IN ACUTE UPPER GASTROINTESTINAL BLEEDING: A META-ANALYSIS
Sarah D. Komanapalli, MD, Naga Swetha Samji, MD, Praveen K. Roy, MD
Department of Internal Medicine, Marshfield Clinic, Marshfield, WI

Still a Challenging Diagnosis[PDF]
Jonathan S. Kurman & Kurt Pfeifer
Medical College of Wisconsin, Milwaukee, WI

Methanol Toxicity with a Normal Osmolal Gap[PDF]
Christiane Mbianda, MD; Maria Herrera, MD; Amit Taneja, MD
Department of Medicine, Division of Pulmonary & Critical Care Medicine, Medical College of Wisconsin, Milwaukee, WI

A Unique Presentation of Clostridium di!cile Colitis[PDF]
Emily J. Olson, D.O., PGY 3, Michael J. Dolan, M.D., FACP
Gundersen Lutheran Medical Foundation, La Crosse, WI

Triple Antiviral Therapy in Hepatitis C induced Cryoglobulinemia[PDF]
Naga Swetha Samji MD, Adnann Polani MD, Daniel Vanhandel MD

A Case of Extraskeletal Calcification – Calciphylaxis[PDF]
Molla Teshome, MD; Habtamu Belete, MD
Aurora Health Care Internal Medicine Residency Program, Milwaukee, WI

BLAST FROM THE PAST
Deepa R. Ovian, MD and William A. Agger, MD, FACP
Gundersen Lutheran, La Crosse, WI

DERMATOMYOSITIS SINE DERMATITIS WITH ANTISYNTHETASE SYNDROME[PDF]
Vembu, K., Lavingia, J., Mankad, J.
Medical College of Wisconsin and Zablocki VA Medical Center, Milwaukee, WI

Certolizumab induced cardiotoxicity in the treatment of ulcerative colitis[PDF]
Juliana Yang, Kurt Pfeifer, Amar Naik
Medical College of Wisconsin, Milwaukee, WI, United States

An unusual presentation of Merkel cell carcinoma[PDF]
April Zehm, MD, David Meyers, MD and David Yang, MD
Department of Internal Medicine, University of Wisconsin Hospital and Clinics Internal Medicine, William S. Middleton Veterans Affairs Hospital Department of Pathology, University of Wisconsin Hospital and Clinics

OVERLAP SYNDROME IN THE PRESENCE OF RENAL CELL CARCINOMA
Victor Abrich, MD, Sudhir Duvuru, MD, Howard Swanson, MD
Marshfield Clinic - St. Joseph’s Hospital, Marshfield, WI

THE EFFECTS OF ALLERGY MEDICATIONS ON THE EVALUATION AND DIAGNOSIS OF EOSINOPHILIC ESOPHAGITIS
Adebisi Alimi, MD, Eric A. Johnson, MD, Samuel P. Barasch, MD, Rashmi Agni, MD, Eric A. Gaumnitz, MD
University of Wisconsin, Madison, WI

PYODERMA GANGRENOSUM AS THE FIRST MANIFESTATION OF ESSENTIAL THROMBOCYTHEMIA
Sowjanya Bapani, MD, Narendranath Epperla, MD, Steven Yale, MD, FACP
Department of Internal Medicine, Marshfield Clinic, Marshfield, WI

WHEN YOUR EAR CONTINUES TO HURT: THROMBOCYTOPENIA IN A PATIENT WITH RELAPSING POLYCHONDRITIS
Lane Benes, MS4, and Christine Sharkey, MD
University of Wisconsin, Madison, WI

ASSESSING THE EFFICACY OF THE NON-PHARMACOLOGICAL INTERVENTION IN OLDER HOSPITALIZED PATIENTS WITH INSOMNIA
Lamya Boujelbane, MD, MPH, Rakhshi Hydari, MD, Maria Khalil
Aurora Health Care Internal Medicine Residency Program, Aurora Sinai Medical Center, Milwaukee, WI

INFECTIVE ENDOCARDITIS CAUSED BY CARDIOBACTERUIM VALVARUM
Lamya Boujelbane, MD, MPH, Hani Hashim, MD, Suhail Q. Allaqaband, MD
Aurora Health Care Internal Medicine Residency Program, Aurora Sinai Medical Center, Milwaukee, WI

SPONTANEOUS RECTAL PERFORATION PRESENTING AS NECROTIZING FASCIITIS OF THE LOWER LIMB
Lamya Boujelbane, MD, MPH, Hani Hashim, MD, Niraj Sawhney, MD
Aurora Health Care/Aurora Sinai Medical Center, Milwaukee, WI

AN UNUSUAL CASE OF CARDIAC TAMPONADE
Nicholas A. Braus, MD
University of Wisconsin Hospital and Clinics, Madison, WI

DYSPNEA ON EXERTION AND CARDIAC SARCOID
Brian Brown, MD
Department Of Medicine, University Of Wisconsin, Madison, WI

PATIENT WITH CYSTIC FIBROSIS-RELATED DIABETES PRESENTING WITH DIABETIC MYONECROSIS
Sreelatha Chalasani, MD, MPH, Satya Sai V. Bhupathi, MBBS, Vijay H. Aswani, MD
Marshfield Clinic, Marshfield, WI

UNUSUAL PRESENTATION OF A RARE CANCER: HISTIOCYTIC SARCOMA IN THE BRAIN 16 YEARS AFTER TREATMENT FOR ACUTE LYMPHOBLASTIC LEUKEMIA
Sreelatha Chalasani, MD, MPH, Mark R. Hennick, MD, FACP, Satya Sai V. Bhupathi, MBBS, William G. Hocking, MD, FACP, Gene R. Shaw, MD, Benjamin Lawler, MD
Marshfield Clinic, Marshfield, WI

AUTOIMMUNE LYMPHOPROLIFERATIVE SYNDROME: A CASE REPORT
Emily E. Cowan, MD, and Amy Fothergill, MD
University Of Wisconsin, Madison, WI

THE BUDD-CHIARI SYNDROME: AN IMPORTANT CONSIDERATION IN NEW ONSET ASCITES
Kimberly E. Daniel, MD
University of Wisconsin, Madison, WI

EMPHYSEMATOUS PYELONEPHRITIS IN THE SETTING OF POORLY CONTROLLED DIABETES MELLITUS
Sverrir I. Gunnarsson, MD1, Bartosz Grzywacz, MD2, Jessica Robbins, MD3
Departments of 1Internal Medicine, 2Surgical Pathology and 3Radiology, University of Wisconsin Hospital and Clinics, Madison, WI

PURE RED CELL APLASIA AND ANTI-EPO ANTIBODIES - NOT ONLY IN CKD PATIENTS
Maria Herrera, MD, Ben Ravaee, MD, Patrick Foy
Medical College of Wisconsin, Milwaukee, WI

MYOCARDIAL INFARCTION, DVT, PE, AND IN-STENT RESTENOSIS IN A PATIENT WITH HEPARIN INDUCED THROMBOCYTOPENIA
Zachary Hollis, MD, Laurie N. Rice, MD, Karen Moncher, MD
University of Wisconsin, Madison, WI

PARAPROTEINEMIA-ASSOCIATED POLYARTERITIS NODOSA
Crystal Kleiber Balderrama, MD
Medical College of Wisconsin, Milwaukee, WI

RAYNAUD’S TO RENAL CRISIS: AN ATYPICAL SCLERODERMA PRESENTATION
Brian LaMoreaux, MD and Binod Dhakal, MD
Medical College of Wisconsin, Milwaukee WI

FLACID PARALYSIS OF LOWER EXTREMITIES IN A YOUNG MAN WITH UNCONTROLLED HYPERTHYROIDISM
Rone Chun Lin, MD
Medical College of Wisconsin, Milwaukee, WI

MEDULLARY RENAL CELL CARCINOMA IN A PATIENT WITH SICKLE CELL TRAIT
Junwei Liu, MD and Julie Usatinsky, MD
Aurora Health Care Internal Medicine Residency Program, Aurora Sinai Medical Center, Milwaukee, WI

TRICUSPID REGURGITATION: VALVULAR DYSFUNCTION ON THE RISE
Atena Lodhi, MD, Sherrill Gutierrez, MD, Michael Curley, MD
Medical College of Wisconsin, Milwaukee, WI

LUPUS-RELATED PULMONARY HEMORRHAGE
Trusha Patel, DO and Irina Konon, MD
Medical College of Wisconsin, Milwaukee, WI

A CASE OF SEVERE ANEMIA WITH LOW RETICULOCYTE COUNT AND HEMOLYSIS
Michael Peregrim, MD and David Feldstein, MD
University of Wisconsin, Madison, WI

ATYPICAL PRESENTATION OF EXTRA ADRENAL MALIGNANT PHEOCHROMOCYTOMA
Katarzyna Piotrowska, MD and Elaine Drobny, MD
Aurora Health Care Internal Medicine Residency Program, Aurora Sinai Medical Center, Milwaukee, WI

CMV COLITIS DURING MYCOPHENOLATE MOFETIL THERAPY FOR ANTISYNTHETASE SYNDROME
Adnnan Polani, MD and Gary Van Oudenhoven, MD
Department of Internal Medicine, Marshfield Clinic, Marshfield, WI

DOUBLY UNCOMMON
Ben Ravaee, MD
Medical College of Wisconsin, Milwaukee, WI

THROMBOLYTICS AND HYPOTHERMIA PROTOCOL IN EARLY GESTATION PREGNANCY WITH PEA ARREST
Ananda Ray, MD and Pravachan Hegde, MD
Medical College of Wisconsin, Milwaukee, WI

DRESS SYNDROME IN A PATIENT UNDERGOING TREATMENT FOR PROSTATE CANCER
Janet Retseck, MD and Rachel Cook, MD
University of Wisconsin, Madison, WI

HEPARIN-INDUCED THROMBOCYTOPENIA (HIT) AND THROMBOEMBOLISM IN LUNG TRANSPLANTATION
Laurie Rice, MD and Keith C. Meyer, MD, MS
University of Wisconsin School of Medicine and Public Health, Madison, WI

MIXED PICTURE – A PROBABLE CASE OF NSAID-INDUCED HEPATOTOXICITY
Natalie Schellpfeffer
Medical College of Wisconsin, Milwaukee, WI

FIRST DO NO HARM: CORTICOSTEROIDS AND RECURRENT PERICARDITIS
Yogita Segon, MD
Medical College of Wisconsin, Milwaukee, WI

GEMCITABINE: A NEW CAUSE OF VENO-OCCLUSIVE DISEASE
Rena Shah, MD, Sai Ravi Pingali, MD, Linda Blust, MD
Division of General Internal Medicine, Medical College of Wisconsin, Milwaukee, WI, Division of Hematology/Oncology, Department of Internal Medicine, Medical College of Wisconsin, Milwaukee, WI

CRITICAL ILLNESS POLYNEUROMYOPATHY
Armaan Shaikh, MD and William Niehaus, MD
Medical College of Wisconsin, Milwaukee, WI

ATTITUDES AND BEHAVIOR OF NURSING STAFF TOWARDS IN-PATIENT ROUNDING BY HOSPITALISTS
Umesh M. Sharma, MD, MS, FACP1 and David Klocke, MD, FHM, FACP
Department of Hospital Medicine, Mayo Clinic Health System, Franciscan Health Care, La Crosse, WI, Departement of Hospital Internal Medicine, Mayo Clinic, Rochester, MN

CORONARY-PULMONARY FISTULA: CASE REPORT AND BRIEF REVIEW OF EXISTING LITERATURE
Umesh M. Sharma, MD, MS, FACP and Ahmed F. Aslam, MD
Department of Hospital Medicine and Cardiology, Mayo Clinic Health System, Franciscan Skemp Health Care, La Crosse, WI

SCIENTIFIC EVIDENCE UNDERLYING NATIONAL COMPREHENSIVE CANCER NETWORK GUIDELINES FOR SUPORTIVE CARE
Umesh M. Sharma, MD, MS, FACP and Ronald S. Go, MD, FACP
Department of Hospital Medicine, Mayo Clinic Health System, Franciscan Health Care, La Crosse, WI, Center for Cancer and Blood Disorders, Gundersen Lutheran Medical Foundation, La Crosse, WI

SENIOR CARE IN THE EMERGENCY DEPARTMENT: A QUALITATIVE STUDY
Soryal Soryal, MD, Jennifer Carvin, MD, Nihad Yasmin, MD2; Ellen Danto-Nocton, MD, Kiley Bernhard, MPH, Dennis Baumgardner, MD, Senior Services, Department of Medicine, Aurora University of Wisconsin Medical Group, Milwaukee, WI, Internal Medicine Residency, Aurora Health Care, Inc., Milwaukee, WI, Center for Urban Population Health, Milwaukee, WI, Department of Family Medicine, Aurora University of Wisconsin Medical Group, Milwaukee, WI

ADVANCING BEDSIDE PROCEDURE EDUCATION WITH A SIMULATOR-BASED WORKSHOP
Dai Takahashi, DO, FACP, Cynthia Kay, MD, Amit Taneja, MD, Jayshil Patel, MD, Abigail K. Deyo, MD, Kurt Pfeifer, MD, FACP
Medical College of Wisconsin, Milwaukee, WI

RECORD-BREAKING VANCOMYCIN LEVEL CAUSES KIDNEY CATASTROPHE
Janki Trivedi, MD, Samia Salih, MD, Paul Jenkins, MD
Aurora Health Care, Milwaukee, WI

SOFT TISSUE PRESENTATION OF THYROID CANCER
Swaytha Yalamanchi, MD
University of Wisconsin, Madison, WI


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