resident / fellows - national abstracts competiton 2017 · resident / fellows - national abstracts...
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Resident / Fellows - National Abstracts Competiton 2017 2017 Resident / Fellows Clinical Vignette - Podium Presentations ............................................................................. 37
DISTRICT OF COLUMBIA PODIUM PRESENTATION - CLINICAL VIGNETTE Kristen Millado, MD .............................. 38
Closing the Curtain: Amaurosis Fugax as the Initial Presentation of Paroxysmal Nocturnal Hemoglobinuria .... 38
GEORGIA PODIUM PRESENTATION - CLINICAL VIGNETTE Denise Ye, MD ............................................................... 39
Mind the Heart: A Case of Glioblastoma-Induced Stress Cardiomyopathy ......................................................... 39
ILLINOIS PODIUM PRESENTATION - CLINICAL VIGNETTE Arianne Clare Agdamag, MD .......................................... 40
When Sitting Makes You Breathless: Atrial Septal Defect Presenting as Platypnea Orthodeoxia Syndrome ..... 40
MINNESOTA PODIUM PRESENTATION - CLINICAL VIGNETTE Ashley Husebye, MD ................................................ 41
A different difficile ............................................................................................................................................... 41
NEW JERSEY PODIUM PRESENTATION - CLINICAL VIGNETTE Sneha Shrestha, MBBS,MD ...................................... 42
A Rare Case Report of Purpura fulminans in Association with Cryoglobulinemia Secondary to Myelodysplastic
Syndrome ............................................................................................................................................................. 42
NEW YORK PODIUM PRESENTATION - CLINICAL VIGNETTE Wissam Aldayoub, MD ............................................... 43
Worms in an immunocompromised state ........................................................................................................... 43
OHIO PODIUM PRESENTATION - CLINICAL VIGNETTE Abhinav Tiwari, MBBS ......................................................... 44
AN UNUSUAL CAUSE OF HEMOPNEUMOTHORAX IN A YOUNG FEMALE: A CASE REPORT ................................. 44
PENNSYLVANIA PODIUM PRESENTATION - CLINICAL VIGNETTE Jian Liang Tan, MD .............................................. 45
A SWEET DIAGNOSIS FOR A NON-RESOLVING RASH ........................................................................................... 45
TENNESSEE PODIUM PRESENTATION - CLINICAL VIGNETTE Rajesh Kumar, MD ..................................................... 46
IT IS NITROFURANTOIN AGAIN!. A CASE OF EOSINOPHILIC PNEUMONIA ........................................................... 46
2017 Resident / Fellows Clinical Vignette - Poster Finalists ........................................................................................ 47
WASHINGTON PODIUM PRESENTATION - CLINICAL VIGNETTE David Liskey, MD .................................................. 48
Kaposi Sarcoma Presenting as Large Bowel Obstruction .................................................................................... 48
ALABAMA POSTER FINALIST - CLINICAL VIGNETTE Jori May, MD ........................................................................... 49
Not all urticaria is created equal .......................................................................................................................... 49
ARIZONA POSTER FINALIST - CLINICAL VIGNETTE Geraldine Casino ....................................................................... 50
A Mysterious Skin Rash ........................................................................................................................................ 50
ARIZONA POSTER FINALIST - CLINICAL VIGNETTE Christabel V Moy, DO ................................................................ 51
ARIZONA POSTER FINALIST - CLINICAL VIGNETTE Mitchell Ross, MD ..................................................................... 52
One House, Two Occupants They dont have to be related! ............................................................................ 52
ARKANSAS POSTER FINALIST - CLINICAL VIGNETTE Mohammad O Atiq, MD ......................................................... 53
Respiratory Distress Caused by Therapy for Respiratory Distress ....................................................................... 53
ARKANSAS POSTER FINALIST - CLINICAL VIGNETTE Fuad Habash, MD ................................................................... 54
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Utilization of CardioMEMS in Pre and Post LVAD and Cardiac transplant patients: Three Unique cases ........... 54
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Malini Nadadur, MD ............................................................. 55
Multiple Spontaneous Brugada Patterns Unmasked By Febrile Illness ............................................................... 55
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Vicky Chiang ......................................................................... 56
An Iatrogenic Cause of Polymorphic Ventricular Tachycardia in a Patient with Complicated Diverticulitis ....... 56
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Melody Chung ...................................................................... 57
A SWEET DIAGNOSIS: DISCOVERING THE UNEXPECTED CAUSE .......................................................................... 57
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Mohsen Damavand, MD ....................................................... 58
Hyponatremia: An atypical presentation of cryptococcal meningitis ................................................................. 58
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Amy V Dora, MD ................................................................... 59
Cushing's Syndrome and Rapid Hirsutism from Adrenocortical Carcinoma ........................................................ 59
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Shannon P Fortin-Ensign, MD ............................................... 60
A Devil Dog Dare Gone Wrong: A case of eosinophilic meningitis following consumption of a raw Giant African
Snail ..................................................................................................................................................................... 60
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Pardis Irannejad, MD ............................................................ 61
A rare but fatal complication of prosthetic valve endocarditis: Septic coronary embolism causing acute
myocardial infarction ........................................................................................................................................... 61
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Sakiba Khan, MD................................................................... 62
TB or Not TB: Case of the Putty Kidney ............................................................................................................... 62
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Teresa Kuo, MD .................................................................... 63
Group B Streptococcus (GBS) Bacteremic Meningitis Presenting as Sudden Onset Deafness ............................ 63
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Sandhya Matha, MBBS ......................................................... 64
Protocol driven practice for sepsis - Good or bad? ............................................................................................. 64
US NAVY POSTER FINALIST - CLINICAL VIGNETTE LCDR Olamide Johnson Oladipo, DO ......................................... 65
SUPERIOR VENA CAVA SYNDROME CAUSING SYNCOPE AND RIGHT-TO-LEFT SHUNTING: A BENIGN CAUSE BUT
NOT A BENIGN DISEASE ....................................................................................................................................... 65
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Anand Oroskar, MD .............................................................. 66
Left main compression syndrome caused by pulmonary artery aneurysm......................................................... 66
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Stephanie E Ossowski, MD ................................................... 67
Thinking Outside the Box with Encephalitis ........................................................................................................ 67
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Nikhil Singh, MD ................................................................... 68
TB or not TB: An Atypical Presentation of TB Meningoencephalitis .................................................................... 68
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Robert Thomas, MD PhD ...................................................... 69
A second look at strep sanguinis and the colon .................................................................................................. 69
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Felix Thomas, MD ................................................................. 70
Multiple lung abscesses secondary to Escherichia coli. ....................................................................................... 70
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CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Burgundy Tyrrel, MD ............................................................ 71
Partial anomalous pulmonary venous circulation, a rare culprit associated with paroxysmal atrial fibrillation 71
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Paniz Vafaei, MD .................................................................. 72
eGAD! A Rare Case of Cerebellar Ataxia .............................................................................................................. 72
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Lu Wang, MD ........................................................................ 73
A rare complication of endovascular aortic aneurysm repair ............................................................................. 73
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE William Wung, MD ............................................................... 74
A STEMI Gone Viral .............................................................................................................................................. 74
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Almira J Yang, DO ................................................................. 75
Deep vein thrombosis: Think outside the box ..................................................................................................... 75
CALIFORNIA POSTER FINALIST - CLINICAL VIGNETTE Bethlehem G Zeleke, MD...................................................... 76
Spontaneous coronary thrombosis and nonbacterial thrombotic endocarditis in a patient with testicular
cancer. ................................................................................................................................................................. 76
COLORADO POSTER FINALIST - CLINICAL VIGNETTE Emily J Frydendall, MD .......................................................... 77
Mimic of AIDP: Spinal Cord Infarction ................................................................................................................. 77
COLORADO POSTER FINALIST - CLINICAL VIGNETTE Gray Jodon, MD ..................................................................... 78
Where o Where Art Thou, Aneurysm? ................................................................................................................ 78
COLORADO POSTER FINALIST - CLINICAL VIGNETTE Timothy Tidwell, MD ............................................................. 79
CONNECTICUT POSTER FINALIST - CLINICAL VIGNETTE Iradat Amusa, MBChB ...................................................... 80
Bad teeth related to bad back? ........................................................................................................................... 80
CONNECTICUT POSTER FINALIST - CLINICAL VIGNETTE Rebecca Ann Dyer............................................................. 81
A Missed Diagnosis of Myasthenia Gravis ........................................................................................................... 81
CONNECTICUT POSTER FINALIST - CLINICAL VIGNETTE Rohini Manaktala, DO ....................................................... 82
A Case of Dapsone Induced Methemoglobinemia: A Rare Acquired Complication ............................................ 82
CONNECTICUT POSTER FINALIST - CLINICAL VIGNETTE Monika Mishra, MBBS ...................................................... 83
A pulsatile rectal Dieulafoy's lesion as rare cause of lower gastrointestinal bleed ............................................. 83
CONNECTICUT POSTER FINALIST - CLINICAL VIGNETTE Amruta Panwala ............................................................... 84
Constipation turns deadly! .................................................................................................................................. 84
CONNECTICUT POSTER FINALIST - CLINICAL VIGNETTE Jatan Shah, MD ................................................................. 85
Endobronchial Actinomycosis A Commonly Misdiagnosed Entity .................................................................... 85
CONNECTICUT POSTER FINALIST - CLINICAL VIGNETTE Kristin Stawiarski, MD ....................................................... 86
Left Flank Pain with Scrotal Swelling: A Case of Posterior Nutcracker Syndrome ............................................... 86
DELAWARE POSTER FINALIST - CLINICAL VIGNETTE Elizabeth Clayton DO ............................................................. 87
Please, Dont Clap: Neisseria meningitidis Takes the Stage in a Sexually Active Male ........................................ 87
DELAWARE POSTER FINALIST - CLINICAL VIGNETTE Kevin K Patel, MD .................................................................. 88
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A Case of Endometritis ........................................................................................................................................ 88
DISTRICT OF COLUMBIA POSTER FINALIST - CLINICAL VIGNETTE Philip Francis, MD .............................................. 89
Splenomegaly and isolated thrombocytopenia in a previously healthy adult male ............................................ 89
DISTRICT OF COLUMBIA POSTER FINALIST - CLINICAL VIGNETTE Kathryn Humes, MD .......................................... 90
Into the deep white matter; A case of 5-flourouracil-induced leukoencephalopathy. ....................................... 90
DISTRICT OF COLUMBIA POSTER FINALIST - CLINICAL VIGNETTE Adrienne N. Poon, MD ....................................... 91
A Case of Refractory Thrombocytopenia: Not Just Childs Play........................................................................... 91
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Saeed Ali, MD ............................................................................. 92
A Rare Cause of Recurrent Gastrointestinal Bleeding Following Whipple's Surgery ........................................... 92
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Jed Colt Cowdell, MD ................................................................. 93
Infectious Vasculitis as the Presenting Manifestation of Native-Valve Streptococcus Bovis Endocarditis ......... 93
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Cheng Fang, MD ......................................................................... 94
A Rare Case of L-Transposition of The Great Arteries Presenting As Generalized Tonic-Clonic Seizure ............. 94
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Cheng Fang, MD ......................................................................... 95
Extramedullary lymphoid blast crisis of chronic myeloid leukemia in a patient on dasatinib treatment ........... 95
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Faryal Izhar Farooqi, MD ............................................................ 96
Histrionic Behavior: A Unique Presentation of Creutzfeldt-Jakob Disease ......................................................... 96
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Kavitha Ganesan, MD ................................................................. 97
AMPHETAMINE USE AND BILATERAL HIPPOCAMPAL STROKE ............................................................................ 97
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Lillian Gonzales, MD ................................................................... 98
Necrotizing Autoimmune Myopathy (NAM): A Rare and Debilitating Adverse Effect of Statins ........................ 98
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Jian Guan, MD ............................................................................ 99
A rare case of colonic perforation in a patient with scleroderma ....................................................................... 99
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Scott Helgeson, MD ................................................................. 100
Fibromuscular Dysplasia Presenting as Spontaneous Coronary Artery Dissection ........................................... 100
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Shaheryar Jafri, MD .................................................................. 101
A BRAIN PARASITE IN MY GUT- A RARE CASE OF TOXOPLASMOSIS INVOLVING STOMACH ............................. 101
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Nway L Ko Ko, MD .................................................................... 102
ST Elevation Myocardial Infarction in a Patient with Kawasaki Disease Following the Discontinuation of
Anticoagulation for an Elective Surgery: A Management Dilemma .................................................................. 102
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Shivtaj Mann, DO ..................................................................... 103
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Bill Mazalewski, DO .................................................................. 104
Proctitis and a Rectal Mass, a Diagnosis Not to be Mistaken ............................................................................ 104
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Rebecca Morera, MD ............................................................... 105
Nivolumab- a promising immunotherapy for the treatment of mesothelioma ................................................ 105
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FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Alvina Munaf, MD .................................................................... 106
The 'Secret' Myeloma with a rare course .......................................................................................................... 106
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Alvina Munaf, MD .................................................................... 107
A unique case of Ovarian Lymphoma ................................................................................................................ 107
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Fergie J Ramos ......................................................................... 108
Pneumocystis Jirovecii Pneumonia Presenting as a Solitary Pulmonary Nodule in a Patient with Acquired
Immune Deficiency Syndrome ........................................................................................................................... 108
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Michael Robinson, Bchir .......................................................... 109
Autoimmune Thyroiditis Presenting as Stroke .................................................................................................. 109
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Ashley Rose, MD ...................................................................... 110
A Rare Warning Sign: A De-Novo Case of Myeloid Sarcoma ............................................................................. 110
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Syed R Sabzwari, MBBS ............................................................ 111
A Fatal Case of Postpartum Cerebral Angiopathy with Concurrent Cardiomyopathy ....................................... 111
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Taryn Smith, MD ...................................................................... 112
INFECTIOUS TENOSYNOVITIS WITH METHYLOBACTERIUM SPECIES PRESENTING AS ADVANCED CARPAL
TUNNEL SYNDROME .......................................................................................................................................... 112
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Sufian Sorathia, MD ................................................................. 113
Rethinking the Spectrum of Biliary Disease: Incipient Cholecystitis, an Intermediate Clinical Entity Between
Biliary Colic and Acute Cholecystitis .................................................................................................................. 113
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Swethika Harini Sundaravel, MBBS .......................................... 114
CML WITH EXTRAMEDULLARY BIPHENOTYPIC BLAST CRISIS ............................................................................ 114
FLORIDA POSTER FINALIST - CLINICAL VIGNETTE Mohammed Wazir, MD ........................................................... 115
Idiopathic lateral rectus myositis without signs of orbital inflammation .......................................................... 115
GEORGIA POSTER FINALIST - CLINICAL VIGNETTE Rajashree Chaudhury, MD ...................................................... 116
Recognizing multisystem manifestations of IgG4-related disease .................................................................... 116
US ARMY POSTER FINALIST - CLINICAL VIGNETTE Brent Griffin ............................................................................ 117
Evaluation of Atypical Etiology of Chylothorax .................................................................................................. 117
GEORGIA POSTER FINALIST - CLINICAL VIGNETTE Robert E Heinl IV, MD ............................................................. 118
Lets Taka'bout Ultra-premature Coronary Artery Disease ............................................................................... 118
GEORGIA POSTER FINALIST - CLINICAL VIGNETTE Sonali Kumar ........................................................................... 119
It's Not Always Alcohol ...................................................................................................................................... 119
GEORGIA POSTER FINALIST - CLINICAL VIGNETTE Ahn H Le, MD .......................................................................... 120
Mucormycosis: May the Odds be in Your Favor ................................................................................................ 120
GEORGIA POSTER FINALIST - CLINICAL VIGNETTE Casey Morris, MD .................................................................... 121
Case Report: SGLT2 Inhibitor Induced Euglycemic Diabetic Ketoacidosis ......................................................... 121
GEORGIA POSTER FINALIST - CLINICAL VIGNETTE Zahraa Rabeeah, MD............................................................... 122
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"Urgent Mitral Valve Replacement Due To a Toxic Tooth" ............................................................................... 122
GEORGIA POSTER FINALIST - CLINICAL VIGNETTE Syed Rufai, MBBS .................................................................... 123
Not all acute paresis is stroke - Intracranial complication as a first-time presentation of a benign primary
pulmonary disease ............................................................................................................................................. 123
GEORGIA POSTER FINALIST - CLINICAL VIGNETTE Mohammed N Shaker, MD PhD .............................................. 124
Primary Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma of the Trachea ........................................... 124
GEORGIA POSTER FINALIST - CLINICAL VIGNETTE Hassan Yousaf, MBBS .............................................................. 125
Double Jeopardy: Rheumatoid Arthritis, Antisynthetase Syndrome and the Lungs ......................................... 125
US ARMY POSTER FINALIST - CLINICAL VIGNETTE CAPT Jeffrey L Lew, MC USA ................................................... 126
Metronidazole Causing Profound Drug-Induced Immune Thrombocytopenia ................................................. 126
IDAHO POSTER FINALIST - CLINICAL VIGNETTE Martine N Troy, MD .................................................................... 127
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Olalekan H Akanbi, MD ............................................................. 128
Antibiotic-Associated Hemorrhagic Colitis; Not Always Clostridium Difficile .................................................... 128
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Divya Akshintala, MD ................................................................ 129
Aspirin overdose resistant to conventional hemodialysis ................................................................................. 129
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Ahmed Al-Ogaili, MBBS ............................................................ 130
Takotsubo cardiomyopathy after exogenous epinephrine administration. ...................................................... 130
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Taha Alrifai, MD ........................................................................ 131
Bedbug Colonization as a Cause of Severe Iron Deficiency Anemia Requiring Massive Blood Transfusions .... 131
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Cristina Anez De Gomez ........................................................... 132
Active mycobacterium avium complex infection and Allergic Bronchoplulmonary Aspergillosis (ABPA). Case
report ................................................................................................................................................................. 132
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Leen Awad ................................................................................ 133
Recurrent Cardiac Arrest Secondary to Malignant Neurocardiogenic Syncope in a 23-year-old Patient with
Addisons Disease .............................................................................................................................................. 133
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Muhammad Ayub, MD ............................................................. 134
When nerves fail: A cause of respiratory failure in a CHF patient ..................................................................... 134
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Amandeep S Dhillon, MD .......................................................... 135
Potential life threatening cardiac toxicity from easily accessible over the counter medication ....................... 135
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Sarah Fenton ............................................................................. 136
Rapidly Progressive Dementia Adding to the Differential Diagnosis .............................................................. 136
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Robin Fernandes, MBBS ........................................................... 137
An unusual cause of Pericarditis ........................................................................................................................ 137
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Ofelya Gevorgyan, MD ............................................................. 138
A Case of Stevens-Johnson Syndrome: Prompt Recognition Is Key. .................................................................. 138
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Muhammad Iqbal, MBBS .......................................................... 139
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JAK2 Positive Primary Myelofibrosis with chromosome 5q Deletion ................................................................ 139
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Muhammad Iqbal, MBBS .......................................................... 140
Systemic chemotherapy in Poor-Risk Multidrug Resistant AIDS-related Kaposi Sarcoma ................................ 140
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Arun Kadamkulam Syriac, MD,MBBS ........................................ 141
UNTREATED CHRONIC LYMPHOCYTIC LEUKEMIA AND CONCURRENT MYELODYSPLASTIC SYNDROME WITH
EVOLVING ACUTE MYELOID LEUKEMIA ............................................................................................................. 141
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Dhauna Prasad Karam C M Prasad, MBBS ................................ 142
When Systematic Evaluation of a Common Presentation lead to diagnosis of an Uncommon disorder: A case of
Autoimmune Polyglandular syndrome Type II: ................................................................................................. 142
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Abdul A Khan, MBBS ................................................................. 143
A Bad Day to be an RBC: Rasburicase-induced Methemoglobinemia and Hemolysis in G6PD Deficiency ....... 143
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Muhammad Khan, MBBS .......................................................... 144
Rare cause of blindness. .................................................................................................................................... 144
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Ranju Kunwor, MD .................................................................... 145
A rare case of cocaine induced aortic aneurysm; a near dissection event. ....................................................... 145
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Aneesh Kuruvilla, DO ................................................................ 146
Celiac Artery Compression Syndrome - A Missed Diagnosis ............................................................................. 146
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Ming Lee, MD ........................................................................... 147
A Hidden Killer: Complete Dissection of the Ascending and Descending Aorta Induced by Gram Negative
Aortitis ............................................................................................................................................................... 147
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Sukesh Manthri, MD ................................................................. 148
Paclitaxel-induced Complete Heart Block? ........................................................................................................ 148
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Ghulam Murtaza MD ................................................................ 149
An Interesting Case of Tolosa Hunt Syndrome in a Young Male ....................................................................... 149
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Hemali R Patel .......................................................................... 150
Intracellular calcium vitally affects contractility of the cardiac myocyte. ......................................................... 150
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Harsh A Rawal, MBBS ............................................................... 151
Blasting the bone - a rare presentation ............................................................................................................. 151
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Harsh A Rawal, MBBS ............................................................... 152
A Case Of Austrian Syndrome Causing A Rare Complication Of Aorta-Atrial Fistula ......................................... 152
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Zubair Saeed Zafar, MD ............................................................ 153
A Case of False positive HIV screening in a patient with Disseminated Histoplasmosis ................................... 153
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Marie Jennifer Seares, MD ....................................................... 154
Cervical Trophic Syndrome A Case of Nervous Itching ................................................................................... 154
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Marie Jennifer Seares, MD ....................................................... 155
Migraine Induced Mydriasis .............................................................................................................................. 155
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ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Arshibanoo M Shaikh, MBBS .................................................... 156
A Very Rare Variant of Multiple Sclerosis Presenting As a Brain Tumor ........................................................... 156
ILLINOIS POSTER FINALIST - CLINICAL VIGNETTE Keith Smart, DO ........................................................................ 157
E. Coli Pyomyositis is an Emerging Epidemic Amongst Patients with Hematological Malignancies ................. 157
INDIANA POSTER FINALIST - CLINICAL VIGNETTE Tanvi Desai, MD ....................................................................... 158
Why Am I Taking Steroids?: A Case of Disseminated Invasive Aspergillosis ...................................................... 158
INDIANA POSTER FINALIST - CLINICAL VIGNETTE Deep Desai, MD ....................................................................... 159
Fibrillary Glomerulonephritis: A single entity or part of a spectrum of autoimmune disease? ........................ 159
INDIANA POSTER FINALIST - CLINICAL VIGNETTE Issa KutKut, MD ........................................................................ 160
Recurrent syncope and ventricular dysrhythmia in young adults: complications from chronic loperamide abuse
........................................................................................................................................................................... 160
INDIANA POSTER FINALIST - CLINICAL VIGNETTE Sugat Wagle, MD ..................................................................... 161
PULMONARY METASTASIS SEVEN YEARS AFTER DIAGNOSIS OF MAXILLARY AMELOBLASTIC CARCINOMA .... 161
IOWA POSTER FINALIST - CLINICAL VIGNETTE Anamika Tandon, MBBS ............................................................... 162
Eosinophilia, Rash and Overwhelming Sepsis in a Dubowitz Syndrome patient with history of Heart Transplant:
DIHS vs Hyper-IgE syndrome vs Cytokine storm. ............................................................................................... 162
JAPAN - POSTER FINALIST - CLINICAL VIGNETTE Shigeki Ochiai, AHP MD ............................................................. 163
Prostate cancer presented with acute DIC with excessive fibrinolysis and secondary factor XIII deficiency .... 163
KANSAS POSTER FINALIST - CLINICAL VIGNETTE Talal Asif, MD ............................................................................ 164
SOTALOL OVERDOSE, A THERPEUTIC CHALLENGE ............................................................................................ 164
KANSAS POSTER FINALIST - CLINICAL VIGNETTE Salam Ajwad Kadhem, MD ........................................................ 165
Pseudohypoglycemia in Raynauds phenomenon ............................................................................................. 165
KANSAS POSTER FINALIST - CLINICAL VIGNETTE Palwasha Kamal, MBBS ............................................................. 166
Primary Aldosteronism: Screening challenges................................................................................................... 166
KANSAS POSTER FINALIST - CLINICAL VIGNETTE Eamon Maloney, MD ................................................................ 167
Myasthenia Gravis Induced by Nivolumab ........................................................................................................ 167
KENTUCKY POSTER FINALIST - CLINICAL VIGNETTE Amy M Higgins, MD .............................................................. 168
Accelerated Atherosclerosis: A Chronic Complication of Perinatal Human Immunodeficiency Virus (HIV)
Infection ............................................................................................................................................................. 168
KENTUCKY POSTER FINALIST - CLINICAL VIGNETTE Riley G Jones, MD ................................................................. 169
Widely metastatic head and neck cancer with an exceptional response: a case for a personalized treatment
approach ............................................................................................................................................................ 169
LOUISIANA POSTER FINALIST - CLINICAL VIGNETTE Janet Manalac, MD............................................................... 170
DELAYED PRESENTATION OF TUBEROUS SCLEROSIS COMPLEX IN AN ADULT WOMAN ................................... 170
LOUISIANA POSTER FINALIST - CLINICAL VIGNETTE Nisha E Ajit, MBBS ................................................................ 171
The Silent Varix .................................................................................................................................................. 171
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LOUISIANA POSTER FINALIST - CLINICAL VIGNETTE Shashank R Cingam, MBBS ................................................... 172
Hepatosplenic T cell lymphoma-A rare, aggressive tumor of the young ........................................................... 172
LOUISIANA POSTER FINALIST - CLINICAL VIGNETTE Nishanth Sasidharan Nirmala, MD ....................................... 173
Pernicious anemia presenting as pseudo-thrombotic thrombocytopenic purpura .......................................... 173
MAINE POSTER FINALIST - CLINICAL VIGNETTE John L Daggett Jr, MD ................................................................. 174
Should I have eaten more eggs? severe anemia and thrombocytopenia in a former candy man .............. 174
MANITOBA POSTER FINALIST - CLINICAL VIGNETTE Umar Ismail, MBBS .............................................................. 175
Gemella haemolysans Endocarditis ................................................................................................................... 175
MARYLAND POSTER FINALIST - CLINICAL VIGNETTE Willard N Applefeld, MD ..................................................... 176
Episodic Angioedema with Hypereosinophilia .................................................................................................. 176
MARYLAND POSTER FINALIST - CLINICAL VIGNETTE Alexandra Byrne, MD .......................................................... 177
Pulmonary Mycobacterium szulgai complicating anorexia nervosa ................................................................. 177
MARYLAND POSTER FINALIST - CLINICAL VIGNETTE Eric C Feng, DO .................................................................... 178
An Interesting Case of Sudden Loss of Sensation in a Patient with Recent Back Surgery ................................. 178
MARYLAND POSTER FINALIST - CLINICAL VIGNETTE Julian Kang, DO .................................................................... 179
To FMT or Not to FMT: A Tale of One Mans C. diff ........................................................................................... 179
DISTRICT OF COLUMBIA POSTER FINALIST - CLINICAL VIGNETTE LT Benjamin Kurth, MC USN ............................ 180
Occult Gastric Adenocarcinoma Manifesting as Pulmonary Hypertension ....................................................... 180
MARYLAND POSTER FINALIST - CLINICAL VIGNETTE Eric Lemmon, MD ................................................................ 181
Unstable Hemoglobinopathies: An often unrecognized, or unknown, hypercoagulable state. ........................ 181
MARYLAND POSTER FINALIST - CLINICAL VIGNETTE Benjamin McKinney ............................................................ 182
Hematemesis: AIDing in the diagnosis of Kaposis Sarcoma ............................................................................. 182
MASSACHUSETTS POSTER FINALIST - CLINICAL VIGNETTE Mark Arun Abel, MBBCH ........................................... 183
From Pharyngitis to Myocarditis ........................................................................................................................ 183
MASSACHUSETTS POSTER FINALIST - CLINICAL VIGNETTE Fahd A Almohid, MD,MBBS ....................................... 184
Recurrent, metastatic Glucagonoma ................................................................................................................. 184
MASSACHUSETTS POSTER FINALIST - CLINICAL VIGNETTE Brian J Ferrara, MD .................................................... 185
A catastrophe averted: A unique case of catastrophic antiphospholipid antibody syndrome with a successful
outcome due to early intervention.................................................................................................................... 185
MASSACHUSETTS POSTER FINALIST - CLINICAL VIGNETTE Jose Freire, MD .......................................................... 186
Concealed diagnosis: a case of Bartonella Endocarditis .................................................................................... 186
MASSACHUSETTS POSTER FINALIST - CLINICAL VIGNETTE Rehan Mujahid, DO .................................................... 187
Invasive thymoma with pericardial involvement presenting as cardiac tamponade. ....................................... 187
MASSACHUSETTS POSTER FINALIST - CLINICAL VIGNETTE Riffat Sabir, MD .......................................................... 188
Pulmonary Artery Pseudoaneurysm: When the Lung bleeds ............................................................................ 188
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MEXICO - POSTER FINALIST - CLINICAL VIGNETTE Virgilio A Hernandez Ruiz........................................................ 189
An unusual cause of dermatomyositis ............................................................................................................... 189
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Sai S Dukkipati, MBBS ........................................................... 190
A Rare Case of Co-existent Essential Thrombocytosis and Non-Hodgkins Lymphoma .................................... 190
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Nadine H Abdallah, MD ........................................................ 191
Rheumatoid arthritis, beyond the joints. .......................................................................................................... 191
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Azza M Ahmed, MBBS .......................................................... 192
When Puzzled, Review the Medication List: An Uncommon Side Effect of A Common Medicine .................... 192
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Bayan Al Share, MD .............................................................. 193
An Uncommon Cause of a Small Bowel Obstruction ......................................................................................... 193
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Aness Al-Khateeb, MD .......................................................... 194
Peritoneal Tuberculosis as the first sign for cholangiocarcinoma ..................................................................... 194
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Muhammad Ali, MD ............................................................. 195
Is Pulmonary Langerhans Cell Histiocytosis exclusive to smokers?: A Case Report .......................................... 195
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Sumaiya Ansari, MBBS .......................................................... 196
Gliomatosis Cerebri: A Phantom in the Brain .................................................................................................... 196
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Sumaiya Ansari, MBBS .......................................................... 197
Double Trouble: Catheter Embolization through a Patent Foramen Ovale Leading to Embolic Stroke ............ 197
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Mingxue Arguello, DO........................................................... 198
Association between myeloproliferative neoplasm and lymphoid malignancy: a rare case of B-cell lymphoma 8
years after the diagnosis of essential thrombocythemia .................................................................................. 198
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Kristopher Arndt, MD ........................................................... 199
Not Your Typical Atypical Chest Pain ................................................................................................................. 199
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Mohammed Qadeer Baig, MD .............................................. 200
A Unique Presentation of Multiple Sclerosis: Collosal Alien Syndrome ............................................................ 200
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE RAMKAJI BANIYA, MD ........................................................... 201
From a scratch to spleen. .................................................................................................................................. 201
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Sana Chams, MD ................................................................... 202
A Rare Presentation of Angioimmunoblastic T Cell Lymphoma ........................................................................ 202
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Phillip Eskander, DO ............................................................. 203
An Unusual Case of Creutzfeldt-Jakob Disease and the Significance of Image Based Diagnosis in Early
Detection ........................................................................................................................................................... 203
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE John Samuel Fleming, DO ..................................................... 204
A Delay in Diagnosis: ANA Negative Lupus in a 22-Year-Old Hispanic Male ...................................................... 204
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Erin Goldman, DO ................................................................. 205
Lemierres Sydrome: A Rare and Life-Threatening Illness ................................................................................. 205
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MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Swathi Gopishetty, MBBS ..................................................... 206
Extra-uterine Leiomyosarcoma after Hysterectomy ......................................................................................... 206
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Smitha Gudipati, MD ............................................................ 207
Candida Infections: Rare findings in osteomyelitis ............................................................................................ 207
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Adam Hafeez, MD ................................................................. 208
Suspecting the Unexpected: Aortic Dissection Presenting as Acute Pancreatitis ............................................. 208
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Marwah Hussein, MD ........................................................... 209
Uncommon cause of anaphylaxis, Steroids! ...................................................................................................... 209
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Karthik Kailasam, MBBS ........................................................ 210
Diagnostic dilemma: Idiopathic cyclic thrombocytopenia ................................................................................. 210
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Amjad Nadim Kanj, MD ........................................................ 211
Multiple Pyomyositis and Bacteremia in a Diabetic Patient .............................................................................. 211
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Sharanjit K Khaira ................................................................. 212
It's the same story, but with a twist- An atypical presentation of Toxoplasma gondii infection ...................... 212
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Diana Khalil, MD ................................................................... 213
A Rare Case of Endometrial Carcinoma Presenting as a Mass to the Thyroid. .................................................. 213
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Mahin R Khan, MBBS ............................................................ 214
A Curious Case of Recovery from Cardiogenic Shock in a Nonagenarian. ......................................................... 214
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Kartik R Kumar, MBBS ........................................................... 215
Fever, Altered Mental Status, Rigidity and a Mosquito ..................................................................................... 215
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Parijat Mathur, MD ............................................................... 216
The Unusual Appendix in Internal Medicine ..................................................................................................... 216
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Kristopher L McKenzie .......................................................... 217
SUCCESSFUL VEGETATION RETRIEVAL IN AN ACUTE ISCHEMIC INFARCTION DUE TO INFECTIVE ENDOCARDITIS:
A CASE REPORT .................................................................................................................................................. 217
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Himabala Medasani, MBBS ................................................... 218
HPV in Brain - A case of metastatic squamous cell carcinoma .......................................................................... 218
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Rose Natheer, MBChB,MD ................................................... 219
Recurrent Empyema Secondary to Actinomyces israelii : A Diagnostic Challenge .......................................... 219
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Aji Njie, MD ........................................................................... 220
A Rare Case of Extrapleural Solitary Fibrous Tumor with Metastasis to the Breast .......................................... 220
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Molly Orosey, DO .................................................................. 221
An Unusual Presentation of a Left Gastric Artery Pseudoaneurysm ................................................................. 221
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Molly Orosey, DO .................................................................. 222
Diarrhea in a Post Colectomy Patient: Should We Still Consider Clostridium difficile? ..................................... 222
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MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Mohammed Osman, MD ...................................................... 223
A CASE OF ESOPHAGEAL CANCER PRESENTING AS LEMIERRE'S SYNDROME .................................................... 223
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Muaz Osman, MD ................................................................. 224
A Rare and Severe Complication of Mycoplasma Pneumoniae in An Adult. ..................................................... 224
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Yifan Pang, MD ..................................................................... 225
Levamisole: the hidden sorcerer in cocaine and how to find it ......................................................................... 225
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Nilesh Patel, MD ................................................................... 226
RECURRENT CHEST PAIN, RECURRENT DIAGNOSTICS? WHAT WOULD EINSTEIN SAY? .................................... 226
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Nilesh Patel, MD ................................................................... 227
SCAD: An under-recognized cause of ACS in women ........................................................................................ 227
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Sean Michael Pippen, MD ..................................................... 228
Colon cancer presenting as a bump on the forehead ........................................................................................ 228
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Leo E Reap III, DO ................................................................. 229
Progressive Multifocal Leukoencephalopathy and Subsequent Immune Reconstitution Inflammatory
Syndrome in a non-HIV Patient: Lessons from a Highly Unusual Case .............................................................. 229
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Jacob Salman, MD ................................................................ 230
Cough Suppressant to Treat Pseudobulbar Affect Status Post Stroke. ............................................................. 230
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Keren Shahar, MD ................................................................. 231
A Case of Silent Myocardial Infarction Presenting as Ventricular Septum Rupture .......................................... 231
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Anita Shallal, MD .................................................................. 232
Varicella zoster esophagitis in an immunocompetent patient .......................................................................... 232
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Sukhmanpreet Singh ............................................................. 233
A nave yet fatal condition AKA Posterior Reversible Encephalopathy Syndrome secondary to the use of
Bevacizumab ...................................................................................................................................................... 233
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Rahaf Sultan, MD .................................................................. 234
Superficial Venous Thrombosis, not as superficial as you might think! ............................................................ 234
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Rahaf Sultan, MD .................................................................. 235
A Tale of a Yellow Man ...................................................................................................................................... 235
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Anup Trikannad, MBBS ......................................................... 236
Chyle in the pleural space, could it be a SLE case? ............................................................................................ 236
MICHIGAN POSTER FINALIST - CLINICAL VIGNETTE Brian Tyson, MD ................................................................... 237
Sometimes it is all in Their Head: A Unique Presentation of a Primary CNS Lymphoma .................................. 237
MINNESOTA POSTER FINALIST - CLINICAL VIGNETTE Sayed Obaidullah Aseem, MD ............................................ 238
Epididymo-Orchitis in an Immunized, Immunocompromised Patient .............................................................. 238
MINNESOTA POSTER FINALIST - CLINICAL VIGNETTE Sayed Obaidullah Aseem, MD ............................................ 239
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Deep Vein Thrombosis (DVT) Prophylaxis after Orthopedic Surgery: A Case of Life-threatening Gastrointestinal
(GI) Bleed ........................................................................................................................................................... 239
MINNESOTA POSTER FINALIST - CLINICAL VIGNETTE Joel D Beachey, MD ........................................................... 240
Acute Myeloid Leukemia presenting as polyuria with new onset central diabetes insipidus ........................... 240
MINNESOTA POSTER FINALIST - CLINICAL VIGNETTE Joel D Beachey, MD ........................................................... 241
My Doctor Made Me Sick A Case of ACE-Inhibitor Induced Intestinal Angioedema ................................... 241
MINNESOTA POSTER FINALIST - CLINICAL VIGNETTE Manuel Bonfim Braga Neto, MD ........................................ 242
Just another case of non-specific back painOr is it? ....................................................................................... 242
MINNESOTA POSTER FINALIST - CLINICAL VIGNETTE Daniel Self Childs, MD ........................................................ 243
Unusual presentation of recurrent diffuse large B-cell lymphoma: non-infiltrative hepatic dysfunction ........ 243
MINNESOTA POSTER FINALIST - CLINICAL VIGNETTE Jordan Gunn ....................................................................... 244
Takotsubo, An Annual Recurrence .................................................................................................................... 244
MINNESOTA POSTER FINALIST - CLINICAL VIGNETTE Thanh Phan T Ho, MD ........................................................ 245
Swelling with abdominal pain ............................................................................................................................ 245
MINNESOTA POSTER FINALIST - CLINICAL VIGNETTE Guilherme Piovezani Ramos, MD ...................................... 246
The nut doesnt fall far from the tree ................................................................................................................ 246
MINNESOTA POSTER FINALIST - CLINICAL VIGNETTE Wil L Santivasi, MD ............................................................ 247
Acute-onset ataxia as an adverse effect of amiodarone ................................................................................... 247
MINNESOTA POSTER FINALIST - CLINICAL VIGNETTE Wil L Santivasi, MD ............................................................ 248
TSH-secreting pituitary adenoma resulting in thyrotoxicosis ............................................................................ 248
MINNESOTA POSTER FINALIST - CLINICAL VIGNETTE Mazie Tsang, MD ............................................................... 249
Propionibacterium acnes: no longer a contaminant ......................................................................................... 249
MINNESOTA POSTER FINALIST - CLINICAL VIGNETTE Chung-sang Tse, MD .......................................................... 250
An Over-the-Counter Poison? An 89-year old Woman with Bleeding Gums and Severely Elevated INR ......... 250
MINNESOTA POSTER FINALIST - CLINICAL VIGNETTE Sravya Vinnakota, MBBS .................................................... 251
Linear IgA Bullous Dermatosis: A Rare Manifestation of Vancomycin Hypersensitivity ................................... 251
MISSISSIPPI POSTER FINALIST - CLINICAL VIGNETTE Pinky R Chugani, DO ............................................................ 252
Porphyria secondary to Hemochromatosis ....................................................................................................... 252
US AIR FORCE POSTER FINALIST - CLINICAL VIGNETTE MAJ Jason Cromar, MD .................................................... 253
High-Risk Variant of a Rare Anomalous Right Coronary Artery ......................................................................... 253
MISSISSIPPI POSTER FINALIST - CLINICAL VIGNETTE Savannah Duckworth, MD ................................................... 254
US AIR FORCE POSTER FINALIST - CLINICAL VIGNETTE Joshua Fields, MD ............................................................ 255
Disseminated Histoplasmosis Masquerading as Refractory Crohn's Disease .................................................... 255
US AIR FORCE POSTER FINALIST - CLINICAL VIGNETTE CAPT Genieve Marie Martinez, USAF .............................. 256
Piperacillin Clearance in an Anephric ICU Patient on SLED ............................................................................... 256
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MISSOURI POSTER FINALIST - CLINICAL VIGNETTE Matthew B Lindquist, DO ...................................................... 257
Adolescents and Young Adults with Special Needs and Obesity: Multicomponent Treatment ........................ 257
MISSOURI POSTER FINALIST - CLINICAL VIGNETTE Jordan Maryfield .................................................................... 258
Chapter Winning Abstract ................................................................................................................................. 258
MISSOURI POSTER FINALIST - CLINICAL VIGNETTE Hala Saad, MD ....................................................................... 259
Fulminant Multi-Organ Failure and Cerebellar symptoms in Acute Legionnaire's Disease ............................... 259
MONTANA POSTER FINALIST - CLINICAL VIGNETTE Kylie M Ebner, DO ................................................................ 260
Low Back Pain: An Uncommon Culprit of a Common Complaint ...................................................................... 260
NEBRASKA POSTER FINALIST - CLINICAL VIGNETTE Thomas Fowler, MD .............................................................. 261
Granulomatous Interstitial Lung Disease in Chronic Variable Immunodeficiency ............................................ 261
NEBRASKA POSTER FINALIST - CLINICAL VIGNETTE Roy Norris, MD ..................................................................... 262
A curious case of demyelinating disease! .......................................................................................................... 262
NEBRASKA POSTER FINALIST - CLINICAL VIGNETTE Cherry Onaiwu ...................................................................... 263
THE CLOT THAT WOULDNT QUIT: MULTISYSTEM INFARCT FROM NONANTICOAGULATED ATRIAL
FIBRILLATION ..................................................................................................................................................... 263
NEVADA POSTER FINALIST - CLINICAL VIGNETTE Jahnavi Chandrashekar, MBBS ................................................. 264
A Twisted Tale: Intestinal Malrotation in an Adult ............................................................................................ 264
NEVADA POSTER FINALIST - CLINICAL VIGNETTE Htun Latt, MD,MBBS ................................................................ 265
A Classic Case Of Arrhythmogenic Right Ventricular Cardiomyopathy: A Rare Case Report ............................ 265
NEVADA POSTER FINALIST - CLINICAL VIGNETTE Harmeet S Mashiana, MBBS..................................................... 266
Should upper endoscopy be used to screen high-risk HIV+ patients for Gastrointestinal Kaposi Sarcoma? .... 266
NEVADA POSTER FINALIST - CLINICAL VIGNETTE Vivek Narasimhan, MD ............................................................. 267
Extramedullary Precursor B-Cell Lymphoblastic Leukemia: A Rare Presentation & Opportunity ..................... 267
NEW HAMPSHIRE POSTER FINALIST - CLINICAL VIGNETTE Sukeerti G Kesar, MD ................................................. 269
Shake it Off: An Unusual Drug Reaction ............................................................................................................ 269
NEW HAMPSHIRE POSTER FINALIST - CLINICAL VIGNETTE Jason Malenfant, MD ................................................ 270
Rim-enhancing brain lesions in an immunocompromised patient with altered mental status: what do you do
with a negative brain biopsy? ............................................................................................................................ 270
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Sayedmajidreza Alavidehkordi, MD ................................... 271
Reverse Takotsubo associated with suicide attempt by drug overdose ........................................................... 271
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Fazal Ali, DO ....................................................................... 272
Management of Autonomic Instability in Clostridium Tetani Infection ............................................................ 272
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Sevil Aliyeva, MD ................................................................ 273
How to prevent the life threatening outcome of Heparin induced thrombocytopenia in critically ill patients.
........................................................................................................................................................................... 273
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Laeeq A Butt ....................................................................... 274
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Mesoamerican Nephropathy ............................................................................................................................. 274
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Brittany Carter, MBBS ........................................................ 275
A rare fistulating cardiac anomaly with atrial fibrillation and heart failure ...................................................... 275
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Raghav Chaudhary, MBBS MD ........................................... 276
Idiopathic Epicardial Ventricular Tachycardia (VT) ............................................................................................ 276
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Ahmed M Dirweesh, MBBS ................................................ 277
A False Positive HIV Antibody Test in a Patient with Mediastinal Hodgkin Lymphoma .................................... 277
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Kanwal Farooq ................................................................... 278
Gastrointestinal Metastases from Breast Cancer: Raising awareness: A Case Report ...................................... 278
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Rachna Kapoor, MBBS ........................................................ 279
A Rare Disorder with Rare Presentation - EBV Negative Post Transplant Lymphoproliferative Disorder
Presenting as Cold Agglutinin Disease ............................................................................................................... 279
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Muhammad Khakwani, MD ............................................... 280
Type B lactic acidosis with Albuterol Use .......................................................................................................... 280
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Muhammad Khakwani, MD ............................................... 281
Curious case of anemia associated with Squamous cell carcinoma of forearm ................................................ 281
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Noorain Mazhar, MBBS ...................................................... 282
Not every orthopnea means heart failure ......................................................................................................... 282
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Meetal B Mehta, MD ......................................................... 283
Caffeine Toxicity: More Than Just A Java Jive .................................................................................................... 283
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE John Oghene, MD............................................................... 284
Hypermagnesemia - A Case Report ................................................................................................................... 284
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Kavya Patel, MD ................................................................. 285
Pulmonary Histiocytosis X, A rare entity ........................................................................................................... 285
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE ROBERTO H RAMIREZ, MD ................................................. 286
Transcatheter Aortic Valve Replacement Traveling Through Time and Space: A Late Presentation of a Right
Coronary Artery Occlusion by a Direct Flow Valve ............................................................................................ 286
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Kumar Rohit, MD ............................................................... 287
LUPUS - A TRIP TO HELL AND BACK ................................................................................................................... 287
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Hossein Sadrzadeh, MD ..................................................... 288
Recurrent Gastric Adenocarcinoma presented with Acquired Factor VIII Deficiency ....................................... 288
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Dhara K Shah, DO ............................................................... 289
Sticks with Stones, A Rare Case of Ankylosing Spondylitis Complicating Rheumatoid Arthritis ....................... 289
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Parin Shah .......................................................................... 290
Extramedullary plasmacytoma presenting as an upper GI bleed: first sign of relapsed Multiple Myeloma ..... 290
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Shanta Kumar Shrestha, MBBS .......................................... 291
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VGKC RECEPTOR ANTIBODY ASSOCIATED LIMBIC ENCEPHALITIS (LE) : A LOOK BEYOND DEMENTIA .............. 291
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Sneha Shrestha, MBBS,MD ................................................ 292
A Rare Case Report of Purpura fulminans in Association with Cryoglobulinemia Secondary to Myelodysplastic
Syndrome ........................................................................................................................................................... 292
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Maryam Siddiqui, MD ........................................................ 293
PAIN: AN OVERLOOKED PRESENTATION OF MULTIPLE SCLEROSIS. .................................................................. 293
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Amee Sodha, MD ............................................................... 294
Baclofen Overdose: Lipid Emulsion- A Lipophilic Antidote ................................................................................ 294
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Hafsa Tariq, MD ................................................................. 295
Cardiac Arrest associated with Synephrine Containing Weight Loss Supplements ........................................... 295
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Rahul Thampi, MBBS .......................................................... 296
Chronic Intestinal Pseudo Obstruction: A Possible Initial Manifestation of Systemic Lupus Erythematosus ... 296
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Izzah Vasim, MD ................................................................. 297
Excessive Amphetamines in a weight-reducing regimen leading to cardiac arrest Case Report ................... 297
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Neha Verma, MD ............................................................... 298
SAM causes fatal intraperitoneal bleeding: a case of Segmental Arterial Mediolysis ....................................... 298
NEW JERSEY POSTER FINALIST - CLINICAL VIGNETTE Dzmitry Zhmurouski, MD ................................................... 299
How to create ketoacidosis and how to treat it effectively. .............................................................................. 299
NEW MEXICO POSTER FINALIST - CLINICAL VIGNETTE Fatemeh F Farshami, MD ................................................. 300
Immune System matters when facing diarrhea................................................................................................. 300
NEW MEXICO POSTER FINALIST - CLINICAL VIGNETTE Renata G Medina, MD ..................................................... 301
Chapter Winning Abstract ................................................................................................................................. 301
NEW MEXICO POSTER FINALIST - CLINICAL VIGNETTE Lucy Ruan, MD ................................................................. 302
Feverish Co-dependence: Malaria and Salmonella coinfection resulting in endocarditis. ................................ 302
NEW MEXICO POSTER FINALIST - CLINICAL VIGNETTE Payal Sen, MD .................................................................. 303
Cough up the Evidence, else you''ll get a Cavity Search ! .................................................................................. 303
NEW MEXICO POSTER FINALIST - CLINICAL VIGNETTE Morgan Wong, DO ........................................................... 304
The Extravasating case of Catastrophic Antiphoshpholipid Syndrome ............................................................. 304
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE HAFSA ABBAS ....................................................................... 305
THROMBOCYTOSIS: A RARE PARANEOPLASTIC SYNDROME OCCURING IN HEPATOCELLULAR CARCINOMA... 305
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Nabeel Alqsous, MD ............................................................. 306
Thyroid Storm Mimicking Intra-abdominal Sepsis in a Young Female .............................................................. 306
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Puvanalingam Ayyadurai, MBBS .......................................... 307
A RARE CASE OF DOUBLE METACHRONOUS PRIMARY LUNG CANCER ............................................................. 307
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Xinjiang Cai, MD PhD ............................................................ 308
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Solving decades-long mystery of seizure - a case report of sporadic Jervell and Lange-Nielsen Syndrome in a
60-year-old patient ............................................................................................................................................ 308
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Jessica Chan .......................................................................... 309
'Whippits:' a case of its toxic effects .................................................................................................................. 309
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Jiwoon Chang, MD ................................................................ 310
Reversible Dementia: Anti-Voltage-Gated Potassium Channel Complex Limbic Encephalitis .......................... 310
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Ahmed Ewida, MBChB .......................................................... 311
An Unusual case of neuromuscular restrictive lung disease ............................................................................. 311
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Saliha Farrukh, MBBS MD..................................................... 312
Secondary Adrenal Insufficiency Resulting from Long-Term Use of Skin-Whitening Creams ........................... 312
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Behrouz Ferdosian, MD ........................................................ 313
Takotsubo Cardiomyopathy, a Confusing Misnomer ........................................................................................ 313
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Maria D Garcia-Jimenez, MD ................................................ 314
Down and Out: Cranial Nerve Palsy with Intracranial Hypotension .................................................................. 314
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Christy Gilman ...................................................................... 315
Chest pain and thrombocytosis, a unique case of a coronary anomaly and myelofibrosis ............................... 315
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Ria Itty .................................................................................. 316
A Case of Streptococcus Pyogenes Endocarditis ............................................................................................... 316
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Maria T Jose, MBBS .............................................................. 317
KOUNIS SYNDROME: From Allergy to Myocardial Infarction. ........................................................................... 317
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Dipen B Khanapara, MD ....................................................... 318
A Rare Case of Zika Virus and Dengue Virus dual infection: with overlapping clinical manifestations. ............ 318
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Helen Ma, MD ...................................................................... 319
A case report of a patient with an unusual complication of urinary tract infection ......................................... 319
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Naddi B Marah, MD .............................................................. 320
Rare presentation of Yamaguchi Syndrome in a Caribbean Female ................................................................. 320
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Jyothi Margapuri, MD ........................................................... 321
TAKOTSUBO CARDIOMYOPATHY- A case of delayed diagnosis ......................................................................... 321
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Sandra Min, MD ................................................................... 322
Dieulafoys Lesion of Esophagus as a source of GI bleeding.............................................................................. 322
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Rishabh Mishra, MBBS ......................................................... 323
Rare presentation of an Isolated Fibromuscular dysplasia of Coronary artery in a young female ................... 323
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Pratik Mondal, MBBS ........................................................... 324
Pulmonary Micro-Embolism of Foreign Material Causing Acute Right Ventricular Failure and Cardiac Arrest 324
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Keerthana Mugundu, MBBS ................................................. 325
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Muscular and subcutaneous metastases from urothelial cancer A rare occurrence with poor prognosis .... 325
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Calvin Ngai, MD .................................................................... 326
An Unusual Cause of Myocardial Infarction in a Patient Presenting with Chest Pain ....................................... 326
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Merjona Saliaj, MD ............................................................... 327
Isoniazid-Induced Acute Liver Injury .................................................................................................................. 327
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Steven Song, MD .................................................................. 328
Spongiform Cardiomyopathy: An Unusual Manifestation of Scleroderma ....................................................... 328
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Rogin Subedi, MBBS ............................................................. 329
Dofetilide induced severe hepatotoxicity, the first reported case. ................................................................... 329
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Carlos E Vazquez, MD ........................................................... 330
Yes! Amphetamines can give you a sick heart. .................................................................................................. 330
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Karthikeyan Viswanathan ..................................................... 331
Scrofula .............................................................................................................................................................. 331
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Morana Vojnic, MD .............................................................. 332
HIT that Wouldnt Fit ......................................................................................................................................... 332
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Erica Weitzner, MD .............................................................. 333
Precipitation of Acute Hypocalcemia after Blood Transfusion in a Patient with CKD and Bony Metastatic
Disease on Denosumab Therapy ....................................................................................................................... 333
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Daniel Ying ............................................................................ 334
Cardiac Amyloidosis: The Challenge of Early Diagnosis ..................................................................................... 334
NEW YORK POSTER FINALIST - CLINICAL VIGNETTE Abdollah Yousefzadeh, MD .................................................. 335
THYROTOXICOSIS AND TAKOTSUBO A GRAVE CARDIOMYOPATHY................................................................ 335
NORTH CAROLINA POSTER FINALIST - CLINICAL VIGNETTE George A Koromia, MD ............................................. 336
Cortical Blindness Due To Contrast-Induced Neurotoxicity After Cardiac Catheterization ............................... 336
NORTH CAROLINA POSTER FINALIST - CLINICAL VIGNETTE Jasna Ikanovic, MD ................................................... 337
An Impressive Case of T Wave Alternans .......................................................................................................... 337
NORTH CAROLINA POSTER FINALIST - CLINICAL VIGNETTE Lauren Sharan ........................................................... 338
GBS Bacteremia: A case of eight reoccurrences over eight years ..................................................................... 338
NORTH CAROLINA POSTER FINALIST - CLINICAL VIGNETTE Anna N Tomdio, MD ................................................. 339
CORTICAL BLINDNESS DUE TO CONTRAST-INDUCED NEUROTOXICITY AFTER CARDIAC CATHETERIZATION .... 339
NORTH CAROLINA POSTER FINALIST - CLINICAL VIGNETTE George S Waits IV, MD ............................................. 340
A Second Look: Trans-esophageal Echocardiography reveals a Falsely-Negative Aortic Dissection by CT ....... 340
NORTH DAKOTA POSTER FINALIST - CLINICAL VIGNETTE Waqas Zafar Kayani ..................................................... 341
Chapter Winning Abstract ................................................................................................................................. 341
OHIO POSTER FINALIST - CLINICAL VIGNETTE Thaer Abdelfattah, MBBS .............................................................. 342
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A Pulmonary nodule in an asymptomatic patient, revealing an unusual fungal element, Epicoccum ............. 342
OHIO POSTER FINALIST - CLINICAL VIGNETTE Snigdha Bodepudi, MD .................................................................. 343
Salmonella Group C Induced Rhabdomyolysis .................................................................................................. 343
OHIO POSTER FINALIST - CLINICAL VIGNETTE Syed H Bukhari, MD ....................................................................... 344
More than meets the eye- Not all lactic acidosis is sepsis. ................................................................................ 344
OHIO POSTER FINALIST - CLINICAL VIGNETTE Carleo R Capili, MD ........................................................................ 345
Primary Cardiac Lymphoma Presenting as Symptomatic Arrhythmias ............................................................. 345
OHIO POSTER FINALIST - CLINICAL VIGNETTE Khalid Changal, MBBS MD ............................................................. 346
An Uncommon cause of dyspnea: Pulmonary venous thrombosis ................................................................... 346
US AIR FORCE POSTER FINALIST - CLINICA