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View article: Implementation and Impact of a Patient Blood Management Program in an Urban Community Hospital: An Eight-Year Study
Implementation and Impact of a Patient Blood Management Program in an Urban Community Hospital: An Eight-Year Study Open
Purpose: This study evaluates the efficacy of a patient blood management (PBM) initiative in reducing unnecessary red blood cell (RBC) transfusions at a New York City community teaching hospital over eight years (2013–2020). Methods: A ret…
View article: NF-κB-Mediated Disruption of Key Transcription Factors Predisposes Lower Esophageal Squamous Epithelium to Esophageal Adenocarcinoma: a systematic review
NF-κB-Mediated Disruption of Key Transcription Factors Predisposes Lower Esophageal Squamous Epithelium to Esophageal Adenocarcinoma: a systematic review Open
Objective The objective of this study is to determine how NF-κB-mediated transcriptional disruption of key transcription factors (TP63, SOX2, KLF4, GRHL3, ELF3, TFAP2C, RUNX1, and ZBED2) in esophageal squamous stratified epithelium leads t…
View article: Diaphragmatic hernia
Diaphragmatic hernia Open
View article: Impact of Patient Blood Management on Red Blood Cell Utilization in an Urban Community Teaching Hospital: A Seven-Year Retrospective Study
Impact of Patient Blood Management on Red Blood Cell Utilization in an Urban Community Teaching Hospital: A Seven-Year Retrospective Study Open
Objectives: This study aimed to showcase how implementing a patient blood management (PBM) program effectively cuts unnecessary red blood cell (RBC) transfusions in a New York City urban community teaching hospital. Methods: Analyzing seve…
View article: Impact of Patient Blood Management on Red Blood Cell Utilization in an Urban Community Teaching Hospital: A Seven-Year Retrospective Study
Impact of Patient Blood Management on Red Blood Cell Utilization in an Urban Community Teaching Hospital: A Seven-Year Retrospective Study Open
The study aimed to showcase how implementing a patient blood management (PBM) program effectively cut unnecessary red blood cell (RBC) transfusions in a New York City urban community teaching hospital. Analyzing seven years from 2013 to 20…
View article: Colonic Ganglioneuroma: A Rare Lesion With Extremely Different Presentations and Outcomes in Two Patients
Colonic Ganglioneuroma: A Rare Lesion With Extremely Different Presentations and Outcomes in Two Patients Open
Ganglioneuroma (GN) of the gastrointestinal tract is an extremely rare neuroectodermal tumor. Patients with ganglioneuromas have different presentations depending on the location, extent and size of the lesion. We present two cases of gang…
View article: Atypical Sjögrenʼs Syndrome Initially Presenting as Lymphocytic Interstitial Pneumonitis followed by Immune Thrombocytopenia
Atypical Sjögrenʼs Syndrome Initially Presenting as Lymphocytic Interstitial Pneumonitis followed by Immune Thrombocytopenia Open
Background. Sjögrenʼs syndrome is an autoimmune disease characterized primarily by decreased exocrine gland function leading to eye and mouth dryness. Extraglandular manifestations occur less frequently. Case Report. A 74-year-old man with…
View article: Acute Hepatitis in a Yemeni Immigrant Associated with Khat: A “Biological Amphetamine” Carried in Cultures
Acute Hepatitis in a Yemeni Immigrant Associated with Khat: A “Biological Amphetamine” Carried in Cultures Open
Viral infections, alcohol, hepatic steatosis, autoimmunity medications and herbal supplements are common etiologies of hepatitis. Khat (Catha Edulis) is a commonly used recreational substance in East African and Middle Eastern countries. K…
View article: Aspiration pneumonia caused by an organic foreign body
Aspiration pneumonia caused by an organic foreign body Open
Introduction: Aspiration pneumonia is an important cause of morbidity and mortality in the elderly. Foreign body (FB) aspiration although less frequent in adults in comparison to the pediatric population is more prevalent in geriatric pati…
View article: Microthrombi in skin biopsy of a patient with COVID-19
Microthrombi in skin biopsy of a patient with COVID-19 Open
View article: A Rare Case of Cerebellar Glioblastoma Mimicking Acute Stroke in an Elderly Patient
A Rare Case of Cerebellar Glioblastoma Mimicking Acute Stroke in an Elderly Patient Open
BACKGROUND Glioblastoma (GB) is a common brain tumor that usually presents in the cerebral hemisphere. Very rarely, these tumors can present in the cerebellum. The tumor tends to have a diffuse infiltrative growth that follows the white-ma…
View article: Malignant Epithelioid Neoplasm of the Brain
Malignant Epithelioid Neoplasm of the Brain Open
Malignant epithelioid tumors have been described in various organ systems, but are rarely seen in the brain. They are aggressive tumors and have high mortality. In certain cases, the immunohistochemistry (IHC) findings may not be sufficien…
View article: A Rare Case of Splenic<i>Pneumocystis jirovecii</i>in a HIV-Positive Patient
A Rare Case of Splenic<i>Pneumocystis jirovecii</i>in a HIV-Positive Patient Open
Introduction . Human immunodeficiency virus (HIV) positive individuals with the CD4 count less than 200 cells/mm 3 are at risk for opportunistic infections. Pneumocystis jirovecii , a fungal pathogen, is a common cause of opportunistic inf…
View article: "Garden in the Lungs": Deadly Diagnosis of Aspiration with Flexible Bronchoscopy
"Garden in the Lungs": Deadly Diagnosis of Aspiration with Flexible Bronchoscopy Open
View article: A Rare Etiology of Abnormally Large Gastric Folds: Menetrier’s Disease
A Rare Etiology of Abnormally Large Gastric Folds: Menetrier’s Disease Open
Menetrier’s disease (MD) is described as hypertrophied giant gastric folds causing hypoproteinemia due to protein losing gastropathy and is associated with higher risk of gastric adenocarcinoma. We present a case of a 58-year-old male who …
View article: Lung mass with bilateral mediastinal hypermetabolic lymphadenopathy in a chronic smoker indicative of lung cancer?
Lung mass with bilateral mediastinal hypermetabolic lymphadenopathy in a chronic smoker indicative of lung cancer? Open
View article: A Rare Case of Disseminated <i>Mycobacterium avium-intracellulare</i> Presenting as Proctitis
A Rare Case of Disseminated <i>Mycobacterium avium-intracellulare</i> Presenting as Proctitis Open
Mycobacterium avium intracellulare (MAI) infections are common in Human Immuno-deficiency Virus (HIV) positive patients. MAI infection can have localized or disseminated presentation, patients with low CD4 count presenting with disseminate…
View article: Co-Occurrence of Rarest Type of Dysphagia Lusoria (Type N-1) and Eosinophilic Esophagitis in a Cognitively Disabled Individual
Co-Occurrence of Rarest Type of Dysphagia Lusoria (Type N-1) and Eosinophilic Esophagitis in a Cognitively Disabled Individual Open
Dysphagia is an expressive symptom, described by an individual as “difficulty in swallowing.” Dysphagia due to esophageal compression from an aberrant right subclavian artery is rare, and it is termed as “dysphagia lusoria.” We present a r…
View article: Cytophagic Histiocytic Panniculitis (CHP) in a Patient with SLE Found after Autopsy: When a Rash Is “Complicated!”
Cytophagic Histiocytic Panniculitis (CHP) in a Patient with SLE Found after Autopsy: When a Rash Is “Complicated!” Open
Introduction . Cytophagic histolytic panniculitis (CHP) is a clinical disorder characterized by nodular panniculitis of the subcutaneous adipose tissue. It was first described in 1980 by Winkelmann. Histologically it is described as an inf…
View article: Lung Cancer Presenting as Skin Metastasis of the Back and Hand: A Case Series and Literature Review
Lung Cancer Presenting as Skin Metastasis of the Back and Hand: A Case Series and Literature Review Open
Lung cancer has the highest mortality of all cancers in the United States. The incidence of lung cancer with metastases to the skin varies between 1–12%, with the highest incidence seen in men. Here, we present two cases of lung cancer pre…
View article: Small-Cell Type, Poorly Differentiated Neuroendocrine Carcinoma of the Gallbladder: A Case Report and Review of the Literature
Small-Cell Type, Poorly Differentiated Neuroendocrine Carcinoma of the Gallbladder: A Case Report and Review of the Literature Open
The poorly differentiated small-cell type, neuroendocrine carcinoma (NEC) of the gallbladder is a very uncommon subtype of a neuroendocrine tumor of the gastrointestinal tract. Nonsecretory NEC by virtue of its nonspecific and subtle clini…
View article: Atypical Radiographic Presentation of <i>Cryptococcus</i> Pneumonia in a Newly Diagnosed HIV Patient
Atypical Radiographic Presentation of <i>Cryptococcus</i> Pneumonia in a Newly Diagnosed HIV Patient Open
Background . Cryptococcus infection is an opportunistic infection that occurs primarily among immunocompromised patients, and the morbidity and mortality of this infection is high if left unrecognized and untreated. There are no clinical o…
View article: A Rare Case of DRESS (Drug Reaction with Eosinophilia and Systemic Symptoms) Syndrome with Cholecystitis in a Patient on Levetiracetam
A Rare Case of DRESS (Drug Reaction with Eosinophilia and Systemic Symptoms) Syndrome with Cholecystitis in a Patient on Levetiracetam Open
View article: Case of Gastric Diffuse Large B-Cell Lymphoma
Case of Gastric Diffuse Large B-Cell Lymphoma Open
The gastrointestinal (GI) tract is the predominant site of extra nodal lymphoma involvement. In the United States (US), gastric lymphoma is the most common extra nodal site of lymphoma. Most of these lesions are either extra nodal marginal…
View article: Malignant Peritoneal Mesothelioma Without Asbestos Exposure
Malignant Peritoneal Mesothelioma Without Asbestos Exposure Open
Malignant mesothelioma is a rare neoplasm of the serosal linings. Mesothelioma has been linked to asbestos exposure, with prior asbestos exposure linked to 33-50% of malignant peritoneal mesotheliomas. We describe a case of malignant perit…
View article: Co-Occurrence of Myeloid Sarcoma of the Lymph Node and Acute Monocytic Myeloid Leukemia: A Case Report and Literature Review
Co-Occurrence of Myeloid Sarcoma of the Lymph Node and Acute Monocytic Myeloid Leukemia: A Case Report and Literature Review Open
Background: Acute myeloid leukemia (AML) is the most common leukemia in adults. According to the French-American-British (FAB) system, monocytic leukemia is classified as M5. Myeloid sarcoma further occurs in 3–5% of AML. Thi…
View article: Poorly Differentiated Small-Cell-Type Neuroendocrine Carcinoma of the Prostate: A Case Report and Literature Review
Poorly Differentiated Small-Cell-Type Neuroendocrine Carcinoma of the Prostate: A Case Report and Literature Review Open
Neuroendocrine cells are widespread throughout the body and can give rise of neuroendocrine tumors due to abnormal growth of the chromaffin cells. Neuroendocrine tumors divide into many subtypes based on tumor grade (Ki-67 index and mitoti…
View article: Recurrent Mantle Cell Lymphoma Presenting as Gastrointestinal Bleeding
Recurrent Mantle Cell Lymphoma Presenting as Gastrointestinal Bleeding Open
Mantle cell lymphoma is a rare and aggressive subtype of B-cell non-Hodgkin lymphomas. Mantle cell lymphoma frequently involves extranodal sites, and gastrointestinal tract is involved microscopically and macroscopically in more than 80% o…
View article: Refractory Septic Shock due to Underlying Immunocompromised Disease: A Case of Fatal Peripheral T-Cell Lymphoma Not Otherwise Specified in a Young Hispanic Woman
Refractory Septic Shock due to Underlying Immunocompromised Disease: A Case of Fatal Peripheral T-Cell Lymphoma Not Otherwise Specified in a Young Hispanic Woman Open
Peripheral T-cell lymphoma not otherwise specified (PTCL-NOS) is known as an unclassified group of non-Hodgkin lymphomas. PTCL-NOS is a subtype of peripheral T-cell lymphoma that accounts for 3% of all lymphomas in the United States. PTCL-…
View article: A Rare Case of Colonic Metastases From Tonsillar Carcinoma: Case Report and Review of Literature
A Rare Case of Colonic Metastases From Tonsillar Carcinoma: Case Report and Review of Literature Open
The incidence of tonsillar cancer has increased by four times in the United States over the last few decades likely due to recent increase in human papilloma virus (HPV) infections. The stage of the tumor predicts likelihood of metastasis,…