Marshall Journal of Medicine

http://mds.marshall.edu/mjm/

List of Papers (Total 152)

Surgery for Esophageal Adenocarcinoma: Three field open McKeown procedure has a role in assessment and treatment of extensive locally advanced esophageal adenocarcinoma with a favorable clinical and pathological outcome.

Esophageal adenocarcinoma has seen an increased incidence due to gastroesophageal reflux disease , smoking and obesity. There are no established guidelines for screening of esophageal cancer and many patients present late in their disease process. Most early stage adenocarcinoma of the esophagus is treated with neoadjuvant chemotherapy and radiation follow by surgical resection...

Kounis Syndrome: A simple MRI with contrast turned into a life threatening condition

Kounis syndrome [KS] is a hypersensitivity coronary disorder induced by various allergens. It is a rare condition which has been reported in every age group (2-90 years), every race and geographic location, its incidence has been reported to range from 7.9 to 19.4 per 100,000. The presentation of the detrimental effects of KS on coronary arteries ranges from vasospastic angina to...

Angiogram negative subarachnoid hemorrhage in the setting of sexual intercourse and chronic cannabis use

Etiology of unprovoked subarachnoid hemorrhage (SAH) is predominantly from cerebral aneurysm rupture and manifests classically as a thunderclap headache. Orgasmic cephalgia may herald SAH given that 4-12% of SAH sufferers were found to have engaged in prior sexual activity.(1) Precipitating causes of SAH leading to aneurysmal rupture may be the rise in blood pressure caused by...

The use of Dermoscopy Following a one-day Workshop Among Family Medicine Residents

Skin cancer is the most common form of cancer in the United States. The purpose of this study is to determine if a single grand rounds workshop impacts the use of dermoscopy in a single Family Medicine Residency training program. Dermoscopy is a non-invasive tool to allow for higher magnification of skin lesions thereby increasing the ability to assess qualities which are unable...

Reducing Postoperative Opioids After Minimally Invasive Hysterectomy with Enhanced Recovery

I Introduction: We evaluated the efficacy of various strategies utilized for the control of postoperative pain after minimally invasive hysterectomy. The primary enhanced recovery after surgery (ERAS) protocol of interest utilized premedication (acetaminophen, celecoxib and pregabalin), then intraoperative subcutaneous liposomal bupivacaine followed by scheduled oral...

Statin Autoimmune Necrotizing Myopathy Diagnosed After a Motor Vehicle Accident

One of the most commonly prescribed lipid lowering medications are statins. In most cases, statins are well tolerated. In rare instances, statin induced necrotizing autoimmune myositis (SINAM) can occur. The following case presents a patient with a 15 year history of simvastatin use who developed SINAM following a motor vehicle accident.

Bilateral acute Ocular Ischemic Syndrome following head and neck radiation

Previous literature has established a clear correlation between radiation therapy (RT) to the head and neck leading to aggressive atherosclerosis of the carotid arteries and subsequent increased risk for ischemic stroke. Stenosis of carotid arteries can lead to Ocular Ischemic syndrome (OIS). We present a case of acute bilateral OIS following head and neck RT for left tonsillar...

Percutaneous Transluminal Balloon Venoplasty: A Less Invasive Technique for Implantation of Cardiac Leads in Patients with Limited Venous Access to the heart

Since its inception, cardiac pacing has made a significant advancement in cardiology. As new therapies and devices emerge, the number of implantations is steadily increasing which requires up-to-date clinical guidelines for management. Although advanced, these mechanical devices often require maintenance and revisions to achieve optimal performance. One of the most common...

Carbon Monoxide: A Rare Cause of Myocardial Ischemia

In an acute care setting, chemical asphyxiants (CA) are a vice which cause debilitating injury. Carbon monoxide (CO) is one well known CA which causes hypoxic injury to cardiovascular and neurological tissue. CO poisoning is one of the leading causes of death in USA. As many as 6% of patients who get admitted with CO poisoning in the USA have acute myocardial infarction. A strong...

Measuring Impact in the Digital Age.

By Darshana T. Shah, Published on 01/30/19

Ignorance is not an option

Health literacy is a vital component in the design of public health interventions. Public understanding of health literacy and its role in attaining down stream and outcomes is not only a necessity but a moral mandate.