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Virginia Tech Carilion Research Day April 13, 2021

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Virginia Tech Carilion Research Day April 13, 2021 2020-2021 Carilion Clinic/ Virginia Tech Carilion Research Day April 13, 2021 For Internal Distribution Only 1 Table of Contents Welcome ....................................................................................................................................................... 6 Agenda .......................................................................................................................................................... 7 Abstracts for Oral Presentations ................................................................................................................. 10 Fascial Distortion Model for Extremity Pain in the Emergency Department...................................... 10 Symptom Frequency Preceding Non-Hereditary Young Onset Colorectal Cancer Diagnosis ............. 11 Biofilm Formation in Acinetobacter Baumannii Clinical Isolates ........................................................ 11 Chronic Cocaine Use: Not So Fast ....................................................................................................... 12 Making Sense of a Missense Mutation in Thrombomodulin .............................................................. 13 Tricky Lactate: A Case of Linezolid-Induced Lactic Acidosis ................................................................ 13 Catheter-directed Thrombolysis Transition to Heparin Infusion in Acute Pulmonary Embolism ...... 14 Comparison of LOKELMA and KAYEXALATE for acute hyperkalemia ................................................. 15 Predictors of Mortality and Revision Following Digital Amputation .................................................. 16 A Multimodality Approach to HIT-Associated Submassive Pulmonary Embolism ............................. 16 Warfarin vs DOACs in TAT in Patients with Renal Insufficiency .......................................................... 17 Achilles Heel of Familial Hypercholesterolemia.................................................................................. 18 Identifying and Improving Insurance Gaps in Pediatric Populations .................................................. 18 Reducing Opioid Prescriptions in Surgical Patients at Carilion Clinic ................................................. 19 Evaluation of Liposomal Bupivacaine Use in Total Shoulder Arthroplasty ......................................... 19 Safety of High Dose Chemical Thromboprophylaxis in Obese Patients .............................................. 20 Improving Screening Of Glucocorticoid Induced Osteoporosis in Rheuamtology.............................. 21 Retrospective Study Comparing Office-based Opioid Treatment versus Medication-Assisted Treatment ........................................................................................................................................... 21 Does De-Implementation of Low Value Care Impact the Patient-Clinician Relationship? ................. 22 Race, Vitamin D, and COVID-19 using Propensity Score Methods ..................................................... 23 Counting Respiratory and Heart Rates using new technology ........................................................... 23 Impact of the Influenza Vaccination on the Orthopedic Surgical Patient .......................................... 24 Longitudinal Study-Impact of Schwartz Center Rounds on Moral Distress ........................................ 25 Electronic Clinical Opioid Withdrawal Scale (eCOWS) ........................................................................ 25 A Qualitative Analysis of Patient Perspectives on Low Value Healthcare .......................................... 26 Prehospital Lung Ultrasound (PLUS) Study ......................................................................................... 27 Creating Vital Signs Monitors for Low to Middle-Income Countries .................................................. 27 Abstracts for Poster Presentation ............................................................................................................... 28 2 Dentistry .................................................................................................................................................. 28 Case Report: A Multidisciplinary Approach To Dental Trauma .......................................................... 28 Prevention, Early Detection, and Management of Osteoradionecrosis of the Jaw............................ 29 Dermatology ........................................................................................................................................... 29 Pruritic papules and papulovesicles after diet alteration ................................................................... 29 Dermatitis Artefacta Associated with Iron-Deficiency Anemia .......................................................... 29 Family and Community Medicine ........................................................................................................... 30 Prevalence and Correlates of Health Service Overuse in Primary Care .............................................. 30 Medicine ................................................................................................................................................. 31 COVID-19 Vaccine Perceptions among Healthcare Workers .............................................................. 31 Advance Care Planning (ACP) in the ED observation unit ................................................................... 32 Novel carbapenem integron and ciprofloxacin resistant gene in Pseudomonas aeruginosa ............ 33 The Cultured Patient: Lactobacillus Bacteremia After Eating Greek Yogurt....................................... 34 Vision Loss due to Embolization of Caseous Mitral Annular Calcification .......................................... 34 Twenty-Two Second Asystole Following Ticagrelor Administration ................................................... 35 Twenty-Two Second Asystole Following Ticagrelor Administration ................................................... 36 Making Sense of a Missense Mutation in Thrombomodulin .............................................................. 37 Vitamin B12 deficiency: A new risk factor for venous thromboembolism ......................................... 37 In the Guise of ST-Elevation Myocardial Infarction ............................................................................ 38 Late-Positive Troponin in the Setting of Hypertensive Emergency and STEMI .................................. 39 Neurological Complications and Bias in a Case of COVID-19 .............................................................. 39 A Cat-Astrophic Infection: A Case of Pasteurella Multocida Peritonitis ............................................. 40 The effect of IL-6 inhibitors on COVID related inflammatory response ............................................. 41 Intravascular Large B-cell Lymphoma mimicking Lumbosacral Radiculopathy .................................. 41 A case of herpes zoster ophthalmicus with external ophthalmoplegia ............................................. 42 An EEG Captured Case of Migralepsy / Migraine Aura-Triggered Seizures ........................................ 43 Rare Late Complication of Paravalvular Leak Repair: Vascular Plug Embolization ............................. 43 Pneumocystis jirovecii pneumonia in Treatment Naive Chronic Lymphocytic Leukemia ................. 44 Nitrofurantoin Induced Interstitial Lung Disease ................................................................................ 45 Endocarditis, Osteomyelitis and Cryptococcus Meningitis oh MY ..................................................... 45 Risks Factors in the development of Neuropsychiatric Lupus. ........................................................... 46 Salmonella-Related Mycotic Pseudoaneurysm Rupture with Femoral Bypass Graft Infection.......... 47 Type-I and Type-III Kounis Syndrome in patient undergoing cardiac catheterization........................ 47 3 Saddle Embolus to Left Main Coronary Artery in COVID-19 Patient .................................................. 48 Nursing .................................................................................................................................................... 49 Stretching Beyond Conventional Treatment for Inpatients with Substance Use Disorders ............... 49 Nursing Burnout with Substance Use Disorder Inpatients: A New Hope ........................................... 50 Impact of Team-based, Interprofessional Clinical Ethics Immersion on Moral Resilience ................. 50 Findings looking at barriers in obtaining an RN-BSN .......................................................................... 51 Obstetrics/ Gynecology ........................................................................................................................... 51 Becoming a Parent as a Physician in Training ..................................................................................... 51 Determining the human placenta microbiome in Type 2 Diabetes .................................................... 52 Pediatrics ................................................................................................................................................. 53 Addressing Poison Control Education Using SEEK Model ................................................................... 53 Not the Usual Thrombocytopenia in a Pediatric Patient ...................................................................
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