American College of Physicians, Wisconsin Chapter, 2015 Abstracts

Wisconsin Chapter 2015 Abstracts Clinical Vignette and Research Competition Pages Case Based Vignettes ....................1-12 Research Based Vignettes ..........13-16 Displayed Posters ......................17-104 60th Annual Wisconsin Scientific Meeting Wilderness Resort, Wisconsin Dells, Wisconsin Case Based Vignettes SEVERE HYPOTHYROIDISM PRECIPITATING COMPARTMENT SYNDROME Craig Destree, MD and Rachel Hawker, MD, FACP Gundersen Medical Foundation, La Crosse, WI ��2 THYROTOXIC PERIODIC PARALYSIS: A CASE REPORT Vidita Divan, MD; Samuel Godana, MD; Elaine Drobny, MD Aurora Health Care Internal Medicine Residency Program, Milwaukee, WI ��3 REACTIVE SPONDYLOARTHROPATHY AFTER INFECTION WITH CHIKUNGUNYA VIRUS Kanchana Herath, MD; Appesh Mohandas, MD; David Gazeley, MD Medical College of Wisconsin, Milwaukee, WI ��4 FULMINANT HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS TRIGGERED BY EBV Adam Hofer, MD and Sean O’Neill, MD University of Wisconsin, Madison, WI............................................................................5 CATASTROPHIC MODS FROM A MYSTERIOUS SOURCE Nadia Huq, MD; Abraham Getenet, MD; Zuber Ali, MD Aurora Health Care Internal Medicine Residency Program, Milwaukee, WI ��6 EPSTEIN SYNDROME- A RARE CASE OF THROMBOCYTOPENIA Apoorva Jayarangaiah, MD1 and Narendranath Epperla, MD2 1Marshfield Clinic, Saint Joseph’s Hospital, Marshfield, WI 2Medical College of Wisconsin and Froedtert Hospital, Milwaukee, WI ��7 A CURIOUS CASE OF CARDIAC ARREST Siddhartha Kattamanchi, MD; Victor Abrich, MD; Mazen Kreidy, MD Marshfield Clinic – St� Joseph’s Hospital, Marshfield, WI ��8 A CASE OF CARDIAC SARCOIDOSIS John Nan, MD and Matthew Tattersall, DO, MS University of Wisconsin Hospital and Clinics, Madison, WI..........................................9 AN UNUSUAL CASE OF “HIGH” CPK Hari R� Pokhrel, MD; Christopher M� Lowry, DO; Deepa R� Ovian, MD Gundersen Lutheran Medical Foundation, La Crosse, WI� ��10 AN UNUSUAL CASE OF FEVER OF UNKNOWN ORIGIN Maura Steed, MD and Andrew Petroll, MD Medical College of Wisconsin, Milwaukee, WI ��11 HEPATITIS B PREVALENCE IN THE MILWAUKEE HMONG COMMUNITY Timothy Wang; Heather Chou; Kia Saeian, MD Medical College of Wisconsin, Milwaukee, WI ��12 i Research Based Vignettes ALLOGENEIC HEMATOPOIETIC CELL TRANSPLANTATION FOR MULTIPLE MYELOMA: IMPACT OF DISEASE RISK AND CONDITIONING REGIMEN Jonathan Kapke, MD Medical College of Wisconsin, Milwaukee, WI ��14 NUTRITIONAL PARAMETERS IN PREGNANT PATIENTS WITH INFLAMMATORY BOWEL DISEASE Abby Lochmann-Bailkey, MD and Sumona Saha, MD, MS University of Wisconsin School of Medicine and Public Health, Madison, WI ��15 REDUCING READMISSION RATES IN ACUTE PANCREATITIS THROUGH PATIENT EDUCATION AND RISK ASSESSMENT Jordan Vulcano, DO and Anthony Caceres, MD Aurora Health Care Internal Medicine Residency Program, Milwaukee, WI ��16 Displayed Posters 1) “HERE, EAT THIS ROOT!”: A CASE OF HERBAL MEDICATION INDUCED HEPATOTOXICITY Iliya Amaza, MD, MPH; Barkha Amlani, MD, MPH; Gary Van Oudenhoven, MD Marshfield Clinic and Ministry St� Joseph’s Hospital, Marshfield, WI ��18 2) MALIGNANCY OR NOT? A CASE OF EXTRODINARILY ELEVATED CA 19-9 Laura Beacher, MD; Rima Thakkar, MD; Jaren Thomas, MD Medical College of Wisconsin, Milwaukee, WI ��19 3) AURICULAR CHONDRITIS IN A PATIENT WITH ULCERATIVE COLITIS Alexandria Bear, MD and Irina Konon, MD Medical College of Wisconsin, Milwaukee, WI ��20 4) STEVENS JOHNSON SYNDROME WITH TOXIC EPIDERMAL NECROLYSIS OVERLAP SYNDROME AS A RESULT OF HERBAL REMEDY Rebecca Blonsky, MD; Apoorva Jayarangaiah, MD; Jayanth Vedre, MD Marshfield Clinic and Saint Joseph’s Hospital, Marshfield, WI ��21 5) AN SLE PATIENT WITH NECROTIZING LYMPHADENITIS Jared Bozeman; Kathleen Luskin, MD; Bipin Thapa, MD Medical College of Wisconsin, Milwaukee, WI ��22 6) HIDA-ING IN PLAIN SIGHT – A 3-WEEK HOSPITALIZATION FOR BILIARY COLIC Austin Burdge; Daniel Sturgill, MD; Paul Bergl, MD Medical College of Wisconsin, Milwaukee, WI ��23 7) INSULINOMA CAUSING REFRACTORY HYPOGLYCEMIA William Bzdawka, MD, PharmD University of Wisconsin Hospital and Clinics, Madison, WI........................................24 8) A LESS COMMON CAUSE OF SUPINE DYSPNEA AND THE IMPORTANCE OF THE PHYSICAL EXAM Ashish Chaddha, MD University of Wisconsin, Madison, WI..........................................................................25 ii Displayed Posters 9) RARE COMPLICATION OF RADIOFREQUENCY ABLATION Adithya Chennamadhavuni, MD; Inbar Saporta, MD; Michael Dolan, MD, FACP Gundersen Health System, La Crosse, WI.....................................................................26 10) IS 20 YEARS OLD TOO YOUNG FOR A STROKE? Yimenu Dagnew, MD; Raed Hamed, MD; Kern Reid, MD Aurora Health Care Internal Medicine Residency Program, Milwaukee, WI� ��27 11) WHAT’S WITH THIS RASH? Kelly Delaney, MD; Inbar Saporta, MD; Steven Pearson, MD Gundersen Health System, La Crosse, WI.....................................................................28 12) AN AGGRESSIVE PROSTATE CANCER CAUSING DIZZINESS Vipal Durkal, MD and Kim Ridolfi, MD Medical College of Wisconsin Affiliated Hospitals� Milwaukee, WI ��29 13) BRAIN ABSCESS: THE GREAT MIMICKER Tesfaye Gebremedhin, MD and Richard Battiola, MD Aurora Health Care Internal Medicine Residency Program, Milwaukee, WI ��30 14) AN ADULT CASE OF KERNICTERUS Abiy Gesese, MD; Netsanet Chalchisa, MD; Zuber Ali, MD Aurora Health Care Internal Medicine Residency Program, Milwaukee, WI ��31 15) PANCYTOPENIA AS INITIAL PRESENTATION OF HODGKIN LYMPHOMA: A CASE REPORT Samuel Godana, MD and Magdalena Flejsierowicz, MD Aurora Heath Care Internal Medicine Residency Program, Milwaukee, WI ��32 16) ACE INHIBITORS & ARBS IN PERIOPERATIVE PERIOD Sameer Gupta, MD1; Aaron Dall, MD1; Chandra B�Chandran, MD2 1Medical College of Wisconsin, Milwaukee, WI 2St� Joseph’s Regional Medical Center, Paterson, NJ....................................................33 17) MUCORMYCOSIS OF THE MANDIBLE IN AN IMMUNOCOMPROMISED PATIENT Kathleen Hemauer, MD and Janaki Shah, DO Medical College of Wisconsin, Milwaukee, WI ��34 18) LEMMEL’S SYNDROME: LEAVING NO STONE UNTURNED Katie Hendrickson, MS4 and James Sebastian, MD, MACP Medical College of Wisconsin and the Zablocki VAMC, Milwaukee, WI ��35 19) THE USE OF TRIS-HYDROXYMETHYL AMINOMETHANE (THAM) TO TREAT A CASE OF SEVERE METFORMIN-INDUCED LACTIC ACIDOSIS Amber Hertz-Tang, MD1 and Charles Weber, MD2 1University of Wisconsin Hospital, Madison, WI 2Meriter Hospital, Madison, WI.....................................................................................36 20) WHAT GAVE IT AWAY? A CASE OF SYSTEMIC SCLEROSIS WITH SEVERE GASTROINTESTINAL DYSFUNCTION Elizabeth Hiatt, MD and Paul Bergl, MD Medical College of Wisconsin, Milwaukee, WI ��37 21) ARRHYTHMIA AND BLUES Aaron K� Ho, MD1; Sverrir I� Gunnarsson, MD2; Ryan T� Kipp, MD2 Departments of 1Internal Medicine and 2Cardiovascular Medicine, University of Wisconsin Hospital and Clinics, Madison, WI........................................38 iii Displayed Posters 22) A RARE CASE OF POST-INFECTIOUS CEREBELLITIS FROM EBV IN AN ADULT Adam Hofer, MD and Joan Addington-White, MD Department of Medicine, University of Wisconsin, Madison, WI ��39 23) CHRONIC MYELOGENOUS LEUKEMIA (CML) PRESENTING AS A CASE OF de NOVO T-CELL LYMPHOBLASTIC LEUKEMIA/LYMPHOMA (t-LBL) Abel Irena, MD; Federico Sanchez, MD; Michael Thompson, MD Aurora Health Care Internal Medicine Residency Program, Milwaukee, WI ��40 24) NON-ALCOHOLIC STEATOHEPATITIS (NASH) PRESENTING AS ACUTE LIVER FAILURE (ALF) Abel Irena, MD; Puneet Sidhu, MD; Julia Usatinsky, MD Aurora Health Care Internal Medicine Residency Program, Milwaukee, WI ��41 25) AN UNUSUAL CASE OF DVT: MAY-THURNER SYNDROME Apoorva Jayarangaiah, MD1; Rebecca Blonsky, MD1; Narendranath Epperla, MD2 1Marshfield Clinic, Saint Joseph’s Hospital, Marshfield, WI 2Medical College of Wisconsin and Froedtert Hospital, Milwaukee, WI ��42 26) A RARE CASE OF POLYCYSTIC KIDNEY DISEASE ACQUIRED THROUGH RENAL TRANSPLANT Emily Joachim, MD and Arjang Djamali, MD University of Wisconsin School of Medicine and Public Health, Madison, WI ��43 27) THE AFFORDABLE CARE ACT AND THE SPECIALTY ACCESS FOR THE UNINSURED PROGRAM Neerja Joshi; Gregory Stadter; Joan Neuner, MD, MPH Medical College of Wisconsin, Milwaukee, WI ��44 28) A RARE CASE OF PAGET-SCHROETTER SYNDROME (PSS) Kriti Kalra, MD; Christopher Lowry, MD; Gregory Knorr, MD Gundersen Health System, La Crosse, WI.....................................................................45 29) REACTIVATION OF HEPATITIS

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