AMERICAN COLLEGE OF PHYSICIANS STUDENT ABSTRACTS COMPETITION Student Vignette Page 1 Contents CLINICAL VIGNETTE PODIUM PRESENTATIONS ..........................................................11 COLORADO PODIUM PRESENTATION - Anna Kuropatkina ..........................................12 Led Astray: Diagnosing Granulomatosis with Polyangiitis in a Patient with Complex Risk Factor Profile and Negative Serology MICHIGAN PODIUM PRESENTATION - Aaron Sacheli ..................................................13 Influenza vaccine induced CNS demyelination in a fifty year old male. NEW JERSEY PODIUM PRESENTATION - Matthew P Deek...........................................14 Extensive Arterial and Venous Thrombi as a Presentation of Hypereosinophilic Syndrome with a Unique Complication of Hemolytic Anemia and Poor Response to Treatment RHODE ISLAND PODIUM PRESENTATION - Ella Anne Damiano .................................15 Infliximab Induced Severe Hypertriglyceridemia and Eruptive Xanthomas CLINICAL VIGNETTE POSTER FINALISTS.......................................................................16 ARKANSAS POSTER FINALIST – M Phillip C Fejleh ......................................................17 Brodie's Abscess Caused by Salmonella oranienburg CALIFORNIA POSTER FINALIST - YouRong Sophie Su .................................................18 Seeing the Big Picture: IIH as the presenting symptom of VHK CALIFORNIA POSTER FINALIST - Lauren Marshall .......................................................19 Protein-Losing Enteropathy and Lytic Bone Lesions in an HIV-positive male CALIFORNIA POSTER FINALIST – Michael Liu .............................................................20 Testosterone-induced erythrocytosis can cause reversible Aquagenic Pruritus CALIFORNIA POSTER FINALIST – Clare Richardson .....................................................21 An Undifferentiated Cause of Epistaxis CALIFORNIA POSTER FINALIST – Michael D Ramirez ..................................................22 Cotton Fever: A Transient Self-Limiting Syndrome in IV Drug Abusers CALIFORNIA POSTER FINALIST – Anita Wong .............................................................23 Disseminated Varicella Zoster Virus with Asymptomatic Central Nervous System Involvement as the Initial Presentation of Acquired Immunodeficiency Syndrome COLORADO POSTER FINALIST - Carlie Field ................................................................24 Necrotizing Retinitis in an Atypical Presentation of Disseminated Coccidioidomycosis COLORADO POSTER FINALIST - Warren Woodrich Pettine ...........................................25 Coexisting primary Hyperparathyroidism and Parathyroid Hormone-related Peptide producing Endothelioid Angiosarcoma causing Malignant Hypercalcemia FLORIDA POSTER FINALIST - Christine McLaughlin .....................................................26 Insidious Subacute Endocarditis Student Vignette Page 2 FLORIDA POSTER FINALIST - Andrew Kozlov ..............................................................27 Treatment of refractory hematuria secondary to benign prostatic hypertrophy (BPH) with prostatic artery embolization (PAE) FLORIDA POSTER FINALIST - Milla Kviatkovsky ..........................................................28 The Bloody Aortic Stenosis: A Case of Heyde Snydrome. FLORIDA POSTER FINALIST - Sophia Ang Ma...............................................................29 Abdominal Pain, Jaundice, and Pancytopenia, A “Histo”-logic Diagnosis. FLORIDA POSTER FINALIST - Michaela Gaffley ............................................................30 Elderly onset systemic lupus erythematosus in a male presenting with mental status changes and motor deficit: A diagnostic challenge FLORIDA POSTER FINALIST – Mohamad Zetir ..............................................................31 "Straightening out SMA Syndrome" GEORGIA POSTER FINALIST – David Latov ..................................................................32 The Importance of the History: A Run-of-the-Mill Case of Noncompliance of Dialysis HAWAII POSTER FINALIST – James Duca ......................................................................33 Rare Presentation of Thiamine Deficiency as Cause for Lactic Acidosis and Gastrointestinal Symptoms ILLINOIS POSTER FINALIST - Virali Patel......................................................................35 From Portugal to India: A rare case of Machado-Joseph Disease ILLINOIS POSTER FINALIST – Jessica George ................................................................36 Lumps, Bumps, and Constipation: Exploring the Differential of Constipation in Immunocompromised ILLINOIS POSTER FINALIST - Janushe Patel...................................................................37 "Make My Heart Hole Again" A rare case of adult onset partial anomalous pulmonary venous return ILLINOIS POSTER FINALIST - Corbin Rayfield...............................................................39 Anterograde Amnesia in the Oncology Setting IOWA POSTER FINALIST - Maria T Story .......................................................................42 Ultrasound: Window to her Heart, Portal to my Soul MAINE POSTER FINALIST - John L Daggett Jr................................................................43 Cryptic loin pain and hematuria: Thin basement membrane nephropathy as a putative etiology MAINE POSTER FINALIST - Amy E Riviere ....................................................................44 Hemiballismus in an 86 Year-old Male with Type II Diabetes Mellitus MASSACHUSETTS POSTER FINALIST - Andrew J Piper................................................45 A Case of Domperidone Toxicity in a Mother Seeking Increased Milk Supply Student Vignette Page 3 MASSACHUSETTS POSTER FINALIST – Sharon Li .......................................................46 Swallowing-induced Tachyarrhythmia MICHIGAN POSTER FINALIST - Amanda Zukkoor .........................................................47 A case of Euglycemic Diabetic Ketoacidosis in a patient with type 1 Diabetes Mellitus MICHIGAN POSTER FINALIST - John David ..................................................................48 Mitochondrial Encephalopathy, Lactic Acidosis, and Stroke (MELAS) MICHIGAN POSTER FINALIST – Tanvir K Kahlon .........................................................49 Considering medicine overuse headache with an underlying etiology of headache MICHIGAN POSTER FINALIST - Tina Ozbeki .................................................................50 Recurrent Hyperhemolysis Syndrome in Sickle Cell Disease MICHIGAN POSTER FINALIST - Kimberley Grady .........................................................51 Coil Embolization as Palliative Treatment in Diffuse Type I Hepatopulmonary Syndrome MINNESOTA POSTER FINALIST - Maros Cunderlik .......................................................52 OPQRST - Do you know your ABCs? Cognitive bias and diagnostic error MINNESOTA POSTER FINALIST – Benjamin W Meyer ..................................................53 An Internist’s Dilemma: Paraneoplasia vs. Primary Rheumatologic Disease MISSOURI POSTER FINALIST - Robert Harper ...............................................................54 Autoimmune Hepatitis in a Patient with False Positive Viral Hepatitis Antibodies MISSOURI POSTER FINALIST - Erin Engelhardt .............................................................55 Hepatopulmonary Syndrome: Orthodeoxia in a patient with end-stage Liver Disease. NEPAL POSTER FINALIST - Rhisti Shrestha ....................................................................56 Acute-onset Hemiparesis in an elderly man with a high grade Glioma NEPAL POSTER FINALIST - Sumesh Khanal, MBBS.......................................................57 Treatment-related acute non-lymphocytic leukemia in a patient with chronic lymphocytic leukemia NEPAL POSTER FINALIST - CLINICAL VIGNETTE Ritesh Prasad Shrestha, MBBS ......58 Leptomeningeal carcinomatosis in epidermal growth factor receptor-mutant non-small cell lung cancer NEVADA POSTER FINALIST - Joshua Gabel ...................................................................59 Hepatocellular Carcinoma in an HIV/HCV Co-Infected Patient: A Call for Increased Surveillance NEW YORK POSTER FINALIST - Daniel Jipescu.............................................................60 Multiple Myeloma presenting as CVA secondary to Marantic Endocarditis NEW YORK POSTER FINALIST - Kelly Lyons ................................................................61 A Rare Presentation of Fusobacterium necrophorum Bacteremia Student Vignette Page 4 NEW YORK POSTER FINALIST - David M Haughey.......................................................62 PRES After Renal Transplantation: A Simple Solution for a Complicated Patient NORTH CAROLINA POSTER FINALIST - Mark Dakkak .................................................63 Demystifying Hemophagocytic Lymphohistiocytosis OHIO POSTER FINALIST - Emily Bowers ........................................................................64 Men1 Syndrome presenting as an anterior mediastinal mass in a healthy young man OHIO POSTER FINALIST - Sung In Kim ..........................................................................65 Asymptomatic Ascending Aortic Dissection in Pregnancy OHIO POSTER FINALIST - Marilyn Wickenheiser............................................................66 Tuberculosis—The great mimicker OHIO POSTER FINALIST - Narayana Sarma V Singam ....................................................67 Optimizing heart failure management: Catheter ablation in a patient with