2019 Research Forum

Table of Contents

DEPARTMENT OF CLINICAL PHARMACY Evaluation of an Insulin Infusion Protocols After Staff Education .......................................................... 8 Frantze Agtarap PharmD R1, Alice Peng PharmD, Jeff Jolliff PharmD The Impact of Education on Compliance for Kern Medical’s Heparin Protocol......................................... 10 Robert Chiles PharmD R1, Jasmine Ho PharmD, Jeff Jolliff PharmD DEPARTMENT OF EMERGENCY MEDICINE Chief Complaint: “There is Something Burning in My Mouth” ....................................................................12 Daniel Quesada MD, Jagdipak Heer MD, Silva Boyajian MD R3, Phillip Aguiniga-Navarrete RA, Laura Castro MS RA Mercury Ingestion ......................................................................................................................................... 14 Manish Amin DO, Alex Huang MD R2, Sudha Challa MD, Phillip Aguiniga-Navarrete RA, Laura Castro MS RA, Donya Sarrafian RA Early Diagnosis of Heterotopic Pregnancy in a Primigravid Without Risk Factors in the Emergency Department .................................................................................................................................................... 16 Elizabeth Siacunco MD R2, Rachel O’Donnell MD, Daniel Quesada MD, Kieron Barkataki DO, Phillip Aguiniga-Navarrete RA, Dale Robbins PA-C Syphilitic Neuroretinitis ....................................................................................................................................18 Matthew Stapleton MD R4, Jagdipak Heer MD, Rachel O’Donnell MD, Daniel Quesada MD, Phillip Aguiniga-Navarrete RA, Luke Kim RA Steal Phenomena with Tonsillar Arteriovenous Malformation .................................................................... 20 Manish Amin DO, Krishan Chaddha DO R2, Phillip Aguiniga-Navarrete RA, Sudha Challa MD, Madison Garrett RA Retained Catheter in the Aorta .................................................................................................................... 22 Alex Huang MD R2, Daniel Quesada MD, James Rosbrugh MD, Phillip Aguiniga-Navarrete RA, Alexander Wan RA Rare Cause of Inguinal Pain in a 39-Year-Old Male .................................................................................. 24 Nathan Wang MD R2, Kieron Barkataki DO, Daniel Quesada MD, Rachel O’Donnell MD , James Rosbrugh MD, Phillip Aguiniga-Navarrete RA Surgical Site Infections in Emergency Department Patients and the Effects of Handwashing with Chlorhexidine ................................................................................................................................................ 26 Shelah Hayes MD R1, Adam Johnson MD R3, Matthew Stapleton MD R4, Doan Nguyen MS IV, Daniel Quesada MD, Rachel O’Donnell MD Acquired Pediatric Right Diaphragmatic Hernia Following AICD Placement.......................................... 28 Adria Ottoboni MD, Larissa Morsky MD R3, Laura Castro RA, Mark Rhoades RA A Rare Case of Hiccups as the Only Presenting Symptom of an Underlying Pneumomediastinum ..... 30 Sean Sayani MD R3, Rachel O’Donnell MD , Daniel Quesada MD, Kieron Barkataki DO, Phillip Aguiniga-Navarrete RA

Phlegmasia Cerulea Dolens from Pelvic Mass .......................................................................................... 32 Vikram Shankar MD R3, Rachel O’Donnell MD, Daniel Quesada MD, Kieron Barkataki DO, Phillip Aguiniga-Navarrete RA Pediatric Paraspinal Abscess ...................................................................................................................... 34 Rachel O’Donnell MD, Daniel Quesada MD, Kieron Barkataki DO, Sean Sayani MD R3, Phillip Aguiniga-Navarrete RA, Madison Garrett RA Atraumatic Avulsion of the Tibial Tubercle ................................................................................................. 36 Adam Johnson MD R3, Roxana Ardebili MS IV, Kieron Barkataki DO DEPARTMENT OF MEDICINE A Case of Meth-Induced Cardiomyopathy and Acute Myocardial Infarction ...................................... 38 David Aguirre MD, Jeffrey Coleman MD R2, Sarah El-Halees MS IV A Case of Gliomatosis Cerebri .................................................................................................................... 40 David Aguirre MD, Nosheen Hasan MD R2, Sarah El-Halees MS IV A Case of Acute Onset Heart Failure in a Previously Healthy 26-Year-Old Female .............................. 42 David Aguirre MD, Fowrooz Joolhar MD, Nosheen Hasan MD R2, Sarah El-Halees MS IV A Case of Acute Spontaneous Spinal Epidural Hematoma ..................................................................... 44 Nosheen Hasan MD R2, Arash Heidari MD, Katayoun Sabetian MD, Haris Rana MS III A Case of AML and Trisomy 8 with Concomitant Factor VII Deficiency ................................................. 46 Leila Moosavi MD R3, Jonathan Bowen MS IV, Carlos D’Assumpcao MD R1, Jeffrey Coleman MD R2, Arash Heidari MD, Everardo Cobos MD A Case of Hepatitis C: Two Decades of Waiting for Godot or Cure ......................................................... 48 Harleen Sandhu RA, Arash Heidari MD, Drew Mahoney MS III, Royce H. Johnson MD A Case of Opioid-Induced Systemic Vasculitis ......................................................................................... 50 Kulraj Grewal MS IV, Mandakini Patel MD R3, Simmer Kaur MD R2, Greti Petersen MD, Bao Quynh Huynh MD A Devastating Case of Disseminated Coccidioidomycosis in a Previously Undiagnosed AIDS Patient ... ...........................................................................................................................................................................52 Golriz Asefi MD Graduate RA, Jeff Jolliff PharmD, Arash Heidari MD A Fatal Case of Coccidioides Meningoencephalitis with Isolated Ventricular Hydrocephalus and Interventricular Hemorrhage ....................................................................................................................... 54 Golriz Asefi MD Graduate RA, Ramanjeet Sidhu MD R3, Rasha Kuran MD, Joseph Chen MD, Katayoun Sabetian MD, Arash Heidari MD A Rare Case of Acute Pancreatitis Due to Very Severe Hypertriglyceridemia Treated with Subcutaneous Insulin and Lipid Lowering Drugs ....................................................................................... 56 Tushar Bajaj MD R1, Sundeep Grandhe MD R2, David Holt MS III, Saman Ratnayake MD A Rare Case of Disseminated Coccidioidomycosis of the Gallbladder ................................................. 58 Kulraj Grewal MS IV, Mandakini Patel MD R3, Simmer Kaur MD R2, Greti Petersen MD, Arman Froush DO, Saad Thara MD R2, Augustine Munoz MD, Arash Heidari MD