2019 Research Forum

Table of Contents

A Rare Case of Stage IV Basaloid Squamous Cell Cancer with Intrapulmonary and Brain Metastases ..... 60 Sundeep Grandhe MD R2, Tushar Bajaj MD R1, Hanh Duong MS III, Saman Ratnayake MD Acute Tubular Dysfunction with Lower Doses of Cisplatin ......................................................................... 62 Simmer Kaur MD R2, Sabitha Eppanapally MD, Arash Heidari MD An Atypical Presentation of Severe Non-Traumatic Rhabdomyolysis Resulting in Multi-Organ Dysfunction .................................................................................................................................................... 64 David Aguirre MD, Houtan Afshar MD R1, Prabina Shrestha MS IV An Extensive Complex Type A Acute Aortic Dissection with Thrombus in Aortic Arch: A Therapeutic Dilemma ......................................................................................................................................................... 66 Robin Boyer MS IV, Carlos D’Assumpcao MD R1, Fowrooz Joolhar MD, Aslan GhandForoush DO, Tiffany Win MD An Unusual Case of Paraquat-Induced Rhabdomyolysis and Hepatic Injury Presenting with Takotsubo Cardiomyopathy............................................................................................................................................ 68 Sara Jaka MD R1, Jessica McFarland MS IV, Emily Gunz MS IV, Tasneem Khan MS III, Leila Moosavi MD R3, Carlos D’Assumpcao MD R1, Tana Parker MD, Fowrooz Joolhar MD, Arash Heidari MD, Tiffany Win MD An Unusual Case of SLE Induced Pericarditis in a Young Hispanic Male ................................................ 70 Jonathan Bowen MS IV, Christina Donath MS IV, Marwa Afridi MS IV, Leila Moosavi MD R3, Azadeh Ghassemi MS IV, Fowrooz Joolhar MD, Tiffany Win MD Anticoagulation Conundrum: Mechanical Mitral Valve Thrombosis in Pregnant Patient on Enoxaparin ... 72 Ahana Sandhu MD R3, Kieran Doyle MS IV, Kathleda Tangonan MS IV, Ramanjeet Sidhu MD R3, Fowrooz Joolhar MD Atypical Presentation of Obstructive Anuria .............................................................................................. 74 Tushar Bajaj MD R1, Hanh Duong MS III, Dave Holt MS III, Jasmine Ho PharmD, Sudhagar Thangarasu MD, David Aguirre MD BMI as an Indicator of Outcome in ICU Patients with Acute Respiratory Failure..................................... 76 Samir Salameh MD R3, Tushar Bajaj MD R1, Alyssa Targovnik MS IV, Bianca Puello MS IV, Ayham Aboeed MD Coccidioides: A Stealthy Alien Forever ...................................................................................................... 78 Golriz Asefi MD Graduate RA, Tung Trang MD, Royce H. Johnson MD, Arash Heidari MD Concomitant CNS Toxoplasmosis and Seronegative Disseminated Coccidioidomycosis in a Newly Diagnosed AIDS Patient ................................................................................................................................ 80 Michael Valdez MS IV, Leila Moosavi MD R3, Arash Heidari MD Devastating Case of Cryptococcal Meningitis in an HIV Negative Host ................................................. 82 Golriz Asefi MD Graduate RA, Simmer Kaur MD R2, Yoel Olazabal Pupo MD R3, Carol Stewart-Hayostek MD, Arash Heidari MD Extrapulmonary Coccidioidomycosis Presenting as Abdominal Distension ........................................... 84 Carlos D’Assumpcao MD R1, Amit Sah MS IV, Charles Clark MD R1, Matthew Gilbert MS III, Serghei Burcovschii MD R1, Emily Gunz MS IV, Jessica McFarland MS IV, Leila Moosavi MD R3, Manasa Kalluri MD R1, Janushe Patel MD MPH, Arash Heidari MD First Reported Case of Malignant External Otitis Secondary to Secukinumab ....................................... 86 Golriz Asefi MD Graduate RA, Carlos D’Assumpcao MD R1, Ramanjeet Sidhu MD R3, Arash Heidari MD

Granulomatosis with Polyangitis Presenting as New Onset Scleritis and Hemoptysis ........................... 88 Maryam Talai-Shahir MD R3, Arash Heidari MD, Mandakini Patel MD R3, Carlos D’Assumpcao MD R1, Augustine Munoz MD, Bao Quynh Huynh MD Group A Streptococcus Puerperal Sepsis After Spontaneous Abortion .................................................. 90 Christina Sugirtharaj MPH MS IV, Simmer Kaur MD R2, Andre Sahakian MS IV, Mandakini Patel MD R3, Arash Heidari MD, Greti Petersen MD Heliotrope Rash Preclusing Metastatic Ovarian Cancer .......................................................................... 92 Thy Nguyen MS IV, Maryam Talai-Shahir MD R3, Arash Heidari MD Hemophagocytic Lymphohistocytosis Induced by Pregnancy and Post-Partum ................................ 94 Mariam Abdelmisseh MD R3, Gowri Renganathan MD R2, Alyssa Targovnik MS IV, Kyle Foster MS IV, Amber Brewster MS IV, Everardo Cobos MD Hyperbilirubinemia and Transaminitis Secondary to Hyperemesis Gravidarum ................................... 96 Simmer Kaur MD R2, Tamara Hilvers MS IV, Arash Heidari MD Ivemark Syndrome - Surgical Evaluation .................................................................................................. 98 Serghei Burcovschii MD R1, Shrey Patel MS III, Nakisa Kia’i MS III, Ahmad Malik MS III, Hannah Schiett MS III, Basel Shoua MD R3, Tushar Bajaj MD R1, Mohamed Hammami MD Leptomeningeal Carcinomatosis From Carcinoma of Unknown Primary ............................................. 100 Jonathan Bowen MS IV, Leila Moosavi MD R3, Amit Sah MS IV, Arash Heidari MD, Everardo Cobos MD Multifocal Osseous Coccidioidomycosis Masquerading as Multiple Myeloma ....................................102 Manasa Kalluri MD R1, Carlos D’Assumpcao MD R1, Matthew Gilbert MS III, Amit Sah MS IV, Emily Gunz MS IV, Jessica McFarland MS IV, Leila Moosavi MD R3, Janushe Patel MD MPH, Arash Heidari MD Ramsey-Hunt Syndrome Complicated by Bacterial Meningitis Subarachnoid Hemorrhage and Cerebellar Stroke ..........................................................................................................................................104 Golriz Asefi MD Graduate RA, Carlos D’Assumpcao MD R1, Greti Petersen MD, Arash Heidari MD Relapsing Polychondritis Presenting as Optic Neuritis and Lymphocytic Meningitis: A Case Report ........ .........................................................................................................................................................................106 David Contreras MD R1, Varun Bali MD R2, Katayoun Sabetian MD, Bao Quynh Huynh MD, Sandra Sofinski MD, Arash Heidari MD Rigorous and Practical Quality Indicators in Sickle Cell Disease Care at Kern Medical ......................108 Simmer Kaur MD R2, Christina DiCorato MD Graduate RA, Christina Sugirtharaj MPH MS IV, David Aguirre MD, Everardo Cobos MD Stenotrophomonas Maltophila Bacteremia with Suspected Endocarditis in Patient with Implantable Cardioverter Defibrilator and Congestive Heart Failure Secondary to Amphetamine Abuse .............110 Ahana Sandhu MD R3, Kieran Doyle MS IV, Kathleda Tangonan MS IV, Tiffany Win MD, Fowrooz Joolhar MD, Arash Heidari MD Takotsubo Cardiomyopathy in Patient with Hypovolemic Shock and Methamphetamine Use ..........112 Ahana Sandhu MD R3, Kieran Doyle MS IV, Kathleda Tangonan MS IV, Tiffany Win MD, Fowrooz Joolhar MD Tubo-Ovarian Abscess on Fire ....................................................................................................................114 Carlos D’Assumpcao MD R1, Matthew Gilbert MS IV, Arash Heidari MD