Publications by authors named "Amanda L McKenna"

Article Synopsis
  • - The management of hepatic adenoma in transgender individuals on hormone therapy is not clearly defined, particularly in relation to sex assigned at birth versus the therapy received.
  • - A case study is presented involving a transgender man who experienced hepatic adenomatosis with a molecular profile different from typical cases seen in cisgender males on testosterone.
  • - Discontinuing testosterone led to the self-resolution of the adenoma, suggesting the need for personalized treatment strategies in transgender patients, challenging the current norms based on biological sex.
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Article Synopsis
  • A 33-year-old woman was found unresponsive after taking what she believed were Valium pills, but tests revealed she had ingested sulfonylureas, leading to severe hypoglycemia.
  • Her blood glucose levels were critically low (15-18 mg/dL), and treatment required intravenous dextrose to stabilize her condition.
  • The case highlights the potential for sulfonylureas to cause hypoglycemia and the importance of recognizing drug substitution or contamination in patients suspected of using illicit drugs.
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Background And Objectives: Direct admissions (DAs) are nonemergent admissions to the inpatient unit that bypass the emergency department. Our institution lacked a standardized DA process, which resulted in postponement of prompt patient care. The purpose of the present study was to review and modify the existing DA process and to decrease the time between patient arrival for DA and placement of initial clinician orders.

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