J Community Hosp Intern Med Perspect
July 2024
Coccidioides is a fungus endemic to the Southwestern United States, known for causing Valley Fever. While typically asymptomatic or presenting as a respiratory tract infection, rare cases of disseminated infection to the peritoneum have been reported. The patient in this case study presented with a small bowel obstruction, requiring an exploratory laparoscopy showing evidence of an inflammatory mass with a jejuna-colic fistula with adherence to the spleen.
View Article and Find Full Text PDFJ Community Hosp Intern Med Perspect
September 2024
Adenoma detection rate (ADR) is a key quality metric in screening colonoscopies. An adenoma detection rate of greater than 30% reduces the incidence of colorectal carcinoma (CRC). Furthermore, studies have demonstrated an inverse relationship between ADR and the incidence of CRC.
View Article and Find Full Text PDFJ Community Hosp Intern Med Perspect
July 2024
Axillary lymph node dissection (ALND) is a surgical procedure for malignant disease with well known complications, that is less well known is its association with a painless dermatomal rash formally known as transient telangiectatic purpura. This is a case report describing a case of transient telangiectatic purpura, describing its natural history and inferring on its pathophysiology.
View Article and Find Full Text PDFObjective: To identify where reproductive endocrinology and infertility (REI) fellows trained for residency.
Design: Observational, cross-sectional study.
Setting: Not applicable.