By Alison Carameros, Jideka Nwosu, Akshata Gailot, Prathyusha Pinnamaneni, Geniqua Dorsainvil, Cadecia James A 33-year-old G2P1001 female presented at 37 weeks with an accessory placenta on transabdominal ultrasound. The pregnancy was complicated by supraventricular tachycardia, maternal syringomyelia, HSV-1 infection, hypertension, and irregular mild contractions. At 39 weeks and 3 days, the patient visited the OB/GYN with a chief complaint of decreased fetal movements. The fetus was found to have lagging fetal growth that decreased from 23rd percentile to 16th percentile over 2 weeks. Decreased fetal movement was confirmed and oligohydramnios was present. Due to these findings, the patient was admitted … Continue reading Accessories are not a girl’s best friend: Complications from placenta succenturiate

By Samantha Avery, Ellen Oakley, Braydon Dobbs, Vuong Ngo A 54-year-old female with history of hypercholesterolemia and an unremarkable past medical and surgical history presents to the clinic with RLE claudication <1 block. The patient is an active cyclist and notes she is no longer able to cycle or walk long distances secondary to her pain and numbness. The patient is currently taking Atorvastatin. Upon physical examination, the femoral, popliteal, dorsalis pedis, and posterior tibial pulses were unilaterally non-palpable in the right leg. All patient’s pulses were visualized via doppler ultrasound. Non-invasive Ankle Brachial Index, segmental pressure, and PVR study … Continue reading An Athlete’s Uphill Battle

Rafeef Khleif*, Faisal Khowaja*, Farzana Sumia*, Noor Alqaysi*, Shafaq Kirmani* * American University of the Caribbean School of Medicine In this clinical case, we are presenting a 78-year-old right-handed South Asian woman who was perfectly normal before? presenting with an acute-onset right side stroke, delirium, and becoming mute.  Neuroimaging showed a massive ischemic infarction extending over her left parietal, frontal,  temporal, insular cortex, and subcortical areas. She had no history of hypertension,  hyperlipidemia, or diabetes.  She was put on antiplatelet therapy and anti-cerebral edema measures.  It has been a month since the stroke. Although repeat MRIs continue to show poor … Continue reading Stroke in Dominant Hemisphere- A Silver Lining Through Neuropsychiatric Approaches of Therapy

Joshua Tsai*, Noemi Jubaer* * American University of the Caribbean School of Medicine A young gentleman with known diagnosis of Type 1 Diabetes Mellitus (T1DM) under care of physician and compliant with insulin therapy developed Diabetic Ketoacidosis (DKA) in the setting of an active asymptomatic SARS CoV-2 infection. These two conditions are not commonly discussed in synchronism; this case report works to expand on the sequence by which Diabetic Ketoacidosis may have been precipitated by an active SARS CoV-2 infection by exploring its effect on insulin sensitive cells with already established understanding of the tropism of SARS CoV-2 towards cells with ectoenzyme angiotensin-converting enzyme 2 (ACE2). Continue reading Precipitation of diabetic ketoacidosis by COVID 19 infection in Type 1 diabetic individual due to possible insulin resistance

Morgan Sly*, Kiley Clark*, Emily Downing*, Amr Abdou*, Clay Martin MD* * American University of the Caribbean School of Medicine Abdominoscrotal hydrocele (ASH) is an uncommon and benign clinical finding in both the pediatric and adult populations. It is characterized by bilocular or multilocular sacs that extend from the scrotum, through the inguinal canal, and into the abdominal cavity. Approximately 0.17% of adult hydroceles are classified as abdominoscrotal hydroceles. Typically, surgical intervention is warranted for treatment. We are presenting the case of a 57-year-old male with a massive right sided abdominoscrotal hydrocele that underwent hydrocele sac drainage, rather than the … Continue reading Massive Abdominoscrotal Hydrocele with Close Proximity to Major Vessels: A Case Report

Corey Steinman*, George Matar*, William Duggan*, Kyle Coombes*, Kristena Abdelmalak*, Jonathan Kwok* * American University of the Caribbean School of Medicine An 11-year-old boy presents to the clinic with a 3-hour history of right knee pain following a fall while skating. He suffered a twisting injury to his knee as his leg internally rotated during a trip and fall over a curb. Following the fall, his right knee became erythematous, swollen, and painful, limiting his range of motion and ability to walk. Physical examination of the right knee confirmed this, as he had difficulty ambulating on the right limb. Neurovascularly, … Continue reading Managing Tibial Eminence Fractures with ACL Involvement in Skeletally Immature Children