Ocean Reef Club

Key Largo, Florida

51st Annual Scientific Meeting September 20 - 22, 2019

“ Practices in a New Era of Medicine”

Stuart Bagatell, MD FACP; Stefanie R. Brown, MD FACP FAAP; Frederick K. Williams, MD FACP

Scientific Program Chairs

The Westin Ft Lauderdale Beach

At the conclusion of this activity, the participant will be able to:

Apply updated knowledge of internal medicine to clinical practice

Improve clinical practice by incorporating major new developments In subspecialty medicine

Understand recent advances in internal medicine

Satisfy requirements of state-mandated educational course on Prevention of Medical Errors

Satisfy requirements of state-mandated educational course on Intimate Partner Violence & Do-mestic Violence

The American College of Physicians is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American College of Physicians designates this live activity for a maximum of 23.5 AMA PRA Category 1 credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 23.5 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Posters prepared by Residents & Medical Students will be presented at the meeting. The Resident Poster Competition winners are invited to represent the FL Chapter at the 2020 national competition (Internal Medicine Meeting 2020).

Winners of the Doctors’ Dilemma™ competition will represent the FL Chapter at the 2020 Internal Medicine Doctors’ Dilemma™ competition.

To help us “GO GREEN”, we are making our presentations and abstracts available online only on the Chapter Website. No printed copies will be available.

LEARNING OBJECTIVES

CME & MOC

RESIDENTS ACTIVITIES & EVENTS

PRESENTATIONS & ABSTRACTS

TABLE OF CONTENTS

ACP INTERNAL MEDICINE MEETING 2020

GOVERNORS

Scientific Program Agenda .............................................................................................. 2

Resident & Medical Student Breakout Sessions Agenda ................................................. 6

Doctor’s Dilemma® Finals Competition Participants ....................................................... 8

Formal Poster Competition - Resident Posters .............................................................. 12

Formal Poster Competition - Medical Student Posters ................................................. 19

Sponsors & Exhibitors ................................................................................................... 20

Mark your calendar for Internal Medicine Meeting

2020, April 23—25, 2020 in Los Angeles, CA For

additional information about this and other ACP

programs and products, please visit the website at

www.acponline.org

Manning H. Hanline Jr, MD FACP

Governor hanlinemd@aol.com

Jason M. Goldman, MD FACP President/Governor goldmanmd@bellsouth.net

FL CHAPTER ACP 2019 ANNUAL MEETING SCIENTIFIC AGENDA

FRIDAY, SEPTEMBER 20, 2019 LAS OLAS BALLROOM 7:15 a.m.

8:10 a.m. – 8:15 a.m.

REGISTRATION & BREAKFAST WITH EXHIBITORS GOVERNOR’S WELCOME Manning H. Hanline, Jr., MD FACP, Governor ACP Frederick K. Williams, MD FACP - Presiding Program Director, University of Miami at Holy Cross Hospital

8:15 a.m. – 9:15 a.m.

TELEMEDICINE 101 FOR INTERNISTS Jason M. Goldman, MD FACP Affiliate Assistant Professor of Clinical Biomedical Science Charles E. Schmidt College of Medicine-FL Atlantic University Internal Medicine Practice, Boca Raton, FL

9:15 a.m. – 10:15 a.m.

MULTIPLE SMALL FEEDINGS OF THE MIND IN INTERNAL MEDICINE Naresh H. Pathak, MD FACP FAAHPM Associate Clinical Professor Nova Southeastern University, Department of Medicine, Ft Lauderdale, FL Internal Medicine Practice, Lauderhill, FL

10:15 a.m. – 10:45 a.m.

NETWORKING BREAK WITH EXHIBITORS

10:45 a.m. – 11:45 a.m.

PREVENTION OF MEDICAL ERRORS—PART 1 (2.0 HR. STATE MANDATED COURSE)

Christopher L. Nuland, Esq. Nuland Law Jacksonville, FL

11:45 a.m. – 12:45 p.m.

UPDATE IN HOSPITAL MEDICINE Efren Manjarrez, MD SFHM Associate Professor of Clinical Medicine Division of Hospital Medicine University of Miami-Miller School of Medicine, Miami, FL

12:45 p.m.

ADOURNMENT

FL CHAPTER ACP 2019 ANNUAL MEETING SCIENTIFIC AGENDA

FRIDAY, SEPTEMBER 20, 2019 LAS OLAS BALLROOM 1:00 p.m. – 2:00 p.m.

GOVERNORS LUNCHEON 2019 FLORIDA LEGISLATIVE AND REGULATORY REPORT Christopher L. Nuland, Esq. Nuland Law Jacksonville, FL

2:00 p.m. – 3:00 p.m.

ENDING THE HIV EPIDEMIC (E+HE): GETTING TO ZERO THROUGH PREVENTION Michael A. Kolber, PhD MD Professor of Medicine, Vice Chair for Clinical Affairs, Department of Medicine, Director, Adult HIV Services Director, Comprehensive AIDS Program University of Miami-Miller School of Medicine - Miami, FL

3:00 p.m. – 4:00 p.m.

QUALITY VACCINES: AS EASY AS 1-2-3 Stuart B. Himmelstein, MD MACP Internal Medicine Practice Delray Beach, FL

4:00 p.m. – 4:20 p.m.

NETWORKING BREAK WITH EXHIBITORS

4:20 p.m. – 5:20 p.m.

UPDATE IN ADVANCED HEART FAILURE THERAPY Sandra V. Chaparro, MD Associate Professor of Medicine/Director of Heart Failure Clinic, Director of Heart Failure & Transplant Fellowship Heart Failure & Transplant Program Cardiovascular Medicine University of Miami Miller School of Medicine—Miami, FL

5:20 p.m. – 6:20 p.m.

HUMAN RIGHTS CLINIC AND T.H.R.I.V.E. (HUMAN TRAFFICKING CLINIC) MODELS OF SERVICE FOR DISADVANTAGED PATIENTS Stephen Symes, MD FACP Associate Professor, Division of Infectious Disease Associate Dean, Diversity and Inclusion University of Miami Miller School of Medicine, Miami, FL

6:30 p.m.

ADJOURNMENT

FL CHAPTER ACP 2019 ANNUAL MEETING SCIENTIFIC AGENDA

SATURDAY, SEPTEMBER 21, 2019 LAS OLAS BALLROOM 7:15 a.m.

7:25 a.m. – 7:30 a.m.

REGISTRATION & BREAKFAST WITH EXHIBITORS SCIENTIFIC SESSION Stefanie R. Brown, MD FACP FAAP – Presiding Program Director, University of Miami/Jackson Memorial Hospital

7:30 a.m. – 8:30 a.m.

THIS SHOULD BE EASY: WHY LUNG CANCER SCREENING IS MORE THAN JUST A SCAN Mark I. Block, MD Chief of Thoracic Surgery Memorial Healthcare System Hollywood FL

8:30 a.m. – 9:30 a.m.

UPDATE IN PREVENTION GUIDELINES: EVIDENCE-BASED APPROACH TO THE ADULT WELLNESS VISIT Erin N. Marcus, MD MPH FACP Associate Professor of Clinical Medicine Associate Program Director Internal Medicine Residency University of Miami-Miller School of Medicine, Miami, FL

9:30 a.m. – 10:30 a.m.

CANNABIS CONUNDRUMS Jeffrey S. Block, MD Vol. Professor Department of Anesthesiology University of Miami Miller School of Medicine Miami, FL

10:30 a.m. – 10:45 a.m.

NETWORKING BREAK WITH EXHIBITORS

10:45 a.m. – 11:45 p.m.

TRAVEL MEDICINE – BEFORE, DURING, AND AFTER THE TRIP Larry M. Bush, MD FACP Affiliate Associate Professor of Medicine University of Miami Miller School of Medicine Miami, FL

11:45 a.m.—12:45 p.m.

WOMEN IN ACP LEADERSHIP: WORK-LIFE BALANCE Jacqueline W. Fincher, MD MACP President-Elect 2019-2020, Board of Regents American College of Physicians Partner, Center for Primary Care—McDuffie Thomson, GA

12:45 p.m.— 1:00 p.m.

TOWN HALL/ANNUAL BUSINESS MEETING Jason M. Goldman, MD FACP & Manning H. Hanline, Jr, MD FACP Governors

FL CHAPTER ACP 2019 ANNUAL MEETING SCIENTIFIC AGENDA

SATURDAY, SEPTEMBER 21, 2019 LAS OLAS BALLROOM 1:00 p.m. – 2:00 p.m.

GOVERNORS LUNCHEON: 8TH ANNUAL HUMANISM IN MEDICINE LECTURE SERIES - SPIRITUALITY IN MEDICINE Dr. Rev. Gabriel Ghanoum, PsyD Spiritual Care & Bereavement Palliative Care Educator, Psycho-Spiritual Oncology JFK Medical Center, Atlantis, FL

2:00 p.m. – 3:00 p.m.

THE TREATMENT OF PATIENTS FOLLOWING BARIATRIC SURGERY: PITFALLS AND COMPLICATIONS Daniel Dante Yeh, MD MHPE FACS FCCM Associate Professor of Surgery, Department of Surgery Division of Trauma/Critical Care/Burns University of Miami Miller School of Medicine

3:00 p.m. – 3:15 p.m.

NETWORKING BREAK WITH EXHIBITORS

3:15 p.m. – 4:15 p.m.

PREVENTION OF MEDICAL ERRORS—PART 2 (2.0 HR. STATE MANDATED COURSE)

Christopher L. Nuland, Esq. Nuland Law Jacksonville, FL

4:15 p.m.— 5:15 p.m.

TRANSGENDER HEALTH Corinne Beniasians, PA-C, MS-PA Midway Specialty Care Centers Tampa, FL

5:15 p.m.

ADJOURNMENT

5:15 p.m. – 7:30 p.m.

FORMAL MEDICAL STUDENT & RESIDENT POSTER COMPETITION

7:30 p.m. - 9:00 p.m.

GOVERNOR’S AWARD RECEPTION

8:30 a.m. REGISTRATION 9:00 a.m.– 9:30 a.m. CONTRACT NEGOTIATIONS: HOW TO SURVIVE Christopher L. Nuland, Esq. - General Counsel 9:30 a.m. - 10:00 a.m. HEALTH POLICY & ADVOCACY 2020 Christopher L. Nuland, Esq. - General Counsel 10:00 a.m. - 11:00 a.m. CAREER OPTIONS: POST-RESIDENCY/FELLOWSHIP LIFE Avan Armagani, MD - Early Career Physician, Moffitt Cancer Institute Daniel Bendetowicz, MD FACP - Private Practice/Adjunct Professor Nova Southeastern University Jason M. Goldman, MD FACP, ACP FL Governor /President- Private Practice Tulisa LaRocca, MD - Early Career Physician, Academics/Associate Program Director UM Holy Cross 11:00 a.m. - 11:15 a.m. BREAK 11:15 a.m. - 12:15 p.m. SEXUAL ORIENTATION & GENDER IDENTITY TRAINING Regina Gerbier - Transgender Program Coordinator, HIV Prevention Program Broward County/Florida Department of Health 12:15 p.m. - 1:00 p.m. FINANCIAL BALANCE FOR THE YOUNG PHYSICIANS Alex Nosal - Northeast Planning Corp 1:00 p.m. GOVERNORS LUNCHEON: 8th ANNUAL HUMANISM IN MEDICINE LECTURE SERIES Spirituality in Medicine - Dr. Rev. Gabriel Ghanoum, PsyD 2:15 p.m. - 2:45 p.m. SUCCESS TO MATCH RESIDENCY & BECOME AN EXEMPLARY RESIDENT Rishin Handa, MD - Chief Resident, Florida State University/Sarasota 2:45 p.m. - 3:30 p.m. FEMALE PHYSICIAN PANEL: WORK-LIFE BALANCE & WELLNESS Jacqueline Fincher, MD MACP - Partner, Center for Primary Care, McDuffie, GA; President-Elect ACP Kellee Oller, MD FACP - Program Director, University of South Florida Elisa Sottile, MD FACP - Assistant Professor of Medicine, Associate Program Director, UF Jacksonville

3:30 p.m. - 4:30 p.m. PROGRAM DIRECTORS PANEL Stuart Bagatell, MD FACP - Program Director, University of Miami-JFK George D. Everett, MD MS FACP - Program Director, Florida Hospital Medical Center Jeff House, DO FACP - Program Director, University of FL Jacksonville Kellee Oller, MD FACP - Program Director, University of South Florida

4:30 p.m. - 5:15 p.m. COUNCIL OF RESIDENT & MEDICAL STUDENTS MEETING 5:15 p.m. - 5:30 p.m. JUDGES MEETING FOR POSTER COMPETITION 5:30 p.m. - 7:15 p.m. FORMAL POSTER COMPETITION- RESIDENTS & MEDICAL STUDENTS 7:30 p.m.- 8:45 p.m. AWARDS CEREMONY RECEPTION (Poster Competition Awards)

MEDICAL STUDENT & RESIDENT PROGRAM

SATURDAY, SEPTEMBER 21, 2019 OCEANSIDE II

FL CHAPTER ACP 2019 ANNUAL MEETING SCIENTIFIC AGENDA

SUNDAY, SEPTEMBER 22, 2019 LAS OLAS BALLROOM 7:15 a.m.

REGISTRATION & BREAKFAST WITH EXHIBITORS

Breakfast Breakout Opportunities (pre-registration required) • Advancement to Fellowship (FACP) Mentoring Breakfast (Las Olas Ballroom) • Women in Medicine Networking Breakfast (Rio Vista Room)

7:55a.m. – 8:00 a.m.

SCIENTIFIC SESSION Stuart Bagatell, MD FACP - Presiding Program Director, University of Miami /JFK Medical Center

8:00 a.m. – 10:00 a.m.

INTIMATE PARTNER VIOLENCE AND DOMESTIC VIOLENCE (2 Hr. State Mandated Course)

Yvonne J. Braver, MD FACP Himangi Kaushal, MD FACP

Internal Medicine Associates Founding Program Director

Plant City, FL Internal Medicine Residency

Memorial Healthcare System

Pembroke Pines, FL

10:00 a.m. – 11:00 a.m.

ARTIFICIAL SWEETENERS AND METABOLIC SYNDROME: THE SWEET ADDICTION Michelle Pearlman, MD Assistant Professor of Medicine, Dept. of Medicine Division of Gastroenterology University of Miami-Miller School of Medicine—Miami FL

11:00 a.m. – 12:00 p.m.

UPDATE ON TRANSPLANT NEPHROLOGY Giselle Guerra, MD Professor of Clinical Medicine Medical Director, Miami Transplant Institute Medical Director, Living Kidney Donor Program University of Miami Miller School of Medicine, Miami, FL

12:00 p.m.— 12:15 p.m.

NETWORKING BREAK WITH EXHIBITORS

12:15 p.m. – 1:45 p.m.

DOCTORS’ DILEMMA™ FINAL COMPETITION Manning H. Hanline, Jr., MD FACP - Moderator

AdventHealth Orlando Aventura Hospital & Medical Center Orlando Health University of South Florida

1:45p.m. ANNOUNCEMENTS & ADJOURNMENT

Doctor’s Dilemma® Finalist Teams

AdventHealth Orlando

Luis Isea, MD

Mamoon Rashid, MD

Hammad Zafar, MD

Aventura Hospital & Medical Center

Oranus Mohammadi, MD

Ruben Perez, MD

Shivani Priyadarshni, MD

Orlando Health

Yehuda Galili, MD

Sara Thomas, MD

Josselin Vachon, MD

University of South Florida

Benjamin Cloyd, MD

Mahad Mohammed, DO

Katherine Robinson, MD

Winners of the 2019 FL Chapter Doctor’s Dilemma® competition will represent the

Florida Chapter in the Doctor’s Dilemma® competition at the

2020 Internal Medicine meeting April 23—25, 2020 in Los Angeles, CA

Florida Chapter Wins a 25th Anniversary

John Tooker Evergreen All-Star Award

To celebrate the 25th anniversary of the John Tooker Evergreen

Awards Program, the Evergreen All-Star Awards recognizes the

Florida Chapter program, Doctor’s Dilemma Competition. The

program has contributed to the strength and breadth of ACP

and its chapters, and demonstrated sustainability through

successive leadership terms.

2018 Florida Chapter Doctor’s Dilemma® Champions

University of Miami at JFK Medical Center

Previous Florida Chapter Doctor’s Dilemma® Champions

2017—Mt Sinai Medical Center

2016—University of South Florida

2015 - Orlando Health

2014 - Orlando Health

2013 - University of Florida

2012 - University of Miami - Jackson Memorial Hospital

2011 - University of Florida - Jacksonville

2010 - University of South Florida

Edwin Grajeda Silvestri MD, Swethika Sundravel MD & Eduardo Venegas MD

Resident/Fellow Poster Competition

Medical Student Poster Competition Research Division

First Place Clinical Vignette Division

First Place

Trisha Nguyen, MS II Florida International University

Herbert Wertheim College of Medicine

Gil Metser, MS IV University of Miami

Miller School of Medicine

2019 Annual Residents & Medical Students Meeting

Research Division

First Place

Lingben Ming, MD PhD

AdventHealth Orlando

Clinical Vignette Division

First Place

Alexandre Tungesvik, MD

University of South Florida

2019 Florida Chapter ACP

Formal Poster Competition

Resident Poster Presentations

ADVENTHEALTH ORLANDO

A SURVEY ON FIBROMYALGIA-RELATED KNOWLEDGE AMONG INTERNAL MEDICINE RESIDENTS

Luis Isea, MD

ESSENTIAL THROMBOCYTOSIS IS ASSOCIATED WITH HIGHER MORTALITY IN PATIENTS WITH ACUTE MYOCARDIAL

INFARCTION

Baoqiong Liu, MD PhD

PROGNOSTIC NOMOGRAMS FOR PREDICTING THE 10-YEAR PROBABILITY OF MORTALITY, LOCAL RECURRENCE,

AND METASTASIS IN BONE OSTEOSAR

Ruoyu Miao, MD

AVENTURA HOSPITAL

ACUTE PANCREATITIS COMPLICATED BY PANCREATIC PSEUDOCYST AND SPLENIC HEMATOMA

Joel John, DO

FUSOBACTERIUM NECROPHORUM SEPTICEMIA LEADING TO LEMIERRE'S SYNDROME IN AN IMMUNOCOMPETENT

INDIVIDUAL: A CASE REPORT

Hanad Omar, MD

FRAILTY IN HOSPITALIZED HEART FAILURE PATIENTS USING COMMON LAB PARAMETERS

Shivani Priyadarshni, MD

METFORMIN TOXICITY: A CASE OF ACUTE ENCEPHALOPATHY IN AN ESRD PATIENT

Prashanth Reddy Yella, MD

BLAKE MEDICAL CENTER

CUTANEOUS LEISHMANIASIS IN A TRAVELER: A CASE REPORT

Sarah Al-Obaydi, MD MPH

THE GREAT MIMICKER: A RARE CASE OF NEW ONSET SYSTEMIC LUPUS ERYTHEMATOSUS (SLE) IN AN ELDERLY MAN

PRESENTING WITH FEVER

Sana Khan, DO

ACUTE CORONARY SYNDROME DUE TO CORONARY SUBCLAVIAN STEAL SYNDROME: A RARE BUT UNDER-RECOGNIZED

DISEASE

Viviana Paz, MD

BRANDON REGIONAL HOSPITAL

FELTY'S SYNDROME: TRIAD NOT ALWAYS EVIDENT

Pablo G Dubon, MD

CALCIPHYLAXIS: APPRECIATING THE COMPLEXITY OF RARE CONDITIONS AND MANAGING A MULTIDISCIPLINARY

APPROACH

Paul M. Jones, DO

DISSEMINATED INTRAVASCULAR COAGULATION WITH CONCOMITANT THROMBOSIS IN THE SETTING OF MALIGNANCY

Jan-Paul Sambataro, MD

NEUROCYSTICERCOSIS: A SILENT INHABITANT

David Sukhai MD

Resident Poster Presentations

BROWARD HEALTH MEDICAL CENTER

HEMIANOPSIA: A UNIQUE MANIFESTATION OF TUMEFACTIVE MULTIPLE SCLEROSIS

Amanda N. Hunter, DO MS

A RARE CASE OF CRYOGLOBULINEMIA IN AN HIV+/HCV- PATIENT

Farid Isaac, MD

A CASE OF FAHR’S SYNDROME WITH SYMPTOMATIC IMPROVEMENT

Tariq Jaber, MD

YOU HAD ME AT ACID-BASE

Kenneth Wojnowski, DO

CLEVELAND CLINIC FLORIDA

BEWARE OF A FAMILIAR PERPETRATOR IN DISGUISE: A CASE REPORT OF TERIFLUNOMIDE INDUCED TOXIC

EPIDERMAL NECROLYSIS

Fayssa Salomon, MD

GRANULOMATOSIS WITH POLYANGIITIS MISTAKEN FOR DERMATOMYOSITIS

Morvarid Zandiyeh, MD

FLORIDA ATLANTIC UNIVERSITY

ANGIOEDEMA: A RARE INITIAL PRESENTATION OF SLE

Razan Alif, MD MSc

A CASE OF PRIMARY CUTANEOUS NOCARDIOSIS

Franco J Chevalier, MD

SEPTIC CARDIOMYOPATHY; AN UNCOMMON CAUSE OF A COMMON SYNDROME

Ahmad Irshad, MD

INTERSTITIAL LUNG DISEASE: A RARE AND FATAL ADVERSE EFFECT OF CRIZOTINIB

Lilibeth Jauregui, MD

A CASE OF MULTICENTRIC RETICULOHISTIOCYTOSIS ASSOCIATED WITH WALDENSTROM’S MACROGLOBULINEMIA.

Angel Ernesto Sanchez Artiles, MD

FLORIDA STATE UNIVERSITY SARASOTA

DOES ANEMIA IN ELDERLY PATIENTS AT HOSPITAL DISCHARGE INCREINTRODUCTION:

ANEMIA IS DEFINED BY THE WORLD ASE RISK OF READMISSION?

Victoria Campdesuner, DO

MYSTERIOUS MEMORY COMPLAINTS: THE GREAT MIMICKER STRIKES AGAIN!

Kevin A. Dawkins, DO

HYPERSECRETORY PARAGANGLIOMA PRESENTING AS AN ACUTE AORTIC DISSECTION

Christian Lorenzo, MD

ALL THAT WHEEZES IS NOT ASTHMA!

Yorlenis Rodriguez, DO

Resident Poster Presentations

KENDALL REGIONAL-MIAMI

A CONTAGIOUS HEART - ADVANCED HEART FAILURE CAUSED BY COXSACKIE TYPE B

Jilla R. Azarbal, MD MPH MBA

SPICE-Y SIDE EFFECTS: SYNTHETIC MARIJUANA ASSOCIATED AKI AND SEIZURE

Natasha Del Rio, MD

ASYMPTOMATIC HOLE IN THE BRAIN

Oguz Tok, MD

MRI SCREENING PROTOCOL

Gustavo A. Vargas, MD MBA

MANATEE MEMORIAL HOSPITAL

CASE OF EMBOLIZATION OF A WATCHMAN DEVICE WITH RETRIEVAL PROCEDURE

Jay Vincent Dominguez, MD

IMPLEMENTING SOLID ORGAN 3D PRINTING FOR BETTER SIZE SELECTION AND PLACEMENT OF WATCHMAN DEVICES IN

A-FIB PATIENTS

I-Chi Liang, DO

MAYO CLINIC FLORIDA

MALNUTRITION LEADING TO METHOTREXATE INDUCED FATAL PANCYTOPENIA

Leyla Bojanini, MD

ANXIETY LEADING TO DIAGNOSIS OF AORTIC PSEUDOANEURYSM

Patrick Joseph Fitzgerald, MD

HYPERBILIRUBINEMIA IN HOSPITALIZED PATIENTS: ETIOLOGY AND OUTCOMES

Joshua Kwon, MD

MEMORIAL HEALTHCARE

MANAGING ASYMPTOMATIC HYPERTENSION IN THE HOSPITAL: ANALYSIS OF THE PROCESS AND POTENTIAL

IMPROVEMENT STRATEGIES

Priyank Chauhan, MD

“FROM KISSING DISEASE TO A BROKEN HEART”: EBV POSITIVE CARDIAC BURKITT LYMPHOMA IN A HIV NEGATIVE PATIENT

Isaac Yepes, MD

MOUNT SINAI MEDICAL CTR

DELAYED PRESENTATION OF THYMOMA RELATED APLASTIC ANEMIA - AN UNUSUAL PRESENTATION OF A RARE

COMPLICATION

Kathrin Dvir, MD MSc

NORMAL EKG IN A TOTALLY OCCLUDED RCA

Rehan Ahmed Malik, MD

OUTSIDE THE BOWEL: VENOUS COMPLICATIONS OF INFLAMMATORY BOWEL DISEASE

Anita Singh, DO MBA

A CASE OF HYPERCALCEMIA SECONDARY TO RHABDOMYOLYSIS INDUCED BY HEROIN USE

Gabriela Zuniga, MD

Resident Poster Presentations

NCH HEALTHCARE SYSTEM-NAPLES

RESISTING BIAS IN THE SETTING OF STREPTOCOCCUS GALLOLYTICUS BACTEREMIA ASSOCIATED WITH

FUNGATING COLONIC MASS

Megan Cheslock, MD

OVERWATERING THE MUSCLES: HYPONATREMIA-INDUCED RHABDOMYOLYSIS

Teng Hui, MD

DUODENAL-COLONIC FISTULA SECONDARY TO CMV TREATED WITH MEDICAL MANAGEMENT

Anshika Singh MD

OAK HILL HOSPITAL

NITROFURANTOIN INDUCED LUNG TOXICITY: A RARE ADVERSE EFFECT.

Farrah Chilet, MD

NIVOLUMAB-INDUCED MYASTHENIA GRAVIS

Elizabeth Henderson, MD

A CASE OF AN INCIDENTAL PHEOCHROMOCYTOMA SYNCHRONOUS WITH ADENOCARCINOMA OF THE LUNG: CASE REPORT

Dharti Patel, MD

SENSORIMOTOR POLYNEUROPATHY AS THE INITIAL PRESENTATION OF SARCOIDOSIS: A CASE REPORT OF A RARE

MANIFESTATION

Melanie Rojas, MD

ORANGE PARK MEDICAL

ANXIETY AND PULMONARY EDEMA: A RARE ASSOCIATION

Anum Akhlaq, MD

WEED AND BLEED: MARIJUANA-ASSOCIATED DIFFUSE ALVEOLAR HEMORRHAGE

Rohin Chand, DO MPH

BLUE RUBBER BLEB NEVUS SYNDROME

Anthony Thomas Dupuy, DO

DIABETIC KETOACIDOSIS AND ATYPICAL HEMOLYTIC UREMIC SYNDROME: AN UNLIKELY PAIRING

Ibrahim Khambati, MD MBA

ORLANDO HEALTH

JELLY BELLY – MALIGNANT PERITONEAL MESOTHELIOMA PRESENTING AS MUCINOUS ASCITES

Zachary Field, MD

CONQUER YOUR FEAR; THIS CARCINOMA IS CLEAR

Yehuda Galili, MD

METAGENOMIC SEQUENCING REVEALING PATHOGEN IN A CASE OF OVERWHELMING SEPSIS

Sara Elizebeth Thomas, MD

PALMETTO GENERAL HOSPITAL

PULMONARY EMBOLISM ANTICOAGULATION MANAGEMENT IN A RENDU-OSLER-WEBER PATIENT:

A CHALLENGING DECISION

Monica George-Palop, MD

Resident Poster Presentations

UCF/HCA GME CONSORTIUM – GAINESVILLE

1,25-DIHYDROXYVITAMIN D MEDIATED HYPERCALCEMIA AS AN INITIAL PRESENTATIONS IN A PATIENT WITH

UNDIAGNOSED B- CELL NON-HODGKIN’S L

Ranjit Banwait, MD

ASSOCIATION BETWEEN DEPRESSION AND CHRONIC KIDNEY DISEASE: ANALYSES OF NHANES 2013-2016

Hongchuan Coville, MD

UCF/HCA GME CONSORTIUM – OCALA

AN UNUSUAL CASE OF SMALL BOWEL OBSTRUCTION SECONDARY TO CALCIUM CARBONATE USE

Selsa Elyaman, MD

FIRST CASE OF PRIMARY CUTANEOUS NOCARDIOSIS IN IMMUNOCOMPETENT PATIENT BY NOCARDIA PSEUDOBRASILIENSIS

Shraddhadevi Makadia, MD

ISCHEMIC CVA AND DRUG-DRUG INTERACTIONS WITH DOACS: A DIAGNOSTIC CHALLENGE

Elio Monsour, MD

UCF/HCA GME CONSORTIUM - ORLANDO

A RARE CASE OF MYELOMATOUS PLEURAL EFFUSION IN A RELAPSED/REFRACTORY MULTIPLE MYELOMA

Isin Yagmur Comba, MD

IMMUNOASSAYS AND HYPER D ERROR: AN ILLUSTRATIVE CASE OF “NOT SO” TOXIC HYPERVITAMINOSIS D

Jorge Esteban Mosquera, MD

HIT IT RIGHT: A RESIDENT-LEAD INTERVENTION TO OPTIMIZE THE APPROPRIATENESS OF HEPARIN-INDUCED

THROMBOCYTOPENIA TESTING

Nancy E. Torres Luna, MD

UNIVERSITY OF FLORIDA GAINESVILLE

THE "BLEADING" DIFFERENTIAL

Gurjaspreet Kaur Bhattal, MD

‘SPONTANEOUS’ SUBARACHNOID HEMORRHAGE AS AN INITIAL PRESENTATION OF SYSTEMIC LUPUS

Mohammed Elzeneini, MD

A RARE CASE OF DIFFUSE LARGE B-CELL LYMPHOMA WITH PRIMARY BONE INVOLVEMENT

Daniel Grey, MD

A CASE OF A RARE HEMOGLOBINOPATHY CAUSING SYMPTOMATIC ANEMIA

Kelsey Pan, MD MPH

A PICTURE IS WORTH A THOUSAND WORDS BUT NOT A DIAGNOSIS

Cody Schwartz, DO

RATE OF VTE AND VTE PROPHYLAXIS IN HIGH-RISK CANCER PATIENTS: A SINGLE INSTITUTION EXPERIENCE

Lindsey Woody, MD

Resident Poster Presentations

UNIVERSITY OF FLORIDA JACKSONVILLE

VOGT-KOYANAGI-HARADA DISEASE MANIFESTING AS SUDDEN ONSET BLINDNESS

Barrett Attarha, DO

CANCERS WITH HIGHEST FREQUENCY OF BRAIN METASTASIS AT DIAGNOSIS: A STUDY OF 2,797,100 PATIENTS

FROM 2010-2016 IN SEER DATABASE

Michael Chahin, DO

WHAT LIES BENEATH: PROGRESSIVELY WORSENING NECK PAIN AS THE PRESENTING FEATURE OF LANGERHANS

CELL HISTIOCYTOSIS

Monique Oye, DO

ECTOPIC CUSHING’S SYNDROME IN METASTATIC SMALL CELL CARCINOMA

Bijal Patel, DO

UNIVERSITY OF MIAMI / JACKSON MEMORIAL

AUTOIMMUNE/ AUTOINFLAMMATORY SYNDROME INDUCED BY ADJUVANTS (ASIA):

A COMPLICATION OF SILICONE INJECTIONS

Victor Gonzalo Becerra-Gonzales, MD

A WHEEZING THAT BROKE MY HEART

Jelani Kayode Grant, MBBS

CARDIAC TAMPONADE DUE TO METASTATIC CERVICAL SQUAMOUS CELL CANCER

Michael Warren Kaplan, MD

PNEUMOCYSTIS JIROVECII PNEUMONIA AS A COMPLICATION OF ETOPOSIDE THERAPY

Maria Alejandra Mendoza, MD

FIRST CATHETER ABLATIONS IN THE MINISTRY OF HEALTH SYSTEM OF PERU: REPORT OF THE INITIAL EXPERIENCE

Raul Montanez-Valverde, MD

USE OF TUMOR GENOMIC PROFILING IN A RARE CASE OF GASTRIC ADENOCARCINOMA METASTATIC TO SKELETAL MUSCLE

Juan Salcedo, MD

UNIVERSITY OF MIAMI AT HOLY CROSS HOSPITAL

META-ANALYSIS ON DIFFERENT ANTICOAGULATION STRATEGIES FOR CONCOMITANT HYPERTROPHIC CARDIOMYOPATHY

AND ATRIAL FIBRILLATION

Matthew R. Lozier, MD

HIGH GRADE CARDIAC SPINDLE CELL SARCOMA MASQUERADING AS RIGHT VENTRICULAR THROMBUS

Sebastian U. Perez-Martinez, MD

LATE PRESENTATION MYOCARDIAL INFARCTION ASSOCIATED WITH INFECTIVE ENDOCARDITIS LEADS TO

END-STAGE HEART FAILURE

Alexandra M. Sanchez, MD

Resident Poster Presentations UNIVERSITY OF MIAMI AT JFK MEDICAL CENTER

UTILITY OF GLOBAL LONGITUDINAL STRAIN IN THE EARLY DIAGNOSIS OF TAKOTSUBO CARDIOMYOPATHY

Ahmed Kassem Abdallah, MD

ANTI-SYNTHETASE SYNDROME AND LIMITED SCLERODERMA OVERLAP SYNDROME: A RARE ASSOCIATION WITH

A CHALLENGING TREATMENT DECISION

Samar Aboulenain, MD

NON-COMPACTION CARDIOMYOPATHY PRESENTING WITH VENTRICULAR FIBRILLATION AFTER ICD PLACEMENT

Greilys Lazcano, MD

UNIVERSITY OF SOUTH FLORIDA

PANCREATICO-COLONIC FISTULA: A RARE SEQUELA OF ACUTE PANCREATITIS

Azubuogu Charles Anudu, MD

SADDLE SARCOMA- AN UNUSUAL IMITATOR OF PULMONARY EMBOLISM

Thomas Cameron Brimer, MD

CRYPTOCOCCAL MENINGOENCEPHALITIS MIMICS HEPATIC ENCEPHALOPATHY

Shu Cao, MD

RECURRENT EXUDATIVE EFFUSION IN PATIENT WITH CHRONIC MYELOGENOUS LEUKEMIA

Franco Garcia, DO

TREMORS AS INITIAL PRESENTATION OF A RARE PARANEOPLASTIC CEREBELLAR DEGENERATION: A CASE REPORT

Ankita Tandon, DO

Medical Student Poster Presentations FLORIDA ATLANTIC UNIVERSITY CHARLES E. SCHMIDT COLLEGE OF MEDICINE

ASSOCIATIONS OF 30 DAY READMISSIONS FOLLOWING HIP FRACTURES IN PATIENTS 75 AND OLDER

Angelina Avdella, MS II

VALIDATION OF THE IMPACT OF PREOPERATIVE EDUCATION COUPLED WITH A MULTIMODAL PAIN MANAGEMENT

PROTOCOL FOR OPIOID-FREE SHOULDER A

Mirelle M Dawoud MS III

FLORIDA INTERNATIONAL UNIVERSITY HERBERT WERTHEIM COLLEGE OF MEDICINE

AN UNCOMMON REACTION TO COMMON MEDICATIONS

Scott Allen Amrhein, MS IV

TREATMENT NAIVE CLL WITH NEW MULTIPLE MYELOMA

Michelle Freilich, MS IV

MALIGNANT AMELANOTIC MELANOMA - A WOLF IN SHEEP’S CLOTHING

Amy-Morgan Mycoff, MS III

FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE

EMERGING MAJOR ADVERSE DRUG REACTION TO STATIN TREATMENT: A CASE OF ANTI-HMGCR AUTOIMMUNE MYOSITIS

Wesley Joshua Earl, MS IV

COADMINISTRATION OF NAPROXEN AND CYCLOPHOSPHAMIDE ON BEHAVIOR AND NEUROINFLAMMATION IN

A MOUSE MODEL

Anisha Kesarwani, MS III

DETERMINING THE EFFICACY OF A VIBRATION INDUCED INTERVENTION ON IMPROVING ARM SWING AND SUBSEQUENT

GAIT STABILITY IN PARKINSON’S

Richard Wu, MS III

LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE - BRADENTON

IMPACT OF HEART FAILURE FOCUSED FOLLOW-UP CARE ON 30-DAY READMISSION RATES

Sabita Bellur, MS IV

SPINDLE CELL CARCINOMA MIMICKING AN ABSCESS

Christopher B Gustafson, MS IV

EXTENSIVE CUTANEOUS MANIFESTATION OF MYCOSIS FUNGOIDES, THE GREAT MASQUERADER

Celeste Vickery, OMS IV

Medical Student Poster Presentations NOVA SOUTHEASTERN UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE

NEPHROGENIC ASCITES: A CASE REPORT

Michael F. Blackard, OMS III

CAN’T STOP THE MUSIC: A BALLAD OF BUPROPION INDUCED AUDITORY HALLUCINATIONS

Samuel Alexander Florescu, OMS IV

UVEITIS-SARCOIDOSIS PRESUMABLY INITIATED AFTER ADMINISTRATION OF SHINGRIX VACCINE

Milad Heydari-Kamjani, MS III

UNIVERSITY OF CENTRAL FLORIDA COLLEGE OF MEDICINE

AN UNANTICIPATED AMPUTATION: COMPLICATIONS OF A WOUND WITH RADIOLUCENT FOREIGN BODY

AND OROPHARYNGEAL FLORA

Austin E Carmack, MS IV

WOLFF-PARKINSON-WHITE SYNDROME - A RHYTHM IN DISGUISE

Michael Orlando, MS II

UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE

OUR ETERNAL OBSESSION WITH CHEST PAIN

Shreya Chidarala, MS IV

HEMOPERICARDIUM AFTER APIXABAN INITIATION

Chase Lewellen, MS IV

VIBRIO-ASSOCIATED FOOD-BORNE OUTBREAK

Sarah Stern, MS IV

UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE

THEORETICAL COST SAVINGS ANALYSIS OF SERVING PEOPLE WHO INJECT DRUGS AT STUDENT-RUN

WOUND CARE CLINIC VS EMERGENCY DEPARTMENT

Hardik Patel, MS III

BURNOUT: EXPLORING THE DIFFERENCES BETWEEN U.S. AND INTERNATIONAL MEDICAL GRADUATES

Alexandria Thea Poitier, MS III

UNIVERSITY OF SOUTH FLORIDA MORSANI COLLEGE OF MEDICINE

CHRONIC OTOMASTOIDITIS SECONDARY TO GRANULOMATOSIS WITH POLYANGIITIS EXPRESSING MPO-ANCA

Samuel Gidanian, MS IV

ADULT-ONSET STILL'S DISEASE MASQUERADING AS HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS

Lawrence Guan, MS IV

CDK 4/6 INHIBITORS AND STEREOTACTIC RADIATION IN THE MANAGEMENT OF HORMONE RECEPTOR POSITIVE

BREAST CANCER BRAIN METASTASES

Thrisha Potluri, MS II

Sponsors

Exhibitors

ACP Advance

Broward County Florida Department of Health

Florida Medical Association

Florida Society of Clinical Oncology

Iron Ridge Insurance Quest Diagnostics

Ambry Genetics

American College of Physicians

Atlantic Health Partners

Boehringer Ingelheim

Boston Scientific

Chen Med

Cleveland Clinic Florida

Drug Enforcement Administration

EHRC Technologies

Envision Physician Services

Family Physicians Group

Florida Blue

Invitae

Merck & Co., Inc.

Millennium Physician Group

Pfizer

Privis Health

Takeda

Trilogy Home Healthcare

TrustBridge

THE FLORIDA CHAPTER AMERICAN COLLEGE OF PHYSICIANS WISHES

TO EXPRESS APPRECIATION TO THE FOLLOWING COMPANIES:

2410 Ormsby Circle West Jacksonville, FL 32210 (904) 355-0800 DMoerings@floridachapteracp.org BAnderson@floridachapteracp.org

Congratulations to the Florida Chapter for receiving the Gold Level of the 2019 Chapter Excellence Award! The award recognizes truly extraordinary chapters that surpass excellence in chapter management. In order to achieve the Gold Level of the Chapter Excellence Award, chapters must meet over 51 criteria including such activities as having a legislative action plan or agenda, holding a volunteerism/community service activity, holding multiple stand-alone meetings, having revenue sources outside of dues and meeting registration fees, implementing a strategic plan, implementing a formal recruitment and retention plan and measuring outcomes, con-ducting various activities for Medical Students, Residents and Early Career Physicians. Special thanks to those chapter members who assisted in all of these endeavors! For their hard work and dedication, we received this award.

All contents © 2019 respective authors and/or American College of Physicians, Florida Chapter. All rights reserved.

Florida Chapter Receives 2019 Chapter Excellence Award