Southern Regional Meeting

Thursday, February 13, 2020 Registration – Foyer 12:00PM –1:00 PM Thursday, February 13, 2020 1:00 PM-04:00 PM lle de France I

Pre-Course – Crash course in clinical reasoning: a teaching toolbox for you and your trainees Ryan Kraemer (UAB), Starr Steinhilber (UAB), Yvonne Covin (UT San Antonio), Tracy Vettese (Emory)

Friday, February 14, 2020 Registration – Foyer 7:00 AM – 5:00 PM Breakfast 7:30 AM – 8:30 AM Ile de France II-III Friday, February 14, 2020 8:00 AM-8:30 AM lle de France III - Opening Session Friday, February 14, 2020 8:30 AM-10:00 AM lle de France III - Clinical Updates

Case-Based Controversies in Women’s Health Heather Wainstein and Rachel Bonnema, UT Southwestern

Updates in Addiction Medicine for the General Internist Devin Oller and Anne Sayers, U of Kentucky

CONCURRENT SESSION A

Friday, February 14, 2020 10:15 AM-11:15 AM Workshops

Orleans - Workshop A1 Overcoming Imposter Syndrome Leslie Avant1, Elizabeth McCord2, Erin Snyder1, Annie Massart2, Erin Contratto1 1University of Alabama Birmingham, 2Emory University School of Medicine Rosalie - Workshop A2 Share your QI project with the world: publishing with the SQUIRE 2.0 guidelines Amanda S. Mixon1, Morgan Clouse2, Sarah Homann3, Caroline Lassen-Greene4 1VA Tennessee Valley Healthcare System and Vanderbilt University, 2Vanderbilt University School of Nursing and VA Tennessee Valley Healthcare System, 3VA Tennessee Valley; Vanderbilt UMC, 4VA Tennessee Valley Healthcare System

Friday, February 14, 2020 10:15 AM-11:15 AM St. Claude - Oral Abstracts A1

1. Self-Efficacy and Risk-Perception are Heavy Hitters in Obesity Management Maddie Riney1, Michael Arnett1, Katherine Wells1, Jennifer N. Roman1, Kevin Real2, Stephanie A. Rose3 1University of Kentucky, 2University of Kentucky, 3University of Kentucky

2. Very Low-Calorie Meals for Intensive Weight Loss Preferred by Medically Underserved Patients with Obesity-Associated Chronic Conditions and Perceived Barriers to Eating Healthy Michelle D. Duncan1, Joyce C. Graff3, Satya Surbhi2, Kirstie A. Finch1, Sierra M. Gaffney1, Cardella L. Leak3, Patti A. Smith3, Jim Bailey3 1University of Tennessee Health Science Center, 2University of Tennessee Health Science Center, 3University of Tennessee Health Science Center

3. Is Medical Weight Loss in ESRD Patients Worth the “Weight”? Michael Arnett1, Katherine Wells1, Maddy Riney1, Jennifer N. Roman1, Kevin Real3, Stephanie A. Rose2 1University of Kentucky, 2University of Kentucky, 3University of Kentucky

4. A non-blinded study of the effect of weight loss in patients with idiopathic intracranial hypertension Katherine Wells1, Maddie Riney1, Michael Arnett1, Jennifer N. Roman1, Padmaja Sudhakar3, Stephanie A. Rose2 1University of Kentucky, 2University of Kentucky, 3University of Kentucky

Friday, February 14, 2020 10:15 AM-11:15 AM Conde - Oral Clinical Vignettes A1

1. A Diagnostic Dilemma: Giant Cell Arteritis with Normal Inflammatory Markers Jessica English1, Jennifer E. Bracey2

1Medical University of South Carolina, 2Medical University of South Carolina

2. It is Not a Psychotic Episode: a Case of Autoimmune Encephalitis Valentina Melo2, Russell Hutson2, Michael Grzeskowiak1, Andrew Kim1 1University of Texas Health at San Antonio, 2University of Texas Health San Antonio

3. Progression of an Intraductal Papillary Mucinous Neoplasm to Pancreatic Cancer Haily Vora1, Victoria Maldonado2, Robert Moran2 1Medical University of South Carolina, 2Medical University of South Carolina

4. ST-Segment Elevation Myocardial Infarction in the Setting of Differentiation Syndrome Richard A. Vautier1, Michael G. Fradley2 1University of South Florida, 2H. Lee Moffitt Cancer Center and Research Institute

5. Morphine, Don’t Leave Me Brokenhearted Allyson Hughes UTHSC Nashville

Friday, February 14, 2020 10:15 AM-11:15 AM Frontenac - Oral Innovations A1

1. Cultivating Strategies for Resident Success: The Personal-Professional Development Block Kimberly Bates, Nidhip Patel, Jin Lee, Samuel Shapiro Northside Hospital Gwinnett

2. The Time is Now: Advance Care Planning Discussions in Resident Clinics Amalia Aldredge, Michael A. Yu, Karen Jong, Sarah Koumtouzuoa Emory University

3. Facing Failure: Revitalizing M&M Conference in the Ambulatory Setting. Shivani Desai, Rachel Bonnema UT Southwestern

4. Gamification of Resident Journal Club to Increase Engagement and Critical Appraisal Skills Steven Allon1, Joanna Zurko2, William Morgan1, Ryan Kraemer1 1University of Alabama at Birmingham, 2Medical College of Wisconsin

Friday, February 14, 2020 11:15 AM – 11:45 AM Ile de France III National Update – Dr. Eric Bass, CEO, SGIM JGIM Update – Dr. Jeff Jackson, co-Editor in Chief, JGIM Friday, February 14, 2020 11:45 AM-1:15 PM Lunch & Associate Medical Jeopardy Ile de France II-III

CONCURRENT SESSION B

Friday, February 14, 2020 01:15 PM-02:15 PM

Frontenac - Workshop B1 Is a GIM Research Fellowship right for you? Nia S. Mitchell1, Andrea L. Cherrington3, William Moran2, David Edelman1 1Duke University Medical Center, 2MUSC, 3University of Alabama-Birmingham Rosalie - Workshop B2 Practice Makes Perfect: Using Rapid Cycle Deliberate Practice to Improve Learner Outcomes Winter Williams, Ryan Kraemer, Jason Morris, Mauricio Kahn University of Alabama at Birmingham

Friday, February 14, 2020 01:15 PM-02:15 PM St. Claude - Oral Abstracts B1

1. Linkage to specialty care in the Hepatitis C Cascade Dena Blanding, John Bian, Jingwen Zhang, Justin Marsden, Patrick Mauldin, William Moran, Don C. Rockey, Andrew Schreiner Medical University of South Carolina

2. Resolution of Cirrhosis in Hepatitis C Patients Treated with Direct-Acting Antivirals James McPhail1, Yuqi Guo2, Vishnu Kommineni3, John Provenza1, John Herndon1, Joseph Wooten1, Moustafa Massoud4, Meagan Gray1, Mohamed Shoreibah1, Brendan McGuire1, Michelle Robin1, Omar Massoud1 1UAB, 2University of North Caroline, 3Geisinger, 4University of Tennessee

3. Hepatitis C Treatment by Primary Care Providers at a Kentucky Federally Qualified Health Center Katherine Crabtree Bluegrass Community Health Center

4. Proactive Preventive Care for High Risk Patients with Ambulatory Care Sensitive Conditions Freny Shah Atlanta Veterans Affairs Health Care System

Friday, February 14, 2020 01:15 PM-02:15 PM Conde - Oral Clinical Vignettes B1

1. Unknown Vignette Jonathan L. Chang, Kaitlyn Arbour, Marjorie Bateman, Brett A. Wilkinson Tulane University School of Medicine Discussant: Dan Hunt, Emory

2. Short of Breath in New Orleans: Let's Have a BAL! Stella Radosta1, Marjorie Bateman2, 1Tulane School of Medicine, 2Tulane

3. Thought You Were in the Clear: A Case of Late Pulmonary Metastasis of Renal Cell Carcinoma

Molly L. Stone, Jake W. Altier, William Shelley, Medical University of South Carolina

CONCURRENT SESSION C

Friday, February 14, 2020 02:15 PM-03:15 PM

Orleans - Workshop C1 Hands on introduction to Point of Care Ultrasound Manpreet S. Malik1, Michael Wagner2, Evan Ritter3 1Emory University, 2UofSC, 3VCU Health Rosalie - Workshop C2 Build a better check out to improve your ambulatory teaching Erin Snyder1, Starr Steinhilber3, Daniel Hardgrove1, Ryan Kraemer2 1University of Alabama Birmingham, 2University of Alabama at Birmingham, 3University of Alabama at Birmingham

Friday, February 14, 2020 02:15 PM-03:15 PM St. Claude - Oral Abstracts C1

1. Implementation of a Physician Accept Note to Improve Interhospital Transfer Documentation on General Medicine Services: A Quality Improvement (QI) Project Laura L. Brown Medical university of South Carolina

2. A Quality improvement project to improve documentation of site, type of deep venous thrombo-embolism and duration of anticoagulation in Internal medicine residency clinic Sujatha Baddam, Farrah Ibrahim UAB, Huntsville regional medical campus

3. Evaluation of Sustained Primary Care Providers’ Adoption of an Established eConsults Program at a Tertiary Primary Care Center Itohan Omorodion, Kimberly Dowdell, Samuel Collins University of Virginia

4. Closing the loop on eConsults: What are patients learning about their healthcare? Bennett Wisner1, Megan Leslie1, Samuel Collins2, Kimberly Dowdell1 1University of Virginia School of Medicine, 2University of Virginia

Friday, February 14, 2020 02:15 PM-03:15 PM Conde - Oral Clinical Vignettes C1

1. Metformin Toxicity: An Occult Cause of Severe Lactic Acidosis and Shock Surabhi Vinod, Divya Verma, Joshua R. Hirsch, Muhammad Ajmal Baylor College of Medicine

2. Take My Breath Away and Leave Me Feeling Weak: Multi-System Sarcoidosis

Bruno A. Perthus1, Stephanie Ferrell2, Ryan Nelson3 1University of Queensland - Ochsner Clinical School, 2Ochsner Clinic Foundation, 3Ochsner Medical Center

3. Acute Liver Injury: atypical drug reaction from a typical suspect Abi R. Amadin, Gulnara R. Martorella, Sherine Salib Dell Medical School

4. Subacute pneumonia and marijuana vaping in a previously healthy patient Michelle Massey, Joseph B. Barney University of Alabama at Birmingham

5. Norovirus-Induced Atypical Hemolytic Uremic Syndrome in an Immunocompromised Patient Leslie McHale, Kinjal Dave University of Kentucky

Friday, February 14, 2020 02:15 PM-03:15 PM Frontenac - Oral Innovations C1

1. Creating and Implementing a Monthly Healthcare Utilization and Risk Report Christine D. Hamilton1, Christina McMillan2, Amy W. Shaheen2, Christine Gladman2 1University of North Carolina - School of Medicine, 2University of North Carolina

2. Immigrant Health: Building Bridges in Medical Education Aliza Norwood1, Brandon Allport2, Megan J. Gray2 1UT Dell Medical School, 2Dell Medical School at the University of Texas at Austin

3. An Interdisciplinary Approach to Institutional Education: Northside Hospital Gwinnett MedEd Fair Samuel Shapiro1, Kimberly Bates1, Sue Greer2, Michele M. Aldoretta2 1Northside Hospital Gwinnett, 2Northside Hospital Gwinnett

4. Addressing the Achievement Gap in Preclinical Medical Education Alana C. Nichols University of Alabama At Birmingham, School of Medicine

CONCURRENT SESSION D

Friday, February 14, 2020 03:30 PM-04:30 PM Workshops

Orleans - Workshop C1 "That time I made a mistake” A workshop on caring for the “second victim.” Theresa Vettese1, Reena Hemrajani2, Rachel Mather3 1Emory University School of Medicine, 2Emory, 3Emory School of Medicine Rosalie - Workshop C2 Multimodal Updates in a Resident-as-Teacher Program Holland Kaplan1, Ruchit Rana1, Divya Verma1, Adam Kley1, Jonathan A. Lim2, Zaven Sargsyan3, Stephanie Sherman2 1Baylor College of Medicine, 2Baylor College of Medicine, 3Baylor College of Medicine

Friday, February 14, 2020 03:30 PM-04:30 PM St. Claude - Oral Abstracts D1

1. Is Primary Care Utilization Associated with Remission of Type 2 Diabetes in a Medically Underserved Areas in the American South? Ming Chen, Satya Surbhi, Jim Bailey University of Tennessee Health Science Center

2. Remote glucose monitoring leads to sustained hemoglobin A1c reductions over 12 months among low-income adults with diabetes Elizabeth Kirkland1, Jingwen Zhang2, Justin Marsden3, John Bian1, Patrick Mauldin1, William Moran4 1Medical University of South Carolina, 2MUSC, 3Medical University of South Carolina, 4MUSC

3. African-American Patient Experience with Health Coaching, Text Messaging, and Educational Interventions to Improve Diabetes Self-care Paige P. Fairrow-Davis1, Mace Coday6, Mary Lou Guiterrez1, Joyce C. Graff2, Cardella L. Leak3, Patti A. Smith7, Shaquita A. Starks4, Jim Bailey5 1University of Tennessee Health Sciences Center

4. Medically underserved patient perspectives regarding best primary care approaches to support healthy eating and weight loss for patients with obesity Sierra M. Gaffney1, Joyce C. Graff2, Satya Surbhi3, Kirstie A. Finch1, Michelle D. Duncan1, Cardella L. Leak4, Patti A. Smith4, Jim Bailey4 1University of Tennessee Health Science Center

Friday, February 14, 2020 03:30 PM-04:30 PM Conde - Oral Clinical Vignettes D1

1. T-Cell Large Granular Lymphocyte Leukemia: A Rare Case of a Rare Hematologic Malignancy Masquerading as Lupus Nephritis Andrew Gahagan1, Richard C. Godby1, Vishnu V. Reddy2, Kimo Bachiashvili3 1University of Alabama at Birmingham, 2University of Alabama at Birmingham, 3University of Alabama at Birmingham

2. Restless Legs Syndrome: Frustrating or Life-Threatening? George P. Graham, Michael Frye Medical University of South Carolina

3. A Relatively Undiagnosed but Potentially Fatal Diagnoses Endemic to the Southeastern United States Abigail Lawson, Cody Kern, Sarah Vick University of Kentucky

4. When Elevated Bili is a Big DILI Sam Beavin University of Kentucky

5. A Rare Cause of Acute Pancreatitis in a Transgender Female Lindsey Shipley1, David Steele2, Charles Wilcox2, Chad Burski2

1UAB, 2UAB Friday, February 14, 2020 03:30 PM-04:30 PM Frontenac - Oral Innovations D1

1. Med-Peds Residents and Medical Students Connected by Development of Near-Peer Mentorship Program Shannon E. Snellgrove1, Carlie Stein2, John Pruett1 1University of Alabama School of Medicine, 2UAB

2. An Expanded Observership Curriculum: Introducing Early Medical Students to the Field of Internal Medicine Savannah Duckworth, Brett Jeter University of Mississippi Medical Center

3. A Practical Internal Medicine "Boot Camp” for Graduating Medical Students Julianna Brown1, Erin Murphy2 1University of Louisville, 2University of Louisville

4. Integration of Medical Students into a Public Health Emergency: Responding to a hepatitis A Outbreak Spencer Adams1, Madison E. Feldman3, Lindsey Owens3, Alex Gartland4, Caridad A. Hernandez2 1University of Central Florida College of Medicine, 2UCF College of Medicine, 3UCF College of Medicine, 4University of Central Florida

Friday, February 14, 2020 04:30 PM – 05:30 PM Works in Progress & Networking Sessions

Orleans – Leadership/Faculty Development Presenter: Michael Bradley, VCU Moderator: Dan Hunt, Emory; and Elisha Brownfield, MUSC

Rosalie – Educational Innovation Presenter: Haares Mirzan, Mayo Clinic Florida Moderator: Gregg Talente, UofSC

St. Claude – Clinical Practice/Quality Improvement Innovation Presenter: Eva Olariu, Brookwood Baptist Health Moderator: Starr Steinhilber, UAB

Conde – GIM Research Presenter: Amanda Mixon, Vanderbilt Moderator: David Edelman, Duke; and Nia Mitchell, Duke

Frontenac – Health Policy/Health Disparities

Presenter: Stacie Schmidt, Emory Moderator: Shelly-Ann Fluker, Emory

Ile de France III – Proud to be GIM and Physician Wellness Presenter: Anne Cioletti, UT Dell Moderator: Mary Beth Poston, UofSC

Friday, February 14, 2020 05:30 PM – 7:00 PM Poster Session (See full poster listing)

CONCURRENT SESSION E

Saturday, February 15, 2020 06:30 AM – 07:30 AM Wellness Run/Walk (meet in lobby of JW Marriott) Saturday, February 15, 2020 Breakfast 7:30 AM – 8:30 AM IIe de France II-III Saturday, February 15, 2020 08:00 AM-09:00 AM

Orleans - Workshop E1 Workplace Violence: How Physicians Can Identify and Mitigate the Risk Tracey Henry, Emory Rosalie - Workshop E2 Career Advancement Strategies: Success at Any Stage! Elisha Brownfield2, Jen Lom3, Kathryn Anderson2, Carlos Estrada1, Benjamin Clyburn2 1BVAMC/UAB, 2MUSC, 3University of Mississippi

Saturday, February 15, 2020 08:00 AM-09:00 AM St. Claude - Oral Abstracts E1

1. Taking the Long View: Fostering Continuity in a Longitudinal Primary Care Clerkship Nicholas D. Phelps1, LuAnn Wilkerson2, Brandon Allport1, Aliza Norwood1, Linda Perkowski1 1University of Texas at Austin Dell Medical School, 2University of Texas at Austin Dell Medical School

2. Homeless-Tailored Primary Care Environments are Associated with Fewer Unfavorable Care Experiences for the “Most Vulnerable” Homeless Veterans Stefan Kertesz1, Ann Elizabeth Montgomery1, Erika L. Austin2, Aerin J. deRussy1, Sally K. Holmes1, April E. Hoge1, Allyson L. Varley1, Sonya E. Gabrielian3, Lillian Gelberg3, Adam J. Gordon4, Audrey L. Jones4, John R. Blosnich5, Adi V. Gundlapalli6, David E. Pollio7, Kevin R. Riggs1

1Birmingham VA Medical Center, 2University of Alabama at Birmingham, 3VA Greater Los Angeles Health Care System, 4VA Salt Lake City Health Care System, 5Pittsburgh VA Medical Center, 6University of Utah, 7University of Alabama at Birmingham

3. Medical Oath-Taking: Meaningful Ritual or Empty Formality? Mikaela Holland1, Mukta Panda2 1University of Tennessee College of Medicine - Chattanooga, 2University of Tennessee College of Medicine, Chattanooga

4. How Does Gender Impact Clinical Performance Assessment in Core Clerkships? Abigail Bennett, Chee Paul Lin, Winter Williams UAB

Saturday, February 15, 2020 08:00 AM-09:00 AM Conde - Oral Clinical Vignettes E1

1. Unknown Vignette Holland M. Kaplan, David Hilmers Baylor College of Medicine Discussant: Starr Steinhilber, UAB

2. WHO is Suffocating? A Case of Heritable Pulmonary Arterial Hypertension Joseph Golden1, Benjamin Kalivas2 1Medical University of South Carolina, 2MUSC

3. Diffuse large B cell lymphoma presenting as cardiac tamponade Sebastian U. Perez-Martinez, Edgar Bustamante, Semaan Kosseifi Holy Cross Hospital

PLENARY SESSION

Saturday, February 15, 2020 09:15 AM-10:45 AM lle de France II-III Plenary Presentations

1. Creating Clinician Educators: Evaluation of a 1-month Medical Education Elective for Senior Residents Mauricio Kahn1, Carlos Estrada2, Ryan Kraemer1 1University of Alabama at Birmingham, 2BVAMC/UAB

2. Global is Local: An Immersive Primary Care Rotation in Rural Tennessee Jonathan N. Pumilia5, Alison Gower2, Emily Partin3, Michael Davis1, Tracy Rabin4 1Erlanger Baroness Hospital, 2Beersheba Springs Medical Clinic, 3Grundy County Schools Family Resource Center, 4Yale University School of Medicine, 5University of Tennessee College of Medicine Chattanooga

3. Evaluation of Resident Physicians’ Knowledge of and Attitudes Towards Prescribing Buprenorphine-Naloxone for Patients with Opioid Use Disorder Bryant Shuey1, Dasom Lee1, Caroline Bresnan1, Saif Borgan2, Israel Ugalde3, Marvi Qureshi2, Asa Oxner1

1University of South Florida, 2University of Central Florida, 3Mount Sinai Medical Center of Florida

4. Early Screening for Delirium and impact on hospital discharge disposition Jennifer Dulin1,Jingwen Zhang3, Justin Marsden4, Patrick Mauldin2, William Moran2, Benjamin Kalivas2 1MUSC, 2MUSC, 3MUSC, 4Medical University of South Carolina

5. Plenary Vignette Kimberly Cichelli, Ellen M. Nielsen, Meg K. Scott, Richard Rissmiller Medical University of South Carolina

6. Plenary Vignette Ryan LaMarca1, Sebastian U. Perez-Martinez1, Brandon Perry2 1University of Miami at Holy Cross Hospital, 2Holy Cross Hospital

Closing Session

11:00 AM – 12:00 PM

Poster Listing

5:30 PM-7:00 PM Friday, February 14, 2020

lle de France I Make it MATter: Starting a Resident Training Program in Medically Assisted Therapy for Opioid Use Disorder Brooks Keene, Kaitlyn O'Keefe, Christopher Diaz, Heather Tarantino, Animita Saha Carolinas Medical Center Trends in false-positive code sepsis activations in the emergency department Stephanie Taylor1, Kent L. Beam1, Brice Taylor1, Alan Heffner1, Michael Gibbs2 1Carolinas Medical Center, 2Carolinas Medical Center Patient Perspectives Regarding the Social and Cultural Acceptability of a Biblically Based Healthy Eating and Weight Loss Intervention: A Mixed Methods Research Study Kirstie A. Finch4, Shaquita A. Starks3, Cardella L. Leak3, Joyce C. Graff1, Satya Surbhi2, Sierra M. Gaffney4, Michelle D. Duncan4, Jim Bailey3 1University of Tennessee Health Science Center, 2University of Tennessee Health Science Center, 3University of Tennessee Health Science Center , 4University of Tennessee Health Science Center College of Medicine Efficacy of a Cadaver-Based Procedural Skills Lab for Internal Medicine Residents Sara Gould1, Emily C. Knowling5, Rob Smola2, KeAndrea Titer4, Kimberly D. Martin3 1University of Alabama at Birmingham, 2UAB, 3University of Alabama at Birmingham, 4University of Alabama at Birmingham, 5University of Alabama at Birmingham Hypereosinophilia & pruritic rash: a unique paraneoplastic phenomenon in ovarian cancer

Conor O'Neill, Gregory Monohan University of Kentucky College of Medicine Marijuana induced spontaneous pneumomediastinum Haoran Peng, Tanna Lim Gwinnett Medical Center Putting a Fresh Squeeze on Scurvy Samuel N. Epstein, Ashley Urrutia, Karen Jong Emory University Huffing and Puffing Sean Carter, Bo Wang, Rob Smola UAB A Case of Persistent Fever: The Importance of the Daily Physical Exam Mauricio Kahn, Stuart Cohen University of Alabama at Birmingham (Don't) Pump It Up!: A Hydrocortisone Pump Causing Refractory Hypokalemia Helen V. Harley, Faisal Aljehani, Harsha Karanchi MUSC Recurrent Ventricular Tachycardia: A Manifestation of Cardiac Sarcoidosis Treated with Mycophenolate Mofetil and Corticosteroids Richard A. Vautier1, Emmanuel Bassily2, Samuel Slone1, Dakota Jenneman1, Samuel Jalali1, Sanders Chae3, Dany Sayad4 1University of South Florida, 2University of South Florida, 3University of South Florida, 4University of South Florida The Curious Case of Q-fever and Coxiella Hao Nguyen, Rosalyn Ortiz Manso, Leigh Hunter Methodist Health System Dallas Dyspnea from Stiff Left Atrial Syndrome Milad C. El Hajj1, Benjamin Kalivas2, Ryan J. Tedford3 1Medical University of South Carolina, 2MUSC, 3Musc Occam’s Razor or Hickam’s Dictum? A Nephrotic Tale Jaclyn Edelson1, Stephanie Ferrell2, Ryan Nelson3 1University of Queensland, 2Ochsner Clinic Foundation, 3Ochsner Medical Center Chicken or egg: Difficulties in determining etiology of nausea and vomitting Hannah M. Bernstein, Deepa Bhatnagar, Alexander Katz Tulane University Health Sciences Center A Stubborn Right Atrial Thrombus Muskan Agarwal1, Owais Ulhaq2, Joslyn Fisher3 1Baylor College of Medicine, 2Baylor College of Medicine, 3Baylor College of Medicine

Lactobacillus johnsonii—Former Friend, Now Foe Luis C. Segura, Leigh Hunter, Christopher McElrath Methodist Health System Dermal Declaration of a Difficult Diagnosis: A Confounding Case of Systemic Sarcoid with a Cutaneous Manifestation Kaitlyn Renfrow1, Daniel Cirino1, Lyssa Weatherly2 1University of Mississippi Medical Center, 2University of Mississippi Medical Center A Concerning Color Change? : A Case of Purple Urine Bag Syndrome Michael T. Kimbrell, Neil Kapil, Gregory Damhurst, Stacy Higgins Emory University School of Medicine Staph Here, Staph There, Staph Everywhere: A Case of Staphylococcal Dissemination from Prostatitis to Endophthalmitis Christopher N. Nemeh1, Elizabeth Eisenmenger1, Christopher Morgan2 1Baylor College of Medicine, 2Baylor College of Medicine Valvular heart disease in disguise: a young man with recurrent "pneumonia" Veronica Easton1, John F. Eick2 1University of Tennessee Health Science Center, 2University of Tennessee Health Sciences Center Going Hunting? Watch out for wild hogs! Tejaswi R. Nadig, Benjamin Kalivas Medical University of South Carolina Complex metabolic acidosis in a dialysis patient with septic shock and hypoglycemia Eric Roddy, Joseph B. Barney UABSOM When Hearing Voices Puts the “Fear” in Acute Intermittent Porphyria Shanu P. Moorthy1, Daniel R. Patterson1, Nathalie S. Malcolm1, Zachary R. Goodwin2, Venkataraman Palabindala1, Hartmut Uschmann2 1University of Mississippi Medical Center, 2University of Mississippi Medical Center Head Games: A case of Transient Global Amnesia Lily N. Trinh1, Joey Swisher1, Celeste Newby2 1Tulane University School of Medicine, 2Tulane University School of Medicine Managing Menorrhagia Medically Chelsea Wiltjer, Lisa Bernstein Emory University Known Unknowns: Persistent Fevers and Encephalopathy in a Patient with Sjogren’s Encephalitis Patrick Huynh, Jordan Duhon, Neegum Patel, Samuel Shapiro Northside Hospital Gwinnett Persistent dyspnea and exertional hypoxemia in a patient with clear chest imaging James G. Pate1, Joseph B. Barney2 1UAB, 2University of Alabama at Birmingham

TSH-secreting pituitary adenoma in a patient with a thyroid hormone receptor mutation and carcinoid tumor: A case report Laura Q. Wu1, Bhargavi Patham4, Gloria Ortiz3, Luis M. Franco2, Daniel Yoshor1, Susan L. Samson1 1Baylor College of Medicine, 2National Institute of Allergy and Infectious Diseases, 3Knapp Medical Center, 4Houston Methodist A natural remedy gone wrong: stay away from clay Megan K. Veglia, Kristin Wise Medical University of South Carolina Treatment of Calcium Channel Blocker Toxicity... Understanding the Why Devin Blankinship1, Balakrishnan Pillai3, Marc E. Heincelman2 1Medical University of South Carolina, 2Medical University of South Carolina, 3Medical University of South Carolina Non-Healing Leg Ulcers in a Patient with Rheumatoid Arthritis: Consider Active Vasculitis Akhil Sood, Daniel Gonzalez, Christopher Dallo, Jaya Sonkar, Vijaya Murthy, Emilio B. Gonzalez University of Texas Medical Branch ST Elevation Myocardial Infarction in a Young Woman: Undiagnosed Turner Syndrome (TS) William Morgan, Vera Bittner University of Alabama at Birmingham Hospital A Case Of Cytomegalovirus Hepatitis In An Immunocompetent Patient Mina Tawadrous, Ajay R. Gade Brookwood Baptist Health Through Thick and Thin Mary Cook, Adam Gray University of Kentucky I Can Feel it in My Bones: An Atypical Sarcoidosis Presentation Grant Nelson, Zach Murphy, Charles K. Bergdolt Edward Via College of Osteopathic Medicine- Auburn Campus Opioid-Induced Hypogonadism: An Underrecognized Cause of Sexual Dysfunction Victoria I. Sweetnam1, Tejaswi R. Nadig1, Amanda N. Overstreet2 1Medical University of South Carolina, 2Medical Univeristy of South Carolina Whipple’s Disease Imitating Small Bowel Lymphoma Ann Xu1, Seifeldin Hakim2, Ruchit Rana1 1Baylor College of Medicine, 2University of Texas Health Science Center at Houston Double Trouble: A Case of Metformin Associated Lactic Acidosis and Euglycemic Diabetic Ketoacidosis Usman Hasnie, Jeffrey Shen, Ashita Tolwani University of Alabama- Birmingham Fusobacterium necrophorum bacteremia without Jugular Venous Thrombosis: Incomplete Lemierre's Syndrome? Adriana Briceno1, Eliana Milazzo1, Vamsi KIran Chowdary Korrapati2 1Texas Tech University Health Science Center, 2Midland Memorial Hospital- TTUHS

How to Be a Patient: A Brief Lesson From a Tuna Fish Peter Caldwell, Michael Gillette Southeast Louisiana Veterans Healthcare System Between a Rock and a Hard Place: Xanthogranulomatous Pyelonephritis Secondary to a Proteus Staghorn Calculus Steven P. Maurides, Ashley Duckett Medical University of South Carolina Sometimes DILI is SILI Andrew Fozzard, Patricia Santos University of Kentucky The usual and the unusual: dual diagnoses in a patient with dysphagia Danielle Johnson Virginia Commonwealth University Acute lung toxicity due to nitrofurantoin. Eliana Milazzo1, Gabriela Orellana1, Vamsi KIran Chowdary Korrapati2 1Texas Tech University of Health Sciences Center at Permian Basin, 2Midland Memorial Hospital- TTUHS Acute Appendicitis Masking Mucinous Adenocarcinoma Michael Tran, Roger D. Smalligan UAB/Huntsville School of Medicine Pulmonary Blastomycosis in uncontrolled diabetic presenting with military pattern on CXR Sena Y. Choi, Mehrin Jawaid, Louis Lovett, Amyn Hirani Wellstar Kennestone Regional Medical Center The Hidden Vessel Maurice Marcuard, Sami Tahhan EVMS Better Watch Your Back When Considering A Heart Attack - An Atypical Presentation of Posterior STEMI William K. Harvey1, Jeffrey Yourshaw2 1Medical University of South Carolina, 2Medical University of South Carolina More than a feeling: why chronic dyspnea should not be discounted Nicholas C. Sassen, Marjorie Bateman Tulane University Health Sciences Center Right to Left Shunt Resulting in Right to Left Confusion: Malignancy Associated Gerstmann Syndrome Albert Jang1, Tameka Smith2, Stephen Trainor3, Peter Caldwell4 1Tulane University, 2Tulane School of Medicine, 3SLVHCS (VA New Orleans), 4Southeast Louisiana Veterans Healthcare System Hold the Door in Diagnosis: Delayed Diagnosis of Thyroid Storm in a Patient with Bipolar Disorder due to Premature Closure Natalee K. Wilson1, Sonia Camphor2 1Wellstar Kennestone Regional Medical Center, 2Wellstar Kennestone Regional Medical Center

Asymptomatic lung atelectasis diagnosed after minor trauma: Hidden diseases that require vigilant investigation Jordan G. Sasser1, Joseph B. Barney2 1University of Alabama, 2University of Alabama at Birmingham Coronary conundrum Acute myocardial Infarction as Initial Presentation of Catastrophic antiphospholipid syndrome Nova T. John Emory healthcare Rasburicase: Exposing the Hidden G6PD Deficiency Jacob M. Read1, Dena Blanding1, Gregory Haidemenos2, Shalin Shah2, Theodore Gourdin2 1Medical University of South Carolina, 2Medical University of South Carolina Not simply a heparin bridge: an incidental finding of thrombotic thrombocytopenic purpura Abigail M. Phelps Tulane University School Of Medicine Congratulations, It's Benign! Bianca S. Farley, Courtney Brady Medical University of South Carolina Cough, cancer, and cigarettes: A curious case with a classic culprit Rachel Blewett, Corey Costantino Tulane University Think outside the groin…An unusual cause of groin pain Sarah Mayberry, John W. Thomas, Nicholas Van Wagoner, Andrés Camino University of Alabama at Birmingham An Unwelcomed Guest: A Case of Echinococcal Hepatic Abscess Margaret E. Morrison1, Ira Willner2 1Medical University of South Carolina, 2MUSC Hemolytic Anemia and Renal Failure as Extrahepatic Manifestations of Acute Hepatitis A Mona A. Haj1, Victoria I. Sweetnam1, Ira Willner2 1Medical University of South Carolina, 2MUSC A Cryptic case of altered mental status Janice Oh5, Tameka Smith1, Corey Costantino1, Menachem Nagar2, Erin Boswell3, Stephen Trainor4, Jeremy Wearn1 1Tulane School of Medicine, 2Tulane School of Medicine, 3Southeast Louisiana Veterans Healthcare System, 4Southeast Louisiana Veterans Healthcare System, 5Tulane School of Medicine The Unusual Case of Primary Central Nervous System Lymphoma Raza A. Zaidi1, Diana Maslov2, Cameron Parent2, Caley Mcintyre2 1Ochsner , 2Ochsner Clinic Foundation The new STI on the block Brandon Bunol1, Alexander Katz1, Deepa Bhatnagar2 1Tulane University, 2Tulane University Health Sciences Center

Antisynthetase Syndrome Masquerading as Multifocal Pneumonia Nicholas Byers, Michael Ladna, Grace Thompson, Zareen Zaidi University of Florida A Case of E. Rhusiopathiae Bacteremia in an Immunocompromised Individual Rebecca Samuel1, Kalyani Kumar2, Celeste Newby3 1Tulane University School of Medicine, 2Tulane School of Medicine, 3Tulane University School of Medicine The More The Merrier? Not With Autoimmunity. Daniel Schumacher1, David Ploth2 1Medical University of South Carolina, 2Medical University of South Carolina Salmonella septic arthritis in bilateral knees. Thao-Vi D. Dao, Taylor Nguyen, Chirayu J. Shah Baylor College of Medicine Asking “Why?” instead of “What?”: A Case of Toe Pain Seema Kumar1, Starr Steinhilber2 1UAB, 2University of Alabama at Birmingham Leaving a bad tip: “Tipsitis” as an unusual post-TIPS complication presenting as SBP Anurag Deeconda MUSC Calcium Where?!?!: A Case of Penile Calciphylaxis Samuel Adams Medical University of South Carolina Understanding Pheochromocytoma: Beyond Uncontrolled Hypertension Nadia S. Cacodcar1, Mindy X. Wang2, Christopher Little1, Alex Nusbickel1, Senthil Meenrajan1 1University of Florida, 2University of Texas Health Science Center at Houston Ocular syphilis manifestation independent of neurosyphilis in a high-risk patient Deepankar K. Sinha1, Evan Johnson3, Jefferson L. Triozzi2 1Baylor College of Medicine, 2Baylor College of Medicine, 3Baylor College of Medicine A Handy Clue for Diagnosis: Brachial plexopathy as a presentation of recurrent ductal carcinoma Channing G. Brown University of Alabama at Birmingham A Disease Not Just of the Young Ethan Joseph1, Marc E. Heincelman2 1Medical University of South Carolina, 2Medical University of South Carolina A sheep in wolf’s clothing: a benign lymphoma mimicker in diffuse lymphadenopathy Sarah Amanullah1, Jennifer Hong2, Tameka Smith1, Robert Miller1 1Tulane University, 2Tulane University Immunotherapy-induced Hemophagocytic Lymphohistiocytosis presenting with Acute Hepatitis

James Kalmuk1, Jonathan Puchalla1, Anshu Giri2, Kaczmar John2 1Medical University of South Carolina, 2Medical University of South Carolina A Heart Burdened by Cancer: Complete AV Nodal Dissociation Caused by Malignant Infiltration Louis Diab, Phi Tran Baylor College of Medicine Tuberculous Mycotic Aneurysm of Aortic arch – An uncommon yet dreadful dissemination of Tuberculosis Dhivya Velu2, Ali Hassoun1, Farrah Ibrahim2 1Alabama Infectious Disease Center, 2UAB Huntsville Regional Medical Campus Granulomatous Disarray: Heerfordt-Waldenstrom Syndrome in a Patient with Neurosarcoidosis William Z. Webster1, Suchita Pancholi2 1University of South Carolina School of Medicine/Prisma Health, 2Palmetto Health USC Demons-Meigs’ syndrome with elevated CA-125 - Rarity in a rare disease Deepanjali Radhakrishnan Nair, Bryan Hay University of Tennessee A Cold Case, Hypothermia as an Unusual Clinical Sign of Uremia Corey M. Foster1, Daniel T. Weaver2 1University of Kentucky, 2University of Kentucky A Rare Case of 3+ Pitting Edema in the Hands Mehrin Jawaid1, Xena Whittier2 1Wellstar Kennestone , 2Wellstar Kennestone The Mysterious Mediastinal Mass: A Necrotic Lymph Node Mimicks Cancer Prarthana Jain, Thomas Gerard Di Salvo Medical University of South Carolina A Case of Gonococcal Monoarthritis with Negative GC Testing Sophia Chang, Amanda Broderick Baylor College of Medicine A Curious Case of Evans Syndrome in Multiple Sclerosis Hanyuan Shi1, Gong Chen1, Joanna Kingdon1, Hania Adib1, John Xie2, William Chastant1 1Tulane University, 2Tulane Medical Center Too Tired To Breathe: A Case of Necrotizing Sarcoid Granulomatosis Emily Bay The Medical University of South Carolina Sick with Salmonella: Invasive Salmonellosis in an SLE patient Leah Loerinc2, Meghana Anugu1, Lauren Gensler1 1Emory, 2Emory University School of Medicine A rapidly enlarging peritonsillar swelling in an immunocompromised Jamaican female. Jodian A. Pinkney1, Leah M. Webster2 1Prisma Health- University of South Carolina, 2University of South Carolina-Prisma Health Richland

Don’t take my breath away: A case of vaping induced lung injury. Nnamdi I. Azih1, Andrew Goodwin3, Samuel Schumann2 1Medical University of South Carolina , 2MUSC, 3Medical University of South Carolina Hyperglycemic Homonymous Hemianopia: A Rare Case of Hyperglycemia-Induced Seizures and Visual Deficits Jamie Jones1, Yazan Saba1, Jake H. McKay2, Abdelazim Sirelkhatim2 1University of Tennessee - Chattanooga, 2Erlanger Health Systems Tzanck's Mom! Benjamin Breazile1, Sara Qutubuddin2, Stephanie A. Rose2 1University of Kentucky, 2University of Kentucky A Case of Cytomegalovirus Infection Mimicking Rectal Malignancy in an Immunocompetent Patient Divya Nadella, Ankita Tandon, Prajwal Dara University of South Florida The Outside Hospital Transfer and Anchoring: A Case of Undiagnosed Cholangiocarcinoma Abirami Thiyagarajan University of Alabama Medical Center A Case of Acute Doxycycline Deficiency Timothy Johnson VCU Health Caution...Heartache Ahead! Management of Thyrotoxicosis-Induced Atrial Fibrillation and Cardiomyopathy Shantan Cheemerla, Walker Mainwaring, Frederick B. Peng, Lubna U. Khawaja Baylor College of Medicine Anemia from a Broken Heart: An Interesting Case of Microangiopathic Hemolytic Anemia Jonathan K. Bakos1, Giordano F. Cittolin Santos2, Charles Greenberg1, Ian Miller1 1MUSC, 2Medical University of South Carolina An Uncommon Movement Disorder Associated with Uncontrolled Diabetes Adam P. Albano, Prasad Rao Wellstar Kennestone Hospital New Biochemical Techniques Allow for Earlier Diagnosis of Sporadic Cruetzfeldt-Jakob Disease Dane T. Johnson1, Carolina T. Parker2 1University of Alabama at Birmingham , 2UAB Intense fear of hypoglycemia leading to Rhizopus infection Kelly Engle1, Rani Shayto2, Nicoleta Sora1 1Medical University of South Carolina, 2Medical University of South Carolina Don't Just Blame it on the Alcohol Lindsey Clark1, Josiah Burrows2, Will Ford1, Helfrich Rebecca1 1University of Kentucky, 2University of Kentucky Recurrent fever and skin rash in a patient with persistent lymphadenopathy. The occult variations of malignancy. Kelly Chen, Joseph B. Barney

University of Alabama at Birmingham Blocked Bowels Not Arteries: Small Bowel Obstruction as a STEMI Mimic Sandeep Jalli, Amir Shirazi AU/UGA Medical Partnership HIT or Miss? The use of Rivaroxaban… Deep Patel, David Wynne Brookwood Baptist Heatlth Metastatic Embryonal Carcinoma of the Testicle Presenting as a Cough Jordan Minish, Francesca M. Gesiotto, Andrew Shychuk University of Florida “Have you ever been told you have a murmur?” Mariam Riad, Erin D. Britt, Roger D. Smalligan, John Fanning University of Alabama in Birmingham Huntsville Regional Campus Recurring oral ulcers and cytopenia: clues to a rare diagnosis of T-cell large granular lymphocyte leukemia Anne W. Wagstaff University of Alabama at Birmingham Vasculitis Masquerading as Vestibular Neuritis Laurel Branch, Kristin Wise Medical University of South Carolina A Rare Case of Collagenous Sprue Ajay R. Gade, Caroline Watkins Brookwood Baptist Health A Twist on Scrotal Pain in an Adult Neil Backer1, Lauren Craig2 1University of Kentucky, 2University of Kentucky Bones, Stones, Groans, and…Pancreatic Overtones?: Hypercalcemia as a Cause of Acute Pancreatitis Lindsey Limbaugh1, Asad Loya1, Shawn D. Moore2, Frederick B. Peng3, Lubna U. Khawaja3 1Baylor College of Medicine, 2Baylor College of Medicine, 3Baylor College of Medicine An Unusual Case of a Supraglottic Mass Lesion in a Patient with AIDS Katelin Snow1, Manasi Tannu1, Divya Bhamidipati2 1Emory University School of Medicine, 2Emory University School of Medicine Pheo or Not? When Cushing’s Syndrome Doesn’t Cause a Headache Cameron Pywell, Imran Unal, Deepti Bahl University of Alabama, Birmingham Peripartum cardiomyopathy diagnosis after an acute lacunar stroke. Richa Kapil, Louis A. Kerkhoff, Alexandr Babayeuski Wellstar Kennestone Regional Medical Center

A Cryptic Cause of Encephalopathy in Cirrhosis Yilmarie Rosado-Acevedo, Carlos Bertran Rodriguez, Kellee Oller University of South Florida I’ve got you under my skin: Metastatic melanoma with unknown primary Lauren Chen1, Celeste Newby2 1Tulane University School of Medicine, 2Tulane University School of Medicine Methemoglobinemia: An Unusual Case of Hypoxia in an HIV+ Patient Ravi Jariwala1, Sivani Reddy2, Stanford Massie1 1University of Alabama School of Medicine, 2University of Alabama School of Medicine Atypical Pericarditis Ashley Russell1, Jerald L. Taggart2 1Tulane University, 2SLVHCS/Tulane University Disseminated leprosy presenting as multisystem organ-failure in an immunocompromised adult Anderson s. marshall1, Rob Smola2 1University of Alabama at Birmingham, 2UAB An Unusual Anemia: Parvovirus-Induced Aplastic Crisis in a Jehovah’s Witness Molly L. Stone1, Nandita Nadig2 1Medical University of South Carolina, 2Medical University of South Carolina An Unusual Presentation of IgA-Dominant Post-Infectious Glomerulonephritis Matthew R. Deshotels1, Nishanth Girija Kumar2, Rajeev Raghavan2 1Baylor College of Medicine, 2Baylor College of Medicine Patients don’t always fit the guidelines Colin Russell, Carson Keck, Jennifer E. Bracey MUSC Direct Admission for a Lipid Condition Walter Lam1, Ryan Nelson2 1Ochsner Clinic Foundation, 2Ochsner Medical Center A rare case of a transfusion-transmitted infection: the (Maltese) crux of the matter Laura S. Smallcomb1, Jonathan K. Bakos2, Fletcher T. Penney2 1Medical University of South Carolina, 2MUSC “He Should be Sicker!”: A “Mild” Case of Clostridium perfringens Bacteremia Nishant Trivedi, Brad Keith Medical University of South Carolina The Woman Who Was Allergic to Herself Loor Alshawa, Kate Zummer, Katherine E. Twist University of Kentucky MS pseudoexacerbation: not all neurologic deterioration represents a true exacerbation Yadis M. Arroyo, Hugo Narvarte, Anh Bui University of South Florida

A Rare Case of Bleeding Isolated Gastric Varices in the Setting of Non-Cirrhotic Portal Hypertension Hector H. Gonzalez1, Levonti Ohanisian2, Michael Bank2 1FAU Charles E. Schmidt College of Medicine, 2Florida Atlantic University Hips Don't Lie: A case of Group C Streptococcus Septic Arthritis after Spontaneous Abortion Emily A. Kaltz1, Hayley Tseng1, Lindsey Wells2, Reena Hemrajani1 1Emory University, 2Emory University School of Medicine Assist from our friends in the dark room leads to diagnosis of fever of unknown origin Taylor Remillard, Benjamin Clyburn Medical University of South Carolia Primary angiosarcoma of the lung: A masked rare fatal vascular tumor Arish Maknojia, Shu Xian Lee, Aarthi Murugappan, Taniya Mathew, Shoheb Ali, Nidhip Patel Northside Hospital Gwinnett Pemphigus Vulgaris Presenting as Recurrent Epiglottitis Julia Clèrc Parrish, Michelle A. Beyers, Syed A. Ali, Jefferson L. Triozzi Baylor College of Medicine An old foe returns Gabriela Orellana1, Adriana Briceno2, Orlando Garner3, Carlos A. Perez1 1Texas Tech University Health Sciences Center, 2Texas Tech University Health Science Center, 3Baylor College of Medicine Discerning the Etiology of a Proliferative Lung Mass with Hilar Adenopathy: Diagnosis of Idiopathic Proliferative Fibrosing Mediastinitis Christopher B. Parker1, Roger D. Smalligan2 1University of Alabama School of Medicine, 2Univ of Alabama at Birmingham A Clot, Colitis, and Clostridioides difficile: An Unusual Case of C. difficile-Induced Mesenteric Vein Thrombosis Jessica V. Kaczmarek1, Daniel Musher2, Shahriar Tavakoli-Tabasi2 1Baylor College of Medicine, 2Baylor College of Medicine Rare Uretal Plasmacytoma in a Patient with a Congenital Solitary Kidney vlad voin Florida Atlantic University Through the Haze: A Case of Moyamoya Disease Leah M. Webster1, Andres F. Leone2 1University of South Carolina-Prisma Health Richland, 2University of South Carolina-Prisma Health Richland Wearing Your Heart, Minus the Sleeve: A Rare Case of Neisseria Gonorrhea Endocarditis Alexander Williams1, Tameem Rezan2, Ryan Nelson2 1University of Queensland, 2Ochsner Medical Center From Acne to Arthralgia: A Case of Minocycline Induced Lupus Christina L. Kearse, Katherine C. Silver Medical University of South Carolina

Purpura fulminans: a cutaneous manifestation of DIC from Capnocytophaga Poorva J. Apte1, Andrew Goodwin2 1MUSC, 2MUSC Worsening Shortness of Breath: Connecting the Dots Juan C. Malpartida1, Natasha Amjed2, Mukta Panda1, L C. Cary1 1University of Tennessee Health Science Center College of Medicine, 2University of Tennessee Chattanooga Rapid Correction of Hyponatremia Leading to Severe Rhabdomyolysis Muhammad mufty1, Patrick Huynh2, Bernard Kim1 1Northside hospital gwinnett, 2Gwinnett Medical Center Undetectable Cholesterol: How low can you go? Matthew Spence1, Eliea Sneij1, Natasha Amjed2, Juan C. Malpartida1, Marc Erickson1, L C. Cary1, Mukta Panda1 1University of Tennessee Health Science Center College of Medicine, 2University of Tennessee Chattanooga Bilateral Cellulitis: A Case of Mistaken Identity William Ford, Andrew J. Higdon University of Kentucky Excessive Dynamic Airway Collapse as a Cause of Refractory Dyspnea Anjali J. Das University of Alabama An atypical presentation of Lemierre's syndrome: necrotizing fasciitis complicated by septic emboli and empyema without thrombophlebitis Juan G. Sierra David, Sai Mungara Texas Tech University Health Sciences Center at the Permian Basin Look Out Below! Melena in a Patient with Non-Small Cell Lung Cancer Harrison M. Penrose, Marjorie Bateman Tulane University Health Sciences Center A Truly Pernicious Case Involving Gastric Squamous Cell Carcinoma John T. Stewart Medical University of South Carolina Dangers of Skin Popping: Wound Botulism Mimicking A Myasthenic Crisis Anthony Siudela1, Thomas Rusher1, David Janz2 1Tulane University , 2LSU Subacute Endocarditis: Searching Beyond HACEK Organsims Kalyani Kumar1, Rachel Shepard1, Deepa Bhatnagar2 1Tulane School of Medicine, 2Tulane University Health Sciences Center A Rare Case Presentation of Left Ventricular Noncompaction Cardiomyopathy Ankita Tandon1, awa drame2 1University of South Florida , 2university of south florida A Complicated Case of Cryoglobulins Sophia Urban, Andrew Goodwin, Richard Rissmiller

Medical University of South Carolina Can you hear me now? A rare case of external ear HSV-2 infection masquerading as Ramsay Hunt Syndrome. Brian Mitchell Virginia Commonwealth University Lipophilic pneumonia misdiagnosed as bacterial pneumonia Michael Ladna, Nicholas Byers, Neha Solanky University of Florida Melanocytes: Too many yet not enough Haroon M. Mujahid1, Daniel Kelly1, Jacob Smithey2, Ashraf Abdo3 1University of Mississippi Medical Center, 2University of Mississippi Medical Center, 3Sonny Montgomery VA medical center Hyponatremia: First Sign in the Evolution of a Myxoma. Haroon M. Mujahid1, Kristen Stephens2 1University of Mississippi Medical Center, 2University of Mississippi Medical Center From 'Frequent Flyer' to Flying Free: Buprenorphine, Exercise, and Close Outpatient Care in the Treatment of Chronic Pain Related to SMA Syndrome Boris M. Kiselev, Kelly Barth Medical University of South Carolina The Truth About Pathologic Li-ars: Lithium-Induced Hypercalcemia Karan Pandya, Nicoleta Sora, Rani Shayto Medical University of South Carolina Multiple focal areas of abnormal signal: “The great imitator” and meningovascular disease Salmaan Kamal, Jeanne Marrazzo University of Alabama at Birmingham Profound Complete Atrioventricular Block with Lyme Myocarditis Fadumo Warsame, Hanyuan Shi, T Scott Robbins, Jennifer Chiurco, Hamid Alai Tulane University A Case of Mistaken Identity: Is this Cancer? Shahdeen S. Alam1, Nathan Douthit2, Allison Rogers2 1Brookwood Baptist Health , 2Brookwood Baptist Health A Feverish Pattern: Brugada Syndrome Unmasked after Pneumonia Jordan Tannenbaum University of Alabama Birmingham To the left, to the left: A case of PEA arrest secondary to autonomic dysregulation from Wallenberg syndrome Sanjiv Gopalkrishnan2, Meghana Gadgil1 1Dell Medical School, 2Dell Medical School Chest pain in the elderly: remember the aorta. Christian A. Inchaustegui, Roberto Cavazos Jr., Ricardo E. Nuila Baylor College of Medicine

Pneumonia in a Lobster-Hunting, Landscaping 27-Year-Old Male Eugene Stolow, Dr. Eric A. Lorio University of Texas Health Science Center at San Antonio Homozygous Deletion of CFHR1-CFHR3 in a Patient with Malignant Hypertension-Associated Thrombotic Microangiopathy Paul G. Dotherow1, Aldo Torres-Ortiz1, Wisit Cheungpasitporn1, Amanda Clark2 1University of Mississippi Medical Center, 2University of Mississippi Medical Center Ventricular Tachycardia in Pregnancy: A Rhythm to Remember Tasnuva A. Mahmud, Christopher DeGroat, Tanyanan Tanawuttiwat, Myrna Alexander University of Mississippi Epiploic Appendagitis: A Common and Often Overlooked Cause of Abdominal Pain Joy M. Underwood, Chris G. Pasvantis University of Tennessee Nashville An Acute Presentation Of Tetanus In An Immunized Adult Grace Hopp University of Texas Health Science Center San Antonio Perforated Versus Confined Mucinous Adeno Carcinoma of the Appendix: Two Clinical entities with one Common pathology Raguraj Chandradevan Northside Hospital Gwinnett