Case Presentation Competitions

Faculty Discussant: David Levy, DO
A Case of a Left Artial Myxoma as part of Carney Syndrome

Resident Presenter: Michael Sabatino, DO
A Case of Babesiosis

Faculty Discussant: David Levy, DO
A Case of Acute Afrin Toxicity

Resident Presenter: Travis Mellon, DO
A Case of Moya Moya (A Puff of Smoke and the Grave Moyamoya Disease Presenting During Acute Thyrotoxic State of Graves Disease)

Faculty Discussant: Elaine Diaz, DO
Ahh The Toothache…, A Case of Ludwig’s Angina

Resident Presenter: Kellee Reed, DO
A Case of PANDAS 

Poster Presentations

Isolated Fallopian Tube Torsion - An Unfortunate Turn of Events

Thomas Hubmer, DO

Above the Tentorium

Jason D. Idelson, DO

Epidural Abscess - No Room For Mistakes

Beth Hayes, DO

Pericardial Temponade - Presenting as Transient Ischemic Attack

Christopher Hill, DO

Are Vital Signs of Staff Correlated With Noise Levels in the Emergency Department?

Emilissa Domingo, DO; Michael Kelly, DO; Genevieve McGerald, DO; Travis Mellon, DO
Radiation Doses & Emergency Medicine Awareness

Emilissa Domingo, DO

Superior Mesenteric Artery Dissection - Report of a case

Genevieve McGerald, DO

Syncope- Dissecting the causes

Golru Ghaffari, DO

Epidural Abscess, No Room for Mistakes
Beth A. Hayes DO, Jeffery Margulies MD, Sanford Glantz MD, David Levy, DO

An atypical presentation of an epidural abscess.

When Sinus' Drain to the Brain

Andrew Flanagan DO, David Levy DO, Eric Decena MD

A patient with a subdural empyema from acute sinusitis

Duodenal Hematoma of Pancreatic Origin

Michael Sabatino, DO; Jeffrey Margulies, MD; David Levy, DO

A 36yo alcoholic with recurrent pancreatitis was found to have an expanding duodenal hematoma. The etiology of which was from pancreatic enzyme erosion through duodenal blood vessal.

Are Prescribing Patterns for Treatment of Pain Different by Physician Assistants With and Without DEA Registration?

Michael Sabatino, DO; Ronald Dvorkin, MD; David Levy, DO; Sanford Glantz, MD; Adhi Sharma, MD

We hypothesize that if a PA lacks a DEA registration they will write fewer prescriptions for controlled

substances in their treatment of painful conditions. We found that there is a strong association

between the prescriptions patients recive for certain painful conditions and whether the treating

PA has DEA registration.

Takotsubo Cardiomyopathy - A Deadly Catch
Emilissa Domingo DO, Amy Lazarides MD, David Levy DO

A patient presenting with clinical and laboratory findings of a myocardial infarction, was found to have clean coronaries and subsequently diagnosed with a stress-induced cardiomyopathy.

Pneumocephaly Secondary to Nasal Packing Insertion

Golru Ghaffari DO, Sandra Picone MD, David Levy DO

A patient presented with altered mental status following the placement of nasal packings for

spontaneous epistaxis. The patient had pneumocephally secondary to fracture of the cribform

plate and subsequently required surgical repair.

Rare Case of a Blue Baby
Christopher Hill DO, Urszula Rakowska MD, David Levy DO, Ronald Dvorkin MD

A 15 week old following an episode where he had become cyanotic and unresponsive was found to have a large mediastinal teratoma causing bronchopulmonary compression.

A Bitter Pill to Swallow - An Unusual Case of Dysphagia
Thomas Hubmer DO, Mustafa Khwaja DO, Ronald Dvorkin MD

A patient with an esophageal obstruction determined to be a Metamucil® capsule.

Lethal Sciatica
Michael Kelly D.O., Michelle Gebhard D.O., Sanford Glantz M.D., David Levy D.O.

A patient with progressively worsening buttock pain who was diagnosed with a myonecrosis

infection. Despite aggressive treatment he rapidly developed septic shock, renal failure and

eventually died. 

Removing a Barrier To Prescribing Schedule II Opioids and Benzodiazepines is Associated with a Change in Prescribing Patterns

Genevieve McGerald, DO; Ronald Dvorkin, MD; David Levy, DO; Stephanie Lovell, MD; Adhi Sharma, MD

Our objective was to examine whether a less complicated prescription writing process is associated with a change in prescribing patterns of controlled substances in the emergency department. We found that patients were much more likely to receive a prescription for a Schedule II opiod or a benzodiazepine after a more streamlined computer generated prescription writing process was introduced in our emergency department.

Do Physician Assistants Administer and Prescribe Pain Medications Differently to Black Patients?
Mellon TJ, Dvorkin R, Lovell S, Levy D, Sharma A

Numerous studies demonstrate physicians in emergency departments and other settings

prescribe analgesics differently based on race. Analysis of controlled analgesics administered

in the ED and prescribed at discharge revealed significant differences with blacks being

administered and prescribed less controlled analgesics for similar conditions.

Case Report: A Puff of Smoke and the Grave Moyamoya Disease Presenting During Acute Thyrotoxic State of Graves Disease
Travis Mellon DO, Sarita Duchatalier MD, Stephanie Lovell MD

The Uncommon Abdominal Pain
Shan Ahmed D.O., M.S., Michelle Gebhard D.O., Emilissa Domingo D.O.

A case of a pregnant woman who presented with abdominal pain; her final diagnosis was necrotic

bowel secondary to a clotting disorder.

Priapism – An Unusual Cause
Michael Kelly DO, David Levy DO, Natela Leviashvili MD

A low-flow state priapism with the only discernable etiology being that of marijuana use.

Can Patients Be Passively Educated In The Emergency Department Waiting Area?
Shan Ahmed D.O., Leo Huynh D.O., Mamachen Cherian D.O., Justin Greene D.O., Tamer Salib D.O., Kellee Reed D.O., Ronald Dvorkin M.D., David Levy D.O.

The time spent by patients in the Emergency Department waiting area has not been

traditionally thought of as an opportunity for influencing patient knowledge. The nature of the

encounter may serve to heighten a patient's awareness and may constitute a unique opportunity

for patient education.

Adult Onset of a Childhood Rash – Henoch-Schonlein Purpura
Michael Kelly DO, David Degenhardt DO, David Levy DO

A 35 yo male presented with a rash of an initially unknown cause. With considerable work-up, a

definitive diagnosis was made.

A Brush with Death

Michael Sabatino DO, Sayed Mustafah Khwaja DO, Sandra Picone MD

A man while brushing his teeth walked into a door causing an injury to his posterior pharynx.

He subsequently developed mediasitinitis.

Just Another Stone?

Justin Greene DO, Eric Decena MD, David Levy DO

A patient presented with flank pain and the typical features of renal colic. A non-contrast CT was

normal. A CT was repeated with IV contrast which revealed renal infarction.

Eisenmenger’s Syndrome
Justin Greene DO, David Degenhardt DO, David Levy DO

A post-partum patient with pulmonary edema, hypoxemia and right ventricular dysfunction who

beat the odds of an almost 40% maternal death rate and had the unusual presentation

in her fourth decade.

Just Another Rash?
Leo Huynh, D.O., Rajesh Gupta, M.D., Michael K. Miller, M.D., David Levy D.O.
A patient presented to the ED with rash that was eventually diagnosed as Hansen’s disease, or Leprosy.

Failure to Thrive
Mamachen Cherian D.O., Ira Eckstein D.O., David Levy D.O.

Williams Syndrome in a 17 day-old who presented with failure to thrive.

A Case of Pelvic Pain and Deep Venous Thrombosis
Shan Ahmed D.O., M.S., Michelle Gebhard D.O.

A woman who presented with pelvic pain that was eventually diagnosed as an ilio-femoral DVT.

An Atypical Presentation of Coital Headache

Tamer Salib DO, MPH, David Levy DO, FACEP

A female patient had a recurrent complaint of the worst headache of her life during intercourse.

The etiology was nitroglycerin paste that her partner was using as a lubricant.

Atypical Presentation of Aortic Dissection Secondary to a Gunshot Wound
Emilissa Domingo DO, David Levy DO, Sarah Iosovich DO

A 21 yo was shot in the back. On review of the CT on ED rounds the aortic dissection secondary to

the cavitary forces of the bullet passing through his chest was discovered.

AAA Presenting as Acute Incarcerated Inguinal Hernia

Justin Greene D.O., David Levy D.O.

Two patients presented with incarcerated inguinal hernias. In each case, the pressure of an

expanding abdominal aortic aneurysm incarcerated the hernia.