Departmental Articles Vol 169 No. 2

 Abstracts from the 2017 Annual Louisiana American College of Physicians (ACP) Associates Meeting

Each year medical students in Louisiana and residents from the eight Internal Medicine training programs in Louisiana are invited to submit abstracts for the Annual Louisiana American College of Physicians (ACP) Associates Meeting. The content of these abstracts includes clinical case vignettes or research activities. The abstracts have all identifying features removed (i.e., names, institutional affiliations, etc.) before being sent to physician judges. Each judge scores each abstract independently and then the scores from all judges are averaged and ranked. This year we are excited to be able to publish the 28 most highly ranked abstracts presented at this year’s competition. These abstracts (15 oral; 13 poster) were presented at the Associates Meeting held at Ochsner Medical Center in New Orleans on January 24, 2017. We would like to thank the Journal of the Louisiana State Medical Society and appreciate its efforts to publish the hard work of these trainees.

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Mental Disturbance for 4 Days 

D. Luke Glancy, MD; Theresa Mills, MD; Fred Lopez, MD

A family brought their 61-year-old mother to the emergency department because for 4 days she had been confused, incoherent, and somnolent. She also had dysphagia, dysarthria, diplopia, and had fallen out of bed. She had been in the hospital 3 weeks earlier for atrial fibrillation and an exacerbation of congestive heart failure. She also carried a diagnosis of chronic obstructive pulmonary disease and used an albuterol inhaler. She was obese (BMI of 45) and had adult-onset diabetes mellitus. She had a 43 pack-year history of cigarette smoking but had recently quit. Soon after arriving in the emergency department, she had an ECG (Figure).


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Multiple Symmetric Lipomatosis: Madelung’s Disease

Matthew Brunner, MD; Enrique Palacios, MD, FACR Harold R. Neitzschman, MD, FACR; Jeremy Nguyen, MD


A 56 year old African-American man presented to the emergency department with dyspnea and dysphagia with drooling. On his initial evaluation, disproportionate obesity of the face, neck and shoulders were noted. The patient’s history was significant for obstructive sleep apnea, end-stage renal disease, alcoholic liver disease, pulmonary hypertension and alcoholic cardiomyopathy. He had multi-decade history of heavy alcohol abuse, but quit drinking two years previously.


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