The Thomas Jefferson Medicine Forum (TJM) is an annual publication of scholarly works produced by Thomas Jefferson Internal Medicine residents. TJM includes a wide variety of case presentations, individual research pursuits, reviews, and images reflecting important disease processes. The editors of TJM are exclusively Jefferson IM residents. The TJM gives our residents both publishing and editing experience that is invaluable and translatable to careers long after residency.
https://doi.org/10.29046/TMFCurrent Volume: Volume 26 (2025)
https://doi.org/10.29046/TMF.026.1Full Issue
Introduction
From the Desk of the Residency Program Director
Christopher Henry, MD. FACP
From the Editors
Marina Gonzalez, MD; Virginia Gonzalez, MD; Devin Vasoya, MD; and Marc Yorker, MD
From the Chief Residents
Akash Patel, DO; Ashley Traczuk, MD; Mark Liotta, MD; and Claire Zurlo, MD
Foreword from Faculty Advisor
Dagan Coppock, MD, MSCE
Case Reports
A Case of Type 4 Spontaneous Coronary Artery Dissection (SCAD)
Virginia Gonzalez, MD, MS; Kashka Mallari, MD; Marina Gonzalez, MD; Svenja Schneider, MD; Sung-Hae Cho, MD; and Paulina Gorodin-Kiliddar, MD
Be Afraid of Severe Pulmonary Hypertension and Right Ventricular Failure in the Peri-Op Patient
Avish Patel, MD and Lily Ackermann, MD
Hot Coffee-Induced Takotsubo Cardiomyopathy: A Case Report
Zachary Pang, MD; M. D. Kilpatrick, MD; Jasmine Lee, MD; and Gregary D. Marhefka, MD
Mitral Annular Disjunction as a Cause of Cardiac Arrest in Young Patient: A Case Report
Sheraz Qamar, MD
Power Outage: Acute Subtotal Occlusion of the Left Circumflex Artery with Minimal ECG Changes
Daniel Moylan, MD and Brady Houtz, MD
Protamine Sulfate-Induced Coronary Vasospasm Resulting in Takotsubo Cardiomyopathy
Matthew J. Bierowski, MD; Andre Cunningham, DO; and Jordan Feingold, MD
A Shock to the Heart? A Case of Phantom Shocks in a Patient with Brugada Syndrome
Virginia Gonzalez, MD; Rebecca Goldfinger-Chanin, MD; and Behzad B. Pavri, MD
Williams Syndrome Presenting with Pericardial Effusion and Left Ventricular Apical Aneurysm: A Case Report
Zachary Pang, MD; M. D. Kilpatrick, MD; Sairamya Bodempudi, MD; Darius Farzad, MD; Daniel L. Fischman; and Gregary D. Marhefka, MD
Complexities in Alcoholic Necrotizing Pancreatitis: A Case Report of Severe Vascular and Infectious Complications
Dawood Tahir, MD; Shravya Ginnaram, MD; and Jacob Lipkin, MD
Investigating the Link Between Ulcerative Colitis and Papillary Thyroid Carcinoma: A Case Report
Sonali Shah, MD; Emily Chiacchiaro, MD; and Priya Sehgal, MD
Case Report of Gastritis as a Complication of Immunotherapy Treatment of Metastatic Endometrial Cancer with Lenvatinib and Pembrolizumab
Bret McCarty, MD; Nia Johnson, BS; and Suchit Bhutani, MD
Immune Thrombocytopenic Purpura in the Setting of Newly Diagnosed Colorectal Cancer: A Case Report
Beatriz Torre, MD; Karlie Brasch, MD; and Christopher Henry, MD
An Unusual Complication of Metastatic Colorectal Cancer: Port-Site Hematoma as the First Sign of Bone Marrow Involvement and Disseminated Intravascular Coagulation
Michael Predi, DO; Julia Palecki, MD; Jordan M. Isaacs, BA; and Ruben Rhoades, MD
When the Cure Complicates: Ifosfamide, Methylene Blue, and A Life-Threatening Dilemma
Michael Predi, DO; Sarah Sulkowski, MD; Anika Patel, BA; and Evan Nardone, MD
A Case of Varicella Zoster Virus Meningitis Presenting as Idiopathic Vocal Fold Paralysis
Dustin Sneed, MD; M. D. Kilpatrick, MD; and Alicia Bao, MD
A Patient with Recently Diagnosed HIV Found to have Cryptococcus Meningitis with Course Complicated by Pneumocystis Jirovecii Pneumonia, CMV Colitis, and Kaposi Sarcoma
Benjamin Richter, MD
From Cure to Crisis: A Case of Severe Hypoxic Respiratory Failure Due to Daptomycin-Associated Eosinophilic Pneumonitis
Muneeba Ali, MD; Enad Haddad, MD; Warda Naqvi, MD; and Conrad Reed, MD
Negative Urine Nucleic Acid Amplification Testing in a Case of Disseminated Gonococcal Infection Presenting as Migratory Arthritis
Benjamin Richter, MD
String Theory - A Case of Hypermucoviscous Klebsiella Pneumoniae Causing Distant Necrotizing Infections
Natasa Kostic, MD and Marina Gonzalez, MD
From ER to Mortality in 48 Hours: A Fatal Case of Overwhelming Post-Splenectomy Infection
Miriam Stern, BA; Blaise O’Malley, BS; Amry Majeed, MD; and Michael Grodsky, MD
Enhancing Community Health Center Safety Through Participatory Co-Design
Arman Afifi, BS; Kelsey Smith, BS; Megan Reed, PhD, MPH; and Lara Weinstein, MD
The Factor VIII Debate: An Auto-Cancelled Lab Near Miss
Avish Patel, MD; Daniel Elchediak, MD; Zachary Pang, MD; Charlotte Shields, MD; Bethanne Venkatesan, MD; Ananya Venkatesh, MD; Michael Alessandro, BSN; Jeffrey Riggio, MD, MS; and Alexis Wickersham, MD
HEART CORE: A Framework for Leading with Empathy in Medical Education
Akash Patel, DO and Mark Liotta, MD
A Case of Streptococcus Pneumoniae Necrotizing Pneumonia with Pneumothorax and Abscess Formation
Susanna Betti, MD
McConnell’s Sign in the Absence of Pulmonary Embolism
Alicia Bao, MD and Tendai Marume, MD
Recurrent Post-Viral Rhabdomyolysis in a 36-Year-Old Male: A Case Report
Warda Naqvi, MD; David Walz, MD; and Lucy Checchio, MD
Unmasking the DVT Mimic: A Rare Case of Diabetic Myonecrosis in a Young Patient
Avish Patel, MD; Paul Endres, MD; Alexander Marchese, MD; and Dianna Cheney-Peters, MD
Humanities & Reflections
Eternal Light
Anurag Modak, MD
Existential Pain
Kian Waddell
Navigating Care and Loss Through Aging, Disease, and Decision-Making in The Covid Era
Michael Predi, DO
Research Studies
3D-Printed Coronary Arteries: An Effective Tool in Medical Education
Zachary Pang, MD; Shreyas Chandragiri, MD; Shumpei Mori, MD, PhD; Alexander Hajduczok, MD; Cannon G. Hiranaka, MD; Jesse Ottaway, MD; Zachary Mace, MD; Michael Wong, MD; Tammy Yoshioka, MD; Noah Haroian, MD, PharmD; and Guiyan Zhang, MD, PhD
Evaluating Mortality and Bleeding Risk After Percutaneous Left Atrial Appendage Closure in Atrial Fibrillation: A Propensity-Matched Analysis Using a Multi-Institutional Database
Youssef Elfatatry, MD and Ryan Gardner, MD
Racial Disparities in Response to IBD Directed Therapy in Crohn’s Disease and Ulcerative Colitis: A Single Center Experience
Ananya Venkatesh, MD; Justin Robbins, MD; Zach Breslin, MD; and Cuckoo Choudhary, MD
Use of Novel Agent PuraStat® for Post-Ampullectomy Bleeding
Bertilia Tavarez, MD, MS; Ananya Venkatesh, MD; Pedra Palacios Argueta, MD; Anand Kumar, MD; Alana Persaud, MD; Yasi Xiao, MD; Alexander Schlachterman, MD; Faisal Kamal, MD; and Thomas Kowalski, MD
Use of Novel Agent PuraStat® for Post-Sphincterotomy Bleeding
Ananya Venkatesh, MD; Bertilia Tavarez, MD, MS; Pedra Palacios Argueta, MD; Donna Leet, MD; Afshin Khan, MD; Abdul Kouanda, MD; Anand Kumar, MD; Alana Persaud, MD; Yasi Xiao, MD; Alexander Schlachterman, MD; Thomas Kowalski, MD; and Faisal Kamal, MD
