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 27 (2026)
https://doi.org/10.29046/TMF.027.1Full Issue
Introduction
From the Desk of the Residency Program Director
Christopher Henry, MD. FACP
From the Editors
Nehar Damle, MD, PharmD; Hamzah Shariff, MD; Allison Kayne, MD; and Jasmine Lee, MD
From the Chief Residents
Brian Schonewald, MD; Beatriz Torre, MD; Chukwuemezie Mamanu, MD; and Julia Palecki, MD
Foreword from Faculty Advisor
Dagan Coppock, MD, MSCE
Case Reports
Ascending Aortic Thrombus with Systemic Embolization: Implications for Risk Stratification and Management
Warda Naqvi, MD; Moses Morgan, MD; Muneeba Ali, MD; Enad Haddad, MD; and Zaineb Alhassani, MD
A Dose of Trouble: A Case of Furosemide Exacerbating Amiodarone-Induced Hypothyroidism
Muneeba Ali, MD; Enad Haddad, MD; Warda Naqvi, MD; Ayesha Afzal, MD; and Eddy Mizrahi, MD
Isolated Left Ventricle Apical Non-Compaction- A Diagnostic Conundrum
Trisha Sindhu, MD and Ranjita Sengupta, MD
LVAD Patient with Delayed Family Involvement Due to Incarceration
J. Marco Cipriaso, MD and Kathleen Mechler, MD
A Strain on the Heart: The Hidden Threat of Ventricular Tachycardia
Sheraz Qamar, MD; Meiqi Luo, MD; Naila Ijaz, MD; Behzad Pavri, MD, FACC; and Praveen Mehrotra, MD, FACC
Sudden Syncope Due to Intra Hisian Block with Severely Prolonged His–Ventricular Interval Diagnosed on Electrophysiology Study
Sheraz Qamar, MD and Meiqi Luo, MD
Diet and Dysphagia: Balancing Aspiration Risk with Quality of Life
Margot Noyelle, MD; Kenna Hawes, MD; J. Marco Cipriaso, MD; and Megan Cecchine, MD
Gastric Nodules as a Rare Presentation of Diffuse Large B Cell Lymphoma
Hamzah Shariff, MD; Ghazal Ghafari, DO, MPH; Anila Mahesh, MD; and Kishore Kumar, MD
Occupational Hydrocarbon Exposure Presenting as Acute Hepatocellular Injury with Atypical Mitotic Figures on Liver Histopathology in an Oil Rig Worker: A Case Report
Hamzah Shariff, MD; Maria Averbuch, DO; Leanna Rucker, MD; Madison Force, MD; and Dina Halegoua-De Marzio, MD
Radiation-Induced Biliary Strictures Leading to Recurrent Pyogenic Liver Abscesses: A Case Report
Rhea Ratan, MD; Beatriz Torre, MD; and Rishi Pawa, MD
Squamous Cell Carcinoma of the Sigmoid Colon: A Rare Late Presentation of Metastatic Urothelial Cancer with Squamous Differentiation of the Bladder
Hamzah Shariff, MD; Ghazal Ghafari, DO, MPH; Zachary Hoffer, MD, PhD; Danyall Saeed; Anila Mahesh, MD; and Kishore Kumar, MD
When It’s Not Gastroparesis: Isolated Idiopathic ACTH Deficiency Presenting with Recurrent Gastrointestinal Symptoms
Navya Pendyala, MD; Ramya Pendyala, MD; Anna Mathew, MD; Beatriz Torre, MD; and Christopher Henry, MD
Brain on Fire: A Case of Severe Ifosfamide Encephalopathy and Utilization of Methylene Blue
Nicholas Spyropoulos, DO and Michelle Joyner, DO
Delayed Immune-Related Ophthalmoplegia After Pembrolizumab Therapy: A Case Report
Mohammed Shah, MD; Smriti Nair, MD; Sarah Sulkowski, MD; and Maheen Imran, BS
Fever, Cytopenias, and Splenomegaly: A Hematologic Approach to Suspected HLH in Autoimmune Liver Disease
Reed Firestone, MD, MS
Isn't It Ironic? An Unusual Case of Previously Undiagnosed Synchronous Iron Overload States
Olivia Main, MD; Mohammed Shah, MD; Francis Arena; and Marc Braunstein, MD, PhD
Refractory Autoimmune Encephalitis in Metastatic Thymoma
Michael Predi, DO; Anna Bondonese, MD; Anish Vora, MD; and Sarah W. Gordon, DO
The Back Burn: A Case Report of Mollaret’s Meningitis in a Young Male
Muneeba Ali, MD; Lubaba Mukhtar, MD; Warda Naqvi, MD; Joseph Hassey, MD; and Muhammad Ayub, MD
The Intersection of Ventilator Support and Hospice in Late ALS Diagnosis
J. Marco Cipriaso, MD; Kenna Hawes, MD; Margot Noyelle, MD; and Megan Cecchine, MD
Methylene Blue as an Adjunctive Therapy in Refractory Septic Shock: A Case-Based Review of Emerging Evidence
Warda Naqvi, MD; Paulina Lowery, DO; Enad Haddad, MD; Muneeba Ali, MD; Prerana Sevella, MD; Sudeep Nugooru, MD; and Richard Friedenheim, MD
Humanities & Reflections
Coping as a Team
J. Marco Cipriaso, MD
The Emotional Labor of Clinicians and the Need for Reflective Support
Benedicta Olonilua, BS and Evan Nardone, MD
An Examination of Generative AI In Medicine
J. Marco Cipriaso, MD and Trishya Srinivasan, MD
Good Enough
Anne Leone, MD
Holding Hands
Alexis Notarianni, MD
The Parts They Don’t See
Alexis Notarianni, MD
The Medicine Forum Crossword
Youssef Elfatatry, MD
Letters to the Editor
Commentary on the WITHDRAWAL-AF Trial and its Applicability in Select Patient Populations
David Zhang, MD
Accounting for Sex-Specific Physiology in Wearable Devices Identifying Inflammatory Bowel Disease Flares
Sonali Shah, MD
Reconsidering the Clinical Implications of Albumin in Severe Acute Pancreatitis
Alexis Notarianni, MD and Jacqueline Krieger, MD
Research Studies
A Clinical Assessment: Counseling Families on Timing of Colorectal Cancer Screening
Bertilia Tavarez, MD; Hamzah Shariff, MD; Breanne McDermott, BS; Sanjna Shelukar, MD; Limi Jamma, MD; Sonali Shah, MD; Akash Patel, DO; Christopher Henry, MD; and Aaron Martin, MD
Lost in Stratification: The Underutilization of FIB-4-Guided MASLD Screening in the Primary Care Setting
Sanjna Shelukar, MD; Ananya Venkatesh, MD; Breanne McDermott, BS; Julietta Gervase, BA; Maria Winte, MD; Rebecca Loh, MD; and Dina Halegoua-De Marzio, MD
Large Language Models for Detecting Extraprostatic Extension in Free-Text Prostate MRI Radiology Reports
Nikhil Goyal, MD; Satvik Tripathi; Krishnan R. Patel, MD, MHS; Hyun Tae Kim, MD, MPH; and Tessa S. Cook, MD, PhD
Radiographic Imaging of Power Injectable Medical Access Ports as a Supplemental Identification Tool
Nikhil Goyal, MD; Huy M. Do, MD; Alexandra P. Toscano, BS; Lillian G. Spear, BS Georgetown University; Lindsey A. Hazen, RN; and Les R. Folio, DO
