Ebtesam Islam - Academia.edu (original) (raw)

Papers by Ebtesam Islam

Mayo Clinic Proceedings, 2015

World journal of gastrointestinal endoscopy, Jan 16, 2010

Deliberate single foreign body ingestion is a scenario that many gastroenterologists commonly see... more Deliberate single foreign body ingestion is a scenario that many gastroenterologists commonly see in psychiatric units and prisons. However, multiple foreign body ingestions, especially located in the duodenum, provide the endoscopist with unique challenges for management and treatment. Although most foreign objects pass spontaneously, one should have a low threshold of intervention for multiple objects, especially those that are wide, sharp and at risk of perforation. Diagnosis is typically made when there is a history of ingestion coupled with corresponding radiographic verification. The symptoms tend to be non-specific although some patients are able to delineate where the discomfort level is, correlating with the site of impaction. Most foreign bodies pass spontaneously; however when multiple sharp objects are ingested, the gastroenterologist should perform endoscopic procedures to minimize the risks of bowel perforation. We describe here a successful case of multiple ingested f...

Gastrointestinal Endoscopy, 2010

The Journal of heart valve disease

Heyde&amp... more Heyde's syndrome is an uncommon association between aortic stenosis and gastrointestinal bleeding. Although initially described during the late 1950s, with subsequent reports of a possible link between these disorders, controversy persists regarding the incidence, pathogenesis, and treatment of this syndrome. The main disagreements center on the actual association of aortic stenosis and angiodysplasia, though other controversies include the pathogenesis of Heyde's syndrome, ranging from von Willebrand factor deficiency and age-related degeneration to mucosal ischemia and cholesterol embolization. A variety of treatment modalities of the syndrome has been applied, including medical management, endoscopic therapy, embolization, and aortic valve replacement. Here, the controversies surrounding Heyde's syndrome, which focus on pathogenesis and treatment, are reviewed with the aim of providing a clearer understanding of the syndrome and the implications for patient care.

Journal of Primary Care & Community Health, 2015

To determine the prevalence of frailty in patients with chronic lung diseases. We studied 120 pat... more To determine the prevalence of frailty in patients with chronic lung diseases. We studied 120 patients with chronic lung disease using Fried's criteria (gait speed, weight loss, exhaustion, grip strength, and physical activity). The study population (56% women) had a mean age of 64 ± 13 years, mean body mass index of 31± 9 kg/m(2), and a mean FEV1 (forced expiratory volume in 1 second) of 60% ± 25% of predicted. The average gait speed was 52.1 ± 14.3 m/min; 18% were frail, 64% prefrail, and 18% robust. Gait speed correlated with frailty status and decreased as frailty worsened (57 m/min in robust subjects and 41 m/min in frail subjects). Slow gait speeds (<60 m/min) had a 95% sensitivity and 34% specificity to predict frailty. Patients with chronic lung disease frequently meet Fried's criteria for frailty. Gait speed can be used to screen these patients to determine if a more detailed evaluation is needed.

Proceedings (Baylor University. Medical Center), 2015

Since restricted resident work hours have reduced resident participation in traditional education... more Since restricted resident work hours have reduced resident participation in traditional educational activities, we wanted to evaluate e-mail-based education in an internal medicine residency. One internal medicine faculty member sent four clinical case-based questions per week to all internal medicine residents over a 10-month period (132 questions total). The mean percentage of participation on a set of questions was 69% (range, 43% to 97%). The mean percentage of correct answers on all questions for all residents was 70% (range, 15% to 100%). Seventy-three percent of the question sets resulted in an electronic interaction between the residents and the faculty sponsor. Based on an anonymous survey, 96% of the residents found the program useful. The faculty sponsor spent 60 to 150 minutes per week on this activity. We think that this program increased overall reading since it did not replace any traditional activity; further, it provided practice with board-type questions. This appr...

The Journal of heart valve disease, 2011

Heyde's syndrome is an uncommon association between aortic stenosis and gastrointestinal blee... more Heyde's syndrome is an uncommon association between aortic stenosis and gastrointestinal bleeding. Although initially described during the late 1950s, with subsequent reports of a possible link between these disorders, controversy persists regarding the incidence, pathogenesis, and treatment of this syndrome. The main disagreements center on the actual association of aortic stenosis and angiodysplasia, though other controversies include the pathogenesis of Heyde's syndrome, ranging from von Willebrand factor deficiency and age-related degeneration to mucosal ischemia and cholesterol embolization. A variety of treatment modalities of the syndrome has been applied, including medical management, endoscopic therapy, embolization, and aortic valve replacement. Here, the controversies surrounding Heyde's syndrome, which focus on pathogenesis and treatment, are reviewed with the aim of providing a clearer understanding of the syndrome and the implications for patient care.

The Southwest Respiratory and Critical Care Chronicles, 2013

The American journal of gastroenterology, 2010

Journal of Cardiovascular Medicine, 2012

ABSTRACT Pulmonary artery aneurysms are a rare clinical entity, and their clinical management gui... more ABSTRACT Pulmonary artery aneurysms are a rare clinical entity, and their clinical management guidelines are not well established. This is especially true for older patients in whom a surgical option with open heart surgery can carry significant risks. We present the case of a 70-year-old woman with chest pain in whom subsequent imaging studies showed a significant pulmonary artery aneurysm. Despite the lack of clinical guidelines, we chose to treat her conservatively with medical management due to her relatively good functional status, lack of warning signs/complications, and her older age. We recommend a similar approach for older patients presenting with a nondissecting pulmonary artery aneurysm with serial yearly imaging studies for delineation of possible dissection. The aim of this report is to draw attention to possible conservative management and treatment options for elderly patients with pulmonary artery aneurysms.

Heart & Lung: The Journal of Acute and Critical Care, 2012

Gastrointestinal Endoscopy, 2011

Clinical Cardiology, 2013

The American Journal of the Medical Sciences, 2013

A case of anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis with an atypical finding of tra... more A case of anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis with an atypical finding of transient increased intracranial pressure is reported. Anti-NMDAR encephalitis is an underrecognized, novel and treatable form of encephalitis being increasingly identified as an explanation of encephalitis in young adults. Management of these patients requires a multidisciplinary approach involving neurologists, internists, nursing and rehabilitation staff. It is important for internists to recognize this condition and consider it in the differential diagnosis of encephalopathy. Internists also need to be familiar with the clinical manifestations and the treatment of the disease as they have an important role in the care of these patients during their prolonged stay in the hospital. Increased intracranial pressure is an atypical and underrecognized finding that has been only noted in a previous review on this disorder. It may present a diagnostic or management challenge in patients with anti-NMDAR encephalitis.

Mayo Clinic Proceedings, 2015

World journal of gastrointestinal endoscopy, Jan 16, 2010

Deliberate single foreign body ingestion is a scenario that many gastroenterologists commonly see... more Deliberate single foreign body ingestion is a scenario that many gastroenterologists commonly see in psychiatric units and prisons. However, multiple foreign body ingestions, especially located in the duodenum, provide the endoscopist with unique challenges for management and treatment. Although most foreign objects pass spontaneously, one should have a low threshold of intervention for multiple objects, especially those that are wide, sharp and at risk of perforation. Diagnosis is typically made when there is a history of ingestion coupled with corresponding radiographic verification. The symptoms tend to be non-specific although some patients are able to delineate where the discomfort level is, correlating with the site of impaction. Most foreign bodies pass spontaneously; however when multiple sharp objects are ingested, the gastroenterologist should perform endoscopic procedures to minimize the risks of bowel perforation. We describe here a successful case of multiple ingested f...

Gastrointestinal Endoscopy, 2010

The Journal of heart valve disease

Heyde&amp... more Heyde's syndrome is an uncommon association between aortic stenosis and gastrointestinal bleeding. Although initially described during the late 1950s, with subsequent reports of a possible link between these disorders, controversy persists regarding the incidence, pathogenesis, and treatment of this syndrome. The main disagreements center on the actual association of aortic stenosis and angiodysplasia, though other controversies include the pathogenesis of Heyde's syndrome, ranging from von Willebrand factor deficiency and age-related degeneration to mucosal ischemia and cholesterol embolization. A variety of treatment modalities of the syndrome has been applied, including medical management, endoscopic therapy, embolization, and aortic valve replacement. Here, the controversies surrounding Heyde's syndrome, which focus on pathogenesis and treatment, are reviewed with the aim of providing a clearer understanding of the syndrome and the implications for patient care.

Journal of Primary Care & Community Health, 2015

To determine the prevalence of frailty in patients with chronic lung diseases. We studied 120 pat... more To determine the prevalence of frailty in patients with chronic lung diseases. We studied 120 patients with chronic lung disease using Fried's criteria (gait speed, weight loss, exhaustion, grip strength, and physical activity). The study population (56% women) had a mean age of 64 ± 13 years, mean body mass index of 31± 9 kg/m(2), and a mean FEV1 (forced expiratory volume in 1 second) of 60% ± 25% of predicted. The average gait speed was 52.1 ± 14.3 m/min; 18% were frail, 64% prefrail, and 18% robust. Gait speed correlated with frailty status and decreased as frailty worsened (57 m/min in robust subjects and 41 m/min in frail subjects). Slow gait speeds (<60 m/min) had a 95% sensitivity and 34% specificity to predict frailty. Patients with chronic lung disease frequently meet Fried's criteria for frailty. Gait speed can be used to screen these patients to determine if a more detailed evaluation is needed.

Proceedings (Baylor University. Medical Center), 2015

Since restricted resident work hours have reduced resident participation in traditional education... more Since restricted resident work hours have reduced resident participation in traditional educational activities, we wanted to evaluate e-mail-based education in an internal medicine residency. One internal medicine faculty member sent four clinical case-based questions per week to all internal medicine residents over a 10-month period (132 questions total). The mean percentage of participation on a set of questions was 69% (range, 43% to 97%). The mean percentage of correct answers on all questions for all residents was 70% (range, 15% to 100%). Seventy-three percent of the question sets resulted in an electronic interaction between the residents and the faculty sponsor. Based on an anonymous survey, 96% of the residents found the program useful. The faculty sponsor spent 60 to 150 minutes per week on this activity. We think that this program increased overall reading since it did not replace any traditional activity; further, it provided practice with board-type questions. This appr...

The Journal of heart valve disease, 2011

Heyde's syndrome is an uncommon association between aortic stenosis and gastrointestinal blee... more Heyde's syndrome is an uncommon association between aortic stenosis and gastrointestinal bleeding. Although initially described during the late 1950s, with subsequent reports of a possible link between these disorders, controversy persists regarding the incidence, pathogenesis, and treatment of this syndrome. The main disagreements center on the actual association of aortic stenosis and angiodysplasia, though other controversies include the pathogenesis of Heyde's syndrome, ranging from von Willebrand factor deficiency and age-related degeneration to mucosal ischemia and cholesterol embolization. A variety of treatment modalities of the syndrome has been applied, including medical management, endoscopic therapy, embolization, and aortic valve replacement. Here, the controversies surrounding Heyde's syndrome, which focus on pathogenesis and treatment, are reviewed with the aim of providing a clearer understanding of the syndrome and the implications for patient care.

The Southwest Respiratory and Critical Care Chronicles, 2013

The American journal of gastroenterology, 2010

Journal of Cardiovascular Medicine, 2012

ABSTRACT Pulmonary artery aneurysms are a rare clinical entity, and their clinical management gui... more ABSTRACT Pulmonary artery aneurysms are a rare clinical entity, and their clinical management guidelines are not well established. This is especially true for older patients in whom a surgical option with open heart surgery can carry significant risks. We present the case of a 70-year-old woman with chest pain in whom subsequent imaging studies showed a significant pulmonary artery aneurysm. Despite the lack of clinical guidelines, we chose to treat her conservatively with medical management due to her relatively good functional status, lack of warning signs/complications, and her older age. We recommend a similar approach for older patients presenting with a nondissecting pulmonary artery aneurysm with serial yearly imaging studies for delineation of possible dissection. The aim of this report is to draw attention to possible conservative management and treatment options for elderly patients with pulmonary artery aneurysms.

Heart & Lung: The Journal of Acute and Critical Care, 2012

Gastrointestinal Endoscopy, 2011

Clinical Cardiology, 2013

The American Journal of the Medical Sciences, 2013

A case of anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis with an atypical finding of tra... more A case of anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis with an atypical finding of transient increased intracranial pressure is reported. Anti-NMDAR encephalitis is an underrecognized, novel and treatable form of encephalitis being increasingly identified as an explanation of encephalitis in young adults. Management of these patients requires a multidisciplinary approach involving neurologists, internists, nursing and rehabilitation staff. It is important for internists to recognize this condition and consider it in the differential diagnosis of encephalopathy. Internists also need to be familiar with the clinical manifestations and the treatment of the disease as they have an important role in the care of these patients during their prolonged stay in the hospital. Increased intracranial pressure is an atypical and underrecognized finding that has been only noted in a previous review on this disorder. It may present a diagnostic or management challenge in patients with anti-NMDAR encephalitis.