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American College of Physicians Resident/Fellow Abstract Competition Presentations Internal Medicine 2015 Friday, May 1, 2015 CC Room 259A 12:48 PM 12:56 PM 1:04 PM 1:12 PM 1:20 PM 1:28 PM 1:36 PM 1:44 PM 1:52 PM 2:00 PM 2:08 PM Research Physician Decision Making and Trends in the Use of Cardiac Stress Testing in the United States: An Analysis of Repeated Cross‐sectional Data Joseph A. Ladapo, MD, PhD Clinical Vignette Too little can make you bleed, too much can give you a heart attack! Fadi Alkhatib, DO, Baystate Medical Center Internal Medicine, Springfield, Massachusetts Research IMPROVED EFFICIENCY AND COST SAVINGS FROM TRIAGING SELECTED TRANSIENT ISCHEMIC ATTACK PATIENTS TO OUTPATIENT URGENT CARE Martin Miguel I Amor, MD, Monmouth Medical Center, Longbranch, New Jersey Clinical Vignette Classic Hypertensive Emergency? An Unusual Case of Labile Hypertension Alfredo Camero Jr, MD, San Antonio Uniformed Services Health Education Consortium, San Antonio, Texas Research NOTE BLOAT SYNDROME : AN EPIDEMIC AFFECTING ELECTRONIC HEALTH RECORDS, HIGH TIME TO CHANGE SOAP NOTE TO APSO NOTE. Mahesh Bavineni, MD, Mercy Saint Vincent Medical Center, Toledo, Ohio Clinical Vignette Serotonin Syndrome in Single Agent Bupropion Overdose Jennifer Chang Chieh Yui, MD, Mayo Graduate School of Medicine Program, Rochester, Minnesota Research Methyl Jasmonate: A plant stress hormone that enhances radio‐sensitivity of hormone refractory prostate cancer cells. Daniel E Ezekwudo, MD, Central Michigan University, Saginaw, Michigan Clinical Vignette Hypertensive Encephalopathy or more? Posterior Reversible Encephalopathy Syndrome and a novel treatment. Candice Crichlow, MD, Medstar Union Memorial Hospital Internal Medicine, Washington, DC Research Vascular Closure Device Malfunction: What are we missing ? Abdalla Hassan, MD, Advocate Illinois Masonic Medical Center, Chicago, Illinois Clinical Vignette Pay Heed to Weed: It's a diagnostic lead and a public health need! Vineet S Gudsoorkar, MBBS, Houston Methodist Hospital, Houston, Texas Research Positive airway pressure affects cardiac remodeling in hypertrophic cardiomyopathy patients with obstructive sleep apnea Suwen Kumar, MD, Michigan State University Program, East Lansing, Michigan American College of Physicians Resident/Fellow Abstract Competition Presentations Internal Medicine 2015 Friday, May 1, 2015 CC Room 259B 12:48 PM 12:56 PM 1:04 PM 1:12 PM 1:20 PM 1:28 PM 1:36 PM 1:44 PM 1:52 PM 2:00 PM 2:08 PM Clinical Vignette Arterial Thrombus and Myocardial Infarction after Discontinuation of a Novel Oral Anticoagulant in a Patient with Protein C Deficiency John Hunninghake, MD, San Antonio Uniformed Services Health Education Consortium, San Antonio, Texas Research Electrocardiographic Changes Consistent with Atrial Infarction are an Independent Predictor of 30 Day and 1 Year Mortality in Patients with Acute ST‐Elevation Myocardial Infarction Marvin Louis Roy Lu, MD, Einstein Medical Center, Philadelphia, Pennsylvania Clinical Vignette West Nile Virus Induced Opsoclonus‐Myoclonus Syndrome Dilasha Katwal, MD, Montefiore New Rochelle Hospital, New Rochelle, New York Research Safety and Feasibility of a Diagnostic Algorithm Combining Clinical Probability, d‐Dimer Testing and Ultrasonography for Suspected Upper Extremity Deep Venous Thrombosis: A Prospective Management Study Ankie Kleinjan, MD, PhD Research Improving Prescribing Practices on Clinical Teaching Units: Glucocorticoid Use in Chronic Obstructive Pulmonary Disease Exacerbations Catherine Matte, MD, McGill University, Montreal, Quebec, Canada Clinical Vignette Loperamide Induced Cardiac Dysrhythmias ‐ An Emerging Toxicological Phenomenon Irbaz Riaz, MD, University Campus, University of Arizona, Tucson, Arizona Research IMPLEMENTATION OF A "FOUR C'S" REAL‐TIME FEEDBACK TOOL TO ASSESS PATIENT SATISFACTION AND PROVIDER COMMUNICATION Ryan Daniel Murphy, MD, University of Colorado Denver ‐ Internal Medicine, Denver, Colorado Clinical Vignette Look What the Cat Dragged In: An Unusual Case of LVAD‐associated Endocarditis. Nathaniel C Warner, MD, Virginia Commonwealth University, Richmond, Virginia Research Proton Pump Inhibitors and Hypomagnesemia in Patients with Arrhythmias Loheetha Ragupathi, MD, Thomas Jefferson University Hospital Internal Medicine, Philadelphia, Pennsylvania Clinical Vignette Chicken Pox, as the initial presentation of hairy cell leukemia. Jandark Yuseif, MBchB, Wayne State University/ Crittenton Hospital Medical Center/Internal Medicine, Rochester, Michigan Research In‐hospital cost analysis of Prostate Artery Embolization (PAE) and Transurethral Resection of the Prostate (TURP) in the treatment of Benign Prostatic Hyperplasia. John Smirniotopoulos, MD, MedStar Georgetown University Hospital, Washington, DC