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Darby, PA, United States

Meyer M.A.,University of Arizona | Becker J.M.,Mercy Fitzgerald Hospital | Quinones W.,Drexel University
Journal of Radiology Case Reports | Year: 2010

Granular cell tumors (GCTs) are benign neoplasms that are most commonly found in the head and neck region. We present a case of endobronchial granular cell tumor presenting as hemoptysis in a 22-year-old African American female. Patient subsequently underwent a right upper and middle lobectomy, and upon histologic analysis was found to have GCT with borders impinging upon cartilage and adjacent peribronchial lymph nodes.

Noronha B.E.,Mercy Fitzgerald Hospital
Ear, Nose and Throat Journal | Year: 2010

Malignant fibrous histiocytoma (MFH) of the mandible is rare. We describe a case of MFH of the mandible with metastatic disease to the lungs. To our knowledge only 30 cases have been reported prior to the present case. In previously reported cases, there was a strong tendency for the posterior portion of the mandible to be affected by MFH; ours is only the second reported case involving the anterior portion of the mandible. We review the diagnosis, pathology, and treatment of this rare malignancy. © 2010, Vendome Group, LLC. All rights reserved.

Adegunsoye A.,Mercy Fitzgerald Hospital | Ramachandran S.,Sleep Medicine Services
Pulmonary Medicine | Year: 2012

Obstructive sleep apnea syndrome is a common disorder with significant health consequences and is on the rise in consonance with the obesity pandemic. In view of the association between sleep-disordered breathing and pulmonary hypertension as depicted by multiple studies, current clinical practice guidelines categorize obstructive sleep apnea as a risk factor for pulmonary hypertension and recommend an assessment for sleep disordered breathing in evaluating patients with pulmonary hypertension. The dysregulatory mechanisms associated with hypoxemic episodes observed in sleep related breathing disorders contribute to the onset of pulmonary hypertension and identification of these potentially treatable factors might help in the reduction of overall cardiovascular mortality. Copyright © 2012 Ayodeji Adegunsoye and Siva Ramachandran.

Farley H.,Christiana Care Health System | Enguidanos E.R.,Providence Regional Medical Center | Coletti C.M.,Christiana Care Health System | Honigman L.,George Washington University | And 4 more authors.
Annals of Emergency Medicine | Year: 2014

With passage of the Patient Protection and Affordable Care Act of 2010, payment incentives were created to improve the "value" of health care delivery. Because physicians and physician practices aim to deliver care that is both clinically effective and patient centered, it is important to understand the association between the patient experience and quality health outcomes. Surveys have become a tool with which to quantify the consumer experience. In addition, results of these surveys are playing an increasingly important role in determining hospital payment. Given that the patient experience is being used as a surrogate marker for quality and value of health care delivery, we will review the patient experience-related pay-for-performance programs and effect on emergency medicine, discuss the literature describing the association between quality and the patient-reported experience, and discuss future opportunities for emergency medicine. © 2014 American College of Emergency Physicians.

Lichtenstein S.,Mercy Fitzgerald Hospital | Albert N.E.,Lankenau Medical Center | Muchnik A.,University of South Florida | Abraham M.,Mercy Pathology Associates
Journal of Gastrointestinal and Liver Diseases | Year: 2011

Small cell carcinoma (SCC) is most commonly found in the lung but is occasionally found in the gastrointestinal tract and other extrapulmonary sites. Incidences of SCC in the esophagus and stomach are rare and have been reported almost exclusively in older individuals. The following case presents the discovery of small cell carcinoma of the stomach and esophagus in a 35 year old woman, which is the youngest reported incidence of this to date. Additionally, her course reflects the importance of early diagnostic endoscopy with biopsy and adequate sampling with appropriate immunohistochemical staining when malignancy is in the differential diagnosis, regardless of age or risk factors.

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