Publications by authors named "Kiranpreet Gosal"

5 Publications

  • Page 1 of 1

Laxative Abuse Cessation Leading to Severe Edema.

Cureus 2021 Jun 23;13(6):e15847. Epub 2021 Jun 23.

Internal Medicine, Grand Strand Medical Center, Myrtle Beach, USA.

Stimulant laxatives are a common class of laxatives that is abused by patients with eating disorders. We present a case of a 30-year-old female who presented with dyspnea, peripheral edema and weight gain who had been chronically using laxatives. Her symptoms were consistent with rebound edema caused by sodium and free water shifts with abrupt cessation of excessive stimulant laxative use. This case highlights the use of furosemide as the mainstay treatment for rebound edema and weight gain.
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http://dx.doi.org/10.7759/cureus.15847DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8299158PMC
June 2021

Underrecognized Zieve's syndrome, A case report.

Ann Med Surg (Lond) 2021 Jun 6;66:102464. Epub 2021 Jun 6.

Department of Internal Medicine. Grand Strand Medical Center, Myrtle Beach, SC, USA.

Zieve's syndrome (ZS) is a triad of hemolytic anemia, cholestatic jaundice and hyperlipidemia that presents in the setting of alcohol abuse and liver disease. ZS is not well known and remains underdiagnosed. We present a case of ZS in a 38-year-old female with a history of chronic alcohol abuse and pancreatitis to raise awareness of ZS. It is important for ZS to be recognized promptly to avoid unnecessary and possibly harmful interventions.
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http://dx.doi.org/10.1016/j.amsu.2021.102464DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8203730PMC
June 2021

Lupus Cerebritis as the Initial Presentation of Systemic Lupus Erythematosus in a Young Female.

Cureus 2021 Apr 2;13(4):e14259. Epub 2021 Apr 2.

Internal Medicine, Grand Strand Medical Center, Myrtle Beach, USA.

The psychiatric and neurological symptoms of systemic lupus erythematosus (SLE) are referred to as lupus cerebritis. The wide range of symptoms associated with SLE can pose a diagnostic challenge. We present a case of lupus cerebritis in a 31-year-old female presenting with psychosis. We present this case to increase awareness of the psychiatric manifestations of SLE that can be mistaken for more common etiologies of psychosis.
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http://dx.doi.org/10.7759/cureus.14259DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8093101PMC
April 2021

Hepatic Artery Pseudoaneurysm Presenting as Gastrointestinal Hemorrhage.

Cureus 2021 Mar 30;13(3):e14190. Epub 2021 Mar 30.

Internal Medicine, Grand Strand Medical Center, Myrtle Beach, USA.

A hepatic artery pseudoaneurysm (HAP) is a rare complication of laparoscopic cholecystectomy. It can vary in its clinical presentation; however, given its severe nature, prompt assessment and management are crucial. We report a case of a 73-year-old male who underwent a laparoscopic cholecystectomy complicated by a right hepatic artery injury. This subsequently presented as a life-threatening case of upper gastrointestinal bleeding from HAP, with presumable hemobilia and septic shock from multiple liver abscesses. The diagnosis was made with computed tomography angiography (CTA) of the abdomen and pelvis followed by visceral angiography. The patient ultimately underwent a right hepatectomy for definitive treatment. The primary objective of this case is to highlight a less novel, though rare, case presentation and define a spectrum of treatment options available based on severity.
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http://dx.doi.org/10.7759/cureus.14190DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8083905PMC
March 2021

Ischemic Nephropathy Following Occlusion of Abdominal Aortic Aneurysm Graft: A Case Report.

Cureus 2021 Mar 10;13(3):e13799. Epub 2021 Mar 10.

Internal Medicine, Grand Strand Medical Center, Myrtle Beach, USA.

In this report, we present a case of a 55-year-old female with a past medical history of abdominal aortic aneurysm (AAA) graft, femoral-femoral bypass graft, questionable history of chronic kidney disease (CKD), abdominal hernia repair, alcoholic pancreatitis, chronic abdominal pain on opioids, and tobacco abuse who presented with acute on chronic abdominal pain with an unexplained rise of creatinine and anuria. The patient was found to have complete occlusion of AAA graft and was determined to have ischemic nephropathy (IN).
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http://dx.doi.org/10.7759/cureus.13799DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8033647PMC
March 2021
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