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3 results on '"Dylan Trinh"'

1. Associated SDOH needs of patients without health insurance and experiencing food insecurity

Author

Suma K. Thareja, Spenser Marting, William Davies, Santhosi Samudrala, Ramsey Rayes, Marie Balfour, Ana Mia Corujo-Ramirez, Frances Carter, Benjamin Liu, Dylan Trinh, Thomas Ritter, Jessica Miller, Coleman Fine, Rebecca Lundh, and Staci A. Young

Subjects
Food insecurity, Student-run free clinic, Free clinic, Disadvantaged populations, Preventative care, Medical education, Public aspects of medicine, RA1-1270, Social Sciences
Abstract

Abstract Although patients experiencing food insecurity commonly screen positive for a myriad of social determinants of health (SDOH) needs and chronic medical conditions influenced by diet, few studies have investigated associations within both uninsured and food insecure populations. We screened patients for food insecurity using the USDA six-item short form between October 2021 and April 2022. We then evaluated associations of food security status with nine separate SDOH needs and eight chronic medical conditions. In this cross-sectional study, of the 190 patients seen at a student-run free clinic serving patients without health insurance, 135 (71%) completed the SDOH survey. We identified chronic medical conditions via retrospective chart review and analyzed associations using multivariable logistic regressions adjusted for age and sex. Uninsured participants experiencing food insecurity (n = 22,16.3%) requested more support for: medications (adjusted odds ratio [AOR] = 7.28; 95% Confidence Interval [95% CI] = 2.33–23.2); p-value [P] =

Published
2024
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2. Efficacy of medical students’ virtual dermatology curriculum

Author

Gretchen M. Roth, Karolyn A. Wanat, Kara Young, Stephen R. Humphrey, and Dylan Trinh

Subjects
Medical education, Students, Medical, business.industry, Humans, Medicine, Curriculum, Dermatology, business, Education, Medical, Undergraduate
Published
2022

3. Cocaine and Levamisole Induced Vasculitis

Author

Dylan Trinh, Harpreet Gill, Devin Madenberg, Danyon J Anderson, and Nathan Li

Subjects
medicine.medical_specialty, Past medical history, cocaine levamisole-induced vascuiltis, levamisole, business.industry, anca-associated vasculitis, General Engineering, cocaine, Disease, Levamisole, medicine.disease, Rash, Dermatology, Pneumonia, levamisole-induced vasculitis, medicine, Emergency Medicine, Internal Medicine, medicine.symptom, Differential diagnosis, business, Vasculitis, Levamisole-induced vasculitis, Environmental Health, medicine.drug
Abstract

Levamisole adulterated cocaine is a rare cause of anti-neutrophil cytoplasmic antibody (ANCA) associated vasculitis. It is increasingly diagnosed because of raised awareness; however, it is still underdiagnosed in part because of its rarity and patients not reporting cocaine use. Here we report a case of levamisole-induced vasculitis. We present a 48-year-old non-Hispanic white male with a past medical history significant for Crohn’s Disease and pneumonia who presented with acute bilateral ear pain and rash. His urinary drug screen was positive, which prompted suspicion of contamination and potential levamisole adulterated cocaine-associated vasculitis. A punch biopsy showed evidence of leukocytoclastic vasculitis and multiple fibrin thrombi further supporting contamination with levamisole. We believe this case highlights the importance of using patient history in guiding diagnostic testing in the setting of acute vasculitis. Once the history of illicit substance use was confirmed, our differential diagnosis and considerations for treatment significantly changed.

Published
2021

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