Auburn Research Day 2022

1 Jordan Wordekemper, OMS III; 2 Kenneth Sigman, MD 1 Edward Via College of Osteopathic Medicine-Auburn Campus; 2 Grandview Medical Center, Birmingham AL Cl i n i ca l Case Repor t | Med i ca l St udent Intraductal Papillary Mucinous Neoplasm Disguised as Pyrosis and Hyperglycemia: A Case Report 9

Intraductal papillary mucinous neoplasms (IPMN) are increasing in incidence due to more frequent imaging. While most tumors are asymptomatic, some may present with vague gastrointestinal symptoms and laboratory findings. Our patient presented to the emergency room with a history of abdominal pain, vomiting, diarrhea, and a “burning” upper epigastric pain. Evaluation was

significant for elevated AST, ALT, and glucose with a CA19-9 of 62.2. Imaging and pathology were suggestive of pancreatic malignancy. As with our patient, clinical suspicion should remain high when older individuals present with new onset diabetes and GI unrest which should warrant further evaluation.

B i omed i ca l Resea rch | Med i ca l St udent Incidence And Significance Of Heavy Metals In Rice

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Tracee Guthrie, OMS II; Brooke Benjamin, OMS II; Erin Collins, OMS II; Gurleen Kaur, OMS II; James Palmieri, PhD VCOM-Auburn campus; KYCOM; VCOM-Carolinas campus; VCOM-Virginia campus; VCOM-Virginia campus

Heavy metals in particular cadmium, arsenic, and lead have developed into a prominent topic as potential sources of toxicity. This article aims to highlight the key aspects of exposure, distribution, and metabolism of arsenic, cadmium, and lead with an emphasis on rice as a source of exposure. The rice analyzed showed significant levels of all three heavy metals sourced from the USA, China, Thailand and India. Rice samples highest in arsenic were from the USA, samples highest in lead and cadmium were from

China. Analysis revealed a great necessity for further research to demonstrate the importance for public awareness and education for prevention of exposure to heavy metals via rice ingestion. Research deems it is necessary to increase regulations of environmental pollutants to decrease risk of exposure, especially to vulnerable populations like pregnant and breastfeeding mothers.

Cl i n i ca l Case Repor t | Med i ca l St udent Pterygoideus Proprius with Bifid Condylar: An Anatomic Review Case Report

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There is limited understanding of the cause of trigeminal neuralgia, despite research over the years to identify its etiology. One common theory on this disease's cause is neurovascular compression due to a pathoanatomical phenomenon that puts the vessel and cranial nerve in an irritable state. Here we describe a rare case of an accessory muscle, along with an atypical shaping of the mandibular condyle, that may support this theory. During an educational dissection of an 87-year-old male cadaver, an accessory muscle identified as pterygoideus proprius (PP) and a bifid mandibular condylar (BMC) were identified unilaterally. The PP was situated between the superior and inferior heads of the lateral pterygoid Adam Nguyen, OMS-II, Justin Dover, OMS-II, Mary B Downs, PhD Edward Via College of Osteopathic Medicine-Auburn

muscle. Its fibers feed into the distal one-third of the inferior head of the lateral pterygoid muscle close to the right lateral pterygoid plate. The BMC, in this case, was of the mediolateral variation. The aberrant muscle described in this case could potentially impinge upon branches of V3 of the trigeminal nerve leading to trigeminal neuralgia. A deeper understanding of PP and bifid condylar variations is necessary when diagnosing trigeminal neuralgia.

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