Volume 30 Number 2 April 2017 The peer-reviewed journal of Baylor Scott & White Health Original Research 139 Personalized treatment of heart failure with biomarker guidance using a novel disease severity score by A. Vasudevan et al 143 Emergency department discharge prescription errors in an academic medical center by K. A. Murray et al 147 Pre and post hoc analysis of electronic health record implementation on emergency department metrics by K. J. Rupp et al 151 Perineal body length and perineal lacerations during delivery in primigravid patients by T. L. Lane et al 154 Anatomic relation between single-incision slings and the obturator vessels by A. L. O'Boyle et al Reviews 157 Practical and ethical considerations in the management of pacemaker and implantable cardiac defibrillator devices in terminally ill patients by M. M. Benjamin and C. A. Sorkness 161 Relation of left ventricular free wall rupture and/or aneurysm with acute myocardial infarction in patients with aortic stenosis by I. N. Sheikh and W. C. Roberts 163 Heterogeneity of systematic reviews in oncology by J. Holmes et al Case Studies 167 Hemodialysis failure secondary to hydroxocobalamin exposure by K. Lim et al 169 Acquired 5-oxoproline acidemia successfully treated with N-acetylcysteine by G. L. Hundemer and A. Z. Fenves 171 Nitrous oxide-induced vitamin B12 deficiency by L. Stockton et al 173 Systemic infection and splenic abscess by A. R. Belknap and J. Guileyardo 175 Tularemia presenting as pulmonary nodules in an immunocompromised patient by T. Alias et al 177 Benign pancreatic hyperenzymemia (Gullo syndrome), histamine intolerance, and carbohydrate malabsorption by W. J. Schnedl et al 179 Pott puffy tumor by P. Sharma et al 182 Acquired thrombotic thrombocytopenic purpura and atypical hemolytic uremic syndrome successfully treated with eculizumab by A. Sasapu et al 184 A rare hemoglobin variant, Hb Belliard by S. Murthy and R. Benavides 186 Asian-variant intravascular large B-cell lymphoma by D. W. Su et al 190 Bile duct lymphoma disguised as cholangiocarcinoma by C. Durham et al 192 Plasma cell myeloma with lymphoplasmacytic morphology and cyclin D1 expression, an uncommon variant by D. A. Hale and J. R. Krause 195 Myeloid sarcoma causing airway obstruction by A. R. Belknap and J. R. Krause 197 Diagnosis of sarcoidosis from a biopsy of a dilated mammary duct by C. Mason et al 200 Primary small-cell carcinoma of the breast by B. Raber et al 203 Plasmablastic plasmacytoma of the breast by D. K. Le et al 205 Primitive neuroectodermal tumors of the kidney by G. Narayanan et al 209 Giant cystic umbilical cord associated with patent urachus and intrauterine fetal demise by K. Brooks et al 211 Evaluation and management of an unusual congenital nevus by K. B. Kerwin and M. A. Menter 213 Leukocytoclastic vasculitis drug reaction to certolizumab pegol by M. Woody et al 215 Dural arteriovenous fistula as a treatable dementia by I. Enofe et al 218 Right hemispheric reversible cerebral vasoconstriction syndrome in a patient with left hemispheric partial seizures by G. S. Perez et al 221 Bilateral respiratory epithelial adenomatoid hamartomas originating from the anterior olfactory clefts by J. J. Falco et al 224 Ambulatory extracorporeal membrane oxygenation with subclavian venoarterial cannulation to increase mobility and recovery in a patient awaiting cardiac transplantation by S. Jacob et al 226 Use of a MitraClip for severe mitral regurgitation in a cardiac transplant patient by F. S. Raza et al 228 Two causes in one patient for extremely low voltage on the electrocardiogram by W. C. Roberts et al 230 Successful treatment of a cardiac resynchronization therapy nonresponder by identifying lead malpositioning by K. V. Prasad et al 232 Atrial fibrillation 50 years after acute rheumatic fever as the first manifestation of rheumatic mitral stenosis by D. L. Glancy 234 Cardiac rehabilitation for a skydiver after aortic valve replacement for pure aortic regurgitation and resection of the ascending aorta complicated by active infective endocarditis and heart block requiring a pacemaker by T. R. Solomon et al Editorials 240 From my little black notebook: lessons for young physicians and medical students by J. D. Cantwell 245 TBA for OT HHC vs OPC f/u by H. L. Fred From the Editor 246 Facts and ideas from anywhere by W. C. Roberts Miscellany 138 Clinical research studies enrolling patients 185 Avocations: Photograph by T. C. Lairmore 194 Avocations: Photograph by W. L. Rayburn 199 Avocations: Photograph by C. Hagad 223 Avocations: Photograph by J. Rosenthal 237 Baylor Scott & White Health news 239 Reader comments: Tribute to Dr. John Hyland by P. A. Alivizatos www.BaylorHealth.edu/Proceedings Indexed in PubMed, with full text available through PubMed Centralhttp://www.BaylorHealth.edu/Proceedings