Scholarship & QI
Peer-reviewed publications
Beyond Pneumonia: A Rare Case of Pericardial Empyema Caused by Streptococcus pneumoniae
Ashok H, Manuel R, Ahmed B, Lim R, Monsalve R. Cureus. 2023;15(6):e40450.
A pneumococcal pericardial empyema in an immunocompetent host — a reminder that a common organism can produce an uncommon, high-acuity complication.
Valvular Heart Disease Presenting as Sympathetic Crashing Acute Pulmonary Edema (SCAPE)
Ashok H, Shtembari J, Achhami E, Gaire S, Shrestha DB, Joshi T. Cureus. 2022;14(12):e32352.
A case of SCAPE driven by multivalvular disease, illustrating rapid recognition and afterload-focused stabilization of flash pulmonary edema.
An Unusual Movement Disorder—Case of Diabetic Striatopathy
Azmat S, Lodhi O, Ashok H, Harb H, Siddiqui M, Gilden J. JCEM Case Reports. 2024;2(11):luae201.
A reversible hyperkinetic movement disorder from nonketotic hyperglycemia — pattern recognition and the metabolic differential in an acute neurologic presentation.
Conference abstracts
Unmasking an Atypical Culprit: Malignant Glomus Tumor of Pulmonary Origin
Ashok H, et al. CHEST Annual Meeting, 2025.
First-author poster: a rare pulmonary malignancy presenting as an atypical endobronchial lesion.
A Unique Case of Mediastinal Synovial Sarcoma Presenting With Spontaneous Pneumothorax
Ashok H, et al. CHEST Annual Meeting, 2024.
First-author poster: a monophasic mediastinal synovial sarcoma presenting as spontaneous pneumothorax, confirmed on SS18 rearrangement.
Postoperative Euglycemic Diabetic Ketoacidosis in a Type 2 Diabetic Patient—A Diagnostic Challenge
Azmat S, Lodhi O, Ashok H, Siddiqui MF. J Endocr Soc. 2024;8(Suppl 1):bvae163.883 (ENDO 2024).
A perioperative euglycemic DKA case underscoring vigilance for metabolic decompensation when glucose values look reassuring.
Quality improvement
COPD Inhaler Education
- Educational need and baseline problem
- Device-specific teaching with demonstration and teach-back
- Patient handouts and Epic documentation
- Resident survey and outcome measures
- Next steps
Code Blue Documentation
- Problem with existing documentation
- Structured note redesign with event timeline
- Medication and intervention capture
- Clinical handoff and post-event debriefing
- Pre-implementation survey; six- and twelve-month assessments
Transition to Residency Curriculum
- Survey-based quality-improvement project for incoming intern preparation
- ICU, wards, night, and clinic workflows
- Clinical-role clarity and team integration
- Order-entry, documentation, handoff, and admission skills
- Pre- and post-curriculum survey measures
Current work
Work in progress
Post-MI Ventricular Septal Defect in Cardiogenic Shock
A developing review and practical framework examining how shunt physiology, LV and RV failure, pulmonary congestion, and mechanical circulatory support strategy should influence stabilization, bridge selection, and timing of definitive repair.
Harish Ashok | Teaching Portfolio 