Article AIM:  the aim of this study is to evaluate the association between SCH and the risk of cardiovascular disease (CVD) and cardiovascular mortality.  Sample size: N= 49,201 17 cohort studies were included in the meta- analysis. The mean length of the follow-up ranged from 2 to 20 years. Inclusion Criteria:  Cohort studies published between 2001-2011  Studies published in the western countries  TSH cut-off value of 0.25–0.5 mU/l with normal free thyroxine (FT4) level CHD was defined as acute myocardial infarction, angina pectoris, and other ischemic heart disease.  Exclusion Criteria  Exposures not relevant Not cohort studies  Case-reports  Review articles Important …

AM- H&P Identifying Data: Full Name: Mr. P Address:  Queens, NY Date of Birth:  11/08/1977 Date & Time: July 13, 2020 Location: Queens Line Medical Center, Ozone Park, NY Source of Information: Self Source of Referral: Self Mode of Transport: wife drove  me to the clinic Chief Complaint: I am experiencing chest pain and palpitation for the past 3 days   HPI: A 42 years old  male with PHMx of GERD presents to the office today complaining of chest pain and palpitation for the past 3 days. Pt went to the Northwell Forest Hill ER on 07/11/20, complaining of  chest …

Assignment: Write a comprehensive H&P including the mental state exam    CC: boyfriend called 911 as her girlfriend loss of consciousness while eating x 2 hours ago   HPI: Emma is a 23 years old female with no PMHx was brought to the ER by EMS for losing consciences. Pt was eating lunch with her boyfriend while she started to feel a choking sensation as pt believes the food got stuck in her throat. Pt states along with choking, she was experiencing extreme sweating, trembling and  SOB. Pt describes her situation as “I started to sweat like crazy, I could …

kendra’s law Kendra’s law is named after a 32 years old journalist, who was pushed in front of the train by a man with mental illness history. This law strived to create a “assisted outpatient treatment” option which will allow mental illness patient to receive appropriate treatment instead of just pushing them in the criminal justice system or in the community. Before this law, individual with mental illness were always placed in in the criminal justice system and if he/she ever reached the hospital then they would only be stabilized and then released to the community without supervision. In 1999 …

Assignment: develop individual clinical case presentation  Panic Disorder CC: a boyfriend called 911 as her girlfriend loss of consciousness while eating X 2 hours ago. Emma is 23 years old female with no PMHx was brought to the ER by EMS for losing consciences. I was eating lunch with my boyfriend, suddenly, I felt like a food got stuck in my throat and in few minutes, I was chocking on the food. I started to sweat like crazy and I looked at my boyfriend for help. I think he came around to help but the food was stuck, and I …

Word Document :  MINI-CAT final Clinical Question: As in the past, please briefly outline the scenario and state your clinical question as concisely and specifically as possible   In OB/GYN rotation, I encounter a 29 y/o female G1P001 with LMP 08/22/2019 EGA 26w2d who came to the clinic routine prenatal visit. The clinicians provided the patient with fetal movement counting chart in which patient was requested to count fetal movement every morning for 1hr after the breakfast and 1hr before going to sleep. The patient was curious to understand the benefits of fetal count and asked the provider if fetal …

  G.B., a 64-year-old farmer, is hospitalized for evaluation of chest pain. About 3 weeks PTA, he noted substernal chest pain brought on by lifting heavy objects or walking uphill. He describes a crushing or viselike pain that never occurs at rest, and is not associated with meals, emotional stress, or a particular time of day. When G.B. stops working the pain subsides in about 5 minutes. G.B.’s mother and brother died of a heart attack at ages 64 and 59, respectively; his father, who is alive at age 86, has survived one heart attack and one stroke. Family history …