Assignment: Pathophysiology of portal hypertension, sign and symptoms  (clinical presentation) complication Background on the Portal Venous system  The normal flow of blood:  The portal venous system drains the blood from the GI tracts via the splenic and mesenteric veins and removes the toxins before reaching the heart.  There are three points where the portal venous system connect with the systemic Venous system: the inferior portion of the esophagus, the superior portion of the anal canal, and the round ligament.  What is Portal Hypertension? The portal and the systemic venous have less than 12 mmHg of pressure however if the pressure …

Assignment #1: Types, Staging, and treatment of  Acute lymphoblastic leukemia  sub-Types: B-cell acute lymphoblastic leukemia/lymphoma: This subtype begins in immature cells that would normally develop into B-cell lymphocytes. This is the most common ALL subtype. Among children, B-cell lineage ALL constitutes approximately 88 percent of cases. Among adults, B-cell lineage represents 75 percent of cases. T-cell acute lymphoblastic leukemia: This subtype of ALL originates in immature cells that would normally develop into T-cell lymphocytes. This subtype is less common, and it occurs more often in adults than in children. Among adults, T-cell lineage represents about 25 percent of cases. Among …

Clinical Case presentation: First clinic visit: October 30th, 2008 CC: 5 years old male came to the clinic complaining of the puffy eye for 1 day. The patient woke up with this eye swelling yesterday. The patient denies pain, lesions, discharge, trauma or any vision changes. Past medical history is unremarkable and immunization up to date Initial DDX: cellulitis, blepharitis, periorbital cellulitis, chalazion or hordeolum PE: Vital Signs: within normal limit Eyes: no masses, or lesion notes,  swelling upper lid but non-tender to palpation. Fluorescein stain shows no foreign body presence. conjunctiva clear. Lid eversion shows no other foreign body …

Typhon

Exposure to new techniques or treatment strategies – how did that go? While rotating with different providers, I learned about different interaction techniques with the patient. For example, some provider spends time to create a good rapport, while others just medically attend the patient need rather than psychological need. I learned ways medical concept can be broken down to patient to enhance a better understanding. A lot of first time mother fails to recognize the true contraction so one of the midwife explained to the patient that if your whole abdomen feel like your forehead then that’s a true contraction …

Mid Rotation site evaluation: For the mid-site evaluation, I presented a patient who came for initial prenatal visits. I decided to do this case because OB H&P is different compared to other departments. I was struggling to present the patient in an effective and coherent fashion as the History included more OB. However, PA Melendez was really helpful and amazing critique, who suggested presenting the patient’s pertinent story relevant to her current pregnancy. Also, he suggested ways I could have elaborated on the plan as the patient was experiencing morning sickness and there are few methods that could ease the …

Article on PID vs appendicitis Summary of peer review Aim of the study: PID and appendicitis present in a very similar fashion which sometimes makes the diagnosis process challenging in the ER. This study aims to develop a scoring system to screen for PID and Acute Appendicitis in childbearing women who present to the ER complaining of abdominal pain. Exclusion Criteria: pregnancy, appendectomy, known abdominal disease, prior menarche or menopause Inclusion Criteria: childbearing women with abdominal pain Sample size: N=279 childbearing women with age between 13-51 Method: the researchers came with 11 scoring variables to score the likelihood of PID …

OB INITIAL COMPREHENSIVE NOTE Identifying Data: Full Name: Ms. M Address: Brooklyn, NY Date of Birth: March 23, 1998 Clinic Visit: February 19, 2020 Location: Woodhull Women Health Services, NY Nationality: Hispanic Marital status: married Source of Information: Self Source of Referral: self   Chief Complaint: “I am here for my first OB visit”  HPI: 21 years old reliable female G1P0 LMP 11/20/2019 EGA – 13 0/7 weeks gestation EDD – 8/26/2020 came to the clinic for an initial OB visit. The patient and partner are really happy with the pregnancy. Pt reports mild fatigue, weakness, nausea and few vomiting …