Mid Rotation site evaluation: I presented a comprehensive H&P on a patient who presented with back pain for 1 month, but imaging was suggestive of metastatic cancer. I was struggling to present the patient comprehensive story in a concise way. Also, I was also not sure if I should report the ED finding or the finding that I observed during interacting with the patient. Professor Herel helped me to overcome this challenge by suggesting to present study as a case report rather than just an H&P, meaning it should flow like a story from the start point (ED) to the …
Internal Medicine-Typhon Postings
Internal Medicine- Typhon log
Self-Reflection on Internal Medicine Rotation
Skills or situations that are difficult for you (e.g. presentations, focused H&Ps, performing specific types of procedures or specialized interview/pt. education situations) and how you can get better at them I rotated with three different attendings meaning they all had different expectations regarding the morning presentation of the H&P and physically examining the patient. One attending expected a brief description of the chief complaint and HPI, while other attending requested a detailed comprehensive H&P with specific emphasis on HPI and abnormal findings. I personally found both ways of presentation to have drawbacks and strengths. I liked the detailed presentation because …
IM- Journal Article & Summary
Site evaluation: Peer Review Article Summary of peer review Aim of the study: ALS patient has multiple risk factors for VTE: reduce mobility, progressive respiratory failure. This study aims to assess the incidence of VTE in ALS patients and explore another range of risk factors. Exclusion Criteria: anticoagulation use and major surgeries within the past 3 months, active cancer and symptomatic VTE Inclusion Criteria: ALS, age> 18 years, and incapacity to provide consent Sample size: N=50 36 males and 14 females Method: Bilateral venous duplex ultrasonography at enrolment, 6 months and 12 months Result: …
Internal Medicine: H&P
Identifying Data: Full Name: Ms. B Address: Queens, NY Date of Birth: 1972 Date & Time: January 24, 2020 Location: QHC-IM, Queens New York Religion: Christianity Nationality: Barbadians Marital status: divorced Source of Information: Self Source of Referral: self Mode of Transport: private car Chief Complaint: “I am here for leg swelling” x 3 days History of Present Illness: 47 Years old reliable female with PMHx of asthma, anemia, ALS (2004) with generalized weakness, dysarthria with no history of intubation present to the ED yesterday complaining of left leg swelling X 3 days. Pt developed an excruciating left groin pain …
Final reflection on Clinical Correlations
The Clinician Correlation was overall very effective in bringing all the information I have gathered over the past year and a half. I believe this was a very healthy environment to practice the skills of collecting effective and pertinent history from the patient. I personally struggle to create a working list of differential diagnoses and clinical correlation has helped to progress effectively even though I still struggle with it. Clinical correlation was a training session to work through the puzzle of patient history and come up with a ddx and treatment plan. I really like the case about TB patients …
Ethics Reflection Essay
This essay is going to highlight the reasons for perusing a Physician Assistant (PA) profession and how I envision the scope of practice as a PA in the future. Also, it will illustrate the ethical principles that are going to guide my practice and these principles would be autonomy and beneficence. At the age of 10, while playing tag with my friends, I felt a sudden pain in the spinal cord, which impacted my physical mobility and I felt numbness in my left limbs. My parents struggled daily to find the right treatment for my conditions as numerous doctors from …
H&P reflection
What differences do you note between the two H&Ps? Compare to the fist H&P, the second one is more detailed, contains complete physical examinations, 5 differential diagnosis with explanation, plans, and a problem list. Overall, the second one reveals the growth over two semesters as I feel more comfortable with the pertinent ROS and the physical examination. In what ways has your history-taking improved? Are you eliciting all the important information? My history-taking skill has improved a lot when comparing to my first hospital visit. The first time, I was struggling to ask questions effectively within a limited time period, …
Mini-CAT
Group 2: Common Cold Prevention with Vitamin C and/or Zinc Darya, Angelina, Markenzie , Farhana , Genna Clinical Scenario: It’s winter and you’re working in a family practice office. Many patients are coming in with runny noses and general malaise. Brenda, a 35 year old working mother comes in for a checkup and says “I’m busy between work and home that I definitely don’t have time to get sick. Can vitamin C or zinc pills I hear about prevent colds?” Clinical Question: Do zinc or vitamin C supplements prevent and/or treat the common cold? PICO Question: In …
Hospital H&P 2
History Identifying Data: Full Name: Ms. P Address: Jamaica Queens, NY Date of Birth: December 20, 1955 Date & Time: April 9, 2019 Location: NYHQ, Flushing, NY Religion: Christianity Nationality: African American Marital status: Married Source of Information: Self Source of Referral: Sonia Punj Mode of Transport: bus Chief Complaint: “I am here for clearance for right knee replacement x 6 months History of Present Illness: 63 years old reliable female with PMHx of HTN, hyperlipidemia, osteoporosis, osteoarthritis, and HIV present to the PAT for clearance for right knee replacement X 6 months. Pt was experiencing pain in …
