Ms. Jones is a 33-year-old female who is brought to the emergency department by EMS with a complaint of palpitations and shortness of breath for the past 1 hour. History elements (these also indicate the questions that should be asked) No past medical history. Only medication patient is on is oral contraceptive pill. Symptoms started suddenly while she was watching TV, and have been constant since then. She has never experienced this before Mild, chest pain, of “tight” quality Dizziness (+) No family history of sudden cardiac death No recent travel, hospitalization, or other prolonged immobilization No syncope, fever, flu-like …

Identifying Data: Age: 77 Sex: male Date of encounter: Tuesday,  May 31, 2022 Location: NYPQ ED Race: Hispanic Source of Information: self Reliability: reliable Source of Referral: self   Chief Complaint: Chest pain since 5AM today   History of Present Illness: Pt is a 77 y/o male with PMH of CAD s/p PCI x5 (most recent in 2006), GERD, HLD, DM2, GAD, cholecystectomy, presenting to the ED for lower sternal chest and epigastric pain that began at 5AM this morning. Pain is described as waxing and waning, heaviness/pressure-like in quality, radiating to his back, now 8/10 severity. He tried taking …

How did it go? What have you learned? What can you improve? How do you plan to improve these new skills? Overall, I really enjoyed my pediatric rotation. Because pediatric medicine is quite different from the adult side, it was an eye-opening experience, and I learned a great amount. I gained such an immense amount of knowledge from this rotation because many elements of pediatric medicine could not be classically taught in the classroom, but instead learned via live observation and hands-on experience. Some lessons learned were also taught by providers who have gained this knowledge from many years of …

For my pediatric rotation I presented 3 cases: a 12-year-old female with sudden onset right foot numbness, a 6-year-old female with bilateral hand rash, and a 3-year-old male with speech delay. For the history portion of my presentations, I briefly discussed the history of the current complaints, pertinent positives and negatives, and any relevant past medical Hx, social Hx, surgical Hx, family Hx. I then went over the pertinent physical exam findings, both positive and negative, and then ended my presentation with differential diagnoses, assessment, and plan. Most of the feedback I received from my site evaluator involved noting the …

This BMC pediatrics article was published in 2021 and reviewed the long term and short term outcomes of universal screening for language and speech delay in children <5 years old. The objective was to look at how effective this universal screening has been in order to provide recommendations on whether or not this screening should be done in the future. There has been a substantial amount of evidence supporting early intervention in children who come in with parents who have concerns about speech and language delay; however, the question this review is attempting to answer is if there is benefit …

Identifying Data: Age: 6 y/o Sex: Female Date & Time of encounter: March 22, 2022  10AM Location: QHC Pediatric Emergency Department Race: Hispanic Source of Information: Mother and self via Spanish interpreter Reliability: Reliable Chief Complaint: Rash since this morning History of Present Illness: Pt is a 6 y/o female with PMH of congenital hip dysplasia, BIB mother to the ED with complaints of pruritic, erythematous rash to the palms of bilateral hands that began this morning. The rash is not painful and is not located anywhere else. No alleviating or exacerbating factors. Mother also notes some decreased food intake …

How did it go? What have you learned? What can you improve? How do you plan to improve these new skills? My internal medicine rotation was a dramatically new and different experience. Most of the patients I saw were admitted, and I’ve only had previous experience in the ER and outpatient settings, with my last rotation being in a family medicine office. In the inpatient setting, the cases were much more complex, with each patient having multiple issues and chronic conditions that needed to be managed. Although most patients had specialists following their case, I often felt slightly overwhelmed when …

I presented three cases during my internal medicine rotation. One on a patient with hematemesis, another on a patient with ileitis (posted on commons site), and the last on a patient with osteomyelitis. I presented 10 pharm cards on medications I saw during this rotation that I wanted to be more familiar with. During my site evaluations, I presented the patient cases with the relevant history with pertinent “OLDCARTS” information, relevant past medical history, surgeries, pertinent positive and negative review of systems, and pertinent positive and negative physical exam findings. Along with those elements I concluded with my differential diagnoses, …