Identifying Data: Age: 64 y/o Sex: Male Date of encounter: February 17, 2022 (day 2 of admission) Location: Internal Medicine. North Shore University Hospital. Manhasset NY Race: White Source of Information: Self Reliability: Reliable Source of Referral: Self Chief Complaint: Abdominal pain x several hours History of Present Illness: Pt is a 64 y/o male with PMH of GERD, HTN, HLD, aortic stenosis s/p AVR, asthma, anxiety, depression, BPH, who presented to the ED yesterday for abdominal pain. The pain began at 11AM yesterday, located right lower quadrant without radiation, intermittent, with episodes lasting 30-60 min, of “crampy” quality, worse …

How did it go? What have you learned? What can you improve? How do you plan to improve these new skills? Family medicine was an informative, yet gentle start to my clinical year. My preceptor and the office staff were all kind and helpful. The hours were very manageable, usually 9am-5pm. One of the most important things I’ve learned through this experience is the impact that the provider-patient relationship has, especially in outpatient services like family medicine. When interviewing patients, they would often tell me countless times about how much they adored their primary provider there and how much they …

I presented three cases during this rotation: a hypertensive urgency patient, a patient with rectal bleeding, and another patient with hemoptysis. I also presented 10 pharm cards on drugs that I saw during my family medicine rotation. During both site visits I presented these cases with the relevant history with pertinent “OLDCARTS” information, relevant past medical history, surgeries, pertinent positive and negative ROS, and pertinent positive and negative physical exam findings. Along with those elements I concluded with my differential diagnoses, assessment, and plan. The feedback I had received was that my presentations were satisfactory for my first rotation. I …

Warveen Othman Spring 2022                                                                            Identifying Data: Age: 50 y/o Sex: F Date & Time of encounter: January 27, 2022            10:00AM Location: Jamaica, Queens NY Race: African American Source of Information: Self Reliability: Reliable Source of Referral: Self Chief Complaint: Elevated blood pressure, 12 days ago History of Present Illness: Pt is a 50 y/o female with PMH of varicose veins, presenting to the office after her BP was elevated to 184/108 at her gynecology visit on 01/15/22. She was advised that day to be go to the emergency department for further treatment and evaluation. However, pt did not go as …

Content and focus: My presentations for class this semester included high yield information that I felt was relevant to the PANCE and development of our clinical judgement. I spent a significant amount of time researching information for the topics I was assigned to present on. In the beginning of the year, I would sometimes include too much information in my presentations and would often go over the time limit; this semester, I was able to keep my presentations to about 5 minutes. I used the best sources of evidence, like UpToDate, Osmosis, and previous class lectures for data and easy …

Group: Warveen Othman, Jasmine Naim, Zuzanna Niewiadomska, Johanna Olaya It is known that systemic steroids can slow bone growth.  Your 8 year old asthma patient’s mother is concerned that perhaps the daily inhaled steroids (given via a metered dose inhaler or MDI) could have the same effect.  What can you tell her? Clinical Question: Mother is questioning if inhaled steroids can slow bone growth in her 8 y/o asthmatic son. PICO Question: Identify the PICO elements (Recalling that some questions do not have all the elements) Do inhaled steroids slow bone growth in the pediatric population? Population: Pediatric Asthmatics Intervention: …

To:  Dr. Howard A. ZuckerFrom:  Warveen OthmanDate:  July 18, 2021Re:  New York State Mandate Requiring Translation Services in All Healthcare Settings Statement of Issue: Should there be a state mandate requiring the use of professional translation services with patients with limited English proficiency (LEP) in all healthcare settings? Although access to translation services have increased in the last few years, there is still a dangerous lack in the use of professional translators due to pressures of efficiency and metrics. Appropriate use of these services by all healthcare providers is necessary to avoid detrimental medical errors. And situations that have risen amidst …

Few challenges has the United States been less prepared for than COVID-19. Looking back on the end of 2019 and the beginning of 2020, it is obvious that the US could have done much more to prepare for the challenges posed by this pandemic to limit the impact on the wellness and survival of the US population and people around the world. The US’s response was characterized by lack of early action by the federal government, misinformation, and unpreparedness. As the next head of the Public Health Emergency Management Team, what I would have done differently can be summed up …

Yusuf Khoury is a 57 year old accountant with a history of Type 2 diabetes and moderate to severe depression somewhat controlled by medication.  He comes to see you today with a complaint of shoulder and left hand pain when he walks his dog and left wrist pain when us uses his computer.  He is concerned that the pain may be caused by his heart because he has been told that left arm pain can be a symptom of heart attack, however you’re not so persuaded.  He describes the pain in his shoulder as aching, but not worse at the …