My pediatrics rotation had three components to it. I first started off at the emergency room. Since this rotation was during the winter months, I saw many children with viral infections including the influenza, Covid, RSV, and viral gastroenteritis. I also did many rapid strep tests as well as the cultures for backup. Some of the more interesting cases I have had included a teenager who had a varicocele as well as microlithiasis in his scrotum. Another patient had fevers on and off for four months. We had every differential we could think of, including acute lymphoblastic leukemia, malaria, HIV, …
Month: March 2024
Site Evaluation Summary
For my site evaluations, I did my cases on a patient who has a varicocele, an atypical presentation of COVID, and a patient who had 4 months of fevers on and off that turned out to have community acquired pneumonia. The patient who had the varicocele did not have any abdominal tenderness, which both my attending and I thought was interesting when the patient mentioned his abdomen was hurting. That interaction made me reconsider how broad the differential diagnoses needed to be. Both of my site evaluations were done as group evaluations in person at school. As a group, we …
Typhon Posting
Journal Entry
Malaria, an illness perpetuated by parasites infiltrating red blood cells, is predominantly transmitted to humans through the bite of the female Anopheles mosquito, a carrier of the Plasmodium parasite. Plasmodium falciparum, among the many various parasite species affecting humans, is notably linked to elevated fatality rates. The predominant symptom of malaria is fever, accompanied by additional symptomatology including headache, cough, nausea, vomiting, abdominal pain, diarrhea, and muscle or joint pain. The disease mechanism involves the mosquito biting a human, introducing parasites from its saliva into the person’s liver. The parasites undergo initial growth and multiplication in liver cells, progressing to …
History & Physical
Chief Complaint: Patient presents with LLQ Abdominal Pain & Emesis X 1 day History of Present Illness (HPI) 15 yo M with PMx of ADHD presents with his mother to the ER c/o LLQ abdominal pain. Pt states that he was trying to defecate last night but failed and then the pain started. Pt had normal bowel movement the day before. Pt reports that he has a pulsating sharp pain at LLQ that does not radiate anywhere. Pt vomited once in the ER without any blood in the vomitus. Pt denies trauma, fever, chest pain, shortness of breath, sick contacts, …
