Clinical Question: A 25-year-old woman presents to your OB/GYN clinic and she mentions that she feels upset that her PCOS is making her gain weight. She has tried lifestyle modifications, but it has not been working as well as she had hoped. She has seen commercials and has heard a lot of people talking about Ozempic and Metformin for weight loss alternatives. She asks you if either of those medications can be helpful in her goal of losing more weight. Search Question: Clearly state the question (including outcomes or criteria to be tracked) In women with polycystic ovarian syndrome (PCOS), …
Month: May 2024
Reflecting on the Rotation
My family medicine rotation consisted of being in a primary care physician office every weekday for five weeks. I used to work for an Internal Medicine doctor, so I had an idea about what to expect. I was still a little nervous about what to expect. The Family Medicine provider, Dr. Devicka Persaud, was nothing short of wonderful. She was easy to talk to, taught medical concepts very well, and was very attentive with her patients. I saw many patients throughout the day and throughout my rotation. My responsibilities consisted of triaging patients including getting social, family, and past medical …
Site Evaluation Summary
For my site evaluations, I did three History and Physicals on several different patients. One patient had a family history of breast cancers and had a benign fibroadenoma that was found on physical exam years ago. A new breast mass was found on her new physical exam and a breast core biopsy, as well as genetic testing, was recommended. The second patient had his initial visit with the doctor. Going through the visit, the patient mentioned that he tests his blood sugar daily and that the numbers he was getting was very high. The third patient was a young woman …
Typhon Posting
Journal Entry
Ultra-processed food and risk of type 2 diabetes: a systematic review and meta-analysis of longitudinal studies Diabetes, a metabolic disorder, heightens the likelihood of adverse effects such as renal complications, cardiac issues, and early mortality. Availability and accessibility to high density and low cost, but nutrient deficient, foods accelerate diabetes into overdrive. One of the main components of this are ultra-processed foods. These processed foods consist of whole foods that has been fractionated into smaller substances that have been modified with chemicals and cosmetic additives. Because these foods make the consumer fuller for longer without much nutrition, other nutrient …
History & Physical
Chief complaint: Arm and shoulder pain X 2 years HPI: 41 y/o G1P1 female presents to her primary care physician for her annual physical and has complaints of right arm pain. She mentions her right arm has been swollen and painful on and off for 2 years now. The past month the patient has been having the most pain with her right arm, forearm, medial & lateral epicondyle, and shoulder. She says has poor grip, difficulty holding objects and cannot drive with the right arm. Patient mentions she has had a bulging disc in that area of her back for …
