For my site evaluations, I did three History and Physicals on several different patients. The first patient I wrote about had facial drooping for a couple of days. The first must-not miss diagnosis you must have on your differentials must be CVA, but this patient did not present with any of those signs or symptoms. The second patient had an acute abdomen with abdominal pain, emesis, and diarrhea for four days. The differential list of those are pages long, but with a good history/PE and imaging, we found that she had colitis. The third patient was a young woman who presented with complaints of right flank pain that was cramping on and off for a day. She could not sit still in her chair for most of the visit to the ER. Her past medical history showed that this type of pain happened before when she had a kidney stone on the contralateral side years ago. During my first site evaluation, my site evaluator went through my drug cards and both my history and physicals. He mentioned he enjoyed reading through my H&P’s, but that I could tighten up my assessment/plan section and expand on any other differentials I might have missed. I took that advice to heart and during the second site evaluation my site evaluator commended me on my third H&P and he really enjoyed reading about my journal article about how sensitive and specific certain lab tests are in possibly diagnosing kidney stones in the future. Ultimately, I think my site evaluator was very pleased with my H&Ps, drug cards and my journal entry for this rotation.