For my site evaluations, I did three History and Physicals on three different patients. The first patient I wrote about had was a woman with a past medical history of hypertension who had a bout of dizziness in the middle of the day. She did not have anything to eat for breakfast which may have exacerbated her feelings of dizziness. She then had some very salty food which helped with her dizziness, but then started feeling like her blood pressure was spiking. I believe she either had hypoglycemia or was not compliant with her hypertension medication. The second patient I saw came into the urgent care with a rash on shaft of his penis. He had unprotected sex the week before and was complaining of a painless rash in his genital area. STD testing (which showed a positive RPR) and a physical exam pointed to the patient having primary syphilis that was rectified with a penicillin injection in the patient’s gluteus maximus. The third patient was a young woman who was complaining of chest tightness and a cough for about 6 weeks. She has a past medical history of PTSD, depression, and asthma. On exam both inspiratory and expiratory wheezing was auscultated and the patient admitted to not having her albuterol inhaler anymore. A Duoneb treatment and the first dose of Prednisone was given to help the patient out with her asthma exacerbation.

During my first site evaluation, my site evaluator went through my drug cards and my history and physical. He mentioned he enjoyed reading through my History and Physical, and thought I did a great job overall. I think my second site evaluation went as well as my first one. My journal entry was about the alternatives to syphilis treatment using non-penicillin therapeutic strategies like cephalosporins, doxycycline, and combination regimens. The article showed that alternative therapeutics to treating syphilis were just as effective as penicillin was, with some regimens being more favored than penicillin.