Reflecting on the Rotation

My emergency medicine rotation consisted of being in an emergency room doing 12-hour shifts three days a week for five weeks. Some of the shifts were during the day (7a-7p) and others were overnight (1p-1a), and most weeks I worked on a weekend day. I really enjoyed my five weeks working in the emergency room. I saw many different patients with a myriad of different pathologies and ailments. I saw close to a dozen patients every day. The emergency room consisted of two separate triaging areas. One of the areas called Fast Track consisted of lower acuity patients with muscle …

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Site Evaluation Summary

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 …

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Journal Entry

Hematuria: Is it useful in predicting renal or ureteral stones in patient presenting to emergency department with flank pain? As I have spent several weeks at the emergency room, I have noticed many patients who came in with kidney stones, and one of the main imaging modalities that were used was a non-contrast CT scan. I wanted to look closer to see if any updates were available in new imaging modalities or other lab tests that could be done to find out if someone has a kidney stone without subjecting them to radiation. I found a study that aimed to …

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History & Physical

Chief complaint: Facial droop X 2 days HPI: 62 y/o female with PMHx of GERD, HTN, HLD, migraines and a CVA 15 years ago presents to the emergency room today with complaints of left facial weakness and decreased taste in her mouth since yesterday morning, which has then worsened today. She mentions she could not come to the ER yesterday because she was working. Pt. denies headache, shortness of breath, fever, chills, chest pain, dysuria, cough, nausea, dizziness, numbness, tingling, diarrhea, constipation, or vomiting. Past Medical History GERD HTN Hyperlipidemia Migraines without an aura Stroke (circa 2009) Past surgical history …

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Mini-CAT #1

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), …

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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 …

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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 …

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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 …

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