My long-term care rotation consisted of being at the Veteran Affairs center doing 8-hour shifts five days a week for five weeks. The shifts were during the day (9am-5pm) and I worked during the weekdays. I really enjoyed my five weeks working at the long-term care rotation. The patients I saw were called “Residents” because they actively resided at the VA center. I worked with a singular preceptor throughout my 5 weeks, and I really enjoyed the comradery with my fellow practitioner. The clinician and I had our own set of patients that we saw daily, as well as other …

For my site evaluations, I did three History and Physicals on three different patients. The first patient I wrote about was a patient who had right lower back pain for the past two weeks. The patient said that the pain did not radiate anywhere, and laying down alleviated the pain. The second patient I wrote about had decreased hearing out of the right ear for the past 4 days. There was no pain associated with the decreased hearing. The third patient I wrote about came in for his monthly medical evaluation. He denied any pain, fever, chills, shortness of breath, …

ProKera is a therapeutic medical device used to treat various eye conditions. It is an amniotic membrane graft (also called a sutureless, cryopreserved amniotic membrane) that combines the healing properties of cryopreserved amniotic tissue with a flexible ring that fits over the cornea like a contact lens. The amniotic membrane promotes corneal healing, reduces inflammation, and minimizes scarring. ProKera treats many different types of ailments including corneal erosions and ulcers, patients with severe dry eye disease, corneal infections such as herpetic keratitis or other inflammatory corneal conditions, chemical burns, neurotrophic keratitis, and Stevens-Johnson Syndrome. The device is typically placed by …

Source: Resident + information from EMR CC: Decreased hearing from R ear X 4 days + Complete physical exam HPI: 83-year-old male with PMHx of thrombocytosis, chronic PTSD, rosacea conjunctivitis, bilateral neurotrophic keratoconjunctivitis of the eyes, dementia, recurrent bilateral LE cellulitis, HFrEF (EF 25-30%), HTN, DMT2 (HbA1c 6.1 – 10/2023), CAD s/p CABG (1995), diverticulitis s/p sigmoidectomy 2006, large ventral/abdominal hernia with failed surgical repair 2007, PUD s/p hospital stay 1/27 – 2/5/24. Resident is complaining about reduced hearing out of his right ear for the past few days. He says there is no pain associated with it. Resident currently …

My internal medicine rotation consisted of being in the emergency room holding unit, as well as being upstairs on the ICU floors, doing 12-hour shifts three days a week for five weeks. The shifts were during the day (7am-7pm) and I worked during the weekdays. I really enjoyed my five weeks working in my internal medicine rotation. I saw many different patients with a plethora of different pathologies and ailments. I saw between 8-15 patients every day. After patients were deemed that they needed to be admitted from the emergency room, they were placed in the emergency room holding areas. …

For my site evaluations, I did three History and Physicals on three different patients. The first patient I wrote about was a woman with a past medical history of hypertension who abdominal pain and rectal bleeding overnight. She was taking antibiotics for a pneumonia that she had was had just finished her course. She started eating solid food that turned into abdominal pain with bloody diarrhea. The second patient I saw came into the hospital with a sore throat for the past three days. She went to the urgent care where every test they ran was negative, and presented to …

Are corticosteroids safe in adolescent and adult patients with infectious mononucleosis? Infectious mononucleosis stems from the Epstein-Barr virus (EBV). EBV is generally spread through the saliva and can be acquired through kissing and sharing utensils or glassware during a meal with someone that has mono. Patients with mono may experience fatigue, fever, sore throat with exudates, swollen lymph nodes, or enlarged spleen. This study looked at whether usage of corticosteroids was safe in patients who had infectious mononucleosis with concomitant antibiotic therapy or was also safe without antibiotic therapy. In this retrospective cohort study, 396 patients were admitted to the …

Chief complaint: Sore Throat X 3 days HPI: 19 y/o female with PMHx of asthma (on albuterol PRN) presents complaining of a sore throat for the last 3 days. She says she feels a “throbbing-like” pain and rates it as a 6/10 and does not radiate anywhere. Patient reports difficulty swallowing both liquids and solids due to the pain and has a poor appetite. Patients voice is muffled and she mentions that she has had fever and chills at home (with a TMAX 103°F). Patient endorses that she went to an urgent care by her house yesterday and had a …