Brief description of patient problem/setting (summarize the case very briefly) In the pediatrics ER, you notice a symptomatic child with a bulging tympanic membrane and prescribe amoxicillin. The father of the child you are treating mentions that the last time his son had an ear infection and was treated with amoxicillin, he had diarrhea for days. The boy’s father read online that probiotics might shorten the duration of the diarrhea or can possibly eliminate it. Search Question: Clearly state the question (including outcomes or criteria to be tracked) In pediatric patients, do probiotics, given with antibiotics, shorten the course and …
Author: Ariel Niazov
Pediatrics – PICO #2
Brief description of patient problem/setting (summarize the case very briefly) 30-month-old F, accompanied by her mother, comes in to the pediatrics emergency room c/o a cough that has not gone away x 2 days. You hear a bark-like cough, but the child does not seem to be very symptomatic. Search Question: Clearly state the question (including outcomes or criteria to be tracked) In children with mildly symptomatic croup is oral dexamethasone still the go-to steroid to administer verses oral prednisolone in reducing the duration of a child’s cough and illness trajectory? Question Type: What kind of question is this? (boxes …
Pediatrics – PICO #1
Brief description of patient problem/setting (summarize the case very briefly) 8 y/o F, accompanied by father, comes in to the pediatrics emergency room c/o red itchy eyes with discharge x 2 days. Pt’s father reports daughters’ eyes were crusting every morning and needed to be cleaned out. This is their second time in the pediatric ER within the last two days. Search Question: Clearly state the question (including outcomes or criteria to be tracked) In pediatric patients with viral conjunctivitis, are ophthalmic antibiotics more effective than symptomatic treatment, in reducing duration of illness and clinical course? Question Type: What kind …
Reflecting on the Rotation
My surgery rotation consisted of 12-hour days during the week with a 24-hour shift every fourth day (including weekends). I was first a little nervous about how long those 24-hour shifts were, and what would I get done during those hours. Through-out my rotation, I saw many surgeries during those 24-hour shifts, and I was happy I was a part of it. My surgery rotation consisted of going to various types of surgeries and procedures including exploratory laparotomies, colon and small bowel resections, mastectomies, laparoscopic cholecystectomies and appendectomies, hernia repairs, colonoscopies, hemorrhoidectomies, fistulotomies, and anal fistula repairs. We were also …
Site Evaluation Summary
For my site evaluations, I did my surgery SOAP notes on several different types of patients. One patient had a family history of breast cancer and had a fibroadenoma that was benign years ago. A new breast mass was found on exam and a breast core biopsy was recommended. The second patient was brought into the emergency room for right upper quadrant pain for a few days after having a high fatty meal. Her right upper quadrant was tender to palpation and a CT abdomen showed gallstones in her gallbladder. Laparoscopic cholecystectomy was indicated for the patient. The third patient …
Typhon Posting
Journal Entry
Antibiotics vs no antibiotics in the treatment of acute uncomplicated diverticulitis Diverticula are small outpouchings that can form in the lining of the digestive system (more commonly found in the descending and sigmoid portions of the colon). They form when the inner lining of the intestine bulges or herniates through weak spots in the muscular wall. They are usually asymptotic when they are not inflamed. When diverticula become inflamed, it is known as diverticulitis which can cause abdominal pain, fever, nausea, and changes in bowel habits. Acute diverticulitis has different scales and scores to classify what type of diverticulitis a …
SOAP Notes
S. 30 y/o G0P0 female with Family Hx of breast cancer (maternal aunt was BRCA positive who had breast surgery), and PSHx of benign breast biopsy presents to breast clinic today for follow-up status post abnormal ultrasound breast imaging. Patient denies having any nipple discharge, breast dimpling or breast skin changes. Patient mentions she had menarche at 10 years old. She denies any family history of ovarian or endometrial cancer. Patient admits to using oral contraceptives for over 4 years. Her last menstrual period was roughly 2 weeks ago. O. Vitals: BP: 117/75 Pulse: 72 Resp: 14 Temp: 98.3F Sp02: …
Surgery – Rotation #3
Reflecting on the Rotation
My pediatrics rotation had three components to it. I first started off at the emergency room. Since this rotation was during the winter months, I saw many children with viral infections including the influenza, Covid, RSV, and viral gastroenteritis. I also did many rapid strep tests as well as the cultures for backup. Some of the more interesting cases I have had included a teenager who had a varicocele as well as microlithiasis in his scrotum. Another patient had fevers on and off for four months. We had every differential we could think of, including acute lymphoblastic leukemia, malaria, HIV, …
