Category: Clinical
Journal Entry
Olanzapine-Samidorphan for Schizophrenia: A Systematic Review and Meta-Analysis Schizophrenia and bipolar disorder are serious mental health conditions that affect how people think, feel, and behave on the daily basis. Schizophrenia involves patients who have auditory/visual hallucinations, delusions, and disorganized thoughts and behaviors. Bipolar disorder sees patients with extreme mood swings that can include emotional highs (like in a manic phase) and lows (depression). Olanzapine is a second-generation atypical antipsychotic medication that works on the 5HT2A receptor, that aids in helping patients with schizophrenia and bipolar disorder. One of the main drawbacks to long-term Olanzapine use is that it gives rise …
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 …
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 …
Typhon Posting
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 …
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 …
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 …
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 …
