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 …
Category: Clinical
History & Physical
Chief complaint: Arm and shoulder pain X 2 years HPI: 41 y/o G1P1 female presents to her primary care physician for her annual physical and has complaints of right arm pain. She mentions her right arm has been swollen and painful on and off for 2 years now. The past month the patient has been having the most pain with her right arm, forearm, medial & lateral epicondyle, and shoulder. She says has poor grip, difficulty holding objects and cannot drive with the right arm. Patient mentions she has had a bulging disc in that area of her back for …
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 …
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, …
Site Evaluation Summary
For my site evaluations, I did my cases on a patient who has a varicocele, an atypical presentation of COVID, and a patient who had 4 months of fevers on and off that turned out to have community acquired pneumonia. The patient who had the varicocele did not have any abdominal tenderness, which both my attending and I thought was interesting when the patient mentioned his abdomen was hurting. That interaction made me reconsider how broad the differential diagnoses needed to be. Both of my site evaluations were done as group evaluations in person at school. As a group, we …
