My rotation site was at North Shore University Hospital. Overall, I I felt I learned and experienced a lot, and it was a great first rotation for clinical year. I believe I was exposed to many different medicine specialities and got to work with a variety of healthcare workers. For two weeks, I had the opportunity to learn in the Medical ICU and cardiothoracic unit, and also gained experience in the emergency department. It was challenging treating patients with such complicated medical conditions, but the PA and residents I was learning from always remained patient with me and allowed me …

During my first clinical site visit, I presented a full history and physical and five drug cards. The H&P I presented was on a 73 year old male who was admitted for urinary retention, urinary tract infection, and acute diverticulitis. My site evaluator and I discussed differential diagnoses and various assessments and plans. He provided good constructive feedback on how I could make the patient’s story clearer and flow more efficiently. During my second site visit, I presented a 37 year old male who was admitted for bright red blood per rectum. This patient had a history of cirrhosis and …

The article I chose to share with my site evaluator was about morphine’s effect on anti-platelet drugs. I chose this article because it’s a topic I have been researching over the last few weeks and was also something I’m interested in after spending a week in the cardiothoracic unit. This was a meta-analysis of randomized-controlled trials that included 69,993 participants. All participants had a history of ACS with STEMI or NSTEMI, and the outcomes investigated included in-hospital mortality, major adverse cardiovascular events, platelet reactivity, and bleeding. The effects of morphine were evaluated against placebo, control, and any other analgesic non-opioid …

Identifying Data Name: Male Address: NSUH Date of Birth: 37 y/o Location: NYHQ Source of Information: Self   Chief Complaint: Rectal bleeding for 1 day    History of Present Illness: 37 y/o male with a PMH of migraines, chronic alcohol abuse, and cirrhosis of liver, last drink June 2019, presenting with rectal bleeding for 1 day. States he has had 7 episodes of bright red blood coming from rectum without passing stool. Patient had a colonoscopy on 1/27/20 s/p polypectomy, and states he felt well after the procedure with regular bowel movements. Admits to nausea, dry heaving, subrapubic tenderness, shortness …