EM typhon

My first site evaluation went very well. I chose to share an H&P on a 48 year old male who presented to the emergency department with shortness of breath and chest pain for 2 hours. My evaluator gave great constructive feedback on my H&P and we discussed a list of differential diagnoses and treatment plans. He suggested I keep working on my list of differentials and discussing why they may not be the diagnosis. **My second site evaluation was cancelled by my evaluator due to the current COVID circumstances. I will update this post once that is rescheduled**

I chose to discuss this article after encountering a patient with acute appendicitis. The first line treatment is appendectomy, however, controversy exists since conservative therapy may have fewer complications than surgery. This article was a meta-analysis that compared the outcomes between conservative treatment with antibiotics and appendectomy in adults with acute appendicitis. The outcomes observed were adverse effects, length of hospital stay, and efficacy. There was a total of 11 trials and 2,751 patients that were studied. What researchers found was that patients receiving conservative treatment had a lower overall effective rate and complication rate. This group also had a …

Identifying Data Name: Female Address: NYQH Date of Birth: 67 y/o Location: NYHQ Source of Information: Self   Chief Complaint: shortness of breath x1 week History of Present Illness: 67 y/o female with PMH of COPD, asthma, CAD s/p MI x2 stents 2012, CHF, HTN, HLD, type 2 DM, Parkinson’s disease, renal cell carcinoma s/p right nephrectomy 1998, anxiety, depression presenting with worsening shortness of breath for 1 week. Associated with subjected fever, chills, productive cough of yellow phlegm, and chest pain only with cough. Patient was seen by PMD 1 week ago and diagnosed with pneumonia, for which she …

My rotation site was at New York Presbyterian Queens. Overall, I found this rotation to be a great learning experience. I was able to see many medical conditions, ranging from minor to very serious conditions. This hospital is a level 1 trauma center, so I was able to assist my team in many situations, such as major car accidents and stab wounds. The emergency department is split up into 5 different teams, ranging from urgent care to red team (trauma). Every shift, I was placed on a different team and was able to work with many residents, attendings and PAs. …