FamilyMedicine

CC: “I have right hand/wrist pain x4 months” HPI: 29 y/o female with no past medical history presents to the clinic for f/u evaluation for IOD of her right wrist and hand sustained 6/10/20. Pt works for American Airlines as a Fleet Agent, and as she was grabbing luggage from the belt loader with her left hand, she accidentally hit her right hand as she threw the luggage into her stock area. Patient states she was in immediate pain and stopped working. Patient states she reported the injury to her supervisor and was referred to this facility. That same day, …

Efficacy, effectiveness, and safety of herpes zoster vaccines in adults aged 50 and older: systematic review and network meta-analysis  Systematic review and meta-analysis of  RCTs adults aged 50 and older. Over 2 million patients were included in the study The 27 studies were published between 1998 and 2017: nine in North America (33%), five in Europe (19%), two in Asia (7%), and 11 across several geographical regions (41%) (table 2, also see appendix S7). Twenty three of the trials were conducted across multiple study centers (74%) and 22 studies used a randomized controlled trial study design (81%). The average study …

During my site evaluation, I presented two H&Ps, a journal article and drug cards. One patient I presented came to the clinic following up on a wrist and hand injury. The patient sustained the injury while working as an American Airlines Agent, and has unfortunately been out of work since June. She received steroid injections for continued pain with no relief. My site evaluator and I discussed her case in detail and other examples of worker’s compensation related scenarios. My journal article discussed the herpes zoster vaccine and compared the effectiveness and safety of the live attenuated vaccine versus the …

During this rotation, I was able to strengthen my musculoskeletal knowledge and how to approach those injuries as a PA. My rotation site was located at CitiMed in JFK, and this clinic mostly saw patients with work-related injuries, injuries outside of work, DOT physicals and employment physicals. This clinic also employed Pain Management MD/PAs, orthopedics MD/PAs, Physical Therapists, chiropractors and acupuncturists, which was great to work in collaboration with. Each day, I was assigned my own room where I was able to conduct thorough histories and physicals on my own patients. Afterwards, I would present the patient to my preceptor …