Angelina Gambino Case Study – Alexi Burr Immunizations • Influenza – 1 dose annually Screening • Alcohol misuse • Depression • Hypertension • Obesity • Tobacco use and cessation • HIV infection • BRCA gene screening – Alexi’s maternal grandmother and aunt had breast cancer. No breast cancer screening (mammogram) needed because of age • Intimate partner violence • Cervical cancer – Pap smear every 3 years, or every 5 years with human papillomavirus cotesting starting at age 30 Injury Prevention 1. Traffic Safety A. Infants – Seat should be rear-facing in the …
History and Physical Reflection
Between my fall and spring semester H&Ps, I believe the most apparent difference is my organization. Although there is still room for improvement on my flow of thinking, spring semester’s H&P flowed better and was more concise. When learning to take a history from my patients, I believe I have improved as the semesters progressed. During the fall semester, I may have missed important questions to ask my patient in order to create a good list of differential diagnoses. My HPI has also improved from fall to spring semester regarding my flow of how I approached each question to my …
History and Physical – Internal Medicine
Biomedical Ethics – Argument Essay
Angelina Gambino Biomedical Ethics Argument Essay #2 1. Mr. S insists on using his walker to go to the bathroom alone rather than using the bedpan overnight. There are many ethical issues in this case. Mr. S is potentially putting his health and life at risk by not waiting for assistance to walk to the bathroom. The patient’s decision-making capacity must be questioned. He is capable of making current decisions, however he is lacking the ability to make future decisions regarding his health. The staff is insisting Mr. S use the call button for help, and he is potentially putting …
Patient-Centered Interview
History & Physical – Internal Medicine
History & Physical – Internal Medicine
Reflection
After creating e-portfolios through both Blackboard and CUNY Academic Commons, I prefer to use CUNY Academic Commons. Through Blackboard, I found that there were some glitches when attempting to change the layout of my e-portfolio. Although it was simple to upload an artifact through Blackboard, and required little reading of directions, there was very little creativity that could be incorporated in the way my artifacts or posts be organized. I found it to be limiting that there were only a few color schemes or layout options to choose from. The initial steps in creating my e-portfolio through CUNY Acadmeic Commons …
Dysuria SOAP Note
CC: Mr. C is a 57-year-old man who complains of dysuria that started suddenly 5 days ago. He reports the pain seems to radiate to his low back and perineum. He has felt “achy” and had chills but has not measured his temperature. He denies any penile discharge, rash, nausea, vomiting, or flank pain. He has had more difficulty urinating with a weaker urinary stream for the past few days. He also feels some dizziness upon standing. Mr. C is sexually active with several female partners and does not use condoms or other barrier protection. He has no active medical …
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