Testicular pain/testicular torision  Case Scenario:  John is a 17 year old male who presents to the ER (at 8am) with a complaint of sudden onset left testicular pain   History Elements:  Onset: 4 hours ago at 4am   Location: left testicle and left scrotum; nonradiating  Duration: The pain is constant and severe   Character: severe sharp stabbing pain in the testicle and surrounding swelling. Patient says the pain was so severe that it woke him up this morning and caused him to have nausea and vomiting.   Pain is worse with movement and palpation of the area; there are no alleviating factors   He says the pain is a 10/10, and is the worst pain he has ever felt in his life.   …

ER Site visit reflection:  I had my evaluation with Andrea, who is a robotic surgery PA in NYPQ. This was my first evaluation that I had in person, as my other site visits have been over zoom. This was a really nice experience, as it felt more personal and informative to be able to discuss the rotation in person. Andrea was really nice and was willing to share information about her surgery PA experience and her role as a Physician Associate. She also was very caring about how the rotation was going and what I was learning.   In our first evaluation, we discussed 1 full …

ER Rotation Reflection  I did my Emergency Medicine Rotation at NYPQ. This rotation was extremely fruitful and I leaned a lot! I used to scribe in Stony Brook University hospital ER for over 2 years, and I really enjoyed the Emergency Room environment. I was so amazed how everyone in the team, from the doctors, nurses, EKG techs, and even students, worked together very smoothly and swiftly to care for patients coming in seeking emergent care. This patients are often need to emergent and fast actions, and the ability of these providers to think on their feet and provide such complete care while still being empathetic to the patients was …

Recurrence of uterine myoma after myomectomy: Open myomectomy versus laparoscopic myomectomy  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5836951/ Kotani, Yasushi et al. “Recurrence of uterine myoma after myomectomy: Open myomectomy versus laparoscopic myomectomy.” The journal of obstetrics and gynaecology research vol. 44,2 (2018): 298-302. doi:10.1111/jog.13519  I am presenting an article on a patient I saw with fibroids (History and physical 2). The patient that we saw presented with 15 days of vaginal bleeding with a past medical history of fibroids, that were surgically removed 2 years ago. As per her history, presentation, physical exam and imaging, her current symptoms are consistent with recurrent fibroids. The patient was instructed to follow up with her …

History and Physical 1  Amber Shaikh  Emergency Medicine Rotation-NYPQ  Identifying data:  Name: MD   Age: 32  Sex: Male  Race: African American  Date and time: 6/3/2021  Location: NYPQ ER Acute  Source of referral: self  Source of information: self  Mode of transport: personal Vehicle  Chief complaint: Chest pain for 1 day  History of Present Illness:   MD is a 32 year old male with no significant past medical history who presents with intermittent midsternal chest pain that started one day ago. Patient says that the pain started after doing a workout with weights at the gym yesterday, and then came on again when he was running up 3 flights of stairs. He says the pain is in …

 Based on PICO from RT 2-WK 2   Clinical Question: As in the past, please briefly outline the scenario and state your clinical question as concisely and specifically as possible    KD is a 45 year old female patient who is 3 days post a left rotator cuff surgery. The surgery was a success and the patient is now in the post-op bed rest period. She has been told that she will need to take rest for a few days – weeks depending on her recovery but wants to know what she can do to fasten her recovery time and decrease her length of stay in the …