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PICO/CAT Table

Rotation # and Type  Week #  PICO/ Mini-CAT  Question  RT 1: Pediatrics  online  PICO  In a pediatric patient with symptoms of severe bronchiolitis (RSV), what are the benefits of administering nebulized hypertonic saline solution vs supportive care with normal saline in order to decrease the length of hospital stay and rate of admission.   RT 1: Pediatrics  WK 2 PICO  In a child diagnosed with viral gastroenteritis, is there any benefit of using antiemetics rather than just oral rehydration therapy to make the patient recover faster?   RT 1: Pediatrics  WK 4 PICO  In pediatric patients in the adolescent age group who …

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Surgery: Site Visit Summary

I had my site visit for surgery with Professor Rachwalski, which was done virtually through whatsapp. This was a wonderful site visit because he is so pleasant and helpful to talk to. I was able to openly share my experience of the rotation with him and discuss all the interesting OR cases I saw.  He was very understanding and encouraging and gave me a lot of comfort when I expressing how overwhelming yet interesting this rotation was. He was also very engaging to discuss medical facts with, and would share his OR experiences with me, and made the site visit very personal and fun.   We would then discuss my SOAP notes and …

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Surgery: Rotation Reflection

Surgery was a rotation that I was scared of the most, but surprisingly ended up enjoying it. I did my surgery rotation in Metropolitain hospital. I will be honest and say that the 1.5 hour commutes one way and the 5:30am start time were very exhausting and draining, but once I was in the OR I saw how interesting surgery really was. At this hospital we were exposed to both the OR side and the clinical side of surgery, in which we got to work with PAs, so it gave a good overall look at this field. We did 2 weeks of general surgery in which we were …

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Surgery: Journal Article and Summary

Atypical Presentation of Gangrenous Cholecystitis; a Case Series:  Safa, Rawan, et al. “Atypical Presentation of Gangrenous Cholecystitis: A Case Series.” American Journal of Emergency Medicine, Elsevier, 16 Aug. 2018,   https://www.sciencedirect.com/science/article/abs/pii/S0735675718306843 I chose to research an article based on my SOAP note 4, in which I had a patient with a very typical presentation of cholecystitis. Even though my patient was missing certain red light factors such as eating a fatty meal, and positive Murphy sign, he still had typical findings such as a colicky abdominal pain located in the right epigastric area, radiating to the shoulder. I wanted to look into possible atypical presentations of cholecystitis, and what we should be …

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Surgery: History and Physicals

SOAP note 1 Identifying Data:  Name: NM  Age: 33 years old  Race: Hispanic               Date & Time: 3/08/2021 1:00PM, follow up on 3/09 post-op  Location: Metropolitan Hospital Center  Source of Referral: internal medicine  Source of Information: Self   Mode of Transport: personal automobile  S:  33 year old male patient with a past medical history of an appendectomy presents to the ED on 2/8 complaining of sharp intermittent abdominal pain, located in the right epigastric area. He described the pain as colicky and sharp, that lasted anywhere from 2 minutes to 1 hour. He says the pain also radiated to his right shoulder. He denies eating fatty foods, or eating anything different. He …

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Pediatrics: Rotation Reflection

My pediatrics rotation at Queens Hospital center was my first ever rotation, so there were a lot of nerves going in already. On top of that, in all my years of working in medicine, I have only dealt with adult medicine, as I have worked in Urgent cares and Emergency rooms. I had no idea what to expect, and went in very nervous about working with kids. Don’t get me wrong, I love kids! But the thought of having them cry or having something go wrong since they are more fragile then adults, was always lingering. However, all my anxiety and stress quickly simmered down …

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Pediatrics: Site visit summary

For Pediatrics we had our site visit with Professor Maida, but of course due to the current pandemic, this was all done “virtually.” This was actually a lot better experience then I imagined, because we were still able to discuss as we would have in person. This also was a learning experience since we got to virtually interact with our other students, who were in different locations for their pediatric rotation, so it was nice to hear about their experiences.   For our first site visit, we presented 5 of our drug cards, presented an H&P, and did a discussion on a journal article based on …

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