Site Visit Summary     I chose the to present HPIs that focused on my weaknesses. Since my goal for this rotation was to become comfortable with Neuro exam and DDx, both patients I chose to present at the first visit had a headache as a chief complaint but with two very different outcomes. I was able to do a through Neuro assessment on them and discuss the DDx with my preceptor in depth which was very helpful.    For my second visit I chose the STEMI patient that I got to follow all the way to the Cath lab since …

EM so far was the most exciting rotation I had. Emergency Room is a very high paced high pressure environment and everyone is busy doing important things all the time. Therefore, in the beginning in order to learn something I had to insert myself into conversations and situations, sometimes following the attendings and residents quietly. With time, however, I learned to ask questions and realized most of them were happy to answer them and provide bedside presentations on things that interested me, especially seeing how exited I was to learn.     I was exposed to countless procedures and techniques I …

The patient from my HPI tolerated his cardiac catheterization procedure well. However, later this week I saw another patient for whom the outcomes were way less favorable. During the catheterization he developed a pericardial effusion which quickly turned into a tamponade, he then required a pericardiocentesis resulting in V-fib, cardioversion and a pacemaker placement. This article published on June 22, 2020 reviews Catheterization Risks and Complications Cardiac catheterization is one of the most widely performed cardiac procedures. In the United States, more than 1,000,000 cardiac catheterization procedures are performed annually. As expected, in any invasive procedure, there are some patient …

MEDICAL HISTORY      Date:     03/28/21                      Time: 10:50 IDENTIFICATION:          J.F.                       Sex:         M            Race: Caucasian        Nationality: US        Age: 51           Marital status: Single Address:       n/a                                Religion: n/a PCD: Does not remember Informant        Self                            Reliability             Reliable        Referral: None CC: Chest pain since 5 am 51 y/o M w PMH of GERD and kidney stones presents to ED w a c/o 8/10 chest pain radiating to his left arm, neck, stomach and ears since 5 am. He describes the pain as sharp, stabbing, pressure-like, not relieved by leaning forward. Pain does not get worse with inspiration. Denies fever, chills, SOB, cough, pain being worse on inspiration or …