A COMPARISON OF RATE CONTROL AND RHYTHM CONTROL IN PATIENTS WITH ATRIAL FIBRILLATION    ~NEJM Citation: Wyse DG, Waldo AL, DiMarco JP, Domanski MJ, Rosenberg Y, Schron EB, Kellen JC, Greene HL, Mickel MC, Dalquist JE, Corley SD; Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) Investigators. A comparison of rate control and rhythm control in patients with atrial fibrillation. N Engl J Med. 2012 Dec 5;347(23):1825-33. doi: 10.1056/NEJMoa021328. PMID: 12466506. https://www.nejm.org/doi/pdf/10.1056/NEJMoa021328?articleTools=true A-fib: MC sustained arrhythmia. Problem: poorly controlled/irregular ventricular rate Tx goal: NSR maintenance There are two approaches to the treatment of atrial fibrillation: one is cardioversion and treatment …

Christina Shamrock Nice job on this.  Good capture of information, sequencing and particularly good pursuit of the specifics on PE relevant to the chief concerns.  Could use a little more exploration of the fall and note my comments on the assessment and imaging information how it might be placed/discussed differently MEDICAL HISTORY #1                                               Date:        05/11/21                   Time: 11:00 IDENTIFICATION:       O.H.                            Sex:          M           Race:   Indian            Nationality:    US        Age: 69   Marital status: Married Address:        N/A                               Religion: N/A PCD: Dr.Bhangoo, MD Informant : self                            Reliability:          reliable                    Referral:  none HPI:       A 69 y/o M w a medical Hx of being an active smoker, COPD, …

  I had my Long Term Care rotation in the Internal Medicine department. During my 4 weeks there I got to work with two different attendings with an entirely different approach to patient care, so it was very interesting to participate in both. This was my 4th rotation, so I was definitely feeling more confident and was not afraid to speak up to ask questions or ask to do procedures, so I did not really note any interpersonal challenges. QHC staff is very friendly and willing to teach, and I got clear guidelines on what were the expectations of me …

FM Site Visit Summary         For my first HPI I chose the most exciting case I saw during my rotation – a decompensating heart failure patient that ended up being transported to the ER. He was a young male with a PMH of DM2 and HTN who was already s/p renal transplant. During the site visit my preceptor asked leading questions that made me think of all possible etiologies of his condition which was very stimulating. Prof.Sadat also laid out the possible treatment plan for my patient once he reaches the ER which gave me a sense of completeness since …

MEDICAL HISTORY                     Date:        04/17/21                   Time: 11:00 IDENTIFICATION:         S.W.                             Sex:          M           Race:    African American            Nationality:    US        Age: 45   Marital status: Married Address:        N/A                               Religion: N/A PCD: O.Dairo Informant : self            Reliability:          reliable                    Referral:  none HPI C/C: Cough, shortness of breath, bilateral lower extremity edema 45 y/o M w a PMH of Asthma, HTN and ESRD s/p kidney transplant walked in today with a c/o cough and ankle swelling x 2 days. The cough is sometimes productive, bringing up white frothy sputum. Patient states the cough is worse when he is laying down and that he needs 2-3 pillows to sleep …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6487890/ Citation: Ungaro R, Mehandru S, Allen PB, Peyrin-Biroulet L, Colombel JF. Ulcerative colitis. Lancet. 2017;389(10080):1756-1770. doi:10.1016/S0140-6736(16)32126-2 Surprisingly, in my FM rotation I’ve encountered quite a few GI bleeders whose lower GI bleed was not explained by any particular diagnoses at the time Since UC is a diagnosis of exclusion, I decided to take a deeper dive on the topic. Ulcerative colitis is a chronic, idiopathic inflammatory disease that affects the colon, most commonly affecting adults aged 30–40 years and resulting in disability. It is characterized by relapsing and remitting mucosal inflammation, starting in the rectum and extending to proximal segments …