MEDICAL HISTORY                                                   Date:   7/7/21                        Time: 05:00am IDENTIFICATION:   S.H.                                   Sex:   M                  Race:  Bengali              Nationality: US           Age: 62     Marital status: Widowed Address:     N/A                                  Religion: N/A PCD: MD Rahman Informant: self                                    Reliability: reliable                              Referral: Neurologist CC: Dizziness HPI 62-year-old male with a history of diabetes, HTN, HLD, cholecystectomy (2003), presenting to the ED complaining of dizziness, headache, blurred vision, and nausea. Patient states this has been going on for the last 7-8 years, worsening within the last 3 months. Patient report dizziness as constant, but worse with ambulation and describes it as “room spinning”. Patient also reports associated vomiting but none today and …

   For my site evaluation I chose two most interesting cases I’ve encountered to present. The first case was a 50 y/o woman who was a stepdown from the ICU that has a very interesting and mysterious course. At least 2 times a day she was going into a hypotensive crisis and was diagnosed with a sepsis of unknown origin. I followed her for over 10 days and she had countless consults, none really providing us with the source.    Second was a 45 y/o gentleman with no PMH, relatively healthy with no history of substance or alcohol abuse, who …

   Internal Medicine experience at NYPQ was very different from that I had at QHC. Unlike QHC where Medicine was run by residents, at NYPQ the Medicine department is ran mostly by Physician Assistants which was very inspiring reminding us of how valuable we are to the healthcare industry.    The morning rounds with the attendings were done over the phone which was new for me. While it may be more efficient, I would have preferred if the attendings saw the patients in person with me during rounds, at least while I’m a new PA.    Interpersonal challenges I’ve encountered …

Pathophysiology of COVID-19- associated acute kidney injury Citation: Legrand M, Bell S, Forni L, Joannidis M, Koyner JL, Liu K, Cantaluppi V. Pathophysiology of COVID-19-associated acute kidney injury. Nat Rev Nephrol. 2021 Jul 5:1–14. doi: 10.1038/s41581-021-00452-0. Epub ahead of print. PMID: 34226718; PMCID: PMC8256398. The pulmonary manifestations of COVID-19 are most prominent, but acute kidney injury (AKI) is also now recognized as a common complication of the disease and is often evident at hospital admission. Understanding the fundamental molecular pathways and pathophysiology of kidney injury and AKI in Covid‐19 is necessary to develop management strategies and design effective therapies Age, …

PICO Search Assignment Worksheet              Name: C. Shamrock, PA-S N.M. is a 52 y/o M with PMH of well controlled DM and HTN who was diagnosed with aortic stenosis requiring a surgical intervention. His doctor recommended an open-heart surgery, but he is reluctant to agree to it and is asking if a transcatheter aortic valve replacement is a good option for him. Search Question: Is Surgical Aortic Valve replacement (SAVR) superior to Transcatheter approach (TAVR) for intermediate risk patients in terms of mortality, rates of endocarditis, and stroke? Question Type: What kind of question is this? ☐Prevalence                 ☐Screening                  ☐Diagnosis ☒Prognosis                              ☒Treatment                  …