CAT: Tonsillectomy vs Watchful Waiting

Brief description of patient problem/setting A 5 y/o female with medical history of Obstructive Sleep Apnea is brought in by mother to see a pediatric ENT for an acute tonsillitis for the fourth time this year. The pediatrician recommends tonsillectomy to help with both conditions, but patient’s mother is reluctant to agree to the surgery and wants to know if surgery outcomes can significantly improve her daughter’s life. Search Question: Does tonsillectomy decrease number of episodes of sore throat per year and affect neurocognitive outcomes for pediatric patients with OSA and recurrent tonsillitis? Question Type: ☐Prevalence                  ☐Screening          ☐Diagnosis ☒Prognosis                    ☒Treatment          …

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OBGYN Site Evaluation

OBGYN site visits were great educational sessions. For my first presentation I chose a young patient with anuria who also had a family history of PCOS. PCOS is a diagnosis made clinically, based on a myriad of findings so that patient’s differential and workup was pretty broad, which lead to a stimulating educated discussion. My pharm cards covered drugs I saw most commonly used in OB service. Second patient I chose to present was a case of malodorous vaginal discharge without any constitutional symptoms in a patient who denied being sexually active for the past year. To me her exam …

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OBGYN Rotation Reflection

After Surgery rotation I had my mind set on a specialty so it was difficult to keep an open mind going into my last rotation. However, it really surprised me. OBGYN is a specialty where we get to build a unique intimate connection with our patients and learn how to speak comfortably about things that most people find uncomfortable.      On days I worked with C.Melendez I got a full autonomy to act as a full on provider writing the HPI in EPIC, placing orders, booking OR, performing a full exam vocalizing my findings, performing and Ultrasound and counseling patients. …

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OBGYN Article and summary

Effect of COVID-19 on Mortality of Pregnant and Postpartum Women: A Systematic Review and Meta-Analysis Citation: Karimi L, Makvandi S, Vahedian-Azimi A, Sathyapalan T, Sahebkar A. Effect of COVID-19 on Mortality of Pregnant and Postpartum Women: A Systematic Review and Meta-Analysis. J Pregnancy. 2021 Mar 5;2021:8870129. doi: 10.1155/2021/8870129. PMID: 33728066; PMCID: PMC7938334. Pregnant women are at a higher risk for acquiring viral respiratory infections and severe pneumonia due to physiological changes in their immune and cardiopulmonary systems Based on what is known at this time, pregnant women are at an increased risk of severe illness from COVID-19 compared to nonpregnant …

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OBGYN HPI

OBGYN MEDICAL HISTORY     #1                       Date:     11/17/21                      Time: 14:50 IDENTIFICATION:          L.L                          Sex: F            Race: Hispanic        Nationality: US        Age: 24           Marital status: Single Address:       n/a                                Religion: n/a PCD: O. Dairo Informant        Self                            Reliability:    Reliable         Referral: None CC: No period x 3 months 24 y/o F w no known PMH LMP 07/05 presents today with a complaint of absent periods for the past 3 months. Patient states this has never happened to her before and usually her periods are regular, every 28 to 30 days, last 5-6 days and present with a moderate amount of bleeding (reports using 2-5 pads/day, and seeing small …

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Cover Letter

Dear hiring manager,     My name is Christina Shamrock, I am a CUNY York PA Grad of 2021 interested in the Plastic Surgery Physician Assistant position. Prior to PA school I held a role of a patient care coordinator in three different clinics, including cutting edge regenerative concierge medicine, so assuring an excellent detail oriented patient service is something that comes to me intuitively. During clinical rotations, amongst other skills, I have gained experience evaluating preop, first assisting intraop and providing postop care to countless patients on multiple services.     As a new grad, I have spent the past 2.5 …

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