Surgery Rotation Article review Meta-Analysis of Stenting versus Non-Stenting for the Treatment of Ureteral Stones Citation: Wang H, Man L, Li G, Huang G, Liu N, Wang J. Meta-Analysis of Stenting versus Non-Stenting for the Treatment of Ureteral Stones. PLoS One. 2017;12(1):e0167670. Published 2017 Jan 9. doi:10.1371/journal.pone.0167670 Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5221881/ Introduction: Urolithiasis is the most common urological disease with a prevalence rate of 10–15% and a recurrence rate of 50%. In countries with a high standard of life, the rates are even higher. Dangers: ureteric obstruction, infection, hydronephrosis. Treatment options: medical therapy if no obstruction or: ureteroscopic lithotripsy (URL), ESWL, percutaneous nephrolithotomy …

✅A brief clinical scenario and why it requires cultural awareness/humility A 14 y/o female presents to pediatric ER accompanied by father with a complaint of shortness of breath for the past 2 years. Father demonstrates medical records indicating full workup by three different providers with no abnormal findings. Cardiac/Endocrine/Infectious disease workup in the ER fails to demonstrate physiologic cause for patient’s shortness of breath. During the private part of the interview the PA student learns that patient has had difficulties coping with the discovery of her sexual identity and orientation as, coming from a traditional  background, she is concerned her …

Site evaluation reflection Site evaluation for surgery was a productive exercise. At NYPQ, at every specialty I rotated with, my preceptors wanted me to present 2 full HPIs so I had to write and present 6 in total. I got to present my 2 favorite ones to the school preceptor and we had a stimulating discussion about how my presentation to hospital preceptors went and what I needed to improve. For my first visit I presented a case of a small bowel obstruction. At the time of my presentation I followed the patient for over a week and, since I …

     Surgery was one of the most special rotations of the entire clinical year. There’s no words to explain how much it inspired me as it showed me how much I still have to learn. The five weeks we have allocated for it is nearly not enough to even scratch the surface of learning what’s possible in this field. Starting day one, I got to scrub in on five cases. Everyone in the operating room was very supportive and willing to teach and show me appropriate techniques for scrubbing, suturing, keeping an upright posture and neutral hand positioning.      Interpersonal …

IDENTIFICATION:   Z.M.B.                                  Sex:       M              Race: Hispanic        Nationality:  US          Age:     59            Marital status: Single Address:                                       Religion:                               PCD: Informant: self                                    Reliability: Reliable                              Referral: self CC: RLQ and R flank pain + nausea/vomiting since yesterday 8pm. ZMB is a 59 y/o M w a PMH of HTN, CAD s/p 1 cardiac stent placement in 4/2020 on Aspirin, asthma, s/p stroke about 2 yrs ago, MVA 10 years ago and lithotripsy 20+ yrs ago presented to ED today with a c/o RLQ and R flank pain associated with nausea and vomiting since yesterday 8pm. He states he wasn’t doing anything specific when it started …

Pediatrics was not one of the rotations I was looking forward to since I could not imagine myself being a children’s provider. However, my outlook on this specialty changed on my very first day. I go to train with an amazing pediatrician who was very thorough and knew her way around the kids. Watching her soothe, distract, and praise them once again reminded me I sometimes need to get creative in order to elicit history I need or get the patient to comply. Simple things like letting the child touch the stethoscope before examining them with it and/or doing a …