During my pediatric site evaluation my partner and I presented 2 patients each, discussed 10 drug cards and a journal article. The first patient I chose to present was our first Influenza case in pediatric ED this year. I have spent over an hour in the same room with my patient who was coughing non-stop so seeing the Influenza type A on the GenMark viral panel test prompted me getting my flu vaccine the next day. Overall I have also made a connection with the patient and her parents so I had an in depth understanding of the case so …

A Review of Clinical Guidelines on the Management of Iron Deficiency and Iron-Deficiency Anemia in Women with Heavy Menstrual Bleeding Citation: Mansour D, Hofmann A, Gemzell-Danielsson K. A Review of Clinical Guidelines on the Management of Iron Deficiency and Iron-Deficiency Anemia in Women with Heavy Menstrual Bleeding. Adv Ther. 2021;38(1):201-225. doi:10.1007/s12325-020-01564-y Up to one-third of women of reproductive age experience heavy menstrual bleeding which can give rise to iron deficiency (ID) and, in severe cases, iron deficiency anemia (IDA). This systematic review focuses on current guidelines for the management of HMB with regards to screening for anemia, measuring iron levels, …

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, …