Clinical Scenario: You are a PA working in a family medicine clinic and you have a patient who has recently been diagnosed with diabetes mellitus. As you are discussing her options, she cuts you off and begins to tell you how at her last PTA meeting other parents have been saying that subcutaneous insulin infusion is the “best way” to manage diabetes. Search Question: Among patients with diabetes mellitus does using continuous subcutaneous insulin infusion compared to multiple daily insulin injections lead to better glycemic control and improved quality of life? PICO Table: P I C O Diabetes Insulin pump …

Study schedule: Week 1-2: Review Week 3-4: Further Review Week 5: Comprehensive Review Week 6: Final Review and Simulated Exams Important elements: Daily Study Routine Review and Adapt Final Week Exam Day

I learned a lot during my time at my OBGYN rotation; I feel as if the providers I worked with made it a point to get me involved by having me do various procedures and writing the notes myself. At this rotation I further sharpened different skills such as taking a history, writing notes, and physical examinations. I would interview the patient myself, do the appropriate screening tests such as breast exams, Pap smears, STD testing, and pelvic exams under supervision, and then writing a note. I feel like my Ambulatory care rotation prepared me for my time in, because …

During my site evaluation, I presented a 26-year-old male presented to the clinic care complaining of vaginal itching and discharge for 4 days, as well as for her annual visit. I made sure to outline the sexual history, obstetric history, and gynecological history. I outlined the pelvic exam and made sure to describe the discharge that I visualized. After presenting the physical exam I broke down my differential diagnosis and the reasoning behind all of them. Next, I went into detail within regard to what the work up for the patient would entail and the different tests that I did …

The name of the article I chose was Probiotics for vulvovaginal candidiasis in non‐pregnant women by Huan Yu Xie and was published to the Cochrane database of systematic reviews in November of 2017. This is a systematic review that included 10 trials, and included data from 1656 women, with a sample size ranging from 68 to 436 participants. The included trials recruited participants aged between 16 and 50 years. All the selected trials recruited participants without RVVC, diabetes mellitus, immunosuppressive disorders, taking immunosuppressant medication or evidence of co‐infection with other vulvovaginal infections. All trials used probiotics as adjuvant therapy to antifungal drugs. Five trials used …

Date & Time: 4/20/23 11:20 am Full Name: J. L. DOB: 1997 Location: Woodhull hospital Source of information: self Reliability: reliable CHIEF COMPLAINT: discharge x 4 days HISTORY OF PRESENT ILLNESS: 26 y/o G1P1001 female LMP: 11/06/2023 presents for annual exam c/o vaginal itching x 4 days. Reports she noticed odorless white clumpy discharge that has gotten progressively worse over past few days. Patient admits to multiple episodes of unprotected sex over the past month with multiple sexual partners both male and females. Denies fever, chills, dysuria, hematuria, urinary urgency/frequency, dyspareunia, abdominal pain, vaginal bleeding, nausea, vomiting. LMP: 11/06/2023, q monthly, …