H&P 1 LTC Name: S.R Sex: Male DOB: xx/xx/1938 Date & Time: Sept 12, 2023, 1:00 pm Location: St Albans VA Religion: Unspecified Source of Information: Self Reliability: Reliable Mode of transportation: Ambulette via Manhattan VA Chief Complaint: “I fell” x 8 days ago. History of Present Illness: S.R is a 85 y/o non-smoker male ADL independent IADL dependent, ambulatory with walker at baseline with a PMH of HTN, HLD, CAD, NSTEMI, DES to LAD (1/12/16), CABG (11/2007), cardiac catheterization  (9/2012), carotid stenosis s/p CEA 7/2002, HFrEF (LVEF 40%), DM2, gout, osteoarthritis, glaucoma, BPH, chronic low back pain, depression, and diminished hearing  presented to Manhattan VA 8 days ago c/o a fall …

Clinical Scenario: You are a PA working in a neurology clinic and you have a patient who has been referred by her primary doctor for possible chronic migraine. After working the patient up with labs and imaging you conclude that the patient does indeed have chronic idiopathic migraines, so you begin to discuss treatment options with her and are recommending topiramate. As you are discussing her options, she cuts you off and begins to tell you how in her book club people have been saying that Botox is the “best way” to reduce the frequency of migraines. Search Question:  In …

I had a great time during my family medicine rotation; I feel as if it was an amazing teaching environment, and I was able to learn a lot. At this rotation I sharpened many different skills such as taking a history, writing a plan, writing an assessment, and how to manage noncompliant patients. I feel as if I gained a lot of experience in my time with the PA whom I followed for most of my time during this rotation. During the visits, I would go interview the patient myself, present to my assigned provider, then write a HPI note. …

During my site evaluation, I presented an 21-year-old male who presented complaining of a sore throat for the past 4 days. When I was presenting this case, I felt very comfortable because I had interviewed the patient thoroughly and went over the case with the PA I was working with while in the family medicine clinic. During my presentation I outlined different tests I would order or that were already ordered such as a rapid covid, mono spot, strep test, throat culture, respiratory panel, and NAAT of the throat. I also talked about my various differentials and which I thought was …

     The name of the article I chose was “Presumptive and Follow-up Treatment for Gonorrhea and Chlamydia Among Patients Attending Public Health Department Clinics in Virginia, 2016” by Pugsley, River A. PhD, MPH, Peterman, Thomas A. MD, MSc. It was published to the Journal of American Sexually transmitted diseases in 2019. This article is based on a retrospective cross-sectional analysis of data from patient visits with valid CT/GC laboratory test results who attended local health department clinics in Virginia in 2016. The point of the study was to calculate how often patients with positive CT/GC tests were treated on the same day as the …

History: Date & time: 07/03/23 10:00 am Full Name: AA DOB: XXX Address: Jamaica, NY  Age: 21 y/o Sex: female  Race: African American Religion: Christian  Source: Patient herself Transportation: herself Reliability: Reliable  Location: Ozone Park, NY  Chief Complaint: “My throat hurts” x 4 days  History of Present Illness:      21 y/o female with no significant past medical history presents today complaining of a sore throat for the past 4 days. Pt states that she has tried Tylenol and ibuprofen to help her symptoms, but it has not worked. Pt also states that swallowing makes her pain worse, but she is still able …

Keyshawn Johnson is an 18 y/o male no PMH BIBEMS with a compliant of first onset seizure.  History Elements Physical Exam Differential Diagnosis Tests Treatment Patient counseling Sources: https://www.uptodate.com/contents/evaluation-and-management-of-the-first-seizure-in-adults?search=first%20onset%20seizure&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H1860320207 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1363913/ https://www.uptodate.com/contents/initial-treatment-of-epilepsy-in-adults https://www.aafp.org/pubs/afp/issues/2007/0501/p1342.html