I really enjoyed my internal 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 an ABG, writing a plan, writing an assessment, and how to efficiently hand off a patient to another provider. I feel as if I gained a lot of experience in my time with the PAs who were working the ED and ETAP. During this time, I would go interview the patient myself, present to my assigned provider, then write a SOAP note. My assigned …

During my mid site evaluation, I presented an 80-year-old male who presented complaining of left sided chest pain that had been going on for 3 days. When I was presenting this case, I felt very comfortable because I had interviewed the patient thoroughly and went over the case with one of the PAs in the internal medicine department. During my presentation I outlined different tests I would order or that were already ordered such as a CBC, BMP, cardiac enzymes, and d-dimer. I also talked about my various differentials and which I thought was most likely to be his diagnosis. …

The name of the article I chose was “Association Between Intensity of Low-Density Lipoprotein Cholesterol Reduction With Statin-Based Therapies and Secondary Stroke Prevention” by Meng Lee et al. The article was published in the JAMA neurology in Feb of 2022. This article was Meta-analysis of Randomized Clinical Trials that utilized 37 full articles for detailed assessment, out of those 26 did not meet the inclusion criteria; therefore, the final analysis was composed of 11 randomized clinical trials and 20 163 patients with stroke were enrolled. The mean duration of follow-up was 4 years. The final mean LDL-C level, weighted for trial …

Chief Complaint: Difficulty speaking x 3 days 60 y/o male with a history of HTN, HLD, current smoker (20 pack year), and stroke on 01/23 (no residual deficits) presents to the ED sent by his neurologist due to dysarthria, slurred speech, and numbness for the past 3 days. Patient states that his symptoms have not worsened or gotten better over the past 3 days. He reports that his numbness is predominantly in his right upper extremity and is consistent in nature. Pt does admit that since his stroke in January he has been on both plavix and ASA. He denies …

Isaiah TekalignPA Portfolio III – Spring 2023Mini-CAT Clinical Scenario: You are a PA specializing in pulmonology in a pediatric clinic and are tending to a returning 7-year-old patient who has been diagnosed with asthma and is not well controlled with a SABA. Being the astute PA you are, you are recommending that the child move to step 2 as per the GINA guidelines and take an inhaled corticosteroid daily. The mother however, recently heard in her parent group at the park that inhaled corticosteroids can have negative effects on children’s growth. Search Question: In pediatric patients with asthma does the …

My surgery rotation was very interesting, I was exposed to a lot of different things and people. My first time scrubbing into a surgery I was terrified but as I began to get more comfortable after I scrubbed into more surgeries my confidence increased. I really enjoyed going to the different clinics and conversing with and examining patients. I also enjoyed the time I spent with the PA’s who were working the floor and ICU. When I was working with them is when I got to do the most of this experience through doing things such as placing ng tubes, …

During my mid site evaluation, I presented a 24-year-old female who was presented to the general surgery clinic complaining of consistent abdominal pain suspicious of cholecystitis, that had been going on for 1 month. When I was presenting this case, I felt very comfortable because I had interviewed the patient thoroughly and I felt as if I knew gastrointestinal issues well after my emergency medicine rotation. During my presentation I outlined different tests I would order to prep the patient for possible cholecystectomy such as pregnancy test, Lipase, CBC, LFT’s, and a type and screen. I also talked about how …