During my mid site evaluation, I presented a 17-year-old male with no past medical history who was presenting with first time onset seizure. I felt comfortable presenting this case because I had done a lot of research on the possible causes for first time seizures in pediatric patients. During the presentation I outlined the different tests I would do such as CBC, Urine toxicology, Blood alcohol level, CMP, and CT. I also outlined my reasoning behind doing these tests to rule in or out things such as brain hemorrhage, stroke, brain tumor, electrolyte abnormalities, substance abuse, and epilepsy. For my …

The title of the article I chose was Overprescribing and Inappropriate antibiotic selection for children with pharyngitis. This article was published in JAMA pediatrics in 2014 and was written by Shapiro et al. Th articles is about a cohort study that analyzed data from the National Ambulatory Medical Care survey and the national hospital ambulatory medical care survey. The study found that over 11 million pediatric visits for pharyngitis occurred annually from 1997 to 2010. Furthermore, 60 percent of those visits received antibiotics despite only 37 percent of them being bacterial in nature. The study also concluded that narrow spectrum …

History: Date & time: 02/15/23 9:00 am Full Name: LK DOB: 01/14/2006 Address: Jamaica, NY  Age: 17 y/o Sex: Male  Race: Asian Religion: Christian  Source: Pt. himself Transportation: EMS   Reliability: Reliable  Location: Flushing, NY  Chief Complaint: “I had a seizure” x  1 day  History of Present Illness:      17 y/o male with no PMH, presents to Pediatric ED BIBEMS with mother after mother reports witnessing him seizing this morning. Pt has no previous h/o seizures. Pt. was getting ready for school and suddenly fell on the floor mother then saw the patient shaking and foaming at the mouth. She states the …

     For my first rotation I did psychiatry, at first, I was very nervous because this was my very first rotation and it was psychiatry so I did not really know what to expect regarding what I would have to do and what I might encounter. However, after the first day I became comfortable with my environment and the different patients. The staff created a safe and friendly environment while also making sure we learned about the cases we saw. I learned many different things while on this rotation one thing I learned would be how to get people to …

During my mid site evaluation, I presented one history and physical. At this time, I was not very familiar with how to set up a psychiatric based history and physical because I was only familiar with how to do this in the medical setting. However, my preceptor worked with me and informed me what different things that needed to be stressed in a psychiatric H&P such as social history, family history, and mental status examination. I also received feedback on how to present and write up a mental status exam, I learned that it is not sufficient to just give …

The name of the article I chose was “Brexanolone for the treatment of patients with postpartum depression”. It was published in final edit form in Drugs Today, 2019, and was written by K.E Morrison et al. This article is centered around the efficacy of the recently approved drug Zulresso also known as brexanolone. This drug in 2019, was the first drug approved specifically for the treatment of post-partum depression. This article discusses different trials to support the efficacy of this drug in the post-partum population. They did three double blind, randomized, placebo-controlled trials to observe the metabolism, safety, possibility of …

History: Date & time: 01/24/23 10:00 am Full Name: PW DOB: 01/10/1998 Address: Jamaica, NY  Age: 25 y/o Sex: Female  Race: Hispanic Religion: Christian  Source: Pt. herself Transportation: Self   Reliability: Questionable   Location: Jamaica, NY  Chief Complaint: suicidal ideation in the context of “Ever since I found out I was pregnant I wanted to kill myself” x 10 days History of Present Illness:      25 y/o Hispanic female, currently 32 weeks pregnant, domiciled with aunt and grandma, unemployed, with past psychiatric history of postpartum depression and anxiety, presents to CPEP after voicing suicidal ideations to her OB today during her follow up. …