In the mid-rotation evaluation site visit, I present a patient with complains of vaginal bleeding. This is the first patient I interviewed during my GYN call shift. The patient is 37 years old, and she EGA 7wks5d with PMH ectopic pregnancy last year presents to ER complains of vaginal bleeding for 3 days. She has vaginal spotting initially and then became heavier this morning. The pelvic exam shows closed cervical os, blood noted in vaginal vault without signs of blood clot. The bedside ultrasound releases positive IUP with not FHT noted. This case allows me to explore all signs and …
Author: Sijia Wang
PA Student from York PA Program
OBGYN-Rotation Reflection
Types of patients you found challenging in this rotation and what you learned about dealing with them After finishing my whole rotation, I found OB patients to be challenging for me. Their management can be completely different based on their gestational age, such as prenatal care, routine checkup during pregnancy, and also delivery. There are also different tests that needed to be order based on trimester. I found that there are no short cuts to learn this. I have learned that the more OB patients I get to see in clinic, in labor and delivery, and during postpartum rounds, the …
OBGYN-Typhon Patient Encounter
4. Typhon Log
OBGYN-Article PDF Document and Summary
Article Summary Breastfeeding and maternal health outcomes: a systematic review and meta-analysis 2. Article Summary PDF Chowdhury R, Sinha B, Sankar MJ, Taneja S, Bhandari N, Rollins N, Bahl R, Martines J. Breastfeeding and maternal health outcomes: a systematic review and meta-analysis. Acta Paediatr. 2015 Dec;104(467):96-113. doi: 10.1111/apa.13102. PMID: 26172878; PMCID: PMC4670483. In addition to providing essential nutrients to infants, benefits of breastfeeding for both children and their mothers have been reported. Reported benefits for mothers who breastfed their infants include increased postpartum uterine activity (inferentially this would lead to reduced postpartum blood loss), greater weight loss postpartum compared with …
OBGYN-H&P
Full H & P 2 – OB/GYN Identifying Data: Full Name: Ms. P DOB (Age): xx/xx/1988 (32 y.o.) Gender: Female Date & Time: Jan. 08, 2021 Location: Woodhull, Brooklyn Source of information: Self Reliability: Reliable Chief Complain: “I am here for my first OB visit” HPI: A 32 Y/O female G2P1001, LMP 11/16/2020 and EGA 7wk4d, gestation EDD 08/23/2021 came to the clinic for initial OB visit. Patient and her husband are really happy with the pregnancy. Patient states mild fatigue, weakness, morning nausea and few vomiting episodes, since the beginning of pregnancy. Patient also reports she had …
Psych-Site Evaluation Presentation Summary
In the mid-rotation evaluation site visit, I present a patient with Schizophrenia disorder. This is the first patient I interviewed without attending doctor or PAs around, since she is a Chinese speaking patient. The patient is in her mid-30s, and she has hallucination, and she presented with suicidal thought that she reportedly wants to kill herself to join her friend, who died last year. She also had issues with her family, which may be a trigger to her suicidal ideation as well. This case allows me to explore all signs and presentations a patient with schizophrenia may have, like delusions, …
Psych-Rotation Reflection
Types of patients you found challenging in this rotation and what you learned about dealing with them In this rotation, I saw many patients came in for disorganized behaviors, which usually due to non-complaint with medications. Most of the time, the family members or friends were the first person who noted the patient’s symptoms. Due to the disorganization, the patient also presents poor insight. In this situation, it was also very difficult to explain the importance of medication to patients with psychiatric conditions because they had difficulty understanding. They had lack of awareness of their illness. Patient’s failure to adhere …
Psych-Typhon Patient Encounter
4. Typhon Log
Psych-Article PDF Document and Summary
Clozapine in the Treatment of Aggression in Conduct Disorder in Children and Adolescents: A Randomized, Double-blind, Controlled Trial 2. Article – Clozapine for Conduct Disorder Juárez-Treviño, M., Esquivel, A. C., Isida, L., Delgado, D., de la O Cavazos, M. E., Ocañas, L. G., & Sepúlveda, R. S. (2019). Clozapine in the Treatment of Aggression in Conduct Disorder in Children and Adolescents: A Randomized, Double-blind, Controlled Trial. Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology, 17(1), 43–53. https://doi.org/10.9758/cpn.2019.17.1.43 A number of different interventions have been used to treat youth with conduct disorder. Cognitive therapy, …
Psych-H&P
Identifying Information: Name: CJ DOB: 10/23/92 Date and Time: November 27, 2020 Location: Queens Hospital Center CPEP Source of Information: Self, Group home staff Source of Referral: Group home staff Mode of Transport: EMS Ms. CJ is a 28 year old Asian female who is 5 feet 3 inches tall and weighs 148 pounds. Ms. CJ resides at XXX street, in Queens NY 11432. History of Present Illness: Patient is a 28 year old Asian female, mandarin speaking, single, unemployed, domiciled at ACMH Markus Gardens, with Past Psychiatric History of Schizoaffective disorder – bipolar type, brought in by EMS after …
