My rotation was at Dr. Aranas pediatric office and it was my 9th rotation. I was exposed to different treatment strategies for pediatric patients such as calculating doses. Depending on the ages of the patient, some patients had difficulty to express what their symptoms were. The provider had to rely on the parents/guardian. Many patients were extremely terrified of seeing the provider, blood draws and getting a physical exam. I tried to address these by asking questions and trying to distract the patient from what the provider was doing. I was able to do multiple physical exams and blood draws …

My site evaluator was Professor Maida. I presented 2 H&Ps, 10 pharm cards and a journal article. The first H&P was of a patient diagnosed with roseola, The second H&P I presented was in regards to a patient that was suspected to have testicular torsion. Since testicular torsion is an emergent case the patient was sent to the emergency room.We discussed how it is not necessary for trauma to occur before a patient gets testicular torsion and that the trauma can occur hours before the symptoms appear. We discussed how it is important to base the H&P from a pediatric …

The  name of the article is prospective Validation of Clinical Score for Males Presenting With an Acute Scrotum published in academic emergency medicine. The objective was to validate the Testicular Workup for Ischemia and Suspected Torsion (TWIST) score among pediatric emergency medicine providers for the evaluation of pediatric males presenting with testicular pain and swelling (acute scrotum). The study was a prospective cohort study of males 3 months to 18 years old presenting with an acute scrotum.  In total 258 patients were enrolled in the study. Patients were excluded if their pain was due to a trauma, symptoms were present …

History Identifying Data: Full Name: Mr. M Address: Jamaica, NY Date of Birth: October 26, 2013 Date & Time: March 27, 2022 (12:00 pm) Location: Dr. Niascio Arana,  Queens, NY Religion: Unknown Source of Information: Father Reliability: Reliable Source of Referral: None Mode of Transport: Accompanied by father and older brother Chief Complaint: “My son had a fever and rash” x 3 days. History of Present Illness: 9 years old Hispanic male with no past medical history presented with father to the clinic with a complaint of fever and rash.  Father states the patient had a fever (oral Tmax 103 …

My surgery rotation was at New York Presbyterian- Queens. I spent three weeks on the General Surgery service, one week in Urology and one week in Neurosurgery. During my general surgery service I scrubbed into cases such as cholecystectomy, appendectomy, esophagectomy, inguinal hernia repairs, mastectomy, sentinel lymph node biopsy, mass excisions and  bowel resection. I was also able to watch robotic cases. I learned how to use a bovie, suture, and hand tie. During my subspecialty rotations, I scrubbed into surgeries such as lithotripsy, vasectomy, orchiopexy, laminectomy.  In the morning during rounds, I presented 1 to 2 patients. If the …

My site evaluation was with PA Shu. Over the two evaluations I presented three H&Ps, 10 pharm cards and a journal article. The first H&P I presented was of a patient that was diagnosed with choledocholithiasis. The second one was hematuria and the 3rd H & P was of a patient with small bowel obstruction. Some important parts of a note from surgery are to notate where the previous surgery has taken place and who was the surgeon. In order to have a concise and straightforward plan,  listing out the problems the patient has in a numbered fashion is helpful. …