Journal Article Summary

Effect of tranexamic acid on gross hematuria: A pilot randomized clinical trial study published in the American Journal of Emergency Medicine. The purpose of the study was to evaluate if local tranexamic acid will help control painless hematuria in the ED. This is a randomized double blind clinical trial study. 50 patients were evaluated with 25 being in the experimental group and 25 in the placebo group. 43 patients were male and 8 were female. Patients that were included in the study were 40 years or older and did not have a history of thrombosis, thromboembolism, coagulopathy, myocardial infarction or …

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History and Physical

 History Identifying Data: Full Name: Mr. M  Address: Flushing, NY  Date of Birth: January  29, 1941 Date & Time: February 10, 2023  Location: NYP- Queens  Religion: Christian  Source of Information: Self Reliability: Reliable Source of Referral: Self Chief complaint: “I have blood in urine” x 1 day  Patient is a 82 year old male with a PMHx of HTN and BPH and PHSx of hernia repair who presents with progressively worsening hematuria x1 day. Reports he noticed he started to pass large blood clots on his urine which prompted his visit. Denies aggravating factors, associated pain or attempting any treatments.  …

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Self Reflection

OBGYN rotation was a challenging but a great experience. I was scheduled to a different service each week which gave me exposure to a variety of different diagnoses and procedures. The first two weeks I spent in OB, third week GYN call and last two weeks I was in the clinic. The clinic consisted of providers that looked after OB and GYN patients.I thoroughly enjoyed the GYN call as it was in regards to patients that required evaluation in the ED. Almost all the patients required a thorough pelvic exam and TV Ultrasound. After the first two patients, I was …

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Site Evaluation Summary

Throughout this rotation, I presented 10 pharmacology cards, 3 H&Ps and one journal article. My first H&P was in regards to a patient with an inevitable abortion. While presenting the case, I did not present the pelvic exam in the correct order. I skipped over the portions that were within normal limits. However, in patients with OBGYN related complaints, it is important to notate the normal findings as well. Moving forward, I presented it in the correct manner. Going over pharmacology cards helped me comprehend the indications of certain drugs better. By understanding and memorizing the MOA of the drug, …

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Journal Article

Summary: The article I selected was, “The effect of oxytocin vaginal gel on vaginal atrophy in postmenopausal women: a randomized controlled trial” which was published in the BMC Women’s Health journal.The goal of this study was to evaluate the effect of oxytocin vaginal gel on vaginal atrophy among postmenopausal women.It was a double- blind randomized controlled trial that was conducted on 96 postmenopausal women who suffered from vaginal atrophy. In order to be included in the trial women had to have the following criteria:   Women in the intervention group requested to use oxytocin gel (400 IU) and women in the …

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History and Physical

Jaspreet Kaur Sra CUNY York College Physician Assistant Program OBGYN Rotation – New York Health & Hospitals: Woodhull History & Physical Identifying Data: Name: SM Address: Brooklyn, NY Age: 23 years old Sex: Female Nationality: Hispanic Marital Status: Single Date & Time: January 25, 2023, 12 pm Location: Woodhull Hospital, Clinic Source of Information: self, patient chart Chief Complaint: “Routine prenatal visit” History of Present Illness: 23 year old female G2P1001, EDD 02/01/23, currently 39 weeks and 0 days with no PMHx presents for her routine prenatal visits. Patient currently ℅ trickling water down her leg x1 day. She states …

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Final CAT

PICO Search Assignment Worksheet Name: Jaspreet Kaur Sra  Brief description of patient problem/setting (summarize the case very briefly): 60 year old male with a PMHx of GERD, HTN, HLD and a recent H. Pylori infection. He presented with worsening GERD and was prescribed Omeprazole as he was already taking  H2RA. He was concerned about the change and is worried about cancer due to the new medication.  Search Question: Do using PPIs cause the patient to have an increased risk of gastric cancer?  Question Type: What kind of question is this? (boxes now checkable in Word) Prevalence  Screening Diagnosis Prognosis Treatment …

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