Jaspreet Kaur Sra  PSYCH Rotation AT QHC  May 16, 2022  Name: TP DOB: xx/xx/1994  Race: African American  Sex: female Date: April 17, 2021  Time: 9:00am  Source of information: Self, sister  Reliability: reliable  Location: QHC CPEP  Mode of transport: public transportation  Referral: self  Chief Complaint: “I feel like a horrible person and disappointment to everyone”  Patient is a 27 year old  female single, employed, student at QCC domiciled with mother with a prior psychiatric history of depression BIB self with complaint of suicidal thoughts and worsening depression over the past 2 years. Patient walked into the MER requesting help becasue she …

Over the recent decades, the negativity associated with mental health has decreased. The stigma prevented individuals from accepting if they even had a mental concern. On this rotation, I still noted how many individuals still were afraid to be evaluated by psychiatry and downplayed their symptoms so that they will not get admitted to the psychiatry ward. One of the doctors at this rotation explained mental health in a manner that truly stuck with me. He said that if your arm, leg or other body part was hurt we can open it and look at it, see what’s wrong and …

Name: CM  DOB: xx/xx/1957  Race: Asian, Chinese American  Sex: female Date: April 20, 2021  Time: 12:00pm  Source of information: Self, brother  Reliability: reliable  Location: QHC CPEP  Mode of transport: EMS  Referral: brother  Chief Complaint: “My brother’s wife has a copy of my house and she is breaking in stealing my knives and clothes.”  64 year old female Chinese female, Mandarin speaking, single, domiciled alone with a prior psych history of mental illness status post MVA in 2014s, no known medical history, no known substance abuse history, brought in by EMS activated by brother (###-###-####) secondary to paranoid and aggressive behavior. …

My site evaluator was PA Sajid Mohammed. I presented two patients, an article and pharmacology cards. We discussed Ottawa ankle/foot rules and the difference between Tylenol and Ibuprofen. These rules take part in the clinical decision making strategy which help determine if patients require radiographic imaging for ankle and midfoot injuries. A patient with ankle injury meets the requirements of radiographs if the patient has any one of the following : point tenderness at posterior edge or  tip lateral malleolus point tenderness at posterior edge or tip medial malleolus inability to weight bear  immediately after the injury or in the …