One of the cases that I had presented during this rotation was of a 5-month-old child who had suddenly developed a rash that had spread across his body. Out of concern, the mother brought the child to the office to have the doctor assess the patient. The rash had actually started approximately two days ago and doesn’t appear to irritate the patient. The patient also has no fever and appears to be doing well. She denies introducing new foods to him or using harsh detergents as well. Upon further questioning, I found out that the child had actually developed a …

isons of the Effects of Biological Membrane (Amnion) and Silver Sulfadiazine in the Management of Burn Wounds in Children Prospective study conducted on 102 children with 2nd degree burns to assess the difference between silver sulfadiazine and oven-dried, radiation-sterilized human amnion as wound dressing Normally, burns are treated with Silver Sulfadiazine bid or as required after cleaning the wound with normal saline or sterile water—however dressings are laborious, time consuming, and require skill Patients also feel pain during SD dressing and between dressing; Additionally SD application is expensive and can cause neutropenia 90 years ago, application of amniotic membrane was …

APPENDICITIS CASE Fatimah B. is a 20 year old female with severe abdominal pain since yesterday History elements (these also indicate the questions that should be asked) The pain began in periumbilical region and moved towards right lower quadrant Pain is intermittent and achy in nature No aggravating or alleviating factors Currently pain is 6/10; at its worse the pain is 9/10 Woke up with a fever of 100.4 F this morning In addition to pain, patient has been experiencing nausea and vomiting Vomit is clear, non-bloody, nonbilious Has had 2 episodes of vomiting Patient had one episode of non-bloody …

My Psychiatry rotation was completed in the CPEP (psych ER) at Queens Hospital Center in Jamaica, Queens. I would arrive at my rotation site at 8am-4pm every day from Monday to Friday. The day typically started off with morning rounds at 8:30, which I would attend with other students to read through recent admissions that may have arrived over night. Once rounds were over, I would go with a provider to see the patients for the day, do a quick assessment on them, and gather any collateral information on them. During this time, the provider would decide what they want …

One case that stood out to me, and one I presented during my site visit, was of a patient admitted because of suicidal and homicidal ideations. This patient had a previous history of sexual assault both in adulthood as well as in childhood which contributed to the PTSD and depression that she was feeling at the time of the visit. Because I was a female and the provider was a male, I found that the patient felt more comfortable talking to me, and I was able to get most of the history from her. Because of her PTSD and depression, …

A Longitudinal Study of Suicidal Ideation in Sexually Abused Adolescent Girls: Depressive Symptoms and Affect Dysregulation as Predictors Girard et. Al Journal of Traumatic Stress In a study of 147 sexually abused girls aged 14-18, 46% had developed suicidal ideations making this abuse an obvious risk factor. However, not all will experience suicidal ideation, which is why it is important to have a good understanding on determinants that influence suicidality Depressive symptoms appear to be one of the best predictors of suicidal ideation among adolescent females—especially among those who have been sexually abused Traumas experienced in childhood can interrupt a …