My fourth rotation was Long Term Care in Forest View Rehabilitation Center, located in Forest Hills. Long Term Care was definitely a different experience for me compared to my previous rotations because up until now, I was more used to acute care. My usual routine in the past was: a patient comes in with a complaint, we run tests and prescribe medications, send them home and wait for test results or response to treatment before moving forward. This was not the case for LTC! In this rotation, many of these patients had already been treated at the hospital, and were …

One interesting and complicated case that I had presented during my site visit was a case of hyponatremia. The reason this case was so complicated was because of the vague symptomology. N.D. was a 68 y.o. female with PMH of HTN, iron deficiency anemia, HLD, and T2DM. The patient was admitted to LIJ Forest Hills on 4/22/2022 after being found with severe hyponatremia in outpatient blood work. Her blood work from that visit showed a sodium level of 105 and she was then instructed to go to the hospital. The patient was also complaining of 4-5 episodes of food-colored, non-bloody, …

My third rotation was Ambulatory medicine at StatCare, located in Hicksville, NY. Transitioning from second rotation (the ER) this one definitely felt more calm, even though the patient load was still quite high! Daily, there would be average of 60 patients—this includes patients who come in for rapid and PCR tests, as people in the community are still avid about being tested for COVID. Fortunately, since there was not much of a surge of COVID cases during my rotation, I was able to see a bit of a variety of cases. Most patients we saw were patients who had contracted …

One of the patients that I had presented during my site visit was of a 20-year-old female presenting with severe abdominal pain. This patient had no PMH, G0, and her LMP was a week prior, complaining of intermittent, achy periumbilical pain that shifted towards her right lower quadrant. She rates the pain as a 6/10, but at its worst it is a 9/10. She also mentioned that she had 2 episodes of clear, non-bloody, non-bilious vomiting that morning. Right away, based on the way that she had described her symptoms and how the pain had migrated from the periumbilical region …

This is a cohort study analyzing patients who presented to the ED with undifferentiated symptoms associated with appendicitis over the course of 8 years. Appendicitis is one of the most common surgical emergencies in the U.S., but this diagnosis is missed in up to 15% of children and 23.5% of adults. Previous studies have found that factors such as constipation in children, female sex, and patient age (<5 or >50) were also associated with a delayed or missed appendicitis diagnosis. The population for this study included adults (> 18) and children (< 18 who were diagnosed with appendicitis. From there …