COVID-19: The Importance of an Earlier Implementation of the Face Mask Mandate The COVID-19 pandemic unveiled the United States’ lack of preparation and resources for facing a world-wide pandemic. Lack of information and conformity amongst the public, a shortage of ventilators within hospitals, and the mass loss of life throughout the country proved that the U.S. was less than capable of handling the pandemic. One notable topic of debate exhibited throughout the pandemic was the proper use of masks and how necessary masks were for preventing the spread of coronavirus. Differences in mandates, opinions, and political beliefs led the country …

Evidence Based Medicine  Mini-CAT You’ve just attended a dinner sponsored by a company that makes home blood pressure monitors for telehealth applications. It sounds interesting, but you want more information. What is the evidence that telehealth blood pressure monitoring improves blood pressure control in urban populations? Clinical Question: Please state this as briefly as possible based on the scenario provided Does telehealth blood pressure monitoring improve blood pressure control in urban populations? PICO Question: Identify the PICO elements P: hypertensive adults living in urban areas I: home blood pressure monitor  C: office visit blood pressure monitor O: controlled BP What …

Health Disparities  Course Project  Keziah Babu, Selma Hot, Warveen Othman  Fawzia Shirzad, Zuzanna Niewiadomska York College PA Program HPPA 514: Biomedical Ethics Professor Bridget McGarry, PA-C July 7, 2021 Throughout history, health disparities have plagued minority groups across the nation. The infamous “Tuskegee Study of Untreated Syphilis in the Negro Male” of 1932, conducted on 600 African American men without their consent, is a major component of the much larger discussion on healthcare disparities based on race and socioeconomic status.  In the Tuskegee Study, the goal was to observe the effects of untreated syphilis. However, the subjects of the experiment …

This semester, in addition to our normal H&P write up we would do for our patients in the past, we focused on developing an assessment, differential and a plan for the patients that we saw. I found this exercise to be tremendously helpful, as it allowed be to use what I have learned thus far and apply it to real-life cases. As the semester went on, I worked on expanding my differential to include diagnoses outside of “the expected”. Throughout PA school, I’ve learned the importance of not having “tunnel vision” when diagnosing patients, and so, I would try to …

History Identifying Data Full Name: J. Medina Address: Queens, NY DOB: 12/14/1972 Date and Time: 11/16/2021 Location: NYPQH Religion: Christian Source of Information: Self Reliability: Reliable Source of Referral: Self Chief complaint: “I was feeling weak for a few days and then I fell” History of Present Illness: 46 year old male with no significant PMH comes to the ER complaining of generalized weakness for the past 3 days. He came to the ER at 4:30 am yesterday after experiencing a fall in the bathroom. He had no signs of trauma after his fall. Upon examination in the ER, he …

History Identifying Data Full Name: D. Barkas Address: Queens, NY DOB: 5/5/1957 Date and Time: October 4, 2021 Location: NYPQH Religion: Christian Source of Information: Self Reliability: Reliable Source of Referral: Dr. Choi Chief complaint: “The breast implants I got in 2008 are abnormal, and I need to get them fixed” History of Present Illness: 64-year-old female with PMH of breast cancer, Hyperlipidemia and GERD, who presented to Pre-Admission Testing this morning to be evaluated for her upcoming breast implant revision, scheduled for October 13, 2021. In 2007, she had a bilateral mastectomy because of breast cancer in her right …

What differences between the two H&Ps? The first difference I noted between the two H&Ps was the difference in detail. The interview for our first HPI was done via a class simulation, and so we as a class, were able to take our time to ask our “patient” for different details such as the dosage for every medication, and the last time they took it was. Additionally, our “patient” remembered things such as the ages of all their relatives, and at what age they died and from what causes. This was very different from my hospital visits! For the majority …

Identifying Data: Full Name: A. K. Address: Queens, NY Date of Birth: 3/27/1920 Date and Time: May 4, 2021 Source of Information: Self Reliability: Reliable Source of Referral: Home Care aid Chief Complaint: “I fell” History of Present Illness: 101-year-old gentleman with PMH of DM and hypertension, was admitted to the ER on Friday, 4/30/21, after falling on his left side. He states that he does not remember experiencing dizziness or losing consciousness before falling, and does not remember tripping before falling. He did not hit his head when he fell, and states he did not experience any long-lasting pain …

Identifying Data Patient: Sarah Smith DOB: 11/10/1971 Date and Time: February 2, 2021 Residence: Manhattan Primary Care Doctor: Dr. Klein OB/GYN: Dr. Peters Location: Urgent Care, Queens Referral: Suggested by friend Reliability: Reliable Religion: Catholic Chief Complaint: “My right leg feels like its been cramping” for the past three days History of Present Illness 48 year old, recently COVID positive woman with a pmhx of premature ovarian insufficiency and a PMH of Grave’s disease, presents to Urgent Care complaining of intermittent cramping pain in her right leg, onset 3 nights ago. States that the cramping started Saturday night (1/30/21) while …

A very brief synopsis of what occurred the day previously His current medications: Aspirin 81 mg orally, once a day Plavix 75 mg orally, once a day Lopressor 25 mg orally every 12 hours His report of his condition today:  much more comfortable.  No pain, no shortness of breath.  Some mild fatigue when walking from room to nursing station The EKG this morning shows normal sinus rhythm with no ST elevations and no Qwaves The physical exam which includes: HR 72, BP 130/70, R 24, Temp 37.4   ͦC General: appears comfortable.  Extremities: peripheral pulses are slightly diminished and 1+ Heart: …