For my mid-rotation evaluation I presented an H&P on a 51 year old male with no significant PMH who presented to the ED s/p colliding into his kitchen cabinet. Patient denied having any dizziness or fatigue at the time of the incident, rather he was “just not paying attention.” On physical exam, a small abrasion was noted to his left distal eyebrow, another abrasion was on his left cheek, and a linear deep laceration was noted in his upper left lip. Ms. Pizarro agreed with my assessment and plan, including obtaining a dental consult for the lip laceration repair. Additionally, she commended the inclusion of my patient education regarding the actual procedure, which explained the use of local anesthesia along with the importance of post-operative wound care.

For my final evaluation I presented another H&P, this time of a 32 year old male with no significant PMH who presented to the ED complaining of RUQ abdominal pain for about a month. The patient describes his pain as intermittent, often worse after eating, and varying in nature from being sharp to dull. The patient also endorsed nausea without vomiting, along with occasional diarrhea. Ms. Pizarro agreed with my list of differentials and with acute cholecystitis being the top condition based on the patient’s presentation and findings. Additionally, she confirmed that my plan was appropriate and that my patient education was thorough in explaining how gallstones occur and how the patient can prevent recurrence in the future.