History Identifying Data: Full Name: YC Address: Queens, NY Date of Birth: 3/27/1998 Date & Time: April 6, 2021 9:25 am Location: NYPQ, Flushing, NY Religion: N/A Source of Information: Self Reliability: Reliable Source of Referral: Self Chief Complaint: “headache and my vision is blurry” x 1 month History of Present Illness: 23-year-old male, COVID negative with PMH of HTN c/o headache with blurry vision over previous month.  The headache is described as feeling like a constant pressure behind the eye with 4/10 pain that was relieved by 1 dose of 325 mg of Tylenol and worsened by staying up …

The Ethical Complications to Surrogacy and How PA’s Can Facilitate it.  By: Mosammat Alam, Lingqiao Chen, Daniel Crosby, Tiffany Liang, and Sophia Lobo HPPA 514: Biomedical Ethics Prof. Bridget McGarry July 14, 2021 Introduction Surrogacy has become a popular option for the LGBTQ community and families facing infertility or other conception related issues. While it provides a solution to many, the key issues arise from the lack of centralized guidelines that dictate these practices and the role of the physician in moderating these situations. Oftentimes, problems arise when individuals involved either break their contract or come across an issue not …

1.  What differences do you note between the two H&Ps? While the first H&P hits on most of the key points, the third flowed quite a bit better when I was piecing it together.  In comparing the two I also found that my ROS was much more complete than in the first history that I took and that I was able to illicit a more thorough list of pertinent positives and negatives. 2.  In what ways has your history-taking improved?  Are you eliciting all the important information? One of the biggest struggles when first taking a history was maintaining a …

History Full Name: Mr. CD Address: Queens, NY Date of Birth: 3/27/1971 Date & Time: May 4, 2021 9:21 am Location: NYPQ, Flushing, NY Religion: — Source of Information: Self Reliability: Reliable Source of Referral: Primary Care Physician Chief Complaint: “sharp pain in my chest” x 3 months History of Present Illness: 50-year-old male, non-smoker, COVID status negative with PMH of BPH, hyperlipidemia, appendicitis c/o sharp pain in his chest x 2 years, with an increase in occurrence and severity of episodes x 3 months.  Pain ranges from “tingling” to “sharp” in the precordium, is brought about by exertion, does …

History Full Name: Mr. P Address: Queens, NY Date of Birth: 3/27/1941 Date & Time: March 9, 2021 8:11 am Location: NYPQ, Flushing, NY Religion: n/a Source of Information: Self Reliability: Reliable Source of Referral: Primary Care Physician Chief Complaint: “There’s a sharp pain in my knee when walking” x 2 years History of Present Illness: 80-year-old male, non-smoker, COVID negative with PMH of osteoarthritis, hypertension, hyperlipidemia, BPH, and constipation presenting for pre-operative evaluation for left knee replacement surgery c/o sharp pain of 7/10 in his left knee over the previous 2 years.  He states the pain has progressively worsened …

S: XX is a 70 y/o man with hypertension, hyperlipidemia, obesity, 40 pack-years smoking history and a brother who died of MI at 60 y/o Presented to ER c/o retrosternal chest pain described as “pressure” and radiating to left arm/jaw. Dx acute inferior wall MI yesterday (specific date would go here) with subsequent balloon angioplasty and stent placement.  O: Vitals: BP 130/70, HR 72, R 24, Temp 37.4 C EKG: normal sinus rhythm, no ST elevations, no Q waves General: appears comfortable Extremities: slightly diminished peripheral pulses and 1+ Heart: regular rate and rhythm, no gallops or murmurs Lungs: clear …

Based on the following hypothetical patient profile: Damien Jackson Damien, age 33, was adopted by a NYC couple after birth to a single mother in Tennessee. He has been a long-haul truck driver and sometimes bus driver for private companies.  These jobs have not typically provided health coverage so even though he suffers from hypertension and gout, he has not been consistent about taking his medications for these conditions because he can’t always afford them.  He had regular health care through his teens when he was still on his parents’ insurance, but he hasn’t had a regular health care provider …