A 34-year-old lady suspected of acute gastroenteritis was moaning with abdominal pain in the emergency department. My patient presented with a 3-day history of abdominal pain, nausea, and intractable vomiting. She also reported a 5-day history of fever, chills, and increased frequency of urination. My patient was treated for dehydration in the ER and transferred to the medical floor for further management of acute gastroenteritis. Based on the history and physical exam, I ordered a urinalysis and discovered a urinary tract infection. Her urine culture was sent and I started her on IV antibiotics and fluids. I was amazed to see how the patient was admitted for gastroenteritis that in fact was a urinary tract infection causing her symptoms. I …show more content…
One should ask themselves the purpose of learning beforehand and its impact on patient’s day to day life. For the same reason, the practice of medicine requires the readiness to learn new ideas, yearn for details and adapt with ever-changing technological advances. Taking into account such principles of learning, I have a strong desire, a clear objective, and a definite reason for learning and practicing internal medicine. Besides, the subject deals with a multitude of cases involving anything from head to toe, so every case is an …show more content…
A 7.8 magnitude earthquake struck my country on 25 April 2015 taking more than 8800 lives and injuring more than 23,000. This was a nightmare for the people of Nepal. During the disaster, I worked with the camp organized by the Nepal Red Cross Society to provide first aid services to the earthquake afflicted victims in my district. This unfortunate event made me appreciate the power of teamwork and further strengthened my belief that I wanted to become a medical doctor. Within a few days with the help of two staff nurses and three health workers aided by a limited supply of resources and an occasional hour nap we served more than 500 victims. Within a week, everyone in the village appreciated our dedication and we received enormous support in many
With the start of medical school, studying basic sciences opened a door to the world enriched with years and years of research. With each passing semester, I gained more knowledge about the biochemical, physiological and anatomical aspects of medicine. The more knowledge I acquired, the more eager I became to apply what I had learnt into clinical practice. Those two years formed the foundation
Throughout this course, you have viewed the Diary of Medical Mission videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:
The intricacies of the human body, especially related to acute and chronic illnesses, is something that has intrigued me for as long as I can remember. My older brother is a physician, and I have spent countless hours over the years discussing the challenges and intricacies of his interdisciplinary career. It was during this time that my desire and drive to become a physician flourished, and as my academic, professional, and personal endeavors continued, my intrigue with internal medicine continued to expound.
My long journey to fulfill my lifelong dream of becoming a doctor has provided me with the opportunity to balance my passion for science with my eagerness to provide care to those in need. My desire to reach this dream has and will continually fuel my passion for a field that I love and this desire is reinforced with every rewarding opportunity I experience as a healer, a thinker, and a friend. My interest toward internal medicine started growing during my clinical years when I had the opportunity to rotate through many different specialties. I have observed each to have its own unique commendable approach to healing. Nevertheless, what echoed through my mind and heart was "internists are the ones whom people think of when the need calls."
The valuable experience I have gained in the mission field has prepared me to work in underserved populations. I had the opportunity to travel to Haiti twice, both of which were during a devastating public health care strike that left the Haitian people without medical care. While in Haiti, I experienced events that average Americans will never witness. Upon my arrival the people of the small village learned that I was a nursing student and began approaching me with requests for medical care. With no experience and limited supplies I did my best to improvise. I encountered scared parents with children that had superficial wounds and children with rashes that covered their heads. Thankfully, I was able to offer some assistance and comfort to
I envision myself working in an academic setting while practicing internal medicine. I have always been interested in relating the body systems to each other and treating illness in the context of the person. Through my experiences, I have found that I also enjoy mentoring others about their health, although I am always excited to teach my trainees about medical terms or topics we encounter while in the emergency department. However, I am also thoroughly interested in conducting clinical research that seeks to continuously improve the quality of care that is provided. Therefore, I look forward to working with patients and other health professionals while allotting equal time to teaching and conducting research.
Anna is a fifty five year old homeless, unemployed woman who was admitted to the Emergency Room (ER) at Victoria Hospital in London, Ontario for pelvic pain and postmenopausal bleeding. During the nurse’s head-to-toe assessment it was found that the patient also had presenting abdominal distention, prompting her physician to order an X-Ray to determine if a gastrointestinal issue caused this distention. Once this was ruled out, Anna’s physicians continued to search for the underlying cause of her abdominal distention, in addition to her other admitting symptoms. As a result, Anna was admitted to the hospital as an inpatient on the Acute Medicine Unit. The day following admission, Anna went for further testing to hopefully discover the cause of her symptoms. The first test completed was an
Growing up, I felt powerless of not having the ways and means of providing to impoverished. The people that needed the most but they did not have the same advantages as to the people who had a good socio-economic background. It is very heartbreaking to see how money plays a key factor to save someone’s life. Therefore, I knew that my duty was to provide some type of assistance and fight to become a spokesperson of people like myself. Moreover, I feel like this is an encouraging cause for me because it makes me think about how helpful my services will be after I become an Emergency Physician.
Annabelle most likely has developed a urinary tract infection. Also known as a UTI. The UTI should cover any infection of the urinary tract. That includes the urethra, bladder, and kidneys.
Andrea Robertson was about to begin a new chapter in her life. After attending her long-awaited high school graduation, she looked forward to enjoying her summer vacation before entering college. She knew that once college classes started, she would have fewer opportunities to spend time with her family and friends. To make full use of her summer break, Andrea made a checklist of places to visit, including the Santa Cruz Beach Boardwalk, Great America, and Monterey Bay Aquarium. Much to her dismay, her plans came to a screeching halt after she developed a urinary tract infection.
Good hygiene is very critical for maintaining optimal urinary health. Urinary tract infections are typically treated with antibiotics. The type of drug used and the duration mainly depends on the type of bacteria that is found in your urine. Antibiotics are drugs that help fight bacterial infections. If you have a simple (uncomplicated) infection you will most likely receive the antibiotics in the form of a pill. If you have a more serious blood infection then it will be administered intravenously (through a vein). Bactrim and Cipro are commonly prescribed antibiotics, due to their ability to help get rid of certain bacteria that are common to urinary tract infections. Other drugs such as Sulfamethoxazole-trimethoprim, Levofloxacin, Ciprofloxacin,
We worked for the victims of Nepal earthquake 2015. We distributed foods, clothes, tents and other supplements to the victims of several places affected by earthquake in Nepal. I continuously worked for six months as a volunteer of Nepal Red Cross Society which improved my skills of communications. Interaction with various victims as well as with the peoples of various other organizations has improved my skills of interpretation.
As I headed towards the patient, I was figuring-out the causes of resident’s hypoglycaemia. Then, I remembered that on Wednesday morning during the doctor’s visit, I assisted the GP to insert an indwelling foley catheter into this resident since for the past days, the patient had urinary incontinence. A midstream urine sample was collected through the sterile catheter bag. The dipstick analysis indicated that urine was positive of leukocyte esterase, nitrates, protein, and blood which all lead to the doctor’s diagnosis as Urinary Tract Infection (UTI). A nitrofurantoin anti-biotic was prescribed. With these information in mind, I began exploring the link of
The following case is about a 53-year-old premenopausal female patient who presented to the primary care office with recurrent positive urinalysis and urine culture without symptoms or signs suggesting urinary tract infection (UTI). She was given two courses of antibiotics in two months based on the urine test results in a primary care office. She was not satisfied with the treatment plans and came to the office for the second
In Haiti, for example, our staff already working in the country treated the first victim of 2010’s earthquake within five minutes, even