Internist Personal Statement

A 68 year old male presented to the emergency department at 0800 hours via ambulance after experiencing chest discomfort and intermittent palpitations since 0500 hours. Prior to presentation, the patient stated he

Mr. Thomas’ has been diagnosed with an acute myocardial infarction (MI). A myocardial infarction is an “infarct of heart muscle caused by occlusion of one or more of coronary arteries” (Frucht, 2012 P.125). The common name for Mr. Thomas’ condition is a heart attack. A heart attack occurs if the flow of oxygen-rich blood to a section of heart muscle suddenly becomes blocked ( ). If the blood flow is not restored quickly, then that section of the heart muscle begins to die. Heart attacks have become the leading killer of both men and women in the United States. The main cause of heart attacks has

Through my exposure to the various branches of medicine during my rotations in medical school, I found that I was drawn toward Internal Medicine. The variety of clinical encounters, procedures, and degrees of illness make internal medicine extremely appealing to me. During this period, I was mastered in taking patient history and conducting thorough physical examination. I actively involved myself in interacting and educating patients and their families about their diseases by willingly staying extra

You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.

The blood vessel that Dr. Eltahawy was concerned about was thin and looked as though it would collapse in on itself. First, Dr. Eltahawy tried a balloon catheter. At the top of the catheter was a small balloon that could inflate to maintain a shape or structure of a blood vessel. However, because the blood vessel was so thin, the balloon catheter was not very effective. Instead, Dr. Eltahawy installed a stent. A stent is a wire mesh tube. It is placed in a blood vessel permanently to maintain the shape of the vessel and to allow for the free flow of blood. Throughout this entire independent study, I realize that shadowing in the medical field is less about learning about medicine and more about discovering about whether becoming a doctor is the right step. This independent study has been a step in the right

Uncle Jake and Aunt Leah were playing golf last week. On the sixth hole, Jake told Leah that he was having unusual pain in his left arm and chest. All of a sudden he felt weak and complained that his shirt was much too tight. A dentist playing one hole behind them examined Jake and found he was short of breath, pale, and sweating. He called 911 on his cell phone and told Jake to lie down and wait for the ambulance. The paramedics rushed Jake to the hospital where he was evaluated by a cardiologist. The tests showed that he had four clogged arteries. He was scheduled for surgery the next day.

On arrival at the ED, the physician auscultates muffled heart tones, no breath sounds on the right, and faint sounds on the left. A.W. is

Over the years of medical practice, I always enjoyed my role as an internist, in every level of my capacity. The broad scope of the field increased my interest and curiosity, and I feel myself more motivated and responsible for learning the art of diagnosis, evaluation and management of the patients in the most effective ways to make their lives better. This strong desire encourages me to choose the field of internal medicine as my career, with the vision to empower the ailing with knowledge and serve deprives in the community. The field of medicine demands devoted study life and endless practice to be a good clinician. The clinical evidences and guidelines are continuously changing for the betterment of patient care and to decrease the morbidity and mortality.

This interest evolved into a career goal as I recognized the role of internist as a detective, academic, team player, and compassionate physician. During my rotation in internal medicine and clerkship in cardiology, nephrology, and intensive care unit. I was impressed by the knowledge, clinical reasoning, and evidence-based practice of physicians trained in internal medicine. I discovered tremendous satisfaction in being with patients at the bedside, the challenge of managing multiple problems and keeping up with watch individual’s health maintenance, and privilege of participating in long-term care. During these rotations I discovered a love for teaching whether clarifying a test result for a patient pointing out interesting physical exam finding or discussing the art of case presentations with junior medical students, I find great satisfaction in sharing knowledge with

Internal medicine offers the opportunity of clinical practice in a wide variety of clinical settings (communitarian medicine to inpatient in hospital facilities). There is also an innumerable opportunities for fellowships to subspecialize and research opportunities.

“The patient is Adam Rudd, a 78 y/o white male with a history of hypertension. He has been diagnosed with hypertension past 15 years and is on anti-hypertensive medications and aspirin. He is very weak and short of breath. He is accompanied with his longtime friend Jennifer, who reports that Rudd was looking very weak and was complaining of severe headache and blurred vision before coming to the hospital. He is 5’9” and weighs 270 lb. Vital signs recorded were: oral temperature 98.20 F, BP 224/120 mm Hg with a heart rate of 102 beats/minute and respiration of 24 breaths per minute. The pulse oximetry reading was 94% on room air. He is complaining of severe headache and blurred vision. Rudd said that he did not take his antihypertensive medication or aspirin since he ran out of pills. He has not been taking his medication for past 15 days. He reports no known allergies to any medications or other substances.”

“The American Dream is that any man or woman, despite his or her background, can change their circumstances and rise as high as they are willing to work.” Fabrizio Moreira Living the American dream with my husband, who is now a third-year resident physician. We started the journey together back in 2015 after we got married and moved to the United States looking for better future and brighter career. We both believed that obtaining a high-quality training in the United states is a goal to be achieved. I am determined to fulfill my dreams of becoming an internist, in an advanced medical system with the finest training possibilities.

The beneficiary was an 82 year old man who had a history of multiple health problems, including chest pain, coronary artery disease, elevated cholesterol, high blood pressure, diabetes, chronic kidney disease, and obesity. In 2014 he underwent a cardiac catheterization and the repair of an abdominal aortic aneurism.

It was during the second year of medical school on my clinical rotations when I was first introduced to internal medicine. On the second day of the rotation, I was posted in the outpatient clinic. The attending doctor entered the room with a patient and asked, “What is the diagnosis of this patient based on the physical finding?” When I looked at the patient, my eye knew what exactly to look for as I had read about it before. I answered ”acromegaly.” I had re-experienced the excitement and the sense of accomplishment that I experienced when I fixed my sister’s computer. At that moment, I knew that this is what I will love to do my entire life. In the coming years, I had the opportunity to meet varieties of patients with a wide spectrum of problems, from all sections of the society, speaking a multitude of languages. I gained experience and knowledge from each patient encounter, and my desire to pursue Internal Medicine grew even

Upon analysing this information, we can narrow down the results, and investigate possible conclusions. Adriane Stoeber (2016), a Cardiac Nurse Clinician stated through personal communication that this patient is at risk for cardiovascular disease (CVD), with his history of hypertension. He is exhibiting symptoms of acute coronary syndrome (ACS). Further investigation needs to be done to distinguish if the patient is having non–ST-segment elevation myocardial infarction (NSTEMI) versus ST-segment elevation myocardial