Identifying data: Name: RD Sex: Female Address: Queens Date of birth: 10/2/1946, 74 y/o  Date & Time: 6/01/21, 9:20 am  Location: Queens Hospital Center, IM Marital status: Widowed  Religion: Islamic Race: Bengali Source of information: daughter-in-law, reliable  Mode of transport: EMS Chief Complaint: Altered Mental Status   HPI: RD is a 74 y/o Bengali speaking female with a PMHx of Dementia, T2DM and Cirrhosis presents from home for altered mental status x1 day. History was obtained in person from the patient’s daughter-in law as the patient is obtunded. As per the patient’s daughter-in-law, she called EMS as the patient appeared …

My third rotation was Pediatrics at Dr. Hurwitz’s office in Queens. Among the many things I enjoyed about this rotation, perhaps the most important, Dr. Hurwitz was a fantastic preceptor. From the first day I was thrown in to examine patients, report my findings and offer a treatment plan or next step in management. I followed him to examine every patient after examining them myself and he’d always ask me what he’s looking for if the clinical presentation pointed towards a specific diagnosis. For example, one patient presented with a rash on his hands, back of his neck and lesions …

Site Evaluator: Gary Maida I presented the following case at my site evaluation: BR is a 6 y/o male who presents to the clinic with his mother c/o fever, cough and congestion x3 days. Symptoms started 3 days ago, mainly as a runny, stuffy nose and slight cough, but patient is presenting now as the symptoms, particularly the fever and cough, appear to be worsening. Patient’s cough is productive and his breathing appears slightly labored. The cough is worse at night. Patient’s temperature was low-grade, 102 F orally, yesterday but mother hasn’t checked again today. Patient isn’t eating or sleeping …

One of the patients I cared for had a history of congenital diaphragmatic hernia which was repaired right after he was born. He presented to the office one day with a barking cough along with other symptoms, ultimately diagnosed clinically with croup or laryngotracheobronchitis. The father raised the concern that he feels his son is constantly getting sick and wants to know if his history of CDH increased the frequency of contracting respiratory illnesses.

BR is a 6 y/o male who presents to the clinic with his mother c/o fever, cough and congestion x3 days. Symptoms started 3 days ago, mainly as a runny, stuffy nose and slight cough, but patient is presenting now as the symptoms, particularly the fever and cough, appear to be worsening. Patient’s cough is productive and his breathing appears slightly labored. The cough is worse at night. Patient’s temperature was low-grade, 102 F orally, yesterday but mother hasn’t checked again today. Patient isn’t eating or sleeping well and is less active than usual. Patient looks ill and lethargic. Patient …

Site Evaluator: Fahim Sadat I presented the following case at my site evaluation: 41 yo AA female with pmh of asthma, IDA, vitamin D deficiency, furuncle of back, asthma, HLD and obesity presents c/o abdominal pain x 3 months. Pt states since 01/2021 she has experienced intermittent, generalized abdominal pain. Pt states pain occurs in relapsing/remitting pattern. She can’t point to specific foods as a trigger or exacerbating/alleviating factors. Pt denies use of OTC agents for symptom relief. States this past week she experienced 2 bouts of 10/10 abdominal pain which influenced her to seek evaluation. Pt denies N/V/D, constipation, …