During my emergency medicine rotation, we were evaluated by Professor Mohamed. For the mid-rotation evaluation, we began by presenting five drug cards. After each card, he shared his experience using the drug in his emergency room and provided key points to remember about each drug. I then presented a case involving a 52-year-old male with dizziness and vomiting. This patient had numerous labs and imaging studies, which helped me learn more about when these tests are indicated and how to interpret them. I also discussed the HEART score at the end of the report, which we used to help determine the patient’s disposition. Professor Mohamed explained that while the HEART score is typically used for patients with chest pain, it was also applicable in this case due to the patient’s history of valve replacements and coronary artery disease. From another student’s case presentation on orbital cellulitis, I learned the importance of performing a CT scan if the patient experiences pain with extraoccular movements. We also covered topics like acute liver failure and diabetic ketoacidosis.

For the final evaluation, I presented a case on appendicitis. This case was particularly interesting because the patient described various symptoms that initially distracted us from the acute issue. The provider and I had to carefully think about what the acute problem might be, despite the patient’s complaints of several chronic symptoms. Professor Mohamed taught us how to redirect patients by asking them specifically what brought them to the ER that day since this happens pretty often. This approach helps to narrow down and rule out life-threatening conditions so we spend too much time investigating less critical issues. I also presented an article on the treatment efficacy of antibiotics versus appendectomy for uncomplicated acute appendicitis. Professor Mohamed mentioned that although antibiotics were typically tried first in the ER, they now tend to recommend appendectomy right away to avoid long-term complications.

During this site evaluation, I learned a lot about interpreting labs and imaging, ruling out life-threatening diagnosis, and deciding whether to admit or discharge a patient. Professor Mohamed also shared his approach to each case, giving us valuable feedbacks and different perspectives.