Friday, July 24, 2015

July 22nd and 23rd

Wednesday
Today during our cardiology rotation, we visited a patient that we had seen previously in order for the students to collect a full history and perform an examination. On Friday my group has to present one of the patients we've seen this week, and in order to do so we'll need to collect all the information we can. We spoke with the cardiologist and he told us all about different heart lesions, what causes them, and what effects they have on heart function. A lot of the information we're given and most of what the students are expected to know goes over my head. I know I'm not expected to know exactly what's going on physiologically, but it would be nice if I was able to participate in discussions more. In the pulmonology session, we learned what to check during an exam, such as trachea location and chest expansion. We then had lecture on pediatrics and learned about fetal physiology and hypothyroidism. After lunch we learned about orthopedic trauma. We talked about various pediatric fractures and remodeling, and then went into orthopedic infections in children. The two infections that we covered were osteomyelitis, which is an infection of the bone marrow, and septic arthritis. After class, I spent the evening gathering sources to start writing the research paper that I have due once classes start.

Thursday
During today's cardiology session, each of the students in my group examined the patient and were then asked questions about what they heard. They were asked to listen to the heart sounds and determine what sort of lesion the patient had. The doctor that was questioning them was extremely intelligent, but also fairly intimidating. The next session we had was pulmonology and the students were able to palpate a patient's abdomen in order to find any masses. They used different exam techniques to determine where the mass was and whether or not it was in a fixed location. They also had techniques to test ascites, which is a buildup of fluid in the peritoneal cavity that causes abdominal swelling. After our two sessions, the group met up to prepare for the presentation that they have tomorrow. It was nice to see that eight people could work together so easily. They were bouncing ideas off of each other and coming to consensuses fairly quickly. After they finished the preparation for the presentation, we all went to class. Today's lecture was in obstetrics and we went over what is called an H10 card. An H10 card is assigned to each pregnant woman and it is a form that details all of her pregnancy information, including general details about her health and any exam results. We also talked a lot about antenatal care and ultrasound screening. After class, a few of us were planning on going to dinner at the mall because there was a restaurant that had inexpensive bottomless pizza. Once we got to the mall and put in a request for a table, the power went out because of more load shedding. We were hoping that the restaurant had a wood-burning oven so that they could still make pizza without power, but we weren't so lucky. We ended up going to another pizza place and spent a pleasant evening just hanging out and eating pizza together. On a not-so-pleasant note, I've developed a sore throat and a slight cough. It's not too bad, just more of an inconvenience. I do, however, have throat lozenges that I've been using, so hopefully I'll be feeling better soon!

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