Chief Complaint: “I’ve been feeling really tired for the past 3 months”

History of Present Illness:

            H.R. is a 24 y/o F w/ PMHx asthma complaining of feeling tired for the past three months. She states that she first noticed a lack of energy two weeks after starting her new job as a patient care technician in February. Patient endorses that she initially felt “exhausted” after work but attributed her symptoms to the demanding nature of her job.  She states that her exhaustion has slowly progressed to the point that she now feels fatigued and experiences headaches once or twice a week. She describes this feeling as persistent and unrelieved by rest. Patient reports sleeping 8-9 hours, though her sleep is sometimes disturbed by her daughter waking her in the middle of the night. She states that exercising does not worsen nor improve her fatigue but that she has decreased the frequency and intensity of her workouts because of her symptoms. Patient endorses a history of heavy menses ever since the birth of her daughter but has not mentioned this to her gynecologist. She states that there are cycles where she must change her pad every 1-2 hours for the first day to day and a half. Patient also notes that her appetite has decreased slightly but denies significant weight loss or gain. She denies fever, chills, night sweats, abdominal pain, nausea, vomiting, diarrhea, constipation, pica, pagophagia, hematochezia, melena, changes in bowel habits, recent infection, dizziness, syncope, palpitations, chest pain, shortness of breath, cough, hemoptysis, blurred vision, hx similar symptoms in the past, or illicit drug use.  

Past Medical History:

Asthma diagnosed by pediatrician in Guyana 13 years ago, not currently managed by anyone

Immunization History:  

All immunizations up to date, only received one dose of COVID-19 vaccine

Preventative Medicine Screening:

Pap Smear – Scheduled for August, previous pap performed in May 2023 WNL

Dental – February 2023, normal

Ophthalmologic – September 2022, normal

Past Surgical History:

No past surgical history

Medications:

Home Medications:

• Ventolin HFA (Albuterol) 90 mcg/actuation INH Q4-6 PRN

Denies use of herbal/OTC supplements

Allergies:

NKDA

Allergic to pollen, dust, pet hair

No known food allergies

Family History:

Mother: Age 54, alive and well, PMHx rheumatoid arthritis, hyperlipidemia

Father: Age 58, alive and well, PMHx HTN, T2DM, COPD

Brother: Age 31, alive and well, residing in Guyana, PMHx HTN

Daughter: Age 1, alive and well, no significant PMHx 

Social History:

 H.R. is a 24-year-old woman residing in Jamaica Queens with her parents and daughter. No pets.

Habits – denies use of tobacco products or illicit drugs. Engages in EtOH consumption once or twice a month when she goes out with friends

Travel – traveled to Guyana x2 months ago

Diet – patient is strictly vegetarian; typical diet consists of tea and bake for breakfast, skips lunch, okra with green banana or roti with vegetable for dinner

Exercise – goes to the gym twice a week, mainly engages in weightlifting and strength training

Sleep – 8-9 hours per night, undisturbed most nights

Safety measures – practices seatbelt safety

Sexual Hx – not currently sexually active, husband lives in Guyana. States this is the only person she is sexually active with.

Occupation – patient care technician

PCP – Dr. Loveena Singh

Pharmacy – Meeraj Pharmacy

Proxy – no assigned proxy

Review of Systems:

General: Admits fatigue, weakness. Denies fever, chills, night sweats, loss of appetite, recent weight gain or loss

Skin, hair, nails: Denies changes in texture, excessive dryness or sweating, discolorations, pigmentations, moles/rashes, pruritus, changes in hair distribution

HEENT: Admits headache. Denies vertigo, head trauma, unconsciousness, coma, use of contacts, glasses, visual disturbances, fatigue, lacrimation, photophobia, deafness, pain, discharge, tinnitus, use of hearing aids, nasal discharge, epistaxis, bleeding gums, sore tongue, sore throat, mouth ulcers, voice changes

Neck: Denies localized swelling/lumps, stiffness/decreased range of motion

Breast: Denies lumps, nipple discharge, pain

Pulmonary system: Denies dyspnea, SOB, cough, wheezing, hemoptysis, cyanosis, orthopnea, PND

Cardiovascular system: Denies chest pain, HTN, palpitations, irregular heartbeat, edema/swelling of ankles or feet, syncope, known heart murmur

Genitourinary: Denies urinary frequency, urgency, incontinence, dysuria, nocturia, oliguria, polyuria

Sexual history: Not currently sexually active. Denies Hx STI  

Menstrual and Obstetrical: Admits menorrhagia, passing minimally sized clots. Denies premenstrual sxs, dysmenorrhea, postcoital bleeding, vaginal discharge, or break-through bleeding. Date of last period: June 30, 2024, Age of menarche: 13 years old, Interval between periods: 25-28 days, Duration: 5-6 days, uses 7-9 pads during the first day to day and a half

G:1 T:1 P:0 A: L:1

Musculoskeletal System: Denies muscle/joint pain, deformity or swelling, redness, arthritis

Peripheral Vascular System: Denies intermittent claudication, coldness of trophic changes, varicose veins, or peripheral edema, color change

Hematologic System: Denies easy bruising or bleeding, lymph node enlargement, hx of clot

Endocrine System: Denies polyuria, polydipsia, polyphagia, heat or cold intolerance, goiter, hirsutism

Nervous System: Denies seizures, loss consciousness, ataxia, loss of strength, change in cognition/mental status/memory, weakness

Psychiatric:  Admits feelings of sadness. States she feels like her family is not whole because her husband lives in another country. Denies feelings of helplessness/hopelessness, lack of interest in usual activities, suicidal ideations, anxiety

Vital Signs:        

Temperature: 98.0 degrees Fahrenheit

O2 Sat: Not taken in office

Height:  63 inches

Weight: 54.5 kg

BMI:  21.3

Respiratory Rate: 16

Heart Rate: 66

Blood Pressure: 110/76 (seated, LT arm)

Physical:

General: Patient appears clean & well groomed, alert & oriented to time, place, and person. Has good posture and appears to be a reliable source of information. Appears stated age and is not in acute distress.

Hair, Head, and Face:

Hair is of average quantity and distribution. Black in color with silky texture. Head is normocephalic and atraumatic. Face is symmetrical with no signs of drooping, swelling, or trauma.

Skin and Nails:

The skin is warm and moist with good texture. Non-icteric with no swelling or signs of ecchymosis. Unable to assess fingernails, patient wearing teal acrylics.

Eye:

PERRLA. The eyes are symmetrical OU. Conjunctiva is pink, sclera is white, cornea and lens are clear.

Ear:

Symmetrical and appropriate in size. No lesions, masses, or trauma on external ears. Cerumen present AU, no foreign bodies externally AU. TM’s pearly white/intact with light reflex in good position, cone of light is present AU. No foreign bodies, discharge, effusions, perforations, or erythema AU.

Nose and Sinus:

The nose is symmetrical without masses, deformities, trauma, or discharge. Nares are patent bilaterally. Nasal mucosa pink and moist.  Anterior rhinoscopy reveals pink turbinates and clear, mucous-like discharge, no polyps noted. Nasal septum is midline without ulcerations, perforations, or deviations.

Mouth and Pharynx:

Patient is wearing red lipstick, cannot discern if lips are pale/cyanotic. There are no signs of blisters or fissuring on lips.

The buccal mucosa is pink and well hydrated.

The tongue is pink and covered in papillae with no signs or leukoplakia.

The gingiva is pink. No hyperplasia, erythema, masses, lesions, or bleeding. Non-tender to

palpation.

The hard palate is continuous, torus palatinus noted, no bleeding.

The soft palate rises with phonation.

The floor of the mouth is well vascularized, the frenulum is intact, there is no discoloration.

Oropharynx is well hydrated, there is no tonsillar adenopathy, the uvula is pink moist and midline.

Neck, Thyroid, and Lymph Nodes:

The trachea is midline without masses or scars, it is supple and non-tender to palpation. The thyroid is consistent in size and shape and non-tender to palpation. The lymph nodes are freely mobile and non-tender.  

Cardiac:

S1 and S2 are normal. No murmurs, S3, or S4 sounds on auscultation. No S2 split or friction rubs present.

Thorax and Lung:

Respirations are unlabored without use of any accessory muscles. Lung sounds are clear in all lobes bilaterally without rales, rhonchi, or wheezes.

Abdomen:

Abdomen is flat, soft, non-tender to palpation, and non-distended. No guarding or rebounding noted. No CVA tenderness appreciated.

Peripheral Neurologic Exam:

Full active/passive ROM of all extremities without rigidity or spasticity. Symmetric muscle bulk with good tone. No atrophy, tics, tremors, or fasciculation. Strength 5/5 throughout.  Gait steady with no ataxia

Mental Status Exam:

Patient is well appearing, good hygiene and neatly groomed, Aox3. Speech and language ability intact, with normal quantity, fluency, and articulation. Conversation progresses logically. Insight, judgement, cognition, memory, and attention intact.

Peripheral Vascular Exam:

The extremities are normal in color, size and temperature. No clubbing, cyanosis or edema noted bilaterally. No stasis changes or ulcerations noted. No calf tenderness bilaterally. No palpable cords or varicose veins bilaterally.

MSK:

Non-TTP in upper and lower extremities. No soft tissue swelling, erythema, ecchymosis, atrophy, or deformities in bilateral upper and lower extremities. No crepitus noted throughout. FROM of LE and UE.  

DDx:

1. Iron Deficiency Anemia
2. Vitamin B12 or Vitamin D Deficiency
3. Depression
4. Hypothyroidism
5. Idiopathic Hypersomnia

Assessment:

            H.R. is a 24 y/o F w/ PMHx asthma complaining of feeling tired for the past three months. She endorses a history of heavy menses ever since the birth of her daughter and states that her energy began to decline shortly after she began her new job as a PCT. Her physical exam is unremarkable, warranting further work-up.

Plan:

• Draw basic labs: CBC, CMP, A1C, TSH, Iron Studies, and Vitamin B12+folate/Vitamin D levels
• Order FOBT to rule out blood loss coming from digestive tract
• Provide referral to gynecology to evaluation of heavy menses
• Offer mental health services
• Recommend OTC Tylenol for HA relief
• Educate patient on sleep hygiene
• Encourage patient to continue exercising

Disposition

• Patient will RTC in 2 weeks to discuss results of bloodwork. Treatment will be tailored based on these results.

Chief Complaint: “The right side of my stomach has been hurting for an hour”

History of Present Illness:

            D.A. is a 65 y/o F w/ a  PMHx HTN, T2DM, Sjogren’s syndrome, arthritis, osteoporosis, cataracts, and malignant neoplasm of upper outer quadrant of LT breast. She presents to the ED in the evening hours of 01/02 for sudden, severe 10/10 RLQ pain radiating to the lower back x1 hour. She reports that the pain began shortly after she had dinner which consisted of boiled green plantains with fried eggs, fried salami, and avocado. The pain is described as sharp, cramping, and steady since onset. Patient states that pain is aggravated by inhaling too deeply, denies any alleviating factors, and did not take any medication for the pain. Last bowel movement and flatus was in the early morning hours on 01/02. Last endoscopy was performed June 30, 2023, results unremarkable. Patient denies fever, chills, shortness of breath, recent travel, chest pain, changes in appetite, history of similar symptoms, trauma, dysuria, urinary urgency, urinary frequency, dysuria, hematuria, vaginal bleeding/discharge, hematochezia, and melena.

Past Medical History:

HTN diagnosed x12 years ago, managed by primary care provider at Woodhull

T2DM diagnosed x4 years ago, managed by endocrinologist at Woodhull 

GERD diagnosed x5 years ago, managed by gastroenterologist at NYU Langone

Scleroderma diagnosed x4 years ago, managed by rheumatologist at Woodhull  

Arthritis diagnosed x8 years ago, managed by rheumatologist at Woodhull  

Osteoporosis diagnosed x5 years ago, managed by endocrinologist at Woodhull  

Bilateral cataracts 2 years ago, managed by ophthalmologist at private clinic

Malignant neoplasm of upper outer quadrant of LT breast (LT papillary carcinoma/DCIS) x7 years ago, managed by oncologist at Woodhull, currently in remission and not taking any medication for condition

Immunization History:  

All immunizations are up to date including COVID-19 (2022), influenza (2023), and pneumococcal (2024); patient vaccinated against TB with BCG in the Dominican Republic during adolescence

Preventative Medicine Screening:

Mammography – November 01, 2023; no significant masses, calcifications, or other findings seen in either breast. Scar marker overlies the LT breast

Pap Smear – August 28, 2023; normal

Bone Density/DEXA Scan – December 06, 2023; scores fell within one SD 

Endoscopy – grade A esophagitis with non-obstructive Schatzi ring

Colonoscopy – June 2023; normal

Dental – February 2024; patient’s dentures assessed, dentures are properly fitting

Ophthalmologic – March 2024; b/l cataracts not impairing activities or lifestyle

Past Surgical History:

Lumpectomy of the LT breast performed at Woodhull in 2018

Open caesarian section in El Hospital Regional De San Vicente Paul en San Francisco de Macoris, 1990, uncomplicated

Medications:

Home Medications:

• Nifedipine ER 24 hr tablet 60 mg PO daily for HTN
• Pantoprazole 40 mg BID PO daily for GERD
• Alendronate one 70mg tablet PO every 7days for osteoporosis
• Metformin 1,000 mg PO BID for T2DM
• Zolpidem 10 mg PO nightly PRN for sleep

Hospital Medications:

• Cefoxitin 2,000 mg in dextrose 5% water 100 mL IVPB every 8 hours @ 200 mL/hr over 30 minutes for cholecystitis
• Enoxaparin subcutaneous injection 40 mg for DVT prevention
• Insulin Aspart Injection 0-8 Units TID PRN 5-15 minutes before meals for T2DM if blood sugar is:
  • Between 181-220; administer 2 units
  • Between 221-260; administer 3 units
  • Between 261-300; administer 4 units
  • Between 201-350; administer 5 units
  • > 350; administer 6 units and notify provider
• Nifedipine ER 24 hr tablet 60 mg PO daily for HTN
• Famotidine injection 20 mg IV push once daily for GERD
• Pantoprazole injection 40 mg IV push once daily for stress ulcer prophylaxis 
• Ketorolac 15 mg  injection every 6 hours as needed for pain; do not exceed 120 mg in 24 hours
• 1 mg & dextrose (D50W) 50% water injection 25 mg IV push for blood glucose < 70 mg/dL 
• Glucagon injection for blood glucose < 70 mg/dL
• Ondansetron injection 4 mg every 6 hours PRN for nausea and vomiting

Allergies:

NKDA

No known food allergies

No known environmental allergies

Family History:

Mother is deceased, age 93, PMHx breast cancer (type unknown), HTN, and T2DM

Father is deceased, age 87, PMHx HTN and hypercholesterolemia

Older sister is deceased, age 57 PMHx colorectal CA

Daughter who is alive and well, age 34, PMHx HTN and hypercholesterolemia, resides in Connecticut and is patient’s main support system

Son, who is alive and well, age 37, no PMHx, resides in the Dominican Republic; visits twice a year

Social History:

D.A. is a 65 y/o Hispanic female domiciled in Brooklyn, New York. Lives alone and does not have pets. She performs her ADLs and IADLs without assistance. She will be returning to her apartment which is located on the first floor.

Habits – denies any EtOH consumption or illicit drug use; was a former smoker with 20 pack years, quit in 2017

Travel – no recent travel

Diet – for breakfast patient has black coffee, no sugar or milk. For lunch she has chicken, turkey or tuna with rice. For dinner she has green plantains or bananas with fried egg, fried salami, and avocado. Will snack on fruit such as apples, blueberries, and strawberries throughout the day

Exercise – patient performs weight bearing exercises at home; she also walks about 1-2 miles a day.

Sleep – sleeps 7-8 hours a night, uninterrupted

Safety measures – practices seatbelt safety measures

Sexual Hx – not sexually active

Occupation – used to work a front desk job in the Dominican Republic

PCP – Shah Sapana, MD

Pharmacy – Avon Pharmacy on 82 Graham Avenue

Proxy – patient’s daughter

Review of Systems:

General: Denies fever, chills, night sweats, fatigue, weakness, loss of appetite, recent weight gain or loss

Skin, hair, nails: Denies changes in texture, excessive dryness or sweating, discolorations, pigmentations, moles/rashes, pruritus, changes in hair distribution

HEENT: Denies headache, vertigo, head trauma, unconsciousness, coma, use of contacts, glasses, visual disturbances, fatigue, lacrimation, photophobia, deafness, pain, discharge, tinnitus, use of hearing aids, nasal discharge, epistaxis, bleeding gums, sore tongue, sore throat, mouth ulcers, voice changes, dentures

Neck: Denies localized swelling/lumps, stiffness/decreased range of motion

Breast: Denies lumps, nipple discharge, pain

Pulmonary system: Denies dyspnea, SOB, cough, wheezing, hemoptysis, cyanosis, orthopnea, PND

Cardiovascular system: Reports hx HTN. Denies chest pain, palpitations, irregular heartbeat, edema/swelling of ankles or feet, syncope, known heart murmur

Gastrointestinal system: as per HPI

GU/GYN: Frequency: 4-5 times a day. color of urine: clear/yellow. Denies urinary incontinence, dysuria, nocturia, urgency, oliguria, polyuria. Date of last normal period: two years ago, March.  Age of menarche: 12 y/o; G:2 T:2 P:0 A:0 L:2    

Sexual history: Sexually active? No. Tested positive for chlamydia in her 30’s.   

Musculoskeletal System: Denies muscle/joint pain, deformity or swelling, redness, arthritis

Peripheral Vascular System: Denies intermittent claudication, coldness of trophic changes, varicose veins, or peripheral edema

Hematologic System: Denies easy bruising or bleeding, lymph node enlargement, hx of clot

Endocrine System: Denies polyuria, polydipsia, polyphagia, heat or cold intolerance, goiter, hirsutism

Nervous System: Denies seizures, loss consciousness, ataxia, loss of strength, change in cognition/mental status/memory, weakness (asymmetric)

Psychiatric: Reports hx of depression and anxiety in 2017, obsessive/compulsive disorder, have you ever seen a mental health professional? Yes. Medications: buspirone and citalopram; both d/c in 2021. Denies hx OCD

Vital Signs:       

Temperature: 98.1

O2 Sat: 95

Height: 63 inches

Weight: 61.2 kg

BMI: 23.9 kg/m²

Respiratory Rate: 17

Heart Rate: 60

Blood Pressure: 123/74

Physical:

General: Patient appears clean & well groomed, alert & oriented to time, place, and person. Is lying in bed reading a book. Appears stated age and is not in acute distress.

Hair, Head, and Face:

Hair is of average quantity and distribution. Brown/gray in color with curly texture.

Head is normocephalic, and atraumatic. Face is symmetrical with no signs of drooping, swelling, or trauma.

Skin, and Nails:

The skin is warm and moist with good turgor. Non-icteric with no swelling or signs of ecchymosis. Patient has a 2cm x 3cm pink heart tattoo on RT wrist.

Eye: 

The eyes are symmetrical OU. Conjunctiva is pink, sclera is white. The pupils and iris are round. There is no exophthalmos OU. PERRLA, EOMs intact.

Ear:

Symmetrical and appropriate in size. No lesions, masses, or trauma on external ears. 

Nose and Sinus: 

The nose is symmetrical without masses, deformities, trauma, or discharge. 

Mouth and Pharynx: 

The lips are pink with no signs of blisters, fissuring, or cyanosis. 

The buccal mucosa is pink and well hydrated.

The tongue is pink and covered in papillae with no signs or leukoplakia. 

The gingiva is pink. No hyperplasia, erythema, masses, lesions, or bleeding. 

There is no tonsillar adenopathy, the uvula is pink, moist, and midline.

Patient is wearing properly fitting dentures.

Neck, Thyroid, and Lymph Nodes:

The trachea is midline without masses or scars.

Cardiac:

Regular rate and rhythm. Normal S1 and S2, no murmurs, S3, S4, friction rubs, or gallops noted.

Thorax and Lung:

Chest is symmetrical with no signs of deformity, or trauma. Respirations are unlabored without use of any accessory muscles. Patient has good airflow. No wheezing, rhonchi, or rales noted.

Abdomen:

Abdomen is flat, soft, non-distended. There is abdominal tenderness in the RUQ on light and deep palpation. Positive signs include McBurney’s sign. Pfannenstiel incision scar well-approximated and well-healed without any evidence of appreciable masses around or underneath it.

Neurologic Exam:

Alert & oriented to person, place, and time. Intact attention, cooperative, coherent thought, & speech.

Peripheral Vascular Exam:

The extremities are normal in color, size and temperature. Pulses are 2+ bilaterally in upper and lower extremities. No bruits noted. No clubbing, cyanosis or edema noted bilaterally. No stasis changes or ulcerations noted. No calf tenderness bilaterally. No palpable cords or varicose veins bilaterally.

MSK Upper/Lower Extremity:

No soft tissue swelling / erythema / ecchymosis / atrophy / or deformities in bilateral upper and lower extremities. Non-tender to palpation / no crepitus noted throughout. FROM of all upper and lower extremities bilaterally. 

DDx:

1. Cholecystitis
2. Acute Appendicitis
3. Renal Colic s/t nephrolithiasis

Laboratory Findings 06/04-06/05

CMP w/ Magnesium & Phosphate                                   CBC w/ Differential

Anion Gap	16		WBC	7.44		Basophil %	0.5
Sodium	136		RBC	4.98		Basophil Abs	0.04
Potassium	4.1		HGB	12.7		Imm Gran Abs	0.02
Chloride	98		HCT	39.8		Imm Gran %	0.3
Co2	22		MCV	79.9		NRBC Abs	0.00
BUN	10		MCH	25.5		NRBC %	0.0
Creatinine	0.89		MCHC	31.9
Glucose	114		RDW	17.1
ALT (SGPT)	53		PLT	419
AST (SGOT)	74		MPV	10.3
Alkaline Phosphate	138		Monocyte %	10.1
Total Bilirubin	0.4		Monocyte Abs	0.75
Calcium	9.8		Neutrophils Abs	2.68
Total Protein	8.4		Neutrophil %	36.0
Albumin	4.2		Lymphocyte Abs	3.63
Magnesium	2.1		Lymphocyte %	48.8
Phosphorus	2.6		Eosinophil %	4.3
eGFR	>60.0		Eosinophil Abs	0.32

Additional Lab Findings:

• Troponin T HS < 6 (normal)
• Lipase 3,831 (normal range 0-160 U/L)

EKG:

Normal Sinus Rhythm

Imaging:

Ultrasound of Gallbladder

CT Abdomen and Pelvis w/o Contrast

Assessment:  

D.A. is a 65 y/o F hospital day 4, admitted for sudden, severe 10/10 RLQ pain radiating to the lower back. Patient had tenderness in the RUQ on light and deep palpation with positive Murphy’s sign. Patient is on continuous lactated ringers infusion 125 mL/hr, NPO, receiving Cefoxitin 2,000 mg in dextrose 5% water 100 mL IVPB every 8 hours at 200 mL/hr over 30 minutes. On examination patient is no longer TTP in the RUQ. She has not had a bowel movement or flatus since day of admission. Reports that she is urinating 5-6 times a day and able to ambulate to the bathroom without difficulty. Denies fever, chills, shortness of breath, chest pain, dysuria, urinary urgency, urinary frequency, dysuria, hematuria, vaginal bleeding/discharge.

Plan:

#cholecystitis

• Continue abx: Cefoxitin 2,000 mg in dextrose 5% water 100 mL IVPB every 8 hours at 200 mL/hr over 30 minutes
• IV fluids PRN
• morning labs; note if lipase is trending downwards
• Pending robot-assisted laparoscopic cholecystectomy

#diet/nutritional supplements

• Advance to low fat diet today as tolerated

#pain control

• Ketorolac 15 mg  injection every 6 hours as needed for pain; do not exceed 120 mg in 24 hours

#instructions

• Incentive spirometer 10 times per hour while awake

#chronic medical conditions HTN, T2DM, Sjogren’s syndrome, arthritis, osteoporosis, cataracts, and malignant neoplasm of upper outer quadrant of LT breast

• Vital signs monitoring
• Cardiology consult for optimization prior to cholecystectomy