This morning we were told to finish seeing our patients by 9:00 a.m., so Annie and I arrived shortly before 7:00 a.m. to see our 3 patients. It took me way longer than I thought and I just barely finished seeing my last patient (whom, as it turned out, I didn't have to see b/c she was transferred to the care of ob-gyn) at 9:00 a.m. It was an interesting case; a 16-year-old came to the hospital with an acute abdomen for no clear-cut reason (CT just showed diffuse thickening of the bowels, which point to IBS), so surgeons did an exp lap on her and found out she had an infection in/on her uterus that had spread to her bowels and appendix. Possibly a bad case of PID? At any rate, ob-gyn was taking care of her now, and I had to remove my progress note from her file since we wouldn't be seeing her again.
Based on what kind of patients we saw, Dr. M gave us assignments to look up tonight (i.e. parotid gland masses, Kussmaul breathing in constrictive pericarditis, etc) and asked me to tell him about jaundice. I started out good but grew rather disorganized, so I have to work on my presentation skills b/c I think the knowledge is there (I read the same jaundice article at least three times). Jacob and Phuong were on call yesterday and were kept pretty busy, but Jacob said it was still much better than surgery call. I agree completely; q5 beats q4 anyday. And I got my CD back =)
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