Urgent Care Rotation Reflection

On this rotation, I got to see a lot of different types of patients of all different ages from various backgrounds. Some of the interesting cases were a patient who had a medication overdose and a patient with an atypical presentation of strep throat. One patient that stuck out to me in particular was the patient who came in complaining of a headache But subsequently had a DVT. After investigating the headache and diagnosing the patient with a migraine the patient mentioned that he some leg pain that was bothering him for five days. After asking him some questions he admitted to having a DVT in the past. But said that the leg pain is not what brought him in today and it was a secondary matter. We subsequently sent the patient for a Doppler ultrasound which came back positive for a DVT. This taught me the importance of investigating all complaints that a patient presents with and not just to focus on the chief complaint. One area that I improved a lot on during my rotation was administering PPDs. During my first attempt, I felt that I had gone too deep and it was not in the subcutaneous tissue. I spoke with my preceptor who gave me some tips and every patient that I did it on after I successfully got the “bubble” that I was looking for. Something that I struggled with that I worked on during my rotation was changing dosages between adults and pediatrics. I found myself getting in a good habit Of looking up medications and the dosage calculator on uptodate before confirming with my preceptor. This definitely got me more comfortable with treating pediatric patient who I had not seen in clinic to this extent beforehand. Overall really great experience and I really enjoyed my urgent care rotation. I found it to be fast-paced with a good mix of simplistic cases and complicated cases.

Leave a Reply

Your email address will not be published. Required fields are marked *