During my first site evaluation, we discussed a patient I had seen that presented with erythema and swelling on the arm. The patient was a 2 year old male that had previously had poor reactions to bug bites. On physical exam, the boy’s arm was erythematous and swollen with what appeared to be a bug bite in the center. During the site evaluation, we discussed possible causes of the reaction and the various methods with which to treat this reaction. I also prepared a second case which detailed a 17 month old female with reported ear pain. We evaluated the presentation of the patient and discussed the proper treatment for otitis media. We also discussed parent education and methods available to reduce the likelihood of developing otitis media. At this site visit we also discussed five pharm cards which I had prepared. We noted the methods of action, side effects, contraindications and doses of these drugs.

At the second site visit we also discussed an additional five drug cards that I had prepared. I chose to include medications that I had seen prescribed to patients in the office. I thought that this was appropriate as I wanted to make sure that I was aware of the side effects and ways in which the drugs I was prescribing would work. I also prepared a case to discuss during the site eval. I presented a 2 year old female that presented to the office with fever. The patient’s father reported that she had fever for three days and had already tested negative for COVID and the flu at an urgent care. The patient continued to have a high fever and looked ill and lethargic on presentation. Due to the patient’s high fever and lack of response to antibiotics, the patient was sent to the Emergency Room. There, it was discovered that the patient had eaten almonds a few days prior and had two almonds stuck in her lungs. The almonds were successfully removed and the patient was treated for the infection that had developed as a result. I thought this was an interesting case to present because it emphasizes the need for a proper history. This case taught me that a thorough and complete history along with a proper physical exam are essential to arriving at the corre