Category: Medicine

see the attachment. i need 8 pages foe each chapter
all the instruction are in details in the attachment
use Chicago Manual reference style

Paragraph answers to medicine fellowship application questions
Need assistance with conciseness, clarity, repetitiveness, proof-reading.
Any further assitance to deliver a more impactful personal statement.

Chief Complaint:
A 25-year-old individual presents to the clinic with concerns related to their sexual orientation and gender identity.
History of Present Illness:
The patient reports experiencing confusion, distress, and discomfort related to their sexual orientation and gender identity. They mention feeling unsure about their sexual orientation and whether it aligns with their assigned sex at birth. They also express a desire to explore and understand their gender identity better. The patient describes experiencing anxiety, depression, and social isolation due to these concerns. They have noticed a decrease in self-esteem and have difficulty forming meaningful relationships. The patient states that these feelings have been present for the past two years but have become increasingly distressing over the past six months.
Review of Systems
The patient is negative for fevers, chills, sore throat, and body aches. He reports fatigue and headache. The ROS is negative for constipation, vomiting, rash, runny nose, cough, urinary urgency, dysuria, back pain, abdominal pain, penile discharge, night sweat,
Pt states some diarrhea, diaphoresis, loss of appetite, SOB, and chest pain.
Psychological/Emotional:
Anxiety: The patient reports experiencing persistent anxiety related to their sexual orientation and gender identity.
Depression: The patient describes feelings of sadness, hopelessness, and low mood.
Social Isolation: The patient reports a lack of social support due to difficulties in disclosing their concerns to family and friends.
Self-esteem: The patient expresses a decrease in self-esteem and a negative body image.
Past Medical History:
The patient has no significant past medical history or chronic medical conditions. They have never been hospitalized and have not undergone any surgeries. The patient reports no known allergies to medications or environmental factors.
Physical Exam Findings:
General Appearance:
The patient appears anxious and exhibits signs of distress, including fidgeting and avoiding eye contact. There are no obvious signs of acute distress or distress-related behavior.
Vital Signs:
Blood Pressure: 120/80 mmHg
Heart Rate: 80 beats per minute
Respiratory Rate: 16 breaths per minute
Temperature: 98.6°F (37°C)
Oxygen Saturation: 99% on room air
Skin:
The patient’s skin is intact without any notable lesions, rashes, or discoloration.
HEENT:
Head: Normocephalic, atraumatic
Eyes: Pupils equal, round, and reactive to light. No conjunctival injection.
Ears: No obvious abnormalities or discharge.
Nose: No nasal congestion or discharge.
Throat: Oropharynx is clear, and the tonsils are non-enlarged.
Chest/Lungs:
Clear breath sounds bilaterally, with no adventitious sounds.
Cardiovascular:
Regular rate and rhythm, with no murmurs, rubs, or gallops detected.
Abdomen:
Soft and non-tender to palpation. No masses or organomegaly detected.
Extremities:
No edema, cyanosis, or clubbing. Normal range of motion and intact sensation in all extremities.
Neurological:
Cranial nerves are intact. Strength and sensation are within normal limits. No tremors or abnormal movements observed.
Psychosocial
Noted bouts of crying in the exam room.
PHQ-9 score: 23
GAD 7 score : 19

Lois is a 77-year-old woman who has been your patient for a number of years. Over the last two years, she has had a gradual decline in her cognitive function, primarily manifesting as difficulty with names and memory impairment. Two months ago, she started risperidone 0.5 mg twice daily because of increased agitation and nocturnal wandering. Lois is cared for by her daughter, Anne, who now lives with her. Anne works evenings three days per week and on those days, Lois is at home by herself. Anne brings Lois to see you today for review after she was seen in the local emergency department two days ago. Lois had a pre-syncopal episode at home and sustained a left Colles’ fracture in the fall. This was treated conservatively, and she was discharged from the department with analgesia (Tramadol 50 mg four times daily, as needed). No underlying cardiac or neurological event was identified as the cause of the fall. Lois’ other medical problems are insomnia, hypertension and depression. Her current medications are: aspirin 150 mg in the morning, Risperidone (Risperdal) 0.5 mg twice daily, Diltiazem CR (Cardizem CD) 180 mg at night, Metoprolol (Betaloc) 50 mg twice daily, Paroxetine (Aropax) 20 mg in the morning, Temazepam 20 mg at night, Tramadol (Tramal) 50 mg four times daily as needed. On examination, Lois is alert and interactive. She is afebrile. Her BP is 150/70 mmHg and her pulse rate is 65 (regular). Her MMSE score is 22/30 (unchanged from previous visit). Her gait is steady and her visual acuity is 6/6 in each eye. Her left wrist is in a backslab and there appears to be good distal perfusion of her left hand with no loss of sensation. The remainder of the physical examination is normal.
Anne’s three main concerns are:
The cause of the fall and that it may happen again, saying that she ‘can’t be there all the time’.
The current complex medication regimen. When Anne is at work, she lays out Lois’ tablets with written instructions. Anne is worried about possible misadventure associated with this.
Lois still has episodes of agitation. Anne feels that this has been reduced but not ameliorated by the addition of risperidone.
Your initial response will be a comprehensive SOAP Note to the discussion prompt. Use the SOAP Note Template attached. Your response must have a clear, well formulated thesis and appropriate sentence structure, grammar, punctuation, and spelling count. In addition to your SOAP note, post an explanation of your rationale for analysis, evaluation, and/or conclusions that were part of your SOAP note.

This paper is literature review and I wrote all the sections for systemization. The parts that need to be developed are:
Discussion
Conclusion
Practical recommendations
There are two tables 15 and 16. They need to be discussed, conclusions drawn and recommendation done.
I am including the work I did and the articles in the tables 15 and 16
I can send more articles for Discussion as background when you are ready
Thank you

CASE STUDY: Dr. Laura Simmons, a licensed clinical psychologist, has been treating Mr. Alex Turner, a 35-
year-old software engineer, for symptoms of severe depression and anxiety over the past six
months. Their sessions have been characterized by trust and open communication, with Alex
often sharing his deepest fears and concerns.
During a particularly intense session, Alex reveals to Dr. Simmons that he has been having
recurring thoughts of harming a colleague due to a longstanding professional rivalry and recent
personal conflicts. He describes detailed plans and expresses a genuine intent to act on these
thoughts.
Dr. Simmons is immediately faced with an ethical dilemma. She values the principle of
confidentiality, which is foundational to the therapeutic relationship. Alex has trusted her with his
innermost thoughts, and she knows that breaking this trust could potentially harm their
therapeutic alliance. However, she is also bound by the principles of beneficence and non-
maleficence. Beneficence compels her to act in the best interest of her patient and those around
him, while non-maleficence emphasizes the importance of “doing no harm.”

Assignment Instructions: Literature Review Synthesis Assignment
A comprehensive literature review is an evaluative summary of individual literature and studies related to your research project. A cohesive literature review should provide a format from which a descriptive comparison and contrast can be derived. Please use the John Hopkins Research Evidence Appraisal and Synthesis and Recommendations Tool (Appendix E & H) to dissect the selected articles. Please complete the Copyright Permission https://www.ijhn-education.org/node/18409 FormLinks to an external site. for access to either the new e-Tools or the paper version. A zipped file will be made available for download and use for this assignment.
Submission Parameters:
Please use the following guidelines and criteria to develop this assignment. Also, please refer to the rubric for point allocation and assignment expectations. The expected length of the paper is approximately 10 – 15 pages, which does not include the cover page and reference page(s). At least 15 references should be included in this assignment.
Introduction (including a purpose statement)
Literature Review including a minimum of 15 research articles.
All research articles should include:
An overview description of the phenomena, size, setting, and outcomes
Research question or hypothesis
Sample description
Research design and statistical methods
Findings

The clinical question is “Among patients with episodic migraines, what are the most common triggers and risk factors associated with migraine attacks, and how do these vary across different age groups and genders? Additionally, what impact do these triggers and risk factors have on the frequency and intensity of the migraines? ”
I do not need the Title page done, I have that. I need the abstract plus 3-5 pages and then the reference page. The paper must be in AMA format. Minimum 3 article references, no more than 5 years old.
I have attached the rubric as well as a template of how the paper must be laid out.

I’m 4th year medical student & applying residency soon, i tried to write my personal statement but I’m not able to do perfect job due to my busy schedule please look at my personal statement which I’m going to attach below & write me good personal statement please. i really appreciate your help.

Please write a SOAP Note for seeing a 25 year old male with sore throat and drooling, pain and stiff neck with airway compromise due to swelling in his throat. No medical/surgical background. No allergies. All other systems normal