When I entered medical school I wanted to pursue neurology.
I had developed a strong interest in neuroscience during my undergraduate degree in psychology. This focus was sustained throughout medical school, as I was given the opportunity to act as a teaching assistant for the third-semester neuroscience course and during my clerkship rotations. I applied to neurology in last year’s match, however, when I completed my first family medicine rotation, in February 2018, I had a transformative experience involving a young boy named Adam.
Adam presented to the urgent care clinic – with a five-day history of sore throat, which progressed to left cheek and jaw pain. He reported excruciating pain when he tried to open his mouth and new-onset unilateral ear pain. The patient had already been seen by a physician the day before, but was sent home with reassurance that his symptoms would resolve. Although the patient had no visible abscess inside the oral cavity, he was unable to open his mouth more than one centimetre. I strongly advocated to the Attending that his history and my physical exam findings were suggestive of a peritonsillar abscess.
We decided to send the patient to the emergency room where this diagnosis was made and the appropriate treatment initiated. Read More...