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The Clinical Logs Assignment Discussion Paper

The Clinical Logs Assignment Discussion Paper

A. 12 Pages —Develop a log of patient encounters You must record at least 80 encounters with patients (40 children/adolescents and 40 adult/older adult).

The patient log must include the following:

Client Information
Visit Information
Practice Management
Diagnosis
Treatment Plan and Notes: You must include a brief summary/synopsis of the patient visit. This does not need to be a SOAP note, however the note needs to be sufficient to remember your patient encounter. See below for Sample ( Even if they are not as detailed as shown try and include as many clinical components as possible).
Ex: 23yo single female presents for a medication mgt visit. Dx: MDD, recurrent, moderate. Started on Zoloft 25mg daily 4 weeks ago, no adverse side effects, PHQ-9: 15 (was 20 on 11/1/21). Continues to feel depressed, sleep and appetite both good, no SI. MSE: mood is “depressed”, affect is constricted, a&o, dressed appropriately for weather, is heavily tattooed on her arms and neck, eye contact good, insight is fair. Will titrate Zoloft to 50mg to target mood, RTC 3 weeks, continue therapy. The Clinical Logs Assignment Discussion Paper

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Pediatrics

  1. A 10-year-old male presents with symptoms of ADHD, including hyperactivity and impulsivity. After evaluation and testing, the patient is diagnosed with ADHD and prescribed methylphenidate 10mg twice daily. Follow-up is scheduled in 1 month.
  2. A 14-year-old female presents with symptoms of depression, including loss of interest in activities and changes in appetite. After evaluation and testing, the patient is diagnosed with major depressive disorder and prescribed fluoxetine 10mg daily. Follow-up is scheduled in 2 weeks.
  3. An 8-year-old male presents with symptoms of oppositional defiant disorder, including defiance and aggression towards authority figures. After evaluation and testing, the patient is diagnosed with ODD and referred for family therapy. Follow-up is scheduled in 1 month.
  4. A 12-year-old female presents with symptoms of PTSD, including flashbacks and avoidance of certain situations. After evaluation and testing, the patient is diagnosed with PTSD and referred for trauma-focused therapy. Follow-up is scheduled in 2 weeks.
  5. A 7-year-old female presents with symptoms of autism spectrum disorder, including difficulty with social communication and repetitive behaviors. After evaluation and testing, the patient is diagnosed with ASD and referred to a developmental pediatrician for further assessment and management. Follow-up is scheduled in 6 weeks.
  6. An 11-year-old female presents with symptoms of separation anxiety disorder, including excessive worry about separation from parents. After evaluation and testing, the patient is diagnosed with separation anxiety disorder and prescribed fluoxetine 10mg daily. Follow-up is scheduled in 4 weeks.
  7. A 15-year-old female presents with symptoms of anorexia nervosa, including a significant weight loss and distorted body image. After evaluation and testing, the patient is diagnosed with anorexia nervosa and referred for a multidisciplinary treatment approach, which includes medical management, psychotherapy, and nutritional counseling. The patient is prescribed olanzapine 2.5mg daily to manage anxiety and agitation. Follow-up is scheduled in 1 week.
  8. A 13-year-old male presents with symptoms of Tourette’s syndrome, including involuntary tics and vocalizations. After evaluation and testing, the patient is diagnosed with Tourette’s syndrome and prescribed a low dose of an atypical antipsychotic medication, risperidone 0.5mg twice daily, to manage tics. Follow-up is scheduled in 2 weeks to monitor medication efficacy and side effects.
  9. A 10-year-old female presents with symptoms of generalized anxiety disorder, including excessive worry and difficulty with concentration. After evaluation and testing, the patient is diagnosed with GAD and prescribed a low dose of an SSRI medication, fluoxetine 5mg daily. Follow-up is scheduled in 4 weeks to monitor medication efficacy and side effects. The Clinical Logs Assignment Discussion Paper
  10. A 12-year-old male presents with symptoms of post-traumatic stress disorder, including flashbacks and nightmares. After evaluation and testing, the patient is diagnosed with PTSD and referred for trauma-focused cognitive-behavioral therapy. No medication prescribed.
  11. During a follow-up visit for anxiety, a 14-year-old female high school student reported feeling better since starting therapy and implementing coping mechanisms. The frequency of her panic attacks had decreased. We decided to continue therapy and monitor progress, with follow-up scheduled in 1 month.
  12. A 9-year-old male presents with symptoms of enuresis, including repeated bedwetting episodes. After evaluation and testing, the patient is diagnosed with primary nocturnal enuresis and prescribed desmopressin 0.2mg daily at bedtime. Follow-up is scheduled in 2 weeks to monitor medication efficacy and side effects.
  13. An 8-year-old female presents with symptoms of separation anxiety disorder, including excessive worry about separation from parents. After evaluation and testing, the patient is diagnosed with separation anxiety disorder and prescribed a low dose of an SSRI medication, sertraline 25mg daily. Follow-up is scheduled in 4 weeks to monitor medication efficacy and side effects.
  14. A 14-year-old male presents with symptoms of attention deficit hyperactivity disorder, including inattention and impulsivity. After evaluation and testing, the patient is diagnosed with ADHD and prescribed a stimulant medication, methylphenidate 10mg twice daily. Follow-up is scheduled in 1 month to monitor medication efficacy and side effects. The Clinical Logs Assignment Discussion Paper
  15. A 6-year-old female presents with symptoms of selective mutism, including a persistent refusal to speak in certain situations. After evaluation and testing, the patient is diagnosed with selective mutism and referred for behavioral therapy. No medication prescribed.
  16. A 13-year-old male presents with symptoms of specific phobia, including a persistent fear of spiders. After evaluation and testing, the patient is diagnosed with specific phobia and referred for exposure therapy.
  17. A 7-year-old female presents with difficulty adjusting to a new school. After evaluation and testing, the patient is diagnosed with adjustment disorder and referred for supportive psychotherapy. No medication prescribed.
  18. A 11-year-old male presents with feelings of sadness and hopelessness. After evaluation and testing, the patient is diagnosed with MDD and prescribed a low dose of an SSRI medication, fluoxetine 5mg daily. Follow-up is scheduled in 4 weeks to monitor medication efficacy and side effects.
  19. A 12-year-old female presents with symptoms of obsessive-compulsive disorder (OCD), including intrusive thoughts and compulsive behaviors. The patient was diagnosed with OCD and prescribed fluvoxamine 25mg daily. Follow-up is scheduled in 2 weeks.
  20. A 15-year-old female presents with significant weight loss and distorted body image. After evaluation and testing, the patient is diagnosed with anorexia nervosa and referred for a multidisciplinary treatment approach, which includes medical management, psychotherapy, and nutritional counseling. The patient is prescribed a low dose of an atypical antipsychotic medication, olanzapine 2.5mg daily to manage anxiety and agitation. Follow-up is scheduled in 1 week.
  21. A 9-year-old male presents with symptoms of oppositional defiant disorder, including defiance and aggression towards authority figures. After evaluation and testing, the patient is diagnosed with ODD and referred for family therapy.
  22. A 13-year-old male presents with symptoms of bipolar disorder, including manic episodes and periods of depression. After evaluation and testing, the patient is diagnosed with bipolar disorder and prescribed lithium 300mg twice daily. Follow-up is scheduled in 2 weeks. The Clinical Logs Assignment Discussion Paper
  23. 15-year-old male presents with hallucinations and delusions. After evaluation and testing, the patient is diagnosed with schizophrenia and prescribed risperidone 2mg daily. Follow-up is scheduled in 2 weeks.
  24. A 10-year-old male presents with excessive worry and difficulty sleeping. After evaluation and testing, the patient is diagnosed with generalized anxiety disorder and prescribed sertraline 25mg daily. Follow-up is scheduled in 4 weeks.
  25. A 14-year-old female presents with symptoms of postpartum depression, including low mood and difficulty bonding with her baby. After evaluation and testing, the patient is diagnosed with PPD and prescribed sertraline 25mg daily. Follow-up is scheduled in 2 weeks to monitor medication efficacy and side effects.
  26. A 15-year-old male presents with symptoms of substance use disorder, including marijuana use and academic problems. After evaluation and testing, the patient is diagnosed with SUD and referred for outpatient substance abuse counseling. No medication prescribed.
  27. An 8-year-old female presents with fear of dogs. After evaluation and testing, the patient is diagnosed with specific phobia and referred for exposure therapy. No medication prescribed.
  28. A 10-year-old male presents with symptoms of conduct disorder, including aggression towards people and animals, destruction of property, and stealing. After evaluation and testing, the patient is diagnosed with conduct disorder and referred for family therapy. No medication prescribed.
  29. A 6-year-old male presents with symptoms of developmental delay, including delayed speech and motor skills. After evaluation and testing, the patient is diagnosed with developmental delay and referred for early intervention services. No medication prescribed. Follow-up is scheduled in 1 month.
  30. A 14-year-old female presents with loss of interest in activities and changes in appetite. After evaluation and testing, the patient is diagnosed with major depressive disorder and prescribed fluoxetine 10mg daily. Follow-up is scheduled in 2 weeks. The Clinical Logs Assignment Discussion Paper
  31. An 8-year-old male presents with symptoms of oppositional defiant disorder (ODD), including defiance and aggression. After evaluation and testing, the patient is diagnosed with ODD and referred to a family therapist. Follow-up is scheduled in 6 weeks.

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  32. A 16-year-old female presents with symptoms of post-traumatic stress disorder (PTSD), including flashbacks and avoidance behaviors. After evaluation and testing, the patient is diagnosed with PTSD and prescribed sertraline 50mg daily. Follow-up is scheduled in 4 weeks.
  33. A 12-year-old male presents with symptoms of attention-deficit/hyperactivity disorder (ADHD), including difficulty paying attention and impulsivity. After evaluation and testing, the patient is diagnosed with ADHD and prescribed methylphenidate 10mg twice daily. Follow-up is scheduled in 2 weeks.
  34. A 13-year-old male presents with symptoms of generalized anxiety disorder, including excessive worry and physical symptoms such as muscle tension and headaches. After evaluation and testing, the patient is diagnosed with generalized anxiety disorder and prescribed sertraline 25mg daily. Follow-up is scheduled in 4 weeks to monitor medication efficacy and side effects.
  35. An 11-year-old female presents with symptoms of trichotillomania, including recurrent hair pulling resulting in hair loss. After evaluation and testing, the patient is diagnosed with trichotillomania and referred for habit reversal therapy. No medication prescribed.
  36. A 14-year-old female presents with symptoms of borderline personality disorder, including intense and unstable relationships, impulsivity, and self-harm behaviors. After evaluation and testing, the patient is diagnosed with borderline personality disorder and referred for dialectical behavior therapy. Follow-up is scheduled in 1 week. The Clinical Logs Assignment Discussion Paper
  37. A 12-year-old female presents with symptoms of body dysmorphic disorder, including preoccupation with perceived flaws in appearance. After evaluation and testing, the patient is diagnosed with body dysmorphic disorder and referred for cognitive-behavioral therapy. No medication prescribed. Follow-up is scheduled in 3 weeks.
  38. An 11-year-old male presents with symptoms of conduct disorder, including aggression towards peers and property destruction. After evaluation and testing, the patient is diagnosed with conduct disorder and prescribed risperidone 0.5mg twice daily. Follow-up is scheduled in 2 weeks to monitor medication efficacy and side effects.
  39. A 15-year-old female presents with symptoms of intermittent explosive disorder, including recurrent outbursts of aggression and verbal abuse. After evaluation and testing, the patient is diagnosed with IED and prescribed fluoxetine 10mg daily. Follow-up is scheduled in 4 weeks to monitor medication efficacy and side effects.
  40. A 9-year-old male presents with symptoms of conduct disorder, including bullying and physical aggression towards classmates. After evaluation and testing, the patient is diagnosed with conduct disorder and prescribed aripiprazole 2mg daily. Follow-up is scheduled in 2 weeks to monitor medication efficacy and side effects. The Clinical Logs Assignment Discussion Paper

Adults/Geriatrics

  1. A 24-year-old female college student presented for an initial mental health evaluation due to feeling overwhelmed with school and personal life. She exhibited symptoms of anxiety, including racing thoughts, difficulty sleeping, and decreased appetite. We discussed coping mechanisms and mindfulness exercises and decided to start her on a low dose of SSRI medication. Follow-up was scheduled in 2 weeks.
  2. A 62-year-old male presents with symptoms of depression, including loss of interest in activities and changes in appetite. After evaluation and testing, the patient is diagnosed with major depressive disorder and prescribed venlafaxine 75mg daily. Follow-up is scheduled in 2 weeks.
  3. During a follow-up visit for depression, a 45-year-old female stay-at-home mom reported an improvement in mood since starting antidepressant medication. We decided to increase the dose as tolerated and continue therapy, with follow-up scheduled in 2 weeks.
  4. During a routine check-up, a 36-year-old female office worker reported fatigue and difficulty concentrating. Upon further questioning, she reported feelings of sadness and lack of interest in hobbies. After discussion, we decided to start her on an SSRI medication and refer her to a therapist. Follow-up was scheduled in 4 weeks.
  5. A 45-year-old male presents with symptoms of bipolar disorder, including manic episodes and depressive episodes. After evaluation and testing, the patient is diagnosed with bipolar disorder and prescribed lithium carbonate 300mg twice daily. Follow-up is scheduled in 4 weeks.
  6. A 72-year-old female presents with symptoms of depression, including low mood and feelings of hopelessness. After evaluation and testing, the patient is diagnosed with major depressive disorder and prescribed duloxetine 30mg daily. Follow-up is scheduled in 4 weeks.
  7. A 60-year-old male presents with symptoms of anxiety and panic attacks. After evaluation and testing, the patient is diagnosed with generalized anxiety disorder and prescribed lorazepam 0.5mg twice daily as needed for anxiety. Follow-up is scheduled in 2 weeks.
  8. A 80-year-old female presents with symptoms of dementia, including memory loss and confusion. After evaluation and testing, the patient is diagnosed with Alzheimer’s disease and referred for memory care services. Follow-up is scheduled in 3 months.
  9. A 50-year-old male presents with symptoms of PTSD, including flashbacks and avoidance of certain situations. After evaluation and testing, the patient is diagnosed with PTSD and referred for trauma-focused therapy. Follow-up is scheduled in 2 weeks.
  10. A 68-year-old female presents with symptoms of depression, including low mood and changes in appetite. After evaluation and testing, the patient is diagnosed with major depressive disorder and prescribed venlafaxine 75mg daily. Follow-up is scheduled in 4 weeks. The Clinical Logs Assignment Discussion Paper
  11. A 55-year-old male presents with symptoms of alcohol use disorder, including frequent alcohol consumption and difficulty quitting. After evaluation and testing, the patient is diagnosed with alcohol use disorder and referred for substance abuse treatment. Follow-up is scheduled in 2 weeks.
  12. A 75-year-old female presents with symptoms of anxiety and panic attacks. After evaluation and testing, the patient is diagnosed with generalized anxiety disorder and prescribed buspirone 10mg twice daily. Follow-up is scheduled in 2 weeks.
  13. A 70-year-old male presents with symptoms of depression, including low mood and feelings of hopelessness. After evaluation and testing, the patient is diagnosed with major depressive disorder and prescribed sertraline 50mg daily. Follow-up is scheduled in 4 weeks.
  14. A 60-year-old female presents with symptoms of bipolar disorder, including manic episodes and depressive episodes. After evaluation and testing, the patient is diagnosed with bipolar disorder and prescribed lamotrigine 25mg daily. Follow-up is scheduled in 4 weeks.
  15. During a follow-up visit for depression, a 35-year-old male reported no improvement with current medication and therapy. After discussion and evaluation, we decided to switch to a different medication and refer to a psychiatrist for further management. Follow-up was scheduled in 4 weeks.
  16. A 63-year-old male presents with low mood and loss of interest in activities. After evaluation and testing, the patient is diagnosed with major depressive disorder and prescribed duloxetine 30mg daily. Follow-up is scheduled in 2 weeks.
  17. A 77-year-old female presents with excessive worry and restlessness. After evaluation, the patient is diagnosed with generalized anxiety disorder and prescribed lorazepam 0.5mg twice daily. Follow-up is scheduled in 4 weeks.
  18. A 56-year-old male presents with symptoms of bipolar disorder, including manic episodes and periods of depression. The patient was diagnosed with bipolar disorder and prescribed valproic acid 250mg twice daily. Follow-up is scheduled in 2 weeks.
  19. A 72-year-old female presents with symptoms of post-traumatic stress disorder (PTSD), including flashbacks and avoidance behaviors. After evaluation and testing, the patient is diagnosed with PTSD and prescribed sertraline 50mg daily. Follow-up is scheduled in 4 weeks.
  20. A 69-year-old male presents with symptoms of obsessive-compulsive disorder (OCD), including intrusive thoughts and compulsive behaviors. After evaluation and testing, the patient is diagnosed with OCD and prescribed fluoxetine 20mg daily. Follow-up is scheduled in 2 weeks. The Clinical Logs Assignment Discussion Paper
  21. A 51-year-old female presents with symptoms of borderline personality disorder, including unstable relationships and emotional dysregulation. After evaluation and testing, the patient is diagnosed with borderline personality disorder and referred to a specialized therapist. Follow-up is scheduled in 6 weeks.
  22. An 80-year-old male presents with symptoms of dementia, including memory loss and difficulty with daily activities. After evaluation and testing, the patient is diagnosed with Alzheimer’s disease and prescribed donepezil 5mg daily. Follow-up is scheduled in 3 months.
  23. A 68-year-old female presents with symptoms of schizophrenia, including hallucinations and delusions. After evaluation and testing, the patient is diagnosed with schizophrenia and prescribed risperidone 2mg daily. Follow-up is scheduled in 2 weeks.
  24. A 61-year-old male presents with alcohol and opioid use. The patient is diagnosed with substance use disorder and referred to a specialized addiction treatment center. Follow-up is scheduled in 4 weeks.
  25. A 50-year-old female presents with symptoms of depression, including low mood and feelings of worthlessness. After evaluation and testing, the patient is diagnosed with major depressive disorder and prescribed escitalopram 10mg daily. Follow-up is scheduled in 4 weeks.
  26. A 78-year-old male presents with symptoms of delirium, including confusion and disorientation. After evaluation and testing, the patient is diagnosed with delirium and referred for inpatient treatment. Follow-up is scheduled upon discharge.
  27. A 62-year-old female presents with symptoms of OCD, including intrusive thoughts and compulsive behaviors. After evaluation and testing, the patient is diagnosed with OCD and prescribed fluoxetine 20mg daily. Follow-up is scheduled in 1 month.
  28. A 68-year-old male presents with symptoms of alcohol use disorder, including frequent alcohol consumption and difficulty quitting. After evaluation and testing, the patient is diagnosed with alcohol use disorder and referred for substance abuse treatment. Follow-up is scheduled in 2 weeks.
  29. A 55-year-old female presents with symptoms of anxiety and panic attacks. After evaluation and testing, the patient is diagnosed with panic disorder and prescribed alprazolam 0.5mg as needed for anxiety. Follow-up is scheduled in 2 weeks. The Clinical Logs Assignment Discussion Paper
  30. A 65-year-old male presents with symptoms of depression, including feelings of sadness, loss of interest in activities, and difficulty sleeping. The patient was diagnosed with major depressive disorder and prescribed sertraline 50mg daily. Follow-up is scheduled in 4 weeks.
  31. A 70-year-old female presents with symptoms of hallucinations and delusions. The patient was diagnosed with schizophrenia and prescribed risperidone 2mg daily. Follow-up is scheduled in 2 weeks.
  32. A 60-year-old male presents with symptoms of memory loss and confusion. The patient was diagnosed with dementia and referred to a specialist for further evaluation and treatment.
  33. A 55-year-old female presents with symptoms of anxiety and panic attacks. The patient was diagnosed with panic disorder and prescribed alprazolam 0.5mg as needed for anxiety. Follow-up is scheduled in 2 weeks.
  34. A 75-year-old male presents with symptoms of agitation and aggression. The patient was diagnosed with agitation associated with dementia and prescribed quetiapine 25mg twice daily. Follow-up is scheduled in 2 weeks.
  35. A 65-year-old female presents with symptoms of insomnia and fatigue. The patient was diagnosed with insomnia and prescribed zolpidem 10mg as needed for sleep. Follow-up is scheduled in 4 weeks.
  36. A 70-year-old male presents with symptoms of bipolar disorder, including episodes of mania and depression. The patient was diagnosed with bipolar disorder and prescribed lithium 300mg twice daily. Follow-up is scheduled in 2 weeks.
  37. A 60-year-old female presents with symptoms of obsessive-compulsive disorder, including repetitive behaviors and intrusive thoughts. The patient was diagnosed with OCD and prescribed fluoxetine 20mg daily. Follow-up is scheduled in 4 weeks. The Clinical Logs Assignment Discussion Paper
  38. A 55-year-old male presents with symptoms of substance use disorder, including alcohol abuse. The patient was diagnosed with alcohol use disorder and referred to a substance abuse treatment program for further evaluation and treatment.
  39. A 75-year-old female presents with symptoms of social isolation and loneliness. The patient was diagnosed with adjustment disorder with depressed mood and referred to a therapist for counseling. Follow-up is scheduled in 4 weeks.
    1. During an annual physical exam, a 9-year-old male was found to be active and healthy. His vaccinations were up to date, and we discussed healthy eating and exercise habits. Follow-up was scheduled for 1 year.
    2. A 24-year-old female college student presented for an initial mental health evaluation due to feeling overwhelmed with school and personal life. She exhibited symptoms of anxiety, including racing thoughts, difficulty sleeping, and decreased appetite. We discussed coping mechanisms and mindfulness exercises and decided to start her on a low dose of SSRI medication. Follow-up was scheduled in 2 weeks.
    3. A 32-year-old male construction worker came to urgent care with a laceration on his hand. After cleaning and bandaging the laceration and administering a tetanus vaccine, antibiotics were prescribed for possible infection. Follow-up with a primary care physician was advised if needed.
    4. During a follow-up visit for anxiety, a 14-year-old female high school student reported feeling better since starting therapy and implementing coping mechanisms. The frequency of her panic attacks had decreased. We decided to continue therapy and monitor progress, with follow-up scheduled in 1 month.
    5. During an annual physical exam, a 40-year-old male sales representative’s exam was unremarkable. We discussed healthy lifestyle habits, including diet and exercise, and encouraged routine health screenings. Follow-up was scheduled in 1 year.
    6. A 19-year-old male college student came to urgent care with a fever and sore throat. Antibiotics were prescribed for bacterial infection, and the patient was advised to rest and increase fluid intake. Preventative measures for future illnesses were also discussed. Follow-up with a primary care physician was advised if needed.
    7. During a follow-up visit for depression, a 45-year-old female stay-at-home mom reported an improvement in mood since starting antidepressant medication. We decided to increase the dose as tolerated and continue therapy, with follow-up scheduled in 2 weeks.
    8. A 6-year-old male elementary school student came to urgent care with ear pain. After diagnosing acute otitis media, antibiotics were prescribed for bacterial infection, and the patient was advised to rest and take pain medication as needed. Preventative measures for future ear infections were also discussed. Follow-up with a primary care physician was advised if needed. The Clinical Logs Assignment Discussion Paper
    9. During a follow-up visit for high blood pressure, a 55-year-old male truck driver reported decreased blood pressure since starting medication. We decided to continue medication and monitor blood pressure regularly. Lifestyle modifications were also discussed to further decrease blood pressure. Follow-up was scheduled in 3 months.
    10. A 16-year-old female high school student came to urgent care with an ankle sprain. After diagnosis, the patient was advised to rest and take pain medication as needed. Follow-up with a primary care physician was advised if needed.
    11. During a routine check-up, a 36-year-old female office worker reported fatigue and difficulty concentrating. Upon further questioning, she reported feelings of sadness and lack of interest in hobbies. After discussion, we decided to start her on an SSRI medication and refer her to a therapist. Follow-up was scheduled in 4 weeks.
    12. A 10-year-old female came to urgent care with a deep cut on her leg. After cleaning and suturing the wound, the patient was advised to rest and avoid strenuous activity. Follow-up with a primary care physician was advised if needed.
    13. During a follow-up visit for asthma, a 7-year-old male elementary school student reported better control of his asthma symptoms since starting medication. We decided to continue medication and monitor symptoms, with follow-up scheduled in 3 months.
    14. A 28-year-old female came to urgent care with a urinary tract infection. After diagnosing the infection, antibiotics were prescribed and the patient was advised to increase fluid intake and maintain good hygiene. Follow-up with a primary care physician was advised if needed.
    15. During a routine check-up, a 50-year-old male reported mild knee pain. We discussed conservative treatment options, including rest, ice, and physical therapy. Follow-up was scheduled in 6 weeks.
    16. A 15-year-old female high school student came to urgent care with a skin rash. After diagnosing the rash as eczema, topical steroid cream was prescribed and the patient was advised to avoid triggers and maintain good skin care. Follow-up with a primary care physician was advised if needed.
    17. During a follow-up visit for diabetes, a 65-year-old male retired accountant reported better control of his blood sugar levels since starting medication and lifestyle modifications. We decided to continue medication and monitor blood sugar levels regularly, with follow-up scheduled in 3 months.
    18. A 9-year-old male elementary school student came to urgent care with a nosebleed. After stopping the bleeding and advising the patient to avoid nose-picking, follow-up with a primary care physician was advised if needed.
    19. During a routine check-up, a 30-year-old female reported no new concerns or issues. We discussed healthy lifestyle habits and scheduled follow-up in 1 year.
    20. A 70-year-old male retired factory worker came to urgent care with a cough and shortness of breath. After further evaluation, the patient was diagnosed with pneumonia and antibiotics were prescribed. Follow-up with a primary care physician was advised if needed.
    21. During a follow-up visit for hypertension, a 60-year-old female retired nurse reported better control of her blood pressure since starting medication and dietary modifications. We decided to continue medication and monitor blood pressure levels regularly, with follow-up scheduled in 3 months.
    22. A 20-year-old male college student came to urgent care with a sprained ankle. After examination and x-rays, we diagnosed a mild sprain and advised rest, ice, and elevation. The patient was advised to follow up with a primary care physician or orthopedic specialist if needed.
    23. During a routine check-up, a 45-year-old male reported occasional headaches. After further questioning, no red flags were identified and we advised the patient to monitor and manage headaches with over-the-counter medication as needed. Follow-up was scheduled in 6 months.
    24. A 25-year-old female came to urgent care with a minor burn on her hand. After cleaning and dressing the wound, the patient was advised to keep the wound clean and avoid further injury. Follow-up with a primary care physician was advised if needed.
    25. During a follow-up visit for depression, a 35-year-old male reported no improvement with current medication and therapy. After discussion and evaluation, we decided to switch to a different medication and refer to a psychiatrist for further management. Follow-up was scheduled in 4 weeks.
    26. A 12-year-old male middle school student came to urgent care with a sports-related injury. After examination and x-rays, we diagnosed a minor fracture and advised rest and immobilization. The patient was advised to follow up with a primary care physician or orthopedic specialist if needed.
    27. During a routine check-up, a 55-year-old male reported occasional heart palpitations. After evaluation and testing, no significant issues were identified and we advised the patient to monitor and follow up if symptoms worsen or new symptoms develop. Follow-up was scheduled in 6 months.
    28. A 17-year-old female high school student came to urgent care with a sore throat and fever. After examination and testing, the patient was diagnosed with strep throat and antibiotics were prescribed. Follow-up with a primary care physician was advised if needed.
    29. During a follow-up visit for anxiety, a 40-year-old female reported better control of her symptoms since starting medication and therapy. We decided to continue medication and therapy, with follow-up scheduled in 3 months.
    30. A 50-year-old male came to urgent care with a cut on his hand. After cleaning and dressing the wound, the patient was advised to keep the wound clean and avoid further injury. Follow-up with a primary care physician was advised if needed.
    31. During a routine check-up, a 70-year-old female reported increased joint pain. After examination and evaluation, we diagnosed osteoarthritis and advised over-the-counter medication and physical therapy. Follow-up was scheduled in 3 months. The Clinical Logs Assignment Discussion Paper
    32. A 30-year-old male came to urgent care with a rash on his arm. After examination and evaluation, the patient was diagnosed with contact dermatitis and advised topical medication and avoidance of irritants. Follow-up with a primary care physician was advised if needed.
    33. During a routine check-up, a 65-year-old female reported occasional joint pain. After evaluation and testing, we diagnosed mild osteoarthritis and advised the patient to manage symptoms with over-the-counter medication and exercise. Follow-up was scheduled in 6 months.
    34. A 30-year-old male came to urgent care with a deep cut on his foot. After cleaning and dressing the wound, the patient was advised to keep the wound clean and avoid further injury. Follow-up with a primary care physician or podiatrist was advised if needed.
    35. During a follow-up visit for diabetes, a 55-year-old male reported better control of his blood sugar levels since starting medication and dietary modifications. We decided to continue medication and monitor blood sugar levels regularly, with follow-up scheduled in 3 months.
    36. A 70-year-old female came to urgent care with a suspected urinary tract infection. After evaluation and testing, the patient was diagnosed with a mild UTI and antibiotics were prescribed. Follow-up with a primary care physician was advised if needed.
    37. During a routine check-up, a 25-year-old female reported occasional dizziness. After evaluation and testing, no significant issues were identified and we advised the patient to monitor and follow up if symptoms worsen or new symptoms develop. Follow-up was scheduled in 6 months.
    38. A 45-year-old male came to urgent care with a minor laceration on his arm. After cleaning and dressing the wound, the patient was advised to keep the wound clean and avoid further injury. Follow-up with a primary care physician was advised if needed.
    39. During a follow-up visit for asthma, a 30-year-old female reported better control of her symptoms since starting medication and avoiding triggers. We decided to continue medication and monitor symptoms regularly, with follow-up scheduled in 3 months.
    40. A 60-year-old male came to urgent care with a suspected eye infection. After examination and testing, the patient was diagnosed with conjunctivitis and eye drops were prescribed. Follow-up with a primary care physician or ophthalmologist was advised if needed.A 65-year-old male presents with symptoms of post-traumatic stress disorder, including flashbacks and nightmares. The patient was diagnosed with PTSD and prescribed paroxetine 20mg daily. Follow-up is scheduled in 2 weeks.Clinical Logs
      1. A 7-year-old female presents with symptoms of autism spectrum disorder, including difficulty with social communication and repetitive behaviors. After evaluation and testing, the patient is diagnosed with ASD and referred to a developmental pediatrician for further assessment and management. Follow-up is scheduled in 6 weeks.
      2. During an annual physical exam, a 9-year-old male was found to be active and healthy. His vaccinations were up to date, and we discussed healthy eating and exercise habits. Follow-up was scheduled for 1 year.
      3. A 24-year-old female college student presented for an initial mental health evaluation due to feeling overwhelmed with school and personal life. She exhibited symptoms of anxiety, including racing thoughts, difficulty sleeping, and decreased appetite. We discussed coping mechanisms and mindfulness exercises and decided to start her on a low dose of SSRI medication. Follow-up was scheduled in 2 weeks. The Clinical Logs Assignment Discussion Paper
      4. A 32-year-old male construction worker came to urgent care with a laceration on his hand. After cleaning and bandaging the laceration and administering a tetanus vaccine, antibiotics were prescribed for possible infection. Follow-up with a primary care physician was advised if needed.
      5. During a follow-up visit for anxiety, a 14-year-old female high school student reported feeling better since starting therapy and implementing coping mechanisms. The frequency of her panic attacks had decreased. We decided to continue therapy and monitor progress, with follow-up scheduled in 1 month.
      6. An 11-year-old female presents with symptoms of separation anxiety disorder, including excessive worry about separation from parents. After evaluation and testing, the patient is diagnosed with separation anxiety disorder and prescribed fluoxetine 10mg daily. Follow-up is scheduled in 4 weeks.
      7. A 62-year-old male presents with symptoms of depression, including loss of interest in activities and changes in appetite. After evaluation and testing, the patient is diagnosed with major depressive disorder and prescribed venlafaxine 75mg daily. Follow-up is scheduled in 2 weeks.

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      8. During an annual physical exam, a 40-year-old male sales representative’s exam was unremarkable. We discussed healthy lifestyle habits, including diet and exercise, and encouraged routine health screenings. Follow-up was scheduled in 1 year.
      9. 15-year-old male presents with symptoms of schizophrenia, including hallucinations and delusions. After evaluation and testing, the patient is diagnosed with schizophrenia and prescribed risperidone 2mg daily. Follow-up is scheduled in 2 weeks.
      10. A 19-year-old male college student came to urgent care with a fever and sore throat. Antibiotics were prescribed for bacterial infection, and the patient was advised to rest and increase fluid intake. Preventative measures for future illnesses were also discussed. Follow-up with a primary care physician was advised if needed.
      11. During a follow-up visit for depression, a 45-year-old female stay-at-home mom reported an improvement in mood since starting antidepressant medication. We decided to increase the dose as tolerated and continue therapy, with follow-up scheduled in 2 weeks.
      12. A 6-year-old male elementary school student came to urgent care with ear pain. After diagnosing acute otitis media, antibiotics were prescribed for bacterial infection, and the patient was advised to rest and take pain medication as needed. Preventative measures for future ear infections were also discussed. Follow-up with a primary care physician was advised if needed.
      13. During a follow-up visit for high blood pressure, a 55-year-old male truck driver reported decreased blood pressure since starting medication. We decided to continue medication and monitor blood pressure regularly. Lifestyle modifications were also discussed to further decrease blood pressure. Follow-up was scheduled in 3 months.
      14. A 16-year-old female high school student came to urgent care with an ankle sprain. After diagnosis, the patient was advised to rest and take pain medication as needed. Follow-up with a primary care physician was advised if needed.
      15. During a routine check-up, a 36-year-old female office worker reported fatigue and difficulty concentrating. Upon further questioning, she reported feelings of sadness and lack of interest in hobbies. After discussion, we decided to start her on an SSRI medication and refer her to a therapist. Follow-up was scheduled in 4 weeks.
      16. A 10-year-old female came to urgent care with a deep cut on her leg. After cleaning and suturing the wound, the patient was advised to rest and avoid strenuous activity. Follow-up with a primary care physician was advised if needed.
      17. A 45-year-old male presents with symptoms of bipolar disorder, including manic episodes and depressive episodes. After evaluation and testing, the patient is diagnosed with bipolar disorder and prescribed lithium carbonate 300mg twice daily. Follow-up is scheduled in 4 weeks.
      18. A 72-year-old female presents with symptoms of depression, including low mood and feelings of hopelessness. After evaluation and testing, the patient is diagnosed with major depressive disorder and prescribed duloxetine 30mg daily. Follow-up is scheduled in 4 weeks.
      19. A 60-year-old male presents with symptoms of anxiety and panic attacks. After evaluation and testing, the patient is diagnosed with generalized anxiety disorder and prescribed lorazepam 0.5mg twice daily as needed for anxiety. Follow-up is scheduled in 2 weeks.
      20. A 80-year-old female presents with symptoms of dementia, including memory loss and confusion. After evaluation and testing, the patient is diagnosed with Alzheimer’s disease and referred for memory care services. Follow-up is scheduled in 3 months.
      21. A 50-year-old male presents with symptoms of PTSD, including flashbacks and avoidance of certain situations. After evaluation and testing, the patient is diagnosed with PTSD and referred for trauma-focused therapy. Follow-up is scheduled in 2 weeks.
      22. A 68-year-old female presents with symptoms of depression, including low mood and changes in appetite. After evaluation and testing, the patient is diagnosed with major depressive disorder and prescribed venlafaxine 75mg daily. Follow-up is scheduled in 4 weeks. The Clinical Logs Assignment Discussion Paper
      23. A 55-year-old male presents with symptoms of alcohol use disorder, including frequent alcohol consumption and difficulty quitting. After evaluation and testing, the patient is diagnosed with alcohol use disorder and referred for substance abuse treatment. Follow-up is scheduled in 2 weeks.
      24. A 75-year-old female presents with symptoms of anxiety and panic attacks. After evaluation and testing, the patient is diagnosed with generalized anxiety disorder and prescribed buspirone 10mg twice daily. Follow-up is scheduled in 2 weeks.
      25. A 70-year-old male presents with symptoms of depression, including low mood and feelings of hopelessness. After evaluation and testing, the patient is diagnosed with major depressive disorder and prescribed sertraline 50mg daily. Follow-up is scheduled in 4 weeks.
      26. A 60-year-old female presents with symptoms of bipolar disorder, including manic episodes and depressive episodes. After evaluation and testing, the patient is diagnosed with bipolar disorder and prescribed lamotrigine 25mg daily. Follow-up is scheduled in 4 weeks.
      27. During a follow-up visit for asthma, a 7-year-old male elementary school student reported better control of his asthma symptoms since starting medication. We decided to continue medication and monitor symptoms, with follow-up scheduled in 3 months.
      28. A 28-year-old female came to urgent care with a urinary tract infection. After diagnosing the infection, antibiotics were prescribed and the patient was advised to increase fluid intake and maintain good hygiene. Follow-up with a primary care physician was advised if needed.
      29. During a routine check-up, a 50-year-old male reported mild knee pain. We discussed conservative treatment options, including rest, ice, and physical therapy. Follow-up was scheduled in 6 weeks.
      30. A 15-year-old female high school student came to urgent care with a skin rash. After diagnosing the rash as eczema, topical steroid cream was prescribed and the patient was advised to avoid triggers and maintain good skin care. Follow-up with a primary care physician was advised if needed.
      31. During a follow-up visit for diabetes, a 65-year-old male retired accountant reported better control of his blood sugar levels since starting medication and lifestyle modifications. We decided to continue medication and monitor blood sugar levels regularly, with follow-up scheduled in 3 months.
      32. A 9-year-old male elementary school student came to urgent care with a nosebleed. After stopping the bleeding and advising the patient to avoid nose-picking, follow-up with a primary care physician was advised if needed.
      33. During a routine check-up, a 30-year-old female reported no new concerns or issues. We discussed healthy lifestyle habits and scheduled follow-up in 1 year.
      34. A 70-year-old male retired factory worker came to urgent care with a cough and shortness of breath. After further evaluation, the patient was diagnosed with pneumonia and antibiotics were prescribed. Follow-up with a primary care physician was advised if needed.
      35. During a follow-up visit for hypertension, a 60-year-old female retired nurse reported better control of her blood pressure since starting medication and dietary modifications. We decided to continue medication and monitor blood pressure levels regularly, with follow-up scheduled in 3 months.
      36. A 20-year-old male college student came to urgent care with a sprained ankle. After examination and x-rays, we diagnosed a mild sprain and advised rest, ice, and elevation. The patient was advised to follow up with a primary care physician or orthopedic specialist if needed.
      37. During a routine check-up, a 45-year-old male reported occasional headaches. After further questioning, no red flags were identified and we advised the patient to monitor and manage headaches with over-the-counter medication as needed. Follow-up was scheduled in 6 months.
      38. A 13-year-old male presents with symptoms of bipolar disorder, including manic episodes and periods of depression. After evaluation and testing, the patient is diagnosed with bipolar disorder and prescribed lithium 300mg twice daily. Follow-up is scheduled in 2 weeks.
      39. A 25-year-old female came to urgent care with a minor burn on her hand. After cleaning and dressing the wound, the patient was advised to keep the wound clean and avoid further injury. Follow-up with a primary care physician was advised if needed.
      40. During a follow-up visit for depression, a 35-year-old male reported no improvement with current medication and therapy. After discussion and evaluation, we decided to switch to a different medication and refer to a psychiatrist for further management. Follow-up was scheduled in 4 weeks.
      41. A 12-year-old male middle school student came to urgent care with a sports-related injury. After examination and x-rays, we diagnosed a minor fracture and advised rest and immobilization. The patient was advised to follow up with a primary care physician or orthopedic specialist if needed.
      42. During a routine check-up, a 55-year-old male reported occasional heart palpitations. After evaluation and testing, no significant issues were identified and we advised the patient to monitor and follow up if symptoms worsen or new symptoms develop. Follow-up was scheduled in 6 months.
      43. A 17-year-old female high school student came to urgent care with a sore throat and fever. After examination and testing, the patient was diagnosed with strep throat and antibiotics were prescribed. Follow-up with a primary care physician was advised if needed.
      44. During a follow-up visit for anxiety, a 40-year-old female reported better control of her symptoms since starting medication and therapy. We decided to continue medication and therapy, with follow-up scheduled in 3 months.
      45. A 50-year-old male came to urgent care with a cut on his hand. After cleaning and dressing the wound, the patient was advised to keep the wound clean and avoid further injury. Follow-up with a primary care physician was advised if needed.
      46. During a routine check-up, a 70-year-old female reported increased joint pain. After examination and evaluation, we diagnosed osteoarthritis and advised over-the-counter medication and physical therapy. Follow-up was scheduled in 3 months.
      47. A 30-year-old male came to urgent care with a rash on his arm. After examination and evaluation, the patient was diagnosed with contact dermatitis and advised topical medication and avoidance of irritants. Follow-up with a primary care physician was advised if needed.
      48. During a routine check-up, a 65-year-old female reported occasional joint pain. After evaluation and testing, we diagnosed mild osteoarthritis and advised the patient to manage symptoms with over-the-counter medication and exercise. Follow-up was scheduled in 6 months.
      49. A 30-year-old male came to urgent care with a deep cut on his foot. After cleaning and dressing the wound, the patient was advised to keep the wound clean and avoid further injury. Follow-up with a primary care physician or podiatrist was advised if needed.
      50. During a follow-up visit for diabetes, a 55-year-old male reported better control of his blood sugar levels since starting medication and dietary modifications. We decided to continue medication and monitor blood sugar levels regularly, with follow-up scheduled in 3 months.
      51. A 70-year-old female came to urgent care with a suspected urinary tract infection. After evaluation and testing, the patient was diagnosed with a mild UTI and antibiotics were prescribed. Follow-up with a primary care physician was advised if needed.
      52. During a routine check-up, a 25-year-old female reported occasional dizziness. After evaluation and testing, no significant issues were identified and we advised the patient to monitor and follow up if symptoms worsen or new symptoms develop. Follow-up was scheduled in 6 months.
      53. A 45-year-old male came to urgent care with a minor laceration on his arm. After cleaning and dressing the wound, the patient was advised to keep the wound clean and avoid further injury. Follow-up with a primary care physician was advised if needed.
      54. During a follow-up visit for asthma, a 30-year-old female reported better control of her symptoms since starting medication and avoiding triggers. We decided to continue medication and monitor symptoms regularly, with follow-up scheduled in 3 months.
      55. A 60-year-old male came to urgent care with a suspected eye infection. After examination and testing, the patient was diagnosed with conjunctivitis and eye drops were prescribed. Follow-up with a primary care physician or ophthalmologist was advised if needed.
      56. A 10-year-old male presents with excessive worry and difficulty sleeping. After evaluation and testing, the patient is diagnosed with generalized anxiety disorder and prescribed sertraline 25mg daily. Follow-up is scheduled in 4 weeks.
      57. A 14-year-old female presents with symptoms of depression, including loss of interest in activities and changes in appetite. After evaluation and testing, the patient is diagnosed with major depressive disorder and prescribed fluoxetine 10mg daily. Follow-up is scheduled in 2 weeks.
      58. A 9-year-old male presents with symptoms of attention deficit hyperactivity disorder (ADHD), including inattention and hyperactivity. After evaluation and testing, the patient is diagnosed with ADHD and prescribed methylphenidate 10mg twice daily. Follow-up is scheduled in 4 weeks. A 12-year-old female presents with symptoms of obsessive-compulsive disorder (OCD), including intrusive thoughts and compulsive behaviors. After evaluation and testing, the patient is diagnosed with OCD and prescribed fluvoxamine 25mg daily. Follow-up is scheduled in 2 weeks.
      59. A 8-year-old male presents with symptoms of oppositional defiant disorder (ODD), including defiance and aggression. After evaluation and testing, the patient is diagnosed with ODD and referred to a family therapist. Follow-up is scheduled in 6 weeks.
      60. A 16-year-old female presents with symptoms of post-traumatic stress disorder (PTSD), including flashbacks and avoidance behaviors. After evaluation and testing, the patient is diagnosed with PTSD and prescribed sertraline 50mg daily. Follow-up is scheduled in 4 weeks.
      61. A 63-year-old male presents with low mood and loss of interest in activities. After evaluation and testing, the patient is diagnosed with major depressive disorder and prescribed duloxetine 30mg daily. Follow-up is scheduled in 2 weeks.
      62. A 77-year-old female presents with excessive worry and restlessness. After evaluation, the patient is diagnosed with generalized anxiety disorder and prescribed lorazepam 0.5mg twice daily. Follow-up is scheduled in 4 weeks.
      63. A 56-year-old male presents with symptoms of bipolar disorder, including manic episodes and periods of depression. The patient was diagnosed with bipolar disorder and prescribed valproic acid 250mg twice daily. Follow-up is scheduled in 2 weeks.
      64. A 72-year-old female presents with symptoms of post-traumatic stress disorder (PTSD), including flashbacks and avoidance behaviors. After evaluation and testing, the patient is diagnosed with PTSD and prescribed sertraline 50mg daily. Follow-up is scheduled in 4 weeks.
      65. A 69-year-old male presents with symptoms of obsessive-compulsive disorder (OCD), including intrusive thoughts and compulsive behaviors. After evaluation and testing, the patient is diagnosed with OCD and prescribed fluoxetine 20mg daily. Follow-up is scheduled in 2 weeks.
      66. A 51-year-old female presents with symptoms of borderline personality disorder, including unstable relationships and emotional dysregulation. After evaluation and testing, the patient is diagnosed with borderline personality disorder and referred to a specialized therapist. Follow-up is scheduled in 6 weeks.
      67. A 80-year-old male presents with symptoms of dementia, including memory loss and difficulty with daily activities. After evaluation and testing, the patient is diagnosed with Alzheimer’s disease and prescribed donepezil 5mg daily. Follow-up is scheduled in 3 months.
      68. A 68-year-old female presents with symptoms of schizophrenia, including hallucinations and delusions. After evaluation and testing, the patient is diagnosed with schizophrenia and prescribed risperidone 2mg daily. Follow-up is scheduled in 2 weeks.
      69. A 61-year-old male presents with alcohol and opioid use. The patient is diagnosed with substance use disorder and referred to a specialized addiction treatment center. Follow-up is scheduled in 4 weeks.
      70. A 12-year-old male presents with symptoms of attention-deficit/hyperactivity disorder (ADHD), including difficulty paying attention and impulsivity. After evaluation and testing, the patient is diagnosed with ADHD and prescribed methylphenidate 10mg twice daily. Follow-up is scheduled in 2 weeks.
      71. A 16-year-old female presents with symptoms of anxiety and panic attacks. She reports feeling overwhelmed and unable to focus on schoolwork. After evaluation and testing, the patient is diagnosed with generalized anxiety disorder and prescribed sertraline 25mg daily. Follow-up is scheduled in 2 weeks.
      72. A 10-year-old male presents with symptoms of ADHD, including hyperactivity and impulsivity. After evaluation and testing, the patient is diagnosed with ADHD and prescribed methylphenidate 10mg twice daily. Follow-up is scheduled in 1 month.
      73. A 14-year-old female presents with symptoms of depression, including loss of interest in activities and changes in appetite. After evaluation and testing, the patient is diagnosed with major depressive disorder and prescribed fluoxetine 10mg daily. Follow-up is scheduled in 2 weeks.
      74. An 8-year-old male presents with symptoms of oppositional defiant disorder, including defiance and aggression towards authority figures. After evaluation and testing, the patient is diagnosed with ODD and referred for family therapy. Follow-up is scheduled in 1 month.
      75. A 12-year-old female presents with symptoms of PTSD, including flashbacks and avoidance of certain situations. After evaluation and testing, the patient is diagnosed with PTSD and referred for trauma-focused therapy. Follow-up is scheduled in 2 weeks.
      76. A 50-year-old female presents with symptoms of depression, including low mood and feelings of worthlessness. After evaluation and testing, the patient is diagnosed with major depressive disorder and prescribed escitalopram 10mg daily. Follow-up is scheduled in 4 weeks.
      77. A 78-year-old male presents with symptoms of delirium, including confusion and disorientation. After evaluation and testing, the patient is diagnosed with delirium and referred for inpatient treatment. Follow-up is scheduled upon discharge.
      78. A 62-year-old female presents with symptoms of OCD, including intrusive thoughts and compulsive behaviors. After evaluation and testing, the patient is diagnosed with OCD and prescribed fluoxetine 20mg daily. Follow-up is scheduled in 1 month.
      79. A 68-year-old male presents with symptoms of alcohol use disorder, including frequent alcohol consumption and difficulty quitting. After evaluation and testing, the patient is diagnosed with alcohol use disorder and referred for substance abuse treatment. Follow-up is scheduled in 2 weeks.
      80. A 55-year-old female presents with symptoms of anxiety and panic attacks. After evaluation and testing, the patient is diagnosed with panic disorder and prescribed alprazolam 0.5mg as needed for anxiety. Follow-up is scheduled in 2 weeks.

       The Clinical Logs Assignment Discussion Paper