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INTERNSHIP ASSESSMENT

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  INTERNSHIP ASSESSMENT: Posted in department of GENERAL MEDICINE from 12/12/22 to 11/2/23. PSYCHIATRY POSTING:(from 12/12/22 to 26/12/22) Learned about importance of history taking and how to reach to provisional diagnosis through history taking. Seen different patient in op: 1.Schizophrenia 2.Alcohol Dependence Syndrome 3.Tobbaco Dependence Syndrome 4.OCD 5.Panic attack 6.Psychosis Learnt medications given to the patients and their side effects. Learnt about audit score - a parameter used in evaluating alcohol dependence. UNIT DUTIES: 27/12/22 to 26/1/23 In OP: Took brief history of patients, done systemic examination. Ordered necessary investigations according to the symptoms. Learnt to pescribe medications according to symptoms of the patient. In Unit: Drawn venous blood samples,collected reports of samples sent. Updated fever chart everyday.Updated reports in unit group and investigations charts. Got ECG,2D echo and xray done for the patients admitted under the unit. Initiated and
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50YR FEMALE WITH AKI

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50 year old female patient agriculture worker by occupation resident of nalgonda came to casuality with Cheif complaints of fever since 7 days , vomitings since 3 days and decreased urine output since 2 days History of present illness:- patient was apprently asymptomatic 10 years back then she developed prolapse of uterus during delivery and was suggested for the surgery but the patient refused which progressed to the current shape and size H/o pulmonary kochs 10 years back used ATT for 3 months  Complaints of fever since 7 days which is low grade and associated with chills and reelived on using medication Vomiting since 3 days , non projectile and not blood tinged and food as content Complaints of cough with sputum white in color and is associated with shortness of breath which is subsided now Complaints of burning micturation since 3 days associated with decreased urine output and not associated with hesitency , urgency , increased frequency  Also complaints of pain in abdomen since
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A 65Y/M with complaints of SOB

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This is a online E log book to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patients problems through series of inputs from available global community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs .This E log book also reflects my patient centered online learning portfolio and your valuable inputs in comment box is welcome.   A 65 years old Man Who is Resident of Narketpally who was Alcohol ( Sara ) Seller & Shepherd by Occupation Came with C/O  Fever Since 3 Days  HOPI :  At 10 years of Age Patient Was apparently Asymptomatic Till 10 years of Age & Once day He Climbed & Fell Down While Cutting Tree leaves for feeding Their Goats & Had a Fracture of Lt.Forearm & Went to Nalgonda District Hospital where Cast was applied & After 20 days He developed infection & a part of Bone was Protruded out &
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65 year old female with Shortness of Breath, Bilateral Pedal Edema

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This is a online E log book to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patients problems through series of inputs from available global community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs .This E log book also reflects my patient centered online learning portfolio and your valuable inputs in comment box is welcome. 60 year old female house wife, resident of chouttuppal came to casualty with chief complaints of breathlessness since 3 days, pedal edema since 1 month. Patient was apparently asymptomatic 20 years back , then she developed DM, hypothyroidism and was on regular medication since then.Pt has H/O SOB on and off since 6 months which was initially of grade 2 then progressed to grade 4 since then for which she visited cardiologist in our hospital and is on Aspirin , Atorvas, Clopidogrel since then .Patient
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