44 J. Srinath reddy Assignment (Gen Med)

  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

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