INTERNSHIP ASSESSMENT

 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 monitored blood transfusion of a patient.

Monitored vitals of patients in the ward,ICU and AMC.

Typed and prinnted dichage summaries of patients.

BLOGS OF PATIENTS ADMITTED IN THE UNIT:

https://44jsrinath.blogspot.com/2023/01/65-year-old-female-with-shortness-of.html

This is a case of 65 F with daiphragmatic palsy with eventration.

Learnt how and when to put a patient on CPAP and significance of it.

https://44jsrinath.blogspot.com/2023/01/a-50ym-with-bl-pedal-edema-and.html

This is a case of 50M with Decompensated Liver disease.

Have done ascitic tap in this patient and sent the ascitic fluid for necessary investigations.

Learnt how to manage a case of decompensated liver disease.

https://44jsrinath.blogspot.com/2023/01/a-65ym-with-complaints-of-sob.html

This is a case of 65M with pleural effusion.

Have assisted and seen usg guided plueral tap and sent the pleural fluid for necessary investigations.

https://44jsrinath.blogspot.com/2023/01/55-yf-with-fever-and-generalised.html

This is a case of 55F with dengue shock syndrome.

Have learnt how to manage a case of dengue shock syndrome.

https://44jsrinath.blogspot.com/2023/01/a-60yf-with-s.html

This is a case of 60F with heart failure.

NEPHROLOGY DUTY:

Assisted Central line on a patient.

Drawn samples and collected reports.

Monitered vitals of patient undergoing dialysis.

Monitored vitals of CKD patients.

Typed and printed dischage summaries of patients.

Done ascitic tap on a patient.

WARD DUTY:

Have attended the rounds.

Got SOAP notes updated of ward patients.

ICU DUTY:

Monitored vitals of ICU and AMC patients.

Learnt drawing of ABG samples.

Inserted RYLES tube.

Done FOLEYS catheterisation .

Placed IV canula.

Assisted in CPR.Learnt when and how to use defibrillator.

Monitored blood transfusion.