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INTERNSHIP ASSESSMENT

During ICU duty: 18.2.23 to 23.2.23 1.Learnt CPR 2.Assisted For intubation for  - ICU bed 2- 40year old female (CKD patient) 3. Have taken ABG samples ( femoral, radial ) in both ICU and AMC During ward duty and nephro duty: 24.2.23 to 5.3.23 Monitoring patients  Took venous samples for investigations  During casuality duty: Have taken throat and nasal swabs for rapid and RTPCR covid tests During Unit: - Have placed foleys and rules tube  - Have assisted in performing central line  Case1- http://19preethicheera.blogspot.com/2023/01/general-medicine-posting-case.html Case2-   http://19preethicheera.blogspot.com/2023/01/general-medicine-posting-case-2.html Case3- http://19preethicheera.blogspot.com/2023/01/general-medicine-postings-case-3.html Case4- http://19preethicheera.blogspot.com/2023/02/general-medicine-posting-case-5.html Case-5 http://19preethicheera.blogspot.com/2023/12/diabetic-ketoacidosis-with-old-mi.html Psychiatry posting: 03.02.23 to 17.02.23 Learning experience: - Histor
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DIABETIC KETOACIDOSIS WITH OLD MI

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25year old male painter by occupation since 8  years came tocasuality on 7/2/23 with complaints of c/o fever,vomitings,constipation since 1 week C/ o chest pain, palpitations since 1 week C/o sob since 1week c/o neck pain History of present illness Patient was apparently asymptomatic 9 years back, Patient c/o blurring of visionin right eye for which he went to local hospital used medication eye drops(Rt>>Lt) wasn't subsided  In 2014 patient c/o severe weight loss approximately 10-12 kgs over a duration of 2 months. And having increased appetite, increased frequency of urination with these complaints he went to Local hospital and diagnosed with type 1 diabetes mellitus and since then he was started on Mixtard insulin 28U -x - 24U and since then he is on regular follow up.. 24u- x-20u now he was using  His fbs used to be around 200-250 and ppbs around 250-300 Last HbA1c was 11.2 on feb 3rd  Now since 1 week patient had a fever whichwas sudden in onset high grade associated with
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General medicine posting case 4

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I’ve been given this case to solve in an attempt to understand the topic of “patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan Ch.preethi Admission number:176050 85 year old men came to causality on 31/01/23 with  CHEIF COMPLAINTS: A 85 YEAR OLD MALE PATIENT CAME TO CASUALTY WITH CHEIF COMPLAINTS OF C/O LOOSE STOOLS SINCE 3-4 DAYS AND VOMITINGS SINCE 3-4 DAYS. HOPI: PATIENT WAS APPARENTLY NORMAL 3-4 DAYS BACK.THEN HE HAD 4-5 EPISODES OF WATERY BLACK COLOURED STOOLS SINCE THEN AND HAD LOOSE STOOLS FOR LAST 4 DAYS.STOOLS WERE FOUL SMELLING, ASSOCIATED WITH PAIN ABDOMEN . H/0 VOMITINGS SINCE 3-4 DAYS,3 EPISODES PER DAY.NON PROJECTILE,NON BILIOUS,NON FOUL SMELLING WITH FOOD PARTICALS AS CONTENTS. H/O PAIN ABDOMEN - SQUEEZING TYPE AROUND UMBILICUS AND RADIATING TO BOTH LUMBAR REGIONS. H/O LOSS OF APPETITE SINCE 1 WEEK  H/O DECREASE URINE
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general medicine postings case 3

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I’ve been given this case to solve in an attempt to understand the topic of “patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan Ch.preethi Admission number:176050 27 year old men came to causality on 24/01/23 with  C/O FEVER SINCE 1 WEEK HOPI: PATIENT WAS APPARENTLY NORMAL 1 WEEK BACK.HE THEN HAD FEVER WHICH WAS HIGH GRADE, INTERMITTENT WITH EVENING RISE OF TEMPERATURE AND NO CHILLS AND RIGORS AND IS RELIEVED BY MEDICATION.FEVER RELIEVED NOW. H/O COLD AND COUGH WITH EXPECTORATION-WHITE MUCOID SPUTUM,NOT BLOOD TINGED. H/O PAIN ABDOMEN TO RIGHT SIDE OF ABDOMEN. H/O VOMITINGS 3 DAYS BACK-4 EPISODES AND RELIEVED BY MEDICATION. H/O PASSING BLACK STOOLS SINCE YESTERDAY. HISTORY OF PAST ILLNESS: NO SIMILAR COMPLAINTS IN THE PAST NOT A K/C/O DM/HTN/TB/ASTHMA/EPILESPY/CVA/CAD. PERSONAL HISTORY: DIET:MIXED APPETITE:NORMAL BOWEL AND BLADDER:REGU
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general medicine posting case 2

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I’ve been given this case to solve in an attempt to understand the topic of “patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan Ch.preethi Admission number:176050 75 year old women came to causality on 10/01/23 with  C/o SOB since last night  cough since 15days  Fever since yesterday evening  K/C/O cellulitis - surgery done 20 days back HOPI: Patient was apparently asymptomatic 3 years ago and then developed minor abrasion to right lower limb and then developed right lower limb swelling till knee and was diagnosed to be having right lower limb cellulitis and fasciotomy was done and resolved after 2 months and at the time dm was diagnosed and kept on medication.she was normal from then and 20 days back she developed sudden swelling of left lower limb till knee intially and then progressed to thigh.she went to local hospital and found t
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General medicine posting case 1

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I’ve been given this case to solve in an attempt to understand the topic of “patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and come up with diagnosis and treatment plan Ch.preethi Admission number:176050 65 year old women came to causality on 10/01/23 with  C/o fever since 2days Productive cough since 2days  Breathlessness since yesterday  Giddiness 2days  Nausea 2days  HOPI: Patient was apparently alright 2days ago the she developed low grade fever intermittent in type not associated with chills and rigours, no diurnal variation, relieved on medication  She was having productive cough with sputum (white colour)  Associated with chest pain while coughing, giddiness , nausea and headache, no burning micturation, no decrease in urine output  Patinet had two episodes of breathlessness yesterday evening and today morning  Where she was having productive cough with breathlessness
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general medicine long case

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This is an 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 patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's 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 on the comment box Dt. 06.06.2022 CHIEF COMPLAINTS 80 years old male resident of marrigudem, agriculture labourer by occupation came to OPD with the chief complaints of  i) Fever  - since  3 days ii) Decreased urine output  associated with  burning micturition  since - since  2 days     History of presenting illness patient is apparently asymptomatic 3 days back.  I)He has Fever :   insidious  in onset  Gradually  progressive  with no diurnal variations  Relieved on medication Associated  with chills,
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