Posts

INTERNSHIP ASSESSMENT

INTERNSHIP ASSESSMENT: NAME:N.VISHNU ROHITH REDDY ROLL.NO:109 HALL TICKET NO:1701006126 LEARNINGS OF GENERAL MEDICINE POSTINGS: I HAVE DONE MY INTERNSHIP IN GENERAL MEDICINE FROM 12/4/23 to 12/6/23. THERE ARE A LOT OF POSITIVES THAT I LEARNT DURING THIS GENERAL MEDICINE POSTINGS. LEARNING IN MY OP : DURING MY OP DAYS I LEARNT HOW TO TAKE HISTORY OF PATIENTS, THE IMPORTANCE OF TAKING HISTORY, THE APPROACH TO DIAGNOSIS ESPECIALLY RENAL,GIT CASES AND BASIC TREATMENT WITH DOSAGES. LEARNINGS IN MY CASUALTY: IN CASUALTY MOST OF THE CASES THAT I SAW WERE SOB CASES OF WHICH MOST OF THEM ARE RENAL, AND CARDIAC CASES.SO I LEARNED THE APPROACH TO THE PARTICULAR DIAGNOSIS IN THESE PATIENTS. LEARNINGS IN MY ICU: IN ICU I LEARNED A LOT OF PROCEDURES LIKE PUTTING RYLES TUBE, INDICATIONS OF RYLES TUBE, CONTRAINDICATIONS OF PUTTING RYLES, TAKING ABG AND INTERPRETATION OF ABG, PUTTING FOLEYS COMPLICATIONS OF FOLEYS, VENEPUNCTURE. I ASSISTED IN QUITE A FEW INTUBATION FOR ICU CASES AND LEARNED WHAT ARE TH
Read more

35/M with occasional palpitations and SOB

Image
35 year old male came with C/o occasional palpitations and SOB since 3 months This is an online elog documenting de-identified patient health data after taking his signed consent to enforce a greater patient centered learning.  DEIDENTIFICATION -  The privacy of the patient is being entirely conserved. No identifiers shall be revealed through out the piece of work whatsoever. CASE DISCUSSION - 35 year old male came with C/o occasional palpitations and SOB since 3 months. HOPI- Patient was apparently asymptomatic 3 months back, then started developing occasional palpitations, relieved on consuming alcohol, not a/w chest pain. He developed SOB since 3 months, Grade 2, insidious in onset, gradually progressive, no aggravating and relieving factors. C/o decreased appetite since 2 months.  C/o generalised weakness since 10 days. No H/o orthopnea and PND. No C/o fever, decreased urine output, burning micturition, pedal edema.  PAST HISTORY- Not a k/c/o DM, HTN, CVA, CAD, TB, Epilepsy.  PERSO
Read more

74/M with uncontrolled sugars with headache

Image
A 74 year old male came to OPD with c/o of general body pains since 5 years c/o of deviation of mouth to Right side since 4 years  c/o of headche since 15 days. HOPI : Pt was apparently asymptomatic 15 days back then she developed headache which is lasting for entire day.photophobia present,phonophobia present,not associated with nausea vomiting,giddiness. he had a chief complaints of deviation of mouth to Right side since 4 years.It is associated with drooling of saliva/liquids. he has a chief complaints of general body pains since 5 years. Past history: k/c/o DM Type 2 since 10-15 years now using HAI 6U TID.NPH 6U BD K/c/o HTN since 10 years using TAB.AMLO 5MG OD k/c/o CVA since 4 years using TAB.ECOSPRIN-AV 75/10 PO/HS Not a k/c/o Tb,epilepsy,cva,cad,thyroid Personal History - Married Occupation- Farmer Diet: mixed Appetite: normal Bowel and bladder : Normal Addictions:occasional alcoholic(stopped 5 years back) Smoker(stopped 5 years back) Family History - No similar complaints in t
Read more

A 42 year old male with altered sensorium and fever

Image
A pt was brought to a hospital with chief complaints of  altered sensorium since yesterday and fever since yesterday HOPI; Patient was apparently asymptomatic 3 years back,then he started sleep taking at night time with shouting in between ,also abuses his wife gets angry for small reasons,used to abuse his coworkers also near work place. This continued till last Sunday,then patient was taken to Hyderabad(rehabilitation centre) on last Sunday and was admitted there after which he was normal for 4 days and then since Friday started abusing everyone. From today morning he was in altered sensorium and was drowsy and was brought to a hospital. Complaints of fever since yesterday which is insidious gradually progressive not associated with chills and rigor.No aggrevating factors and relieved with medication. PAST H/0 : Not a k/c/o DM,HTN,THYROID,ASTHMA,EPILEPSY. PERSONAL HISTORY: Marital status-Married Occupation- Farmer Diet: mixed Appetite: normal Bowel and bladder : Normal Addictions:Alc
Read more

30 YEAT OLD MALE WITH PAIN ABDOMEN UNDER EVALUATION

Image
30yr old male patient came to the OPD with the chief complaints of  Painabdomen since 1 week Vomitings since  1 day HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic 1 week back then she developed pain abdomen which is squeezing type,non radiating.It is associated with vomitings non projectile,mucoid with food particles as contents. PAST HISTORY He is a k/c/o DM TYPE-2 since 3 years.he is on medication GLIMAX 500. He is known case hypertension since 3 years and he is on medication (unknown) No history of asthma,tb,cad,stroke  PERSONAL HISTORY married Diet:mixed Appetite:normal Sleep:adequate Bowel and bladder:regular Addictions:regular alcoholic since 3 years FAMILY HISTORY: Not significant GENERAL EXAMINATION Patient is concious,coherent,cooperative,moderately built and moderately nourished VITALS: Temperature:98.7°F Pulse rate:108b/m Respiratory rate:22c/m BP:160/110mmhg Spo2:99 Grbs:187mg% Pallor: no Icterus:no Clubbing:no Cyanosis:no Lymphadenopathy:no Edema:no
Read more

28 year old female with right upper and lower limb weakness

Image
A 28 year old female came to OPD with chief complaints of weakness and pain in right lower limb and upper limb since 8 years. HOPI: Patient was apparently asymptomatic 8 years back then she developed weakness in right lower limb which is insidious in onset and gradually progressive,associated with pain.no tingling sensation. Pain in right side of the back radiating to right lower limb and no tingling sensation. Patient also had c/o headache which is on and off since 8 years.holicranial type,no tingling/numbness.no photophobia and no phonophobia. Progressive weakness of lower limb 1st in thigh then extended upto feet. Patient slowly developed difficulty in walking since then with changes in style of gait as weakness progressed in right lower limb. H/o trauma 8 years back-fall from bicycle after which she developed these symptoms. Past history: Patient gives history of trauma due to fall at the age of 5-6 years and had injury to nose and she had epistaxis-last episode was after the deliv
Read more

28 year old female with right upper and lower limb weakness

Image
A 28 year old female came to OPD with chief complaints of weakness and pain in right lower limb and upper limb since 8 years. HOPI: Patient was apparently asymptomatic 8 years back then she developed weakness in right lower limb which is insidious in onset and gradually progressive,associated with pain.no tingling sensation. Pain in right side of the back radiating to right lower limb and no tingling sensation. Patient also had c/o headache which is on and off since 8 years.holicranial type,no tingling/numbness.no photophobia and no phonophobia. Progressive weakness of lower limb 1st in thigh then extended upto feet. Patient slowly developed difficulty in walking since then with changes in style of gait as weakness progressed in right lower limb. H/o trauma 8 years back-fall from bicycle after which she developed these symptoms. Past history: Patient gives history of trauma due to fall at the age of 5-6 years and had injury to nose and she had epistaxis-last episode was after the deliv
Read more