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INTERNSHIP ASSESSMENT (12-12-22 to 11/2/23)

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 JATOTH JAYA ROLL NO:57 Learning points in my internship First 15 DAYS ( 12/12_26/12)-UNIT DUTY On OP DAY I have checked vitals of every patient  Examined for reflexes, postural hypotension, Romberg’s sign Have learnt basic management protocol for sob, chest pain and headaches Case -1 https://jaya47.blogspot.com/2022/12/dengue-fever-with-thrombocytopenia.html Case-2 https://jaya47.blogspot.com/2022/12/sob-evaluation.html NEXT 15 days (psychiatry)27/12/22-11/1/23 Learned about importance of history taking  vitals monitoring done for OP patients Examples like : 1. Schizophrenia  2.OCD 3.ALCOHOL DEPENDENCE SYNDROME  4. TOBBACO DEPENDENCE SYNDROME  5. MENTALLY RETARTED PATIENT  Listened to the seminar given by pgs about cocaine abuse.   learnt about the medications given to the patients and their side effects have seen and learnt from pgs regarding how they handle patients in DAC Have had a catatonic schizophrenic patient admitted, for whom I have monitored and learned how lorezapem worked
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46 Y old male patient with B/L swelling of lower limbs since 1 month

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 This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have 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. Cheif complaints: B/L swelling of lower limbs since 1 month Shortness of breath since 1 month Abdominal Distension since 1 month Cough since 3 days  History of present illness: Patient was apparently asympto
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36 YEAR male patient with uncontrolled sugars

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  This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have 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. Chef complaint: 36YR Old male patient came with complaints of Pain in the Left arm and Fore arm  HISTORY OF PRESENT ILLNESS  Patient was apparently asymptomatic 15days ago , then he developed pa
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70 YEAR OLD MALE PT WITH GENERALISED EDEMA

C/O FACIAL PUFFINESS SINCE 1 MONTH C/O DISTENSION OF ABDOMEN SINCE 1 MONTH SWELLING OF LEFT LOWER AND RIGHT UPPER LIMB SINCE 1 MONTH H/O FEVER 1 MONTH BACK (SUBSIDED WITH MEDICATION) HOPI: PATIENT WAS APPARENTLY ASYMPTOMATIC 10 YEAR BACK, THEN HE DEVELOPED DIFFICULTY AND PAIN DURING WALKING (H/O TRAUMA IN CHILDHOOD) FOLLOWING WHICH PATIENT DEVELOPED DEFORMITY OF KNEES AND WAS SUGGESTED SURGERY FOR THE SAME AND WAS BEDRIDDEN FROM THEN(WALK WITH SUPPORT) 5YEARS BACK HE HAD FACIAL PUFFINESS, DISTENSION OF ABDOMEN, SWELLING OF LIMBS, FEVER, SOB, DECREASED URINE OUTPUT, DECREASED BOWEL MOVEMENTS AND DIAGNOSED TO HAVE? PNEUMONIA AND RENAL FAILURE AND STARTED CONSERVATIVE MANAGEMENT AND RESOLVED. 2019-H/O SIMILAR COMPLAINT AND GOT ADMITTED FOR 1 WEEK AND TREATED CONSERVATIVELY 1 MONTH BACK COMPLAINTS OF FEVER, SOB. FEVER FOR 2 DAYS, INTERMITTENT, LOW GRADE, CHILLS+, RIGORS-, LOOSE STOOLS -,NO VOMITING. SOB OF GRADE II (MMRC) COUGH PRESENT. COLD PRESENT SUBSIDED AFTER 3 DAYS. NO H/O PND, ORTHO
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56 YEAR OLD MALE WITH ACUTE EXCERABATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE

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 This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have 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. CASE PRESENTATION  CHIEF COMPLAINTS:   . DIFFICULTY IN BREATHING SINCE 15 DAYS  .COUGH SINCE  15 DAYS  HISTORY OF PRESENT ILLNESS :  PATIENT WAS APPARENTLY ASYMPTOMATIC 15 DAYS BACK THEN HE DEVELOPED SOB OF
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DENGUE FEVER WITH THROMBOCYTOPENIA

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 This is an a online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have 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. CASE PRESENTATION  CHIEF COMPLAINTS:   COMPLAINTS OF FEVER SINCE 3 DAYS   VOMITING SINCE 3 DAYS  HISTORY OF PRESENT ILLNESS : PATIENT WAS  APPARENTLY ASYMPTOMATIC 3 DAYS AGO THEN HE DEVELOPED FEVER WHICH IS
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55 year old man with Bilateral weakness of lower limbs

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  FINAL PRACTICAL  SHORT CASE  HALL TICKET NO 1701006067 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 comments on comment box is welcome. MEDICINE CASE DISCUSSION: 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 a diagnosis and treatment plan. 55 YEAR OLD MALE, WHO IS FARMER BY OCCUPATION RESIDENT OF NALGONDA  Came to the opd with the CH
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