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Internship assessment

Tejaswini marisa Roll no. 91 I was posted in general medicine department from    I had peripheral duties first we included both icu, nephrology and ward duties for 15days ICU DUTIES: - learnt importance of vitals monitoring - took ABG samples and learnt its interpretation and importance of ABG in diagnosis various disorders - placed ryles tube in stroke patients - did foley's catheterization - management of patient with cardiac arrest and CPR - saw endotracheal intubation NEPHROLOGY DUTIES: - saw dialysis of many patients and importance of vitals monitoring predialysis intradialysis and post dialysis - learnt management of acute onset of  high blood pressure in CKD patient - learnt management of acute onset pulmonary edema in cases of CKD  - learnt about complications(flash pulmonary edema, reduced clearance of various drugs such as OHA leading to recurrent episodes of hypoglycemia,  anemia due to CKD, gross ascitis)  seen in patient of CKD ON MHD - assissted in central line placem
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52M ?AMOEBIC LIVER ABSCESS

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TEJASWINI MARISA(INTERN) This is 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 patients clinical problms with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . Chief complaints: Patient with complaints of right sided abdominal pain since 15days Decreased appetite since 15days Decreased sleep since 15days HOPI : Patient was apparently alright 15days back then he had 2 to 3 episodes of vomitings after binge of alcohol(2 bottles of toddy) developed low grade fever, intermittent, not associated with chils and rigors No diurnal variation  No h/o cough, cold, burning micturition, loose stools H/o vomitings present non projectile,no
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56F FEVER SECONDARY TO L GLUTEAL ABSCESS WITH AKI(PRERENAL) WITH CHOLELITHIASIS WITH GB SLUDGE WITH GRADE II FATTY LIVER WITH HEPATOMEGALY AIYH HTN SINCE 1 YEAR

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TEJASWINI MARISA(INTERN) This is 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 patients clinical problms with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . A 56 year old female came with c/o pain abdome since 10days C/o generalised weakness since yesterday morning(13/3/23) Hopi: Patient was apparently alright 10 days back then she had fever for 3 days which is low grade, intermittent, associated with chills and rigors  No h/o vomitings, loose stools On 3rd day of fever there is SOB which is insidious in onset decreased by lying down  No orthoponea No PND H/o decreased urine output for 1 day amd went to local hospital and
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55M with acute cerebrovascular accident with acute infarct in left internal capsule with acute infarct in left occipital lobe with k/c/o hypertension since 1 year with k/c/o L lymphnode TB 15years ago

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TEJASWINI MARISA(INTERN) This is 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 patients clinical problms with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . Chief complaints: A 55 year old male came with c/o slurring of speech since 2 days C/o deviation of mouth towards left side since 2 days C/o headache left sided since 2days Hopi: Patient was apparently alright 2 days back then he had slurring of speech which is sudden in onset and deviation of mouth towards left side. No weakness of upper and lower limb. He is able to lift his hand, comb his hair, brush his teeth, able to wear his chappals, able to get up from bed He i
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67/F DYSPHAGIA AND NECK SWELLING UNDER EVALUATION

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TEJASWINI MARISA(INTERN) This is 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 patients clinical problms with collective current best evidence based inputs. This e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome . CHIEF COMPLAINTS: C/o difficulty in swallowing since 2 years HOPI: Patient was apparently asymptomatic 2 years ago. Then she noticed a swelling of size 2x2cm in front of neck which gradually progressed to present side of 4x4cm. Associated with difficulty in swallowing food(solids intially later to liquids too), dyspnoea and hoarseness of voice. H/o weigh loss present  H/o constipation present H/o burning micturition since 2 years No h/o fever, palpitaions, sweating, he
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