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 placement
- saw a case of lupus nephritis on MHD

WARD DUTY
- i did exam duty for MBBS UG( 4TH YEAR)
- used to update fever charts


UNIT DUTIES:
A 20 year old male patient present to casualty with drowsiness since 1.5 hours 

http://marisatejaswini.blogspot.com/2023/03/20m-with-mods-with-dic-secondary-to.html

Learning points:
*Did ascitic tap
*Assisted on pleural tap
*Lights criteria
*Alcohol withdrawal syndrome
*Acute liver injury

A 36 yr old male patient with recurrent episodes of vomitings since 9 yrs

http://marisatejaswini.blogspot.com/2023/02/36m-with-acute-gastritis.html

Learning points:
*Bile reflux gastritis
*Saw endoscopy of this patient which showed a lot of bile refluxing into stomach and gastritis of stomach

52 yr old with amoebic liver abscess
https://marisatejaswini.blogspot.com/2023/03/chief-complaints-patient-with.html

Learning points:
*Types of liver abscess
*Management of liver abscess


56 yr old female with c/o pin abdomen

https://marisatejaswini.blogspot.com/2023/03/56f-fever-secondary-to-l-gluteal.html

Learning points:
*Relation of visceral fat and diabetes mellitus
*Gluteal abscess leading fever spikes
*Acute cholilithiasis

55 yr old with slurring of speech and deviation of tongue
https://marisatejaswini.blogspot.com/2023/03/55m-with-acute-cerebrovascular-accident.html

Learning points:
*Localization of stroke
*Management of stroke


















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