INTERNSHIP ONLINE ASSESSMENT

 " MY EXPERIENCE  WITH GENERAL MEDICINE WITH CASE BASED LEARNING"

CASE-1

https://harshithagoli9.blogspot.com/2022/10/58-year-old-female-with-shortness-of.html

58 YEAR OLD FEMALE WITH SHORTNESS OF BREATH AND PEDAL EDEMA

Learning points:

1. Learnt approach to a patient with complaints of shortness of breath whether it could be CVS or respiratory cause.
2.learnt approach to a patient with Complaints of B/L 
Pedal edema.
3. Learnt about the procedure of pleural tap under guidance of Dr. Durga Krishna (pgy3). 
Importance of lights criteria to differentiate between transudate and excudate.
Learnt causes of transudate type of pleural effusion and exudate type of pleural effusion.


CASE 2:

https://harshithagoli9.blogspot.com/2022/11/55-year-old-male-with-pain-abdomen.html

55 year old male with pain abdomen

Learning points:

1. Learnt approach to a patient with epigastric pain and the differential diagnosis for epigastric pain and how to rule out the cause.

2. Learnt the reason of using  THIAMINE  for patients with acute pancreatitis with chronic H/O Alcohol intake.

3. Learnt procedure of insertion of  Ryles tube, and inserted ryles tube under guidance of Dr Pavan(pgy1).
Also  learnt about  advantages and disadvantages of ryles tube.
Importance of measurement of ryles tube to be inserted and complications associated if not placed in correct position.


CASE 3:

https://harshithagoli9.blogspot.com/2022/10/45-year-old-female-with-type-2-diabetes.html

45 year old female with Type 2 Diabetes mellitus.

Learning points:

1. Learnt Importance of 7 point GRBS Monitoring and adjustment of dose oral hypoglycemic agents accordingly.

CASE 4:

https://harshithagoli9.blogspot.com/2022/10/85-year-old-female-with-loss-of.html

Learning points:

1. Approach to a patient with hypotension and drugs used.
2.  Learnt how to take ABG and interpretation of ABG.

CASE 5:

https://harshithagoli9.blogspot.com/2022/10/35-year-old-male-with-shortness-of.html

35 Year old male with shortness of breath and decreased urine output.

Learning points:

1. Learnt about procedure of FOLEYS catheter insertion and removal.
Advantages and disadvantages of using foleys catheter.

2.  Learnt about Right heart failure, how they present, diagnostic approch and management.
Shortness of breath associated with orthopnea and PND.

CASE 7:

https://harshithagoli9.blogspot.com/2022/11/58-year-old-male-with-shortness-of.html

58 year old male with shortness of breath

Learning points:

1. In this patient troponin levels were elevated. Learnt about the sensitivity and specificity of troponin I for diagnosis of acute myocardial infarction.

https://pubmed.ncbi.nlm.nih.gov/10693314/

2. Approach to a patient with pulmonary edema.


PROCEDURES:

1. ASSISTED  2 central lines ( under guidance of Dr. Sai charan, Dr. Pavan)

2. Learnt insertion of Ryles tube.

3. Learnt procedure of ascitic tap.( Under dr. Venkat sai.

4. Learnt procedure of pleural tap. ( Under guidance of Dr Durga krishna, Dr pradeep, Dr vinay )

5. Learnt procedure of lumbar puncture. ( Under guidance of Dr. Durga Krishna, Dr. Pradeep, Dr. Bharath).

6. Learnt insertion of Foleys catheter.

7. Assisted in intubation.


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