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.


Comments

Post a Comment

Popular posts from this blog

41 YEAR OLD MALE WITH ITCHING AND SCALING LESIONS

Image
  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 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 CASE: 41 year old male came with the chief complaints of itching and scaling of skin all over the body since the last two months HISTORY OF PRESENTING ILLNESS The patient was apparently asymptomatic 25 years ago then he developed itching and scaling over the scalp which then spread to his face, shoulders, chest, abdomen, back and lower limbs involving the whole body. He went to a dermatologists then and was given medication but it did not reduce, so over the years he has trie
Read more

MEDICINE INTERNAL ASSESSMENT

Image
INTERNAL ASSESSMENT-1 LONG ANSWERS:  Question number 1:  Define bone density, how is it measured? What are the causes, clinical features,diagnosis and management of osteoporosis? Answer number 1: Link for the elog case :  https://rishik37.blogspot.com/2021/08/gm-elog-case-7.html Question number 2:  What is myxedema coma? Describe its clinical features , diagnosis and treatment of myxedema coma. Answer number 2: Link to the elog case : http://mahithguduri63.blogspot.com/2021/09/myxedema-coma.html. Question Number 3: What is the diagnostic approach of young onset hypertension and it’s treatment? Answer Number 3:  My answer: Link to elog : http://keerthykasa80.blogspot.com/2021/09/a-35-year-old-female-with-hypertensive.html Question Number 4:   How do you clinically localize the anatomical level of lesion in spinal cord diseases? Answer Number 4: My answer: Link to elog: http://sowmya9.blogspot.com/2021/08/21-year-old-with.html Question Number 5 : Causes,diagnosis and treatment of atrial
Read more

A 20 YEAR OLD FEMALE WITH HEART FAILURE

Image
This is an 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. GOLI HARSHITHA Roll no : 38 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 .  20/9/21 CASE A 20year old female came to the OPD with chief complaints of fever, vomitings and shortness of breath  since 3 days. HISTORY OF PRESENTING ILLNESS Patient was apparen
Read more