Internship assessment
INTERNSHIP ASSESSMENT
Sahithi Nalabolu
June 15, 2023
I have been posted in General Medicine from 14th April to 12 th june
FIRST 15 DAYS UNIT DUTIES (12-02-2023 TO 26/02/2023)
NEXT 15 DAYS PSYCHAITRY (27/02/2023 TO 13/03/2023)
NEXT 15 DAYS PERIPHERALS (14/03/2023 TO 29/03/2023)
LAST 15 DAYS UNIT DUTIES (29/03/2023 TO 13/04/2024)
UNIT DUTY :
I have been posted intially into unit
Op duties:
Learnt basic management for common conditions like Hypertension,Diabetes mellitus,chest pain , migrane .
And I made PaJR groups and blogs for admitted patients.
Blog 1:
https://sahithinalaboluelog.blogspot.com/2023/05/45-yr-old-male-with-abdominal.html
A 45 years old male came with
-c/o Abdominal distension since 4months
- SOB On and off since 4 months
Learning points:
Ascitic tap
Learnt about SAAG
Learnt the causes of Low SAAG with high protein and low protein, High SAAG with high and Low protein.
Blog 2:
https://sahithinalaboluelog.blogspot.com/2023/06/sahithi.html
.A 27yrs old male came to casuality with c/o headache
and giddiness on and off since 3yrs
Learning points:
Learnt and performed CNS examination
Causes management gastritis
About EEG
Causes and treatment of anemia
Syncope related to arrhythmias
Generalised Anxiety Disorders treatment
Blog 3:
https://sahithinalaboluelog.blogspot.com/2023/04/55yr-old-male-came-with-involuntary.html
A 55 year old male farmer by occupation came to casualty with cheif complaints of loose stools since 2 days
1 episode of vomiting
Low grade fever
Learning points:
Complications of shock
Management of shock
Blog 4:
https://sahithinalaboluelog.blogspot.com/2023/04/45yrs-old-male-with-increased.html
45 yr old male patient came with c/c of
-increased involuntary movements (tremors) ,since 1 day.
-increased drowsiness since 1 day.
Learning points:
Hepatic encephalopathy
Portal hypertension complications
Oesophagial varices
Blog 5:
https://sahithinalaboluelog.blogspot.com/2023/06/30yrs-old-male-with-epigastric-pain.html
Complaints-
c/o pain over epigastric region since 8:45pm yesterday.
Blog 6:
https://sahithinalaboluelog.blogspot.com/2023/05/a-55yr-old-male-co-sob-since-2days.html
A 55yr old male patient came to casuality with c/o
Sob since 2days
Lower back pain since 2days
C/o burning sensation in stomach after eating spicy food since 2 months
Cough since 1day
Learning points:
1.Pathophysiology of gastritis
2.Causes of AKI
3.learned removal of obstructed Foleys catheters
4.management of AKI
5.causes and management of gastritis
PSYCHIATRY DUTY:
I have been posted in psychiatry from 29/4/23 to 13/5/23
Saw cases in OPD and learned how to take basic and detailed history
I have seen cases of
1. Generalised Anxiety Disorder
2. Depression
3.schizophrenia
4. Post partum Depression
5. OCD
6.Panic attacks
7.Alcohol Dependence syndrome.
Went to DAc with pgs for rounds and saw the process of treatment and counseling of psychiatry patients.
PERIPHERALS :
I have been posted in icu,amc and Nephro and ward from 14/5/23 to 28/5/23
ICU Duty:
Monitored ICU and AMC patients hourly
Secured cannulas and drawn venous samples
Took ABG samples and learnt it's interpretation and it's correction.
Inserted Foleys catheters and Condom Catheters
Inserted Ryles tube and given feeding
Learned about ventilator settings and various modes in ventilator
Assistant in intubation.
Done Cardiopulmonary Resuscitation
Done Dressing for bed sores patient and it's grading and saw all 4 grades .
Thought my junior interns in Foleys insertion ,Ryles tube insertion.
WARD DUTY:
Helped my co interns by updating each and every patient SOAP notes.
Monitoring of ward patients
Drawn blood samples for ward patients.
NEPHRO DUTY:
Monitored the patients undergoing Dialysis.
Learnt about dialysis machine and it's procedure
Learnt about AV fistula.
Assistant in central line.
And Removed central lines .
Learnt the management of hypoglycemia and hypertension in pts undergoing Dialysis
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