INTERNSHIP ASSESSMENT

M VARUN SAI 

ROLL NO - 85 

2O17 BATCH 

I was posted as internee in the department of GENERAL MEDICINE  from 12-02-2023 to 13-04-2023. During my tenure as intern i have been posted in * UNIT 1 for 1 month , 

* 15 days of peripherals which included ICU , NEPHROLOGY and MEDICAL WARD 

* 15 days in psychiatry department .

MY LEARNING PORTFOLIO DURING INTERNSHIP 

I was able to deal with many patients in the OUTPATIENT DEPARTMENT and helped them curing their minor ailments .

Made case report links for the admitted patients.

Made PAJR groups for every patient and involved in the discussions in the group 

*  http://73varunsaim.blogspot.com/2023/02/50-year-old-female-with-lumbar.html

Learning points from the case report link

 

1. How common is lumbar spondylosis as the person ages ?

2. How does the visceral fat and high BMI play role in developing degenerative diseases of intervertebral disc.?

* https://73varunsaim.blogspot.com/2023/02/16-year-old-female-with-hypertensive.html?m=1

Learning points from the case report link

( This was the most challenging and interesting case which i came across during my internship)

Did blood pressure charting of the patient.

1. What might be the cause of high blood pressure in such a young patient ?

2. Secondary causes for young onset hypertension ?

3. Workup for evaluating a case of pheochromocytoma ?

4. Endocrinological workup to rule out the causes for young onset hypertension ?

5. PRES syndrome and its pathophysiology ?

* http://73varunsaim.blogspot.com/2023/02/a-case-of-70yr-old-female-with-ascitis.html

Did ascitic tap for the patient under the guidance of Dr. HARIPRIYA mam , Dr. LOHITH sir .

Learning points from the case report link

( Another challenging case which required extensive workup to know the cause of ascitis )

1. How to differentiate if the ascitis is due to portal hypertension and other causes ?

2. SAAG and its significance in diagnosing cause for ascitis ?

3. Treatment of a case of spontaneous bacterial peritonitis .

*

http://73varunsaim.blogspot.com/2023/02/51-year-old-with-uncontrolled-type-2.html

Learning points from the case report 

( Did GRBS charting of the patient ) 

1. How does lifestyle habits increase the risk for developing diabetes ?

2. Mechanism of action of various oral hypoglycemic drugs ?

3. Classification of various insulin preparations and their use as combinations ?

4. Diabetic care of the patient ?

*http://73varunsaim.blogspot.com/2023/03/a-60-year-old-lady-came-with-cheif.html

Learning points from the case report link

1. Causes of pancreatitis ?

2. Management of a case of pancreatitis ?

3. What could be the reason for her multiple gastroduodenal ulcers ?

*http://73varunsaim.blogspot.com/2023/02/65-year-old-male-with-ascitis-secondary.html

Learning points from the case report link

( Did ascitic tap for the patient twice under the guidance of Dr. K PAVAN sir and Dr. LOHITH sir )

Learnt about the constructional apraxia charting .

1. What could be the cause for the hemorrhagic tap ?

2. Signs and symptoms of hepatic encephalopathy ? 

3. Portal hypertension and its causes , evaluation and management ?

* 

http://73varunsaim.blogspot.com/2023/03/chief-complaints-co-sob-since-1-week-co.html

Learning points from the case report link

1. Various parameters used for diagnosis of CKD and its staging ?

2 . MMRC grading to classify grade of SOB ?

3. Various electrolyte abnormalities in CKD patients and their management.?

PERIPHERAL POSTINGS 

MEDICAL WARD POSTINGS 

( Under the guidance of Dr. Deepika mam  )

* Made sure that fever charting and SOAP notes of every patient are updated and shared in their respective PAJR groups .

* Actively Involved in the rounds and discussions around the patients .

* Made PAJR groups for the patients and encouraged them to put their problems in the group.

* Made sure all the investigations which  are required for the patient are done.

* Made sure that all the patients are compliant to the medications and treatment.

ICU POSTINGS 

(Under the guidance of Dr. NISHITHA mam and Dr. KRANTHI sir )

* Learnt how to monitor a patient on ventilator .

* Learnt to put ryles tubes .

* Learnt to put foleys catheterisations. 

* Assisted in intubation of the patient .

* Learnt the mechanics of the ventilator and different modes in it.

* Learnt to take ABG samples from radial artery and femoral artery.

* Learnt to do CPR and protocol to follow during cardiopulmonary arrest.

* Assisted in dressings for bedsores . And made sure to prevent the occurence of bedsores in chronically ill patients.

* Learnt about various emergency drugs like vasopressors and their uses in ICU setup.

* Assisted Dr. NISHITHA MAM  in placing central venous catheterisation .

* Did sleep study in a young patient of suspected OSA syndrome.

NEPHROLOGY POSTINGS 

(Under the guidance of Dr. BHARATH sir and Dr. K. PAVAN sir )

* Learnt about the hemodialysis and its applications .

* Learnt about the parts and mechanics of the hemodialysis machine.

* done pleural tapping for a patient with pleural effusion under the guidance of Dr. BHARATH sir .

* Learnt to put central venous catheter for a CKD patient under the guidance of Dr. K. PAVAN sir .

* Dealt with various psychosocial aspects in CKD patients .

* Monitored the patients while they are on hemodialysis.

* Performed CPR on a CKD patient and revived him.

PSYCHIATRY POSTINGS 

* I Have dealt with  patients who are suffering from various psychiatric illness.

* Involved in DEADDICTION PROGRAM and helped patients to get rid of substance abuse and dependance.

* Monitored a patient with visual hallucinations in the AMC .

* Involved in the discussions on various psychiatric diseases and their management.

I enjoyed my postings as internee in general medicine department and learnt many things which helped me in becoming a better clinician.