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.
Comments
Post a Comment