Internship assessment

M.Rambai

Roll no: 89 

Period of posting : 12.2.2023 to 13.4.2023

Posted in unit 5 under Dr.Himaja mam 

Dr.Narasimha sir and Dr.Dk sir .

Unit duty : 

In OPD duties i took the history of patients and checked the vitals of patients 

Admitted cases which require further management ,took the samples and sended necessary investigations.

From pgs i learned the interpretation of investigations such as x-rays , ABG,ECG 

With the help of pgs ,l learnt the examination of individual systems.

In casuality duties ,kept iv canulas for patients and did CPR ,seen the patients came with MI and learnt from the pgs the loading drugs given for a patient in MI

Prepared blogs of admitted patients ,created pagr groups ,and updated SOAP notes everyday.

Plotted fever charts, investigation charts .

By plotting fever charts ,pattern of temperature helped me to give an idea about the type of fever 

When patients are stable,typed discharge summaries and discharges stable patients.

Followed up the patients and updated in the blogs regularly.

Case 1 : 

80 yr old female with vomitings and abdominal discomfort

https://rambai123.blogspot.com/2023/04/roll-no-89-this-is-online-e-log-book-to.html 

Case discussion : 

This case is discussed in rounds with pgs and faculty .

Discussion about her travel to USA and development of symptoms immediately after her return to India were discussed .

As patient had history of toddy intake few hours befor the development of symptoms it's association has been discussed .

Learning points : 

*pathophysiology of acute gastritis  

* Causes of gastritis

* Management of gastritis 

Case 2 : 

22 year old female with SOB 

https://rambai123.blogspot.com/2023/04/roll-no-89-this-is-online-e-log-book-to.html

* Causes of Anemia 

* Clinical presentation in anemia

* What is the indication of blood transfusion in anemic patient 

* Importance of screening of Anemia in pregnancy 

Case 3  

29 yr old male with cough 

https://rambai123.blogspot.com/2023/02/17-yr-old-male-with-cough-under.html

This case in discussed in rounds and in pagr group .

 

Learning points :

* Causes of bronchitis

*Difference between crepts and wheeze 

*Respiratory examination

*Difference between bronchitis and bronchietactsis

*

Case 4 : 

29 yr old male with visceral obesity metabolic syndrome.

https://rambai123.blogspot.com/2023/02/17-yr-old-male-with-cough-under.html

Learning points

*Causes of central obesity

*Complications of obesity

*Balanced diet 

Case 5 :

https://rambai123.blogspot.com/2023/02/rambai-roll-no-89-this-is-case-of-60.html

 Learning points:

* Electrolyte changes in CKD 

* Stages of progression of kidney disease 

* Indications of dialysis?

*Management of acute kidney disease (AKD) 

NEPHROLOGY: 

In Nephrology duties i monitored the patients in dialysis units and followed the rounds .

I have assisted pgs in central line insertion .

ICU : 

In ICU duties,i did monitoring of patients,updated fever charts and investigation charts regularly.

I learned how to take an ABG sample and took the samples from ICU patients.

Along with pgs i did CPR in ICU.

Inserted Foley's Catheter for a patient in ICU 

Along with pgs i have seen and learnt lumbar puncture .

I have seen pgs doing intubation in the ICU duties .

During  night duties i monitored the patients and followed the instructions of pgs 

Done blood transfusion to the patients.

Ward duty: 

In ward duties i did monitoring of patients ,arranged blogs and updated them in the pagr groups .

I followed rounds where a detailed discussion about the case and history will be done .

Took the patients to referrals 

Made sure that my co interns will update SOAP notes and it get posted in the main group .

PSYCHIATRY: 

During psychiatry i understood the importance mental health and the need for it to be discussed and should not consider it has a taboo.

I understood that every individual with mental issues should seek the help of psychiatrists to get out of it.

In De-addiction centres i have seen people from various groups staying together and supporting each other .

A systematic time table for them and making it happens was a good part of DAC ,people in DAC are doing activities like painting together inspired me a lot.