Internship learning and procedures performed

 INTERNSHIP LEARNING AND PROCEDURES PERFORMED


This is prathyusha posted in medicine department from October 1st to 30 th November.

 

From 1st of oct to 15th October I was posted in peripherals

Icu, nephro, ward

In icu- 

During my icu, amc duties 

-I monitored vitals of patients every hourly

-Took abg samples

-put ryles tube for feeding

-foleys catheterization

- Done CPR in the icu

- blood transfusion 


In nephrology postings :

Assisted in central line procedure and done suturing

Monitored patients undergoing dialysis 

Learnt about dialysis procedure

In ward - took blood samples, monitored vitals 




I was posted in psychiatry from 16th to 30th October

In the OP saw cases of schizophrenia, Alcohol dependence syndrome, obsessive compulsive disorder. 

Used to monitor patients in the De addiction center.

One of the admission during my posting 

Diagnosis - panic attack

A 19 yr old male came to op with chief complaints of Increase in heart rate, hearing his own heart beat, fear of dying since 2 days

HOPI- patient was apparently alright 2 days ago then suddenly felt increase in heart beat ,felt more blood gushing to his brain. He tried to relax but nothing helped. These symptoms persisted and pt started feeling fearful so his father brought him to casualty where he was treated and discharged. But the symptoms resurfaced again for which he tried relaxation and diversion techniques and felt better but symptoms reappear every time he lies down. So he was again brought to casualty and was given tab. Clonazepam 0.25mg. C/o occasional bad dreams 4-5 times since last 2 months

Personal stressor +, financial stressor+

No h/o head injury, seizure activity, substance use, suicidality, repetitive thoughts and actions.

Past history:

Patient had one episode of similar complaints 2 months back

MSE at admission - GAB: fidgeting, PMA increased, speech normal

Thought: preoccupied about health, fear of dying+

Affect : anxious

Perception: NAD

Advise given to patient at discharge -

Patient attender counselled, psycho educated

T. Clonazepam 0.25mg po sos

Relaxation and diversion techniques explained 

Strict abstinence from alcohol.


I was posted in unit III from 1st to 30th November

And these are the cases I documented:


Case 1

https://nvprathyusha100.blogspot.com/2023/11/31-yr-old-female-with-fever-since-5.html?m=1


Case 2

https://nvprathyusha100.blogspot.com/2023/11/65-yr-old-male-with-sob-fever-since-1.html?m=1


Case 3

https://nvprathyusha100.blogspot.com/2023/11/48-yr-male-with-ascites-pedal-edema.html


Case 4

https://nvprathyusha100.blogspot.com/2023/11/65y-old-male-with-burning-micturition.html?m=1

Comments

Post a Comment

Popular posts from this blog

48 yr male with ascites, pedal edema since 2 months

Image
  This is an a 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. 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 The patient/ attender was informed the purpose of the information being acquired. An informed consent was taken from patient/ attender and there is omission of information that was requested to be omitted. 
Read more

Evidence based date wise workflow logs.

 EVIDENCE BASED DATE WISE WORKFLOW LOGS  CASE 1 9/11/2023 PAJR link https://chat.whatsapp.com/D4GwL7frFWfAEuJbMXbNW8 Case report link  https://nvprathyusha100.blogspot.com/2023/11/31-yr-old-female-with-fever-since-5.html?m=1 A 31 year female came with chief complaints of fever since 5 months. Fever is high grade associated with chills and rigor , intermittent in nature, No diurnal variation It is associated with vomiting , food as content , no bilious , non projectile , no blood stained   H/o loss of appetite & weight loss  H/o burning sensation over the tongue and buccal mucosa since 3-4 months, insidious in onset, gradually progressive, aggravated when patient consumes spicy food and no relieving factors No h/o cough, cold No h/o chest pain , sob, orthopnea, pnd No h/o loose stools, constipation No h/o burning micturition, increased/decreased urine output. Not a k/c/o of HTN, DM, asthma, TB, epilepsy, CVA, CAD Vitals :  PR  : 76 bpm BP : 110/70 mmHg  RR : 20 cpm Temperature : 101
Read more