Internship Assessment
Posted from 12/4/2023 to 12/6/2023
First 15 days in psychiatry
Next 1 month in Unit-4 Under Dr.Pavan kumar sir and Dr.Prachethan sir
Last 15 in the peripherals(ICU,AMC and Ward)
Current online learning portfolio
During psychiatry posting:
-Learnt how to take detailed history and helped in counselling the patients.
-Witnessed different psychiatric illness like
Depression
Psychosis
Alcohol dependence syndrome
Schizophrenia
Post traumatic stress disorder
Attention deficit Hyperactive disorder
During Medicine posting:
1.90 year male with Altered sensorium
http://87tharunkumar.blogspot.com/2023/04/90yr-male-with-altered-sensorium.html
Learning impact-
-What are causes of altered sensorium
-How can we diagnose meningitis based on CSF report ?
It is lymphocytic predominant So can we consider this as TB meningitis and start ATT
2. 60Yr Male with pedal edema and tingling sensation of lower limbs
http://87tharunkumar.blogspot.com/2023/05/60yr-male-with-pedal-edema-and-tingling.html
Learning impact-
-Cause of uncontrolled hyperglycemia?
-How pregabalin controls tingling sensation and its action?
3.22Y M WITH INVOLUNTARY MOVEMENTS OF HEAD AND UPPER LIMBS
http://87tharunkumar.blogspot.com/2023/05/22y-f-with-pcod-and-bronchial-asthma.html
Learning impact-
-Is the problem in the nerves or spinal cord ?
- Features of marfan syndrome?
-What is happening to the bobble head doll movements with sleep?
"The disappearance of the head movements while asleep implies that their origin may lie within the extrapyramidal system which is a part of the motor system that controls coordination of movement. The tracts associated with the extrapyramidal system are controlled by various structures of the central nervous system, such as the cerebellum and basal ganglia. The basal ganglia plays a large part in controlling motor function and thus, abnormalities to this system can result in movement disorders such as Parkinson's disease and dyskinesia, both of which share commonalities with bobble-head doll syndrome."
https://en.m.wikipedia.org/wiki/Bobble-head_doll_syndrome
4. 24Y F with Fever and SOB
http://87tharunkumar.blogspot.com/2023/05/24y-f-with-fever-and-sob.html
Learning impact-
-Role of Pulmonary function test in bronchial Asthma?
-What are DPI Rotahalors?
-PCOS picture in USG?
5. 66Y with SOB and Cough
http://87tharunkumar.blogspot.com/2023/05/66y-with-sob-and-cough.html
Learning impact-
-what is the sensitivity and specificity of Air bronchograms in diagnosing pneumonia?
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9356263/
https://pubmed.ncbi.nlm.nih.gov/19225063/
6. 45Y Female with Itchy skin lesions
http://87tharunkumar.blogspot.com/2023/06/45y-female-with-itchy-skin-lesions.html
Learning impact-
-Criteria for lupus?
-History of subacute to chronic mucocutaneous lesions, arthralgia and systemic Inflammation.
*Infections* :
Bacterial
Gonococcal
Syphilis
TB
Viral
Herpes
HPV
EBV
HIV
Fungal
Candida
Non infective
SLE
ANA negative lupus
Bechets
Sjogrens
Vasculitis
PFAPA
Adrenocortical insufficiency with 2 infections.
Drugs induced
Adverse drug reactions - antibiotics
SJS
Toxins
-what is carpet tack sign?
7.62 yr old with Altered sensorium
http://87tharunkumar.blogspot.com/2023/06/cc-patient-was-bought-to-casualty-on.html
Learning impact-
-Radiographic findings in necrotizing pneumonia?
-How Urosepis causes altered sensorium?
DURING ICU DUTY:
-Learnt procedure of CPR and Did CPR in Cardiac arrest patients
-Learnt how to intubate the patient and Assisted in Intubation
- Learnt Management of DKA
UNDER GUIDANCE OF DR.VENKAT SAI SIR AND DR.DEEPIKA MA'AM
- Learnt how to place CANNULA
- Learnt how to put RYLES TUBE
- Learnt the procedure of putting foleys catheter
-Learnt to put condom catheter
-Learnt to take ABG samples
-Learnt to take Blood samples
-Did Bed sore dressings
-Attended the rounds and involved in it.
-Did ascitic tap Under guidance of venkat sai sir
DURING NEPHRO DUTY:
-Learnt to put CENTRAL LINE.
- Taken ABG samples.
-Learnt the working of Dialysis machine
-Did ascitic tap Under guidance of Dr.Gowardini ma'am
DURING WARD DUTIES:
-Took Blood samples.
- Given IV and IM injections.
- I have guided UG students to take history of patients in the ward,ICU and AMC.
-Made sure that every patient had PaJR group and involved in the discussion.
