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INTERNSHIP ASSESSMENT

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 Internship assessment I , DR.N.Deepa got posted in the department of general medicine from 13th April 2023 to 12th June 2023. Unit duties: I had worked in the unit for the first 15 days.I was guided by Dr.Nishitha mam (PGy2), Dr.Navya mam (PGy1). Later I worked under the guidance of Dr.Deepika mam (PGy2) , Dr.Ajay sir (PGy1). Case 1: A 48 year old male, auto driver by occupation came to the opd with chief complaints of  - Abdominal distension since 20 days - Bilateral pedal edema since 15 days - Decreased urine output since 10 days - Shortness of breath since 10 days -Blood in stools since 5 days - Loose stools since 4 days https://93deepanandikonda.blogspot.com/2023/04/48-year-old-male-with-abdominal.html I did an ascitic tap in this patient. This patient had a history of chronic alcoholism and developed chronic liver disease. We got an endoscopy done was he was found out to have grade 4 oesophageal varices and on proctoscopy he had grade 2 internal haemorrhoids. DISCUSSION: What mor
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26year old male with pyrexia under evaluation

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 Dr.N.Deepa , Internee Roll no. 105 I've 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 a diagnosis and treatment plan.  Date of admission : 7/06/2023 CASE :  Patient was brought to the opd with chief complaints of Fever since 1week c/o generalised weakness and headache since 1 week  c/o vomitings since 3 days c/o loose stools since 3 days HISTORY OF PRESENT ILLNESS: Patient was apparently alright 1week ago then he developed fever which is high grade, intermittent, associated with chills and rigor. He was in Orissa while he developed fever then he returned to his home 2 days later. He also had headache and general weakness  He developed vomitings since 3 days, 5 episodes, with food as content, non bilious, non projectile, not blood stained Loose stools since 3 days, 3 episodes/day
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55year old male with recurrent CVA with k/c/o HTN since 3 years

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 Dr.N.Deepa , Internee Roll no. 105 I've 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 a diagnosis and treatment plan.  Date of admission : 7/06/2023 CASE: Patient was brought to the casualty with complaints of inability to speak since 6 hrs, weakness in right upper and lower limb since 6 hrs and deviation of angle of mouth to left since 6hrs. HOPI :  Patient was apparently asymptomatic 6hrs back ,then he developed inability to speak since 6 hrs, weakness in right upper and lower limb since 6 hrs and deviation of angle of mouth to left since 6hrs. No h/o loss of consciousness, drooling of saliva No h/o fever, seizures, vomiting,loose stools. Past history: History of CVA 2 years back.Around 5-6am in the morning he got up and was getting ready to go for work.But he couldn't but
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77Y OLD MALE WITH LEFT LOWER LIMB SWELLING

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 Dr.N.Deepa , Internee Roll no. 105 I've 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 a diagnosis and treatment plan.  Date of admission : 31/05/2023 CASE :  Patient was brought to the opd with complaints of fever since 4 days and blisters over the left lower limb since 1 day. HISTORY OF PRESENT ILLNESS: Patient was apparently normal 8 days back,later he felt pain in his left leg for which he applied zandu balm over the left limb.3 days later he developed edema of left lower limb which gradually progressed from the foot to above knee, followed which he developed blisters . H/o fever 4 days back which is continuous,low grade ,not associated with chills and rigors. a/w burning micturition No h/o cough,cold,loose stools, vomitings,sob. Urine output decreased on the day of admission
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57 year old male with CVA with tracheostomy

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  Dr.N.Deepa , Internee Roll no. 105 I've 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 a diagnosis and treatment plan.  Date of admission : 24/05/2023 CASE : 57 M came to casualty with c/o generalised  weakness since 1 month ,fever since 1 week,altered sensorium since 3 days. HOPI: Since 1 month he has been complaining of generalised weakness. Since 15 days he has been feeling cold(even though it is summer) and has been switching off all the fans in the house.  He has been suffering with constipation since 10 days. Has not passed stools at all(confirmed by the attender) He did not take any medication for it He also complained of abdominal distension/bloating due to not passing stools. Since 1 week he has fever insidious in onset gradually progressive, high grade. Associated with
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48 year old male with abdominal distension

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  Dr.N.Deepa , Internee Roll no. 105 I've 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 a diagnosis and treatment plan.  Date of admission : 19/04/2023 CASE :  A 48 year old male, auto driver by occupation came to the opd with chief complaints of  - Abdominal distension since 20 days - Bilateral pedal edema since 15 days - Decreased urine output since 10 days - Shortness of breath since 10 days -Blood in stools since 5 days - Loose stools since 4 days HOPI :  Patient ws apparently normal 20 days back.Then he developed abdominal distension which was insidious in onset and gradually progressed to present size. No complaints of pain abdomen. He developed bilateral pedal edema since 15 days which is pitting type and extending till the knee joint. He has decreased urine output since 1
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