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INTERNSHIP ASSESSMENT

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 NAME: J. AKASH  R. NO -53 ADM NO:176208 I HAVE BEEN POSTED IN GENERAL MEDICINE FROM  12/12/2022 TO 11/02/2023 IN THIS BLOG I'M SHARING MY INTERSHIP WORKING EXPERIENCE  PSYCHIATRY DUTIES FIRST 15 DAYS  12/12/2022 TO 26/12/2022  I HAVE BEEN POSTED HERE MY LEARNING POINTS IN PSYCHIATRY POSTING: LEART HOW TO TAKE HISTORY FOR PSYCHIATRY PATIENTS  CASES I HAVE SEEN ARE  1.ALCOHOL DEPENDENCE SYNDROME 2.ADJUSTMENT DISORDERS 3..TOBACCO DEPENDENCE SYNDROME  4.SCHIZOPHRENIA 5. OBSESSIVE COMPULSION DISORDER learnt how to manage patients in de-addiction centre checking vitals for patients in op Monitored a case of 55year old male patient with alcohol dependence syndrome.  assisted in the management of this patient with the help of Dr nirupama and Dr spandana UNIT DUTIES FROM 27/12/2022 TO 26/01/2023 i was posted in unit for 1month and my pgs were Dr Himaja ,Dr Deepika, Dr Vinay sir for first 1week For remaining days my pgs were Dr Himaja , Dr pavani, Dr Sai charan sir On OP days  Vitals monito
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A case of 60 year old Male

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 Name: J. Akash  21/01/2023 Roll no. 53 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. Following is the view of my case : A 60year old male farmer by occupation came to casuality with C/O  Loss of speech since yesterday afternoon  apparently asymptomatic 30years ago then he had bilateral knee pain for which used pain killers one month ago patient had fever not associated with nausea , vomitings,chills , headache,loose stools , giddiness went to local hospital in miryalaguda and necessary investigations were done and diagnosed with pulmonary kochs came to our hospital for further investigations and management .  ATT was started and discharged patient came to pulmonology opd for follow up 2days ago ,ATT stopped due to derranged RFT and LFT sinc
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A case of 55 year old male

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 Name: J. Akash  17/01/2023 Roll no. 53 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. Following is the view of my case : 55year old male, who is shepherd by occupation was apparently asymptomatic 3 years back , then had fever with Generalized body pains for which he went to the hospital, diagnosed with Diabetes and was on OHAs since 3 years .He used to take alcohol 90ml in the morning and 90 ml in the evening, and 5-6 beedis per day and on Saturday, patient had intake of 90ml of alcohol in the morning and came to home , his daughter was preparing the sweet at 1pm and he came to his daughter to take his phone , for calling his son, had step on the fire camp ( where food was preparing)and suddenly oil ( which is being used for cooking ) fell on
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A case of 20 year old famale

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  Name: J. Akash  9/01/2023 Roll no. 53 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. Following is the view of my case : A 20 year old female K/C/O SLE came to casuality with C/O Fever since 1day 2 episodes of vomitings Giddiness since 1day Patient was apparently asymptomatic 5months back then she was diagnosed as SLE From today afternoon she is complaining of fever low grade on and off associated with 2 episodes of vomitings non-projectile , non-bilious containing food particles followed by giddiness  No H/o headache No h/o burning micturition  No h/o abdominal pain, distension, constipation, diarrhoea No h/o dyspnea, orthopnea,PND No h/o chest tightness,chest pain PAST HISTORY: Not a K/C/O DM,HTN,TB,Asthma, epilepsy,CAD Case of SLE with int
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A case of 33year old male

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 Name: J. Akash  7/01/2023 Roll no. 53 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. Following is the view of my case : patient came with complaints of fever since 6days fever with chills and rigors ,high grade intermittent fever associated with body pains and bilateral lowerlimbs pain . 3 episodes of vomitings ,non-projectile,non-bilious ,non-blood staining relieved with taking injection. Dark coloured urine accompanied with bilateral lower limbs edema pittng type, generalised swelling progressively increased. Yellowish discoloration of sclera and skin over chest and hands since 3days Constipation since 3days 3days ago blood investigations were done and noticed dropping of platelets count. Outside investigation NS-1 negative No h/o weight lo
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A case of 60year old female

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 Name: J. Akash 31/12/2022 Roll no. 53 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. Following is the view of my case : patient complaining of fever since 4days decreased apetite since 4days difficulty in micturition since 4days patient was apparently asymptomatic 10years back then she had H/O bleeding from nipples following diagnosed to have ?fibroadenoma, surgery was done and removed,post op uneventful 5years back patient had swelling at sacral area progressively increased in size, surgical removal was done,post op uneventful  2yeara back patient developed tingling and numbness of B/L upperlimbs and lowerlimbs and was investigated and used medications and was subsided weakness of upperlimbs and lowerlimbs gradually progressive 1year and 7mo
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A case of 50year old male

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 Name: J. Akash 28/12/2022 Roll no. 53 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. Following is the view of my case : Cheif complaints A 50 year old male came with abdominal distension since 10 days decreased apetite since 15days Patient was apparently asymptomatic 10days back then he developed abdominal distension  after which he used herbal medication  abdominal distension associated with pain patient developed yellowish discoloration of eyes , investigated for the same and found to elevated bilirubin levels significant weight loss 15kg,loss of appetite  No h/o fever, headache,nausea , vomitings No h/o loose stools, burning micturition No h/o SOB, orthopnea,PND No h/o chest pain, palpitations PAST HISTORY: Not a known case of DM/HTN/ASTHM
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