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INTERNSHIP ASSESSMENT

 Intern  P. Hari Krishna  Roll no. 32  Batch- 2018  Admission no.- 1862027  I have been posted in general medicine department from 31/5/2023 to 30/7/2023. This blog features the Learning in Department of General Medicine  I would like to share my experience and learning points in the department of general medicine. In the course of internship in General Medicine, I learned how to take detailed medical histories, perform physical examinations, and interpret diagnostic tests to assess patient’s health status including learning how to formulate differential diagnoses and create management plans.  Cases seen by me -  Case 1 - https://harikrishnarollno55.blogspot.com/2023/06/67m-with-sob-and-fever.html Case 2 - https://harikrishnarollno55.blogspot.com/2023/06/65-yr-male-with-fever-and-generalised.html Case 3  https://harikrishnarollno55.blogspot.com/2023/06/74m-with-uncontrolled-sugars-with.html Case 4  https://harikrishnarollno55.blogspot.com/2023/07/35m-with-palpitations-and-sob.html Ca
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68yr F with Vomitings and loose stools

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 This is an 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. Case History- A 68 YR old Female came with chief complaints of vomitings and loose stools since yesterday(19/06/2023) evening . HOPI: Patient was apparently asymptomatic till yesterday evening . She then had 6
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30 year old male with b/l involuntary movements of hands

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This is an 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.  30 year old male came to casualty with c/o involuntary movements of hands and tingling and numbness in upper limbs and abdomen since yesterday morning  Patient was apparently asymptomatic 20 days back then he d
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35/M with palpitations and SOB

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  Chief complaints- 35 year old male came with C/o occasional palpitations and SOB since 3 months. HOPI- Patient was apparently asymptomatic 3 months back, then started developing occasional palpitations, relieved on consuming alcohol, not a/w chest pain. He developed SOB since 3 months, Grade 2, insidious in onset, gradually progressive, no aggravating and relieving factors. C/o decreased appetite since 2 months.  C/o generalised weakness since 10 days. No H/o orthopnea and PND. No C/o fever, decreased urine output, burning micturition, pedal edema.  PAST HISTORY- Not a k/c/o DM, HTN, CVA, CAD, TB, Epilepsy.  PERSONAL HISTORY- Addictions- Patient is a regular drinker since last 15-16 yrs, drank 180mL whisky every evening.  Then 5 months back had sudden resistance to alcohol, started feeling disgusted even at the sight of alcohol so he left alcohol for 1 month.  After 1 month he started developing tremors, palpitations which subsided on drinking, so gradually started drinking more, cur
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74/M with uncontrolled sugars with headache

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This is an 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. A 74 year old male came to OPD with c/o of general body pains since 5 years c/o of deviation of mouth to Right side since 4 years  c/o of headche since 15 days. HOPI: Pt was apparently asymptomatic 15 days back
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65 yr male with fever, and vomitings

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 This is an 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. UNIT 1 DOA: 5/6/23  Chief complaints-  C/o fever since 15 days  C/o vomitings since 15 days C/o generalised body pains since 15 days  C/o pain during swallowing since 15 days  HOPI-  Patient was apparently asym
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67/M WITH SOB AND FEVER

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 This is an 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. DOA:04/06/23 A 67 year old male barber by occupation,resident of miryalaguda came to the opd with chief complaints of  Shortness of breath since 1 week  Fever since 4-5 days HOPI : Pateint was asymptomatic 1 we
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