INTERNSHIP ASSESSMENT

PSYCHIATRY DUTY:

Saw different patients and learned how to get to Provisional diagnosis in first few minutes of conversation 

1. Schizophrenia 

2.OCD

3.ALCOHOL DEPENDENCE SYNDROME 

4. TOBBACO DEPENDENCE SYNDROME 

5. ANXIETY DISORDER 

Went for DAC 

During ICU and ward Duties 

-Vitals , GRBS, Temperature monitoring of ICU and AMC patients

- Sent venous and abg samples for investigations 

-Done CPR for intubated patients

- Inserted ryles tube for a female patient

-Inserted Foley's catheter for a male patient 

-Tried to insert Foley's catheter for female patient 

- Monitored platelet transfusion 




During nephro duty 

- Has done ascites tap to an male patient with gross ascites and umbilical hernia with ascitic fluid as content

- Monitored patient vitals for every 30mins who are undergoing dialysis 

Checked if all dialysis patients were taking there medication on time 

- Managed bp fluctuations of patients During dialysis under the supervision of Dr.sashikala(pgy3) Dr.nishitha(pgy1)






DURING UNIT DUTY


 1.https://www.blogger.com/blog/post/edit/3100897137299277905/5261706642284100064

Work up of case

1. What might be the cause of  Pancytopenia in his age group 

2.Has smoking been the cause for his recurring perineal abscess 

https://pubmed.ncbi.nlm.nih.gov/21552051/

3. Learnt the procedure of blood transfusion and observed the changes pre ,during and post transfusion bp changed

He was advised for bone marrow aspiration and biopsy, but the patient has been refused the same and he was discharged as LAMA due to personal reasons 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3858928/


2.https://www.blogger.com/blog/post/edit/3100897137299277905/8453670690039557793

Work up

1. Read article of similar case for any similarly and differences in the presentation of patient 

https://www.researchgate.net/publication/311577178_A_case_of_polyserositis_in_a_56-year-old_female_patient

2. Cause of changes in her BP 

A: Might be due to her onset of menstruation along with  fever spike

https://pubmed.ncbi.nlm.nih.gov/1657498/

3.https://www.blogger.com/blog/post/edit/3100897137299277905/4205574762526673390


4.https://www.blogger.com/blog/post/edit/3100897137299277905/2013288574463063202

Work up

What are indications for blood transfusion for dengue patients

https://pubmed.ncbi.nlm.nih.gov/28283286

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4655808/#:~:text=AKI%20seems%20to%20be%20a,hemolysis%2C%20rhabdomyolysis%20and%20acute%20glomerulitis.

5.https://www.blogger.com/blog/post/edit/3100897137299277905/1176890471842162384

Work up

Learned hess test practically 

https://en.wikipedia.org/wiki/Hess_test#:~:text=To%20perform%20the%20test%2C%20pressure,than%2015%20petechiae%20are%20seen.

Collected blood samples for investigations 

Learnt the procedure of ascitic tap





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