INTERNSHIP ASSESSMENT (12/12/22 - 11/02/23)



K.VYSHNAVI
Roll no - 70

PERIPHERALS (ICU, NEPHRO, WARD)

Inserted ryles tubes (under Dr.Hari priya Mam)

Inserted foleys catheter

Drawn blood samples and abg samples

Learnt how  to connect and set BiPAP machine(NIV)

Saw how intubation is done for a nephro patient (done by Dr.Vinay Sir).

Assisted in central line (under Dr.Pavani Mam)

Got to know how hemodialysis is done and complications which can occur during dialysis which may leads to sudden death

Learnt how av fistula is made and how to connect it to dialysis machine

Importance of regular monitoring of patients under dialysis

Present in rounds and saw other unit cases and came to know some interesting learning points and also got to know patient may come with one symptom but they may have various other health issues after proper evaluation [some old patients with fluorosis( bone pathology) are undiagnosed generally who come for other health issues]


UNIT DUTY

Done ASCITIC TAP(under Dr Sashikala Mam)

CASE OF 20 YEARS OLD MALE WITH SEIZURES

https://konakallavyshnavi.blogspot.com/2023/01/20-years-old-male-with-seizures.html?m=1

Learnt how to do proper CNS examination

Questions
What is the classification of seizures
What are different types of antiepiletic drugs
How to prescribe drugs according to patient condition 

CASE OF 42 YEARS MALE WITH FEVER WITH THROMBOCYTOPENIA

https://konakallavyshnavi.blogspot.com/2023/01/42-years-old-male-with-fever.html?m=1

learnt how to evaluate a patient with fever and how to approach it

Questions
What are causes of fever with thrombocytopenia
What are different investigations done for diagnosis of fever 

CASE OF 58 YEARS OLD MALE EITH RHEUMATOID ARTHRITIS

https://konakallavyshnavi.blogspot.com/2023/01/58-years-male-with-multiple-joint-pains.html?m=1

Learning points 

Evaluation of arthritis
Differential diagnosis of arthritis
How patient was diagnosed as ser negative rheumatoid arthritis
Difference between erosive and non erosive rheumatoid arthritis
Factors affecting erosive rheumatoid arthritis
Management of rheumatoid arthritis 

I also had another case of rheumatoid arthritis blog which was my first blog in UG
Here I compare these 2 blogs for better approach
Link is below :
https://vyshnavikonakalla.blogspot.com/2021/10/70yrs-old-mason-with-joint-pains.html

CASE OF 55 YEARS MALE EITH GASTRITIS 
https://konakallavyshnavi.blogspot.com/2023/01/55-years-male-with-pain-abdomen.html?m=1

How to evaluate pain abdomen
In which conditions endoscopy will be done
How endoscopy procedure is done
How to use H.Pylori Kit and what are the different medication given in this kit
How to change lifestyle to decrease severe gastritis

PSYCHIATRY DUTY
Saw different types of cases like
Alcohol dependence syndrome and tobacco dependence syndrome
Shizoprenia
Psycotic case
Depression 
Sucidal case
And also learnt how psychiatrist counsel different cases with different approach 

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