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MY JOURNEY IN GENERAL MEDICINE POSTINGS AS AN INTERNEE

 Name: K. Thanmai  Roll no: 76 Batch: 2017    I'm K. Thanmai working as Intern and I'm here today to share few experiences of my journey in General medicine postings which was for 2months,from 12-02-2023 to 13-04-2023  My duties went as follows: Psychiatry postings for 15days Unit duties for 1month and followed by peripherals including ward,nephrology and ICU duties for 15days PSYCHIATRY POSTINGS: In those 15days I was exposed to different types of patients and their scenarios. I observed how PG's approach the patient. Their methods of approaching the patients main concern and the way they counsel the patients. I have seen cases like schizophrenia, depression,anxiety disorders,alcohol dependence syndrome. I even monitored a patient who was diagnosed as alcohol withdrawal and was having hallucinations and was irritable.  Majority of cases that I came across in these 15days was mostly related to the ALCOHOL where patients get addicted to it in order to escape from their reali

50 yr old M with c/o SOB since 10days

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 23/03/2023 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.  Name: K. Thanmai(intern) Roll no: 76 Pt came to Medicine OPD with chief complaints of  Shortness of breath since 10days HOPI: Pt was apparently asymptomatic 3months back, later developed SOB of grade IV(NYHA) i.e sob even on minimum physical activity and also on rest. Since 3-4years patient complains of sob with severe physical activity(grade II) which progressed to current state. H/o pedal edema and facial puffiness is present Pedal edema present below knee and of pitting type H/o

20year old lady with c/o difficulty in breathing since 20days

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20/03/2023  This is an online E logbook to discuss our patients' de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through a series of inputs from the available global online community of experts intending to solve those patients' clinical problems with the collective current best evidence-based inputs. This e-log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box are welcome.  Name:K. Thanmai (intern) 20year old lady from West Bengal came with the cheif complaints of Difficulty in breathing since 20days HOPI: Patient was apparently asymptomatic 1 month back,then she developed cold and cough which lasted for 2 days and releived on medication. Then after 1 week of this event her 3 months baby developed fever for which she admitted her baby in nursing home,the next day while feeding her baby she experienced difficulty in breat

50yr old M with c/o sob and cough since 15days

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 10/03/2023 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.  Name: K. Thanmai(intern) Roll no: 76 A 50year old gentleman came to casuality with complaints of  Cough since 1month Fever since 1month Shortness of breath since 1week HOPI: Pt was apparently asymptomatic 1month back later developed fever which was high grade and continuous in nature, associated with chills and rigors. Relieved on taking medication C/o cough associated with white colored sputum,non foul smelling,mucoid in consistency,non blood tinged since 1month But gives h/o 1epis

60yr old F with low back pain since 2years

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 07/03/2023 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.  Name: K. Thanmai(intern) Roll no: 76 Pt came to medicine OPD with complaints of Lower back pain since 2years Burning micturition since 3years HOPI: Pt was apparently asymptomatic 5years back,later developed low back pain on and off and later aggravated in past 2years,dragging type of pain,radiating from hip to mid thigh No tingling sensation,numbness,loss of sensation Morning stiffness present Sacroilliac joint swelling not present C/o burning micturition since 3years on and off No

60year old lady with complaints of chest pain and sob since yesterday morning

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 3/03/2023 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.  Name: K. Thanmai reddy Roll no: 76 60year old lady came to casuality with complaints of shortness of breath since yesterday morning  chest pain since morning and  dry cough since 2days HOPI: Patient was apparently asymptomatic 5months back later she developed swelling over right gluteal region and consulted doctor. For which she was diagnosed with peri anal abscess over the right side. She was treated conservatively with sitz bath and antibiotics(cotrimaxazole and metronidazole) She

55year old lady with C/o chest pain,SOB since 3days

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 02/03/2023 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.  Name: K. Thanmai(intern) Roll no: 76 A 55year old lady came to casuality in wheelchair with complaints of Chest pain since 3days Shortness of breath since 3days HOPI: Patient was apparently asymptomatic 15years back,later she noticed a swelling in right foot and consulted doctor and there she was diagnosed as Diabetes Mellitus type 2 and was started on oral hypoglycemic agents(not documented) Later she was fine with her regular works until 1month back 1month back she stopped taking