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INTERNSHIP COMPLETION ASSESSMENT -N.MANOHARA PRASAD

 1 DEC 2023 INTERNSHIP PERIOD : 5/5/23 to 3/7/23 NAME : N MANOHARA PRASAD  ROLL NO. :14  UNIT: 6    DURING MY INTERNSHIP IN GENERAL MEDICINE AT KIMS NARKETPALLY I HAD ENORMOUS OPPORTUNITY IN EXPLORING VARIOUS DEBILITATING DISEASES AND THEIR EFFECTS ON THE LIVELIHOOD OF PATIENTS,IN WHICH A FEW DEMANDED TIMELY INTERVENTION TO PREVENT THE VICTIM FROM GOING INTO “POINT OF NO RETURN”.WHILE THE OTHERS , HELPED ME WITNESSING A PLETHORY OF MANIFESTATIONS DUE TO UNDERLYING AND ONGOING DISEASE PROCESS. SUCH EXPOSURE ,BESIDES CULTIVATING SENSE OF PROMPT SYMPTOMATIC MANAGEMENT ,ALSO INTRIGUED ME TO INQUEST INTO ETIOLOGY AND ENHANCED CREDIBILITY OF EVIDENCE BASED MEDICINE . ICU & AMC DUTY: -  Monitored vitals of all pts hourly  -Learnt the importance of monitoring vitals -  Maintenance of ventilator settings as guided by the respective PG. -  Taken  ABGs and have taken samples for lab investigations. -  Learnt how to manage in critical situations  -Learnt to work under pressure  -Learnt the imp

A 49 YEAR OLD MALE WITH DIABETIC KETOSIS SECONDARY TO ?ACUTE GASTROENTERITIS

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  A 49  YEAR OLD MALE WITH DIABETIC KETOSIS SECONDARY TO ?ACUTE GASTROENTERITIS  This is an online E log book to discuss our patient's de-identified health data shared after taking her guardian's signed informed consent. Name : N MANOHARA PRASAD Roll no. - 14 Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.This E-log also reflects my patient-centered online learning portfolio and your valuable inputs in the comment box are welcome. 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. A 49 Year old male, autodriver by occupation , came to casualty on 24th

75 YEAR MALE ;RIGHT HEMIPARESIS

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June 24, 2023  A 75 year old Male,Farmer by occupation (stopped working 5 years ago) from Nalgonda was brought to casualty by his son in an unresponsive state and altered sensorium since 3 days. Daily routine and lifestyle: He initially used to work in band ( plays music during the functions) 15 years back His routine is active lifestyle  With all his works being done by him and rides his bike  And switched his job to farmer as he's getting aged and has to look after their farm During this period he had increased consumption of alcohol ( frequency- 3-4times/week) He was asked to stop working by his sons 2 years back as he is aging  He started staying at his sons house but used to maintain his active lifestyle by doing household chores ,getting groceries,cleans and maintains nearby dargah  HISTORY OF PRESENT ILLNESS  - Patient was apparently asymptomatic 10 years ago, when he had a h/o fall and had an IT fracture for which he was managed conservatively. Patient had SOB ? Asthma 2 ye