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 importance of communication 

-Learnt how to counsel the patients and their attenders 

-Learnt how to deal with the death of a patient 

-  Assisted in intubation and central line 

-  Ryles have been put for 2 patients 

-  CPR done for 3 patients 

-  Foleys have been put for 4 patients 

-Assisted in doing and done pleural tap 




WARD DUTY :


-  Helped my co interns in putting SOAP notes on time 

-  Have put cannulas and taken samples of ward patients

-  Monitored patients in the ward as guided by concerned unit PG and helped them by updating the ward patients timely.

-Attended the classes regularly.

-Took videos during rounds.



NEPHRO DUTY:



-  monitored patients who came for dialysis 

-  Handled Day care patients who came for dialysis. 

-  Learnt about dialysis machine and what all infections a pt can get by not maintaining proper hygiene of the central line 

-Learnt about CABSI infections

-  Learnt about central line and fistula for dialysis.

- Have removed 1 patients central line 

-  Assisted my PG in putting central line 

-Have learnt how to give NTG to the patients and gave for 2 patients 

-  Have learnt how to maintain patients BP and GRBS while dialysis is going on

-Learnt how to control the chills during dialysis.

-  Learnt about drugs used in hypo and hypertension.

-Learnt about the drugs given in a CKD patient


 

PSYCHIATRY POSTING


PSYCHIATRY DUTY:

-  Learned about importance of history taking.

-  Saw different patients and learned how to take basic history 

Examples like :

1. Depression

2.Schizophrenia

3.ALCOHOL DEPENDENCE SYNDROME 

4. TOBBACO DEPENDENCE SYNDROME 

5. OCD

6. Psychosis 

7. Panic attack 

8.Bipolar disorder 

-  learnt the medications given to the patients and their side effects

-  Went for DAC saw how pgs interact with the patients 

-Learnt the tapering of drugs like lorazepam.

-Learnt the procedure of deaddiction and the drugs given to them accordingly.


UNIT DUTIES:


1. 

https://manoharnadella94elogcases.blogspot.com/2023/06/45m-left-sided-limb-weakness-right.html

LEARNING OBJECTIVES :

*Pyramidal pattern of LMN weakness

*Types of Slurring of Speech

*Localizing Site of Lesion based on Clinical Picture

 2.

https://manoharnadella94elogcases.blogspot.com/2023/05/may-21-2023-this-is-online-e-log-book.html

LEARNING OBJECTIVES: 

*Radiological appreciation to delineate site of lesion

* Effects of Spinal Cord Compression at Various Levels 

* Medical Adjuvants for a chronic Osteoarthritic Patient.

3.

https://manoharnadella94elogcases.blogspot.com/2023/07/medicine-case-discussion-66y-with-sob.html

LEARNING OBJECTIVES:

*Light on Reactivation of Pulmonary Koch 

*Differences b/w Viral Pneumonitis and various organisms causing CAP 

* Medication advice for a CKD patient .

4.

https://manoharnadella94elogcases.blogspot.com/2023/12/75-year-male-right-hemiparesis.html

* An example of a clinical vignette with a scope of further deterioration of blog 1 .

 OTHER CONTRIBUTIONS: 

1.https://manoharnadella94elogcases.blogspot.com/2023/12/41-year-old-female-with-pain-abdomen.html

2. https://manoharnadella94elogcases.blogspot.com/2023/12/a-49-year-old-male-with-diabetic.html




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