INTERNSHIP ASSESSMENT

      DR. G.SWETHA 

       ROLL NO 45          

      FROM   12/10/22 to 12/11/22

  I HAVE BEEN POSTED IN UNIT DUTIES UNDER SR. NIKITHA AND DR. RAVEEN PGY3 AND DR. BHARTH AND KRANTHI PGY1

* MY POSTINGS STARTED WITH OP DAY WHERE I WAS GIVEN THE TASK OF MONITORING EVERY PT VITALS AND HISTORY TAKING IN SHORT SPAN

*DURING 1 MONTH OF THE UNIT DUTIES I HAD THE OPPORTUNITY TO ATTEND 4 OP DAYS WHERE I HAVE ENCOUNTERED NUMEROUS NUMBER OF PATIENTS , WITH COMMON SEASONAL DISEASES VIRALFEVERS , COUGH AND COLD AND COMMON CONDITIONS LIKE HYPERTENSION, DIABETES MILLETUS AND B/L PEDAL EDEMA AND FACIAL PUFFINESS.

 * TAKING DOWN THERE COMPLAINTS ACCORDINGLY AND MAKING PROVISIONAL DIAGNOSIS, AND WRITING NECESSARY INVESTIGATIONS AND REVEWING THE INVESTIGATIONS AND WRITING THE TREATMENT OF COMMONLY OCCURING DISEASES UNDER SUPERVISION OF PGS 

 *TRIED TO LEARN THE SKILL OF DRAWING NECESSARY INFORMATION BY AIMING APPROPRIATE QUESTIONS WITHOUT DEVIATING FROM THE MAIN COMPLAINTS.  

           #ADMITTED PATIENTS:#

 *  DURING THE COURSE OF MY POSTING, I HAVE LEARNT EMPATHY , DEVELOPING RAPORT AND GAINING TRUST OF MY PATIENTS 

  * THE DIFFERENCE OF EMPATHY AND SYMPATHY.

  CONVINING AND GUIDING THE PATIENTS TO TAKE NECESSARY TREATMENT AND INVESTIGATIONS TIMELY

* IMPORTANCE OF HEMOGRAM ,TLC , PLATELET COUNT AND THERE CHANGIN TRENDS

 *IMPORTANCE OF HBA1C TEST AND ITS SIGNIFICANCE IN DM PTS

* X RAY READING TAUGHT BY DR. RAVEEN , DR ADITYA (SR)

 * LEARNT ABG SAMPLE DRAWING FROM DR. SASHIKALA , DR BHARATH (RADIAL ARTERY)AND DR VENKAT SAI ( BRACHIAL ARTERY)AND ALSO FROM OUR NURSES NARYANAMMA (BRACHIAL ARTERY) AND SAILAJA(RADIAL ARTERY)

* I HAVE DONE 2 ASCITIC TAP ONE BEING USG GUIDED TAP UNDER THE SUPERVISION AND GUIDENCE OF DR. RAVEEN SIR
AND DR SAICHARAN SIR

* LEARNT IMPRORTANCE OF TEMPERATURE CHARTING TO KNOW THE PATTERN OF FEVER , SEVEN POINT PROFILE, TRENDS OF BP CHARTING WITH MEDICATION

*I HAVE WITNESSED PTS PRESENTING TO OPD WITH LOW PLATELET COUNT WORRING DURING THE ADMISSION AND GETTING DISCHARGED WELL , AND THE SENSE OF RELEIF ON THEIR FACES EACH TIME WITH THE INCREASE OF COUNTS

 *LEARNT RYLES TUBE ADMISTRATION FROM DR. DURGAKRISHNA , AND CONFIRMATION TECHINQUE AND ADMISTERED 1 RYLES TUBE

 * PLACED 6 FOLEYS CATHERES, 

* WITNESSED CLASSICAL DENGUE RASH IN ONE MY PATIENTS ( ISLANDS OF RED IN THE SEA OF WHITE)

 *  JVP IN RHF

*  MAMC TO ABDOMIAL FAT RATIOS IN OVER 20 PTS , TAUGHT BY DR.RAVEEN SIR AND DR. PAVAN SIR

*LEARNT SLEEP CYCLE MONITORING

*AND OVER NIGHT MONITORING OF ACTIVE TB AND SEROPOSITIVE PATIENT TAKEN OVER FROM PULMONOLOGY DEPARTMENT.

* AND  DURING ON OF THE OP NIGHT DUTIES  ENCOUNTERED  A MI PATIENT WITH  CHEST PAIN  AND WAS INSTRUCTED TO GIVE 

Aspirin 325 MG

Clopidogrel 300MG

Atorvas 80MG AND WAS REFFERED TO  HIGHER CENTER

http://37swetha.blogspot.com/2022/10/55year-old-male.html

  

1)Platelet infusion casuing stroke?

2) CNS EXAMINATION 

http://37swetha.blogspot.com/2022/10/chief-complaints-fever-since-1month.html

1) pyrexia of unknown origin 

2) 

http://37swetha.blogspot.com/2022/10/a-36-yrs-old-male-came-to-opd-with.html

 1) seven point profile

2) OHA s

http://37swetha.blogspot.com/2022/10/17-year-male-with-complaints-of-fever.html

 1) classical  dengue rash

2) subconjunctival hemorrage

http://37swetha.blogspot.com/2022/10/this-is-online-e-logbook-to-discuss-our.html

 http://37swetha.blogspot.com/2022/11/this-is-online-e-log-book-to-discuss.html

 http://37swetha.blogspot.com/2022/11/40yr-male.html  

1) ionotropes  infusion significance

12/11/22 TO 26/11/22 WAS POSTED IN ICU , WARD AND NEPHROLOGY 

 DURING NEPHROLOGY POSTINGS , 

 I HAVE SUCCESSFULLY PLACED FEMORAL. CENTRAL LINE WITH GUIDENCE AND ENCOURAGEMENT OF DR SAI CHARAN SIR but unfortunately not taken a photo or video

AND PERFORMED ASCITIC TAP. UNDER THE GUIDENCE OF DR.SAI CHARAN SIR

 ASSISTED IN PLACEMENT OF 3 IJV AND 1 FEMORAL CENTRAL LINE BY DR. KEERTHI 

  

LEARNT ADMISTRATION OF NTG WHEN THE BP OF THE PATIENT WAS RECORDED 210/110 AND CONVINCED PATIENT TO TAKE THE IV NTG AS HE HAD BURING SENSATION WHILE AND HIS BP WAS BROUGHT TO 140/90 WITH INSTRUCTIONS OF DR SAICHARAN AND DR KEERTHI

  LEARNT TO INFUSE FLUIDS THROUGH CENTRAL LINE

DURING WARD DUTY,

  UNDER DR.SAILESH SIR AND

 DR. HARI PRIYA MAM ATTENDEND PRESENTATION SESSIONS OF 8TH SEMESTER, 5TH AND 3RD SEMESTER STUDENTS AND PG TEACHING SESSIONS UPLOADED THE VIDEOS IN MY YOU TUBE .

 AND UPLOADED THE FEED BACK OF OVER 150 STUDENTS OF 2K18 BATCH IN MY BLOG

http://37swetha.blogspot.com/2022/11/2018.html

  

 DURING ICU DUTIES

 I HAVE MONITORED THE VITALS OF PATIENTS AND INFORMED ICU PGS  IF TEMPERATURE AND VITALS OF THE PATIENTS WERE HIGH DR. VINAY AND DR. DEEPIKA)   

   I HAVE PLACED 1 RYLES TUBE AND 2 FOLEYS CATHERS

   PERORaMED CPR ON 1 PT TAUGHT BY DR. VINAY ICU PG

 TRIED TO CONVINCE  A AKI PATIENT FOR DIALYSIS BUT FAILED .

 STILL I HAVE LEFT WITH 3 ICU DUTIES LOOKING FORWARD TO LEARN VENTILATOR( SETTINGS.

 THANKS TO  RAKESH BISWAS SIR FOR ALLOTING MAMC TO FAT RATIO PROJECT , AND  HIS TIMELY INPUTS  , I WILL LOOK FORWARD TO CONTINUE THE WORK .

 THANKFUL TO  THE DEPARTMENT OF GENERAL MEDICINE

 RESPECTED HOD, SRs, PGs, NURSES 

SPECIAL MENTIONS:

*DR. RAKESH BISWAS SIR(HOD)

*DR. NIKITHA MAM (SR) 

*DR.RAVEEN SIR (PGY3)

*DR. SAICHARAN SIR 

*DR.MANASA MAM , 

*DR SHASHIKALA  

*DR. DURGAKRISHNA SIR 

* DR. VINAY SIR

*DR. SAILESH 

*DR. BHARATH , 

*DR . KEERTHI,   

*DR. PAVAN SIR , 

DR.HARIPRYIA MAM, DR.PAVANI MAM

 NURSES: NARYANAMMA SISTER, SANDHYA SISTERS 

 THANKS TO MY CO INTERNS

DR. NEHA

DR. SHIVANI

DR. SAIKIRAN  WITN HELP OF   THE ABOVE MENTIONED  PEOPLE I EFFORTLESSLY LEARNED THINGS AND DID MY   POSTINGS IN THE DEPARTMENT OF GENERAL MEDICINE