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INTERNSHIP ASSESSMENT

Internship Assessment Name - G.RANJITH KUMAR Roll no - 30 Medicine department  Posted from 31/05/23 to 30/07/23 UNIT DUTY Attended 5 OPDs  and 3 AUDITS Took vitals ,history &Examination of the patient. Made PaJR groups of admitted cases Made blogs of admitted cases Took samples of admitted cases Updated SOAP notes of admitted cases Took for refferals Typed discharge summaries -inserted foleys catheter -inserted rules tube  -Done ascitic tapping in abdomenal distention patient with ascites in AMC under guidance of Dr.Harika ma'am  Case:1 https://ranjithkumarrollno53.blogspot.com/2023/06/57-year-old-patient-with-diabetic.html Case:2 https://ranjithkumarrollno53.blogspot.com/2023/06/this-is-online-e-log-book-to-discuss.html Case:3 https://ranjithkumarrollno53.blogspot.com/2023/07/55-year-old-female-with-co-headache.html Case:4 https://ranjithkumarrollno53.blogspot.com/2023/07/50yf-with-multiple-joint-pains.html Case:5 https://ranjithkumarrollno53.blogspot.com/2023/07/acute-pancrea
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40y/M with c/o pain abdomen

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THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE - IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT .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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT      CHEIF COMPLAINTS: c/o pain Abdomen since 2 days  HOPI: Patient was apparently asymptomatic 2days back then developed pain over the left hypochondriac region since 2 days radiating to the right hypochondriac region  C/o vomiting since yesterday ,3 episodes watery in consistency ,non-blood stained,non foul smelling No c/o fever , decreased urine output ,loose stools H/o Burning micturition since 2 days  C/o SOB , palpitations, orthopnea,pnd  PAST HISTORY: Not a known case of HTN,DM,Asthma,Epilepsy. PERSONAL HISTORY:  Diet - Mixed Appatite - Normal Sleep - Normal Bowel and Bladder -Regular. Allergy - None Addi
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50y/F with multiple joint pains

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THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE - IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT .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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT        CHEIF COMPLAINTS: c/o multiple joint pains since 1 year C/o Neck pain since 1 month C/o Diminision of vision in both eyes since 6 months  HOPI: Patient was apparently asymptomatic 1 year back then she developed pain over the DIP,PIP,MCP, elbow joint,knee joint,ankle joint ,MTP joint C/o Burning sensation of feet No c/o SOB , palpitations,chest pain ,orthopnea,PND . No c/o pain abdomen, fever , burning micturition  PAST HISTORY: Not a known case of HTN ,type 2 DM, epilepsy, thyroid disorders, asthma, Tb. PERSONAL HISTORY:   Diet - Mixed Appatite - Normal Sleep - Normal Bowel and Bladder -Regular. Allergy -
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55 year old female with c/o headache

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THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE - IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT .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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT         CHEIF COMPLAINTS: PATIENT CAME WITH C/O HEADACHE SINCE 1 DAY DUE TO TRAUMA HOPI: PATIENT WAS APPARENTLY ASSYMPTOMATIC 5-6 YEARS BACK THEN SHE DEVELOPED GENERALISED WEAKNESS AND PALPITATIONS FOR WHICH SHE WENT TO HOSPITAL AND DIAGNOSED OF HAVING HIGH BLOOD PRESSURE AND STARTED MEDICATION.SHE WAS DOING FINE SINCE THEN TILL YESTERDAY MORNING WHILE DOING SOME HOUSEHOLD WORK SHE SLIPPED AND HIT HER HEAD TO A WALL IN OCCIPITAL REGION AND DEVELOPED SWELLING AND DRAGGING TYPE OF PAIN IN NECK. N/H/O LOC, BLEEDING,RESTRICTION OF MOVEMENTS OF NECK, GIDDINESS, TINNITUS NO H/O SOB, COUGH, COLD, FEVER, SORE THROAT,AB
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27 year old with Giddiness

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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. I have 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 diagnosis and treatment  Case history: Cheif complaints: . A 27yrs old male came to casuality with c/o headache  and giddiness on and off since 3yrs HOPI:  Patient was apparently asymptomatic 3yrs back then he sustained head injury RTA (bik
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