prefinal paper 2

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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/2023/0...
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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, SO...
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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 Bladd...
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