General medicine internal assessment





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  88 yrs old Female came to casualty with...... February 22,2023 A  88 yrs old  Female  presented to casualty with C/o  irrelevant talk and altered mental status since 10 days Shortness of Breath since 3 days  Cough since 3 days   HISTORY OF PRESENT ILLNESS: Patient was  asymptomatic 10 days ago and then developed altered mental status on & off and her speech being non cohorent  at times and later becoming normal by herself , each episode  lasting for 10- 15 mins . Productive cough 2 days ago  Now dry cough Shortness of breath since  3 days  initially grade III progressed  grade IV in these  3 days.  Later went to outside hospital and 2 D echo was done   2 D echo ( CAD , LAD + territor) , Global Hypokinesia , Severe LV dysfunction  No history of chest pain , palpitations , giddiness.  On 20/02/23 presented to causality with complaints of loss of appetite since one day and not talking ...
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    Thursday, March 3, 2022 59Y/F with hyponatremia 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 A 59Y/F  brought to the casualty with c/o involuntary movements of B/L upper limbs and lower limbs ,GTCS type , with uprolling of eye, tongue bite, involuntary micturition, lasting for 2.min , with post ictal confusion + ,aura -. H/o vomitings, (4-5 episodes in a day), nonbilious, non projectile, food particle as content H/o pain abdomen since yesterday diffuse type,  No c/o cold, cough, fever, burning micturition, headache ,trauma, Loc. Past history:-N/k/c/o Dm/htn/epilepsy/ CAD/Ba/thyroid disorders. Personal history:- Married Occupation Housewife Diet...
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Internship assessment—general medicine department

 I, b.manaswini  intern of 2k17 batch  was posted in department of general medicine on dates 02/01/23 to 03/03/23 including psychiatry  from dates 15 jan to 30 jan  General medicine was my first posting in internship and reported enthusiastically on date and alloted unit 1 under pgs  dr. Prachethan and dr vivek sir . I took a little bit of time to cope up with process but got set by 1 week  On the very first day i monitored blood transfusion whose hb was 6mg/dl until 9pm on non duty day, after that patient was taken over by obs gyn department for some gynaecological issues . On op day there were nearly 70 pts and recorded nearly 30 patients vitals and among them few are admitted  My very first case was very intrested pt presented with slurring of speech and decresed tone she got admitted and i took interest in that case from starting to end till dicharged . This case also helped me to diagnose my friends  mother who presented with same sympto...
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