Posts

Internship medicine posting

Image
Medicine intern log           Hello everyone, I'm a medical intern and recently started my medical posting.This blog is to share my experience and cases I came across during this period.              60yr male came with  cheif complaints of giddiness since 3 days.and visual hallucinations since 3 days HOPI     Pt was apparently asymptomatic 3 days back then he developed fever for 1 day for which he went to hospital and got treated and came back home ..then he developed giddiness only while walking , mostly swaying and unable to walk without support.  Visual hallucinations are present ( seeing ciggretes in a plate asking wife to get them, perceives that his kids are sleeping with him and hiding something)   No slurring of speech ,no vomitings no blurring of vision , tinnitus, no diplopia..  60/M farmer previously now running tiffin shop since 10 years@miryalguda.chronic alcoholic,chronic smoker.k/c/o DM 2 since 9 years, regular medication and regular follow up        2 yrs back ,1st

Daily Attendance

Leave 1 (ramzan)  23rd May: Reporting and introduction 24th May: Sunday (learnt about Muscle physiology)  25th May: Ramzan 26th May: Learnt regarding CVA hemiplegia 27th May: OP day and AMC duty 28th May: Discussion regarding large and small fibres.  29th May: Discussion about chest pain .(difference between musculoskeletal and Cardiagenic)  30th May: Efficacy of antibiotics in abscess.  31st May: Sunday ( read about renal physiology)  1st June: Monitored yellama patient during  dialysis and discharge was done .  2nd June: Read about nephrotoxic drugs.  3rd June: OP day and AMC duty.  4th June: Learnt about difference between quadriparesis and paraperisis .  5th June: Learnt about pedal edema and heart failure.  6th June: Learnt about Bishop's score in pancreatitis.  7th June: Sunday (Learnt about edema causes and treatment)  8th June: Learnt about DD of muscle weakness and tingling sensation (neuropathy, myopathy, spinal cord lesions and cerebral cortix involvement)  9th June: Lea

Internship Medicine Posting

Image
Medicine Intern Log        Hello everyone, I'm a medical intern, and recently started my Medicine posting. This blog is to share my experience and the cases I come across during this period.  CASE        A 46 years old male patient came with complaint of chest pain for 30 minutes yesterday evening and shortness of breath on exertion.  HOPI : Patient was apparently asymptomatic 5 years back then he developed pedal edema which was pitting type associated with abdominal distension and shortness of breath grade IV and got admitted outside hospital for 20 days and got discharged.  History of chest pain, shortness of breath 3 years back and got admitted, angiogram was done and clot was removed, got discharged.  History of similar complain 1 year back and got admitted at KIMS Narketpally.  Yesterday he complained of chest pain which was pricking type, radiating to left arm which lasted for 30 minutes and associated with sweating. No history of palpitations.  History of shortness of breath