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Internship posting

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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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. CASE A 29 year  old male , resident of choutuppal , attender by  occupation in registration office came with the chief complaint of Tremors since 2 months Visual disturbances since 2 months Forgetfulness since 2 months Difficulty in walking since 2 months Generalised weakness since 2months HOPI: Patient was apparently asymptomatic 2 months  back then he developed fine tremors which were  gradual in onset ,progressive in nature, no aggravating or relieving factors. Then
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Internship Medicine Posting

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intern log          Hello everyone, I’m a medical intern and recently started my medicine  posting . This blog is to share my experience and cases i came across during this period. CASE         A 75 year old male patient came with the chief complaint of pedal edema and decreased urine output since 4 days. HOPI: Patient was apparently asymptomatic 4 days back , then developed bilateral pedal edema , pitting type, extending upto knees .  He had decreased urine output associated with burning micturition ( on and off) .  History of fever associated with chills and rigor 2 days back which subsided on medication. No history of chest pain , palpitations , shortness of breath on exertion , jaundice , loss of appetite , fatigability. No history of hesitancy , frequency or urgency of micturition.  PAST HISTORY : History  of similar complaints  4 months back for which he got treated by local doctor.    Known case of CKD  Known case of hypertension since 20 years and on regular medication . ( deta
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Daily attendance

Leave :1 day 23 May: reporting and introduction and opd and amc 24 May: sunday (learnt about renal physiology).                          25 May : Learnt about tracts 26 May: learnt regarding cva hemiplegia 27 May : learnt about pancreatitis 28 May: discussion regarding large and small fibre  29 May: learnt about chest pain( difference between     musculoskeletal and cardiogenic)  30 May : opd and casualty 31 May: sunday ( read about muscle physiology) 1 June: monitored our unit patient and read about pain  2 June : read about nephrotoxic drugs 3 June : learned about bisap score in pancreatitis 4 June : leave 5 June: learned about pedal edema and heart failure 6 June : opd and amc duty 7 June :sunday( learned about edema and causes) 8 June : dd of muscle weakness and tingling sensation ( neuropathy and myopathy) 9 June: learnt about proper examination of reflexes 10 June : learnt about nerve physiology 11 June: learnt about aidp 12 June: learnt about uremic encephalopathy  13  June : op
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