Daily attendance

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

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