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 My Internship learning Experience..   Posted from  I was allotted  unit :4  Unit Duties  OP Day We saw patients in the op.  1) As soon as the patient enters I checked for vitals. Asked about the chief complaints. Took a proper History.  2) Did the general examination and systemic examination for the them 3. Few of them came for regular check up. 4.Advised investigations 5.Advised medication as per senior order.. Few of them  cases were admitted.  I took responsibility for all the patients admitted in our unit.  Checking out their vitals for them.  Case 1)  https://raveelaravi.blogspot.com/2023/06/65m-with-epitaxis-secondary-to-htn.html Patient had very low Hb: 4 mg/dL I did 2 prbc Transfuions.  2)  https://raveelaravi.blogspot.com/2023/06/55-yr-m-with-paraperesis-under.htm 4)  https://raveelaravi.blogspot.com/2023/06/60-yrmale-with-dyspepsia-and-typ2-dm.html Icu duties: I monitered vitals , took sambles and itit uu . # I put rules and foleys for the patient.  I assisted for pleural ta
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45 yr /F Paraparesis secondary to Trauma with disphagia

 C/O Generalized weakness of lower limbs since 10 years Difficulty in swallowing since 15 days  HOPI: Pt was apparently asymptomatic till 1999 then she delivered a baby(by c-section due to cord entanglement) she also stated that she started developed Generalized weakness ( due to low haemoglobin levels ) not associated with pain and was able to perform her daily activities Her husband also left as she couldn't perform her daily activities.Her son currently stays in the hostel   She previously used to work as mandal officer. And in 2012 she stopped going to work because she started developing weakness insidious in onset , gradually progressive , associated with pain , Aggrevated with walking and relieved with rest. she could not walk for long distances and she managed to to perform daily activities In 2023 Jan she alleged had h/o slippage in bathroom following which she was normal for 5 days  Next day she couldn't get up from bed which is sudden in onset and non progressiv
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60 yr/Male with Dyspepsia and Typ:2 DM

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 60 yr old male resident of  Nalgonda farmer by occupation came with C/o: Tightness and pain in abdomen:1 month C/o : Easy fatiguability 15 days C/o dizziness : 4 days.  HOPI: Patient was apparently asymptomatic 1 month back then he developed tightness and pain in abdomen which was insidious onset dragging type, non radiating no aggravating and relieving factors . He also complaints of  cough with sputum(white in colour) not blood stained.  C/o of polyuria (8 times/ day)  No C/o burning Micturition, decrease output.  K/c/o Type:2 DM on medication Glimi M1 Patient was N/k/c/o HTN,  asthma, CAD.  Past History: No H/o similar complaints in the past.  No past surgical History PERSONAL HISTORY :- Marital status : married  Diet : mixed  Appetite : normal Bowel and bladder: regular Sleep : adequate Addictions :  Alcohol :consumes 90 ml whiskey daily: 10 yrs Beedi smoking occasionally.  GENERAL EXAMINATION:- Patient was concious coherent cooperative well built and nourished , well oriented to
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65/M with Epitaxis secondary to HTN.

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 65/yr Male  came  the casuality with the  C/o :Bleeding from the B/L nasal cavities( R>L) : 1 week HOPI: Patient was apparently asymptomatic 1 week back then he developed  B/L  nasal bleeding, sudden onset, profuse, Subsided after going to RMP and taking medication. Later development bleeding again after 1 day and at present he had bleeding from 1 Am  on 8/6/23 sudden in onset, profuse and not subsiding.  Patient went to outside hospital and merocele packing was done. Yet the bleeding was not subsiding so they referred to higher centre.  Patient was N/k/c/o HTN, DM, asthma, CAD.  No H/o of nasal pricking No H/o of antiplatelet medication.  No H/o bleeding and clotting disorders.  Past History: H/o of similar complaints in the pastpast in summer season (4yrs back)  No past surgical History PERSONAL HISTORY :- Marital status : married  Diet : mixed  Appetite : normal Bowel and bladder: regular Sleep : adequate Addictions :  Alcohol :consumes 90 ml whiskey daily: 10 yrs Beedi smoking
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55 yr /M with Diabetic Neuropathy?? With lumbar spondylosis K/c/o HTN, DM

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 55 Yr /M  resident of Nalgonda came to the opd with  Cheif complaints of C/o : Burning sensation of soles: 5 _ 6 yrs C/o Generalised weakness : 3 _4 yrs C/o weakness in lower limbs: 2 yrs C/o loss of sensation of lower limb : 2 yrs HOPI Patient was apparently asymptomatic 6 yrs back then he developed burning sensation of soles since 6 yrs and generalised  weakness has aggravated  in the lower limbs  since 6 months.  Patient was unable to do his routine daily activities and started walking with support since 1 month. Along with with loss of sensation of the lower limbs since 2 to 3 yrs which started in the soles and progressed  up to knees.  Patient started wearing shoes instead of slippers since 2 to 3 yrs as there was slip of footwear.  Neurosurgery opinion was taken and advised MRL-LS spine. (Lumbar spondylosis L3 _S1) was advised to take neurophysician opinion.  Neurophysician opinion : No active intervention needed. Advised glycemic control.  Past H/o: K/c /0 HTN , DM :8 yr N/k/c/
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45/M with Pancytopenia secondary to B 12 deficiency.

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FINAL MBBS PRATICAL EXAMINATION: SHORTCASE This is 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 patients 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 comment box is welcome. N. Raveela Hall ticket no: 1701006123 I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.   CONSENT AND DE-IDENTIFICATION :  The patient and the attenders have been adequately informed about this documenta
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