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INTERNSHIP ASSESSMENT

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​ M Kalpana  Roll no. 92 This is my learning experience in the hospital from medicine postings from 12-2-23 to 13-4-23 First 15 days of my postings - peripherals  First 5 days (12-2-23 to 16-2-23) -ward duties  Under Dr Deepika mam (pg ) - made pajr groups for ward patients   - attended rounds of every admitted patient  - updated the fever charts  and soap notes in ward , made sure that icu patients fever charts and soap notes are updated and shared  in respective pajr groups  - I have attended a session with one of the amc patient  with DR Raj Kumar sir and made a PNI report of that patient  Nephrology duties-(17-2-23 to 21-2-23)   Under Dr Nishitha mam (pg)and Dr kranthi sir(pg) -Assisted in a central line procedure -Monitored Blood Pressures of the patients during dialysis, in the CKD ward -learnt about the pulmonary edema in ckd patients - did my first ascitic  tapping  -I have learnt the  working process of dialysis machine and different complications in different patients during
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55 years old male with abdominal distension

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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. CASE PRESENTATION: A 55 YEAR OLD MALE CAME WITH C/O  ABDOMINAL DISTENTION SINCE 1 MONTH DECREASED APPETITE SINCE 20 DAYS FEVER SINCE 10 DAYS HOPI: 55YEAR OLD MALE RESIDENT OF NARKETPALLY MECHANIC BY OCCUPATION , CHRONIC ALCOHOLIC SINCE 30 YEARS 2 QUARTERS PER DAY AND CHRONIC SMOOKER SINCE 30 YEARS , 10 BEEDIS PER DAY HIS WIFE EXPIRED 3 YEARS AGO FROM THEN HE INCREASED THE ALCOHOL INTAKE .  PATIENT WAS APPARENTLY ASYMPTOMATIC 1 MONTH BACK, THEN DEVELOPED ABDOMINAL DISTENTION WHICH IS INSIDIOUS IN ONSET AND GRADUALLY PROGRESSIVE.  FEVER SINCE 10 DAYS WHICH IS OF HIGH GRADE, ASSOCIATED WITH CHILLS AND
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