INTERN ONLINE ASSESSMENT - General medicine 

NAME - G.Sahithi Reddy

DURING ICU DUTY

CPR for 51 year old male  

Assisted in Intubation 

Monitored vitals of the patient. 

Took ABG samples

Inserted Foleys catherter

DURING NEPHROLOGY

Assisted in central line under the guidance of Dr . Saicharan

Monitored vitals of patients during dialysis

DURING WARD DUTY 

Collected venous samples for routine investigations 

Updated soap notes

DURING UNIT DUTY

CASE - 1 

80 year old male with shortness of breath

https://sahithireddy158.blogspot.com/2022/10/80-year-old-male.html

Questions :

1) what is the provisional diagnosis?

A) Altered sensorium(hypoactive) under evaluation 

    Right upper lobe fibrosis with hyperinflation of left lung

2) Causes of altered sensorium?

Metabolic - uremia

Infectious - no meningeal signs , features of encephalitis 

Structural - no fnd , ct brain normal

3) Cause of Death?

IMMEDIATE CAUSE :

Type 2 respiratory failure secondary to ? Pulmonary embolism

ANTECEDENT CAUSE:

Right upper lobe mass / fungal ball with mucous plugging

Pulmonary kochs 

Tubule interstitial nephritis


CASE - 2

70 year old female with Fever

https://sahithireddy158.blogspot.com/2022/10/70-year-old-female-came-to-opd-with.html

Questions :

1) what is the provisional diagnosis?

A) Viral pyrexia with thrombocytopenia

2) Causes of thrombocytopenia?

A) Immune thrombocytopenic purpura

    Drug induced

    Infections

    Disseminated intravascular coagulation 

    Bone marrow failure

CASE - 3

40 year old male with giddiness

https://sahithireddy158.blogspot.com/2022/10/40-year-old-with-giddiness.html

Questions :

1) what is the provisional diagnosis?

A) Suspected arsenic poisoning 

2) common heavy metal poisoning?

A) lead , Arsenic 

3) Cause of death?

A) Multiple organ dysfunction secondary to heavy metal poisoning 




DURING PSYCHIATRY

Learnt how to take history in psychiatry

Seen a case of alcohol dependent syndrome

Seen a case of depression 

Seen a case of Dissocial personality disorder 

Seen a case of Persistant delusional disorder 

Seen a case of Non organic insomnia

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