Intern assessment

 Name - A. RISHI KOUNDINYA

Posted from 11/8/2022 to 11/10/2022

Current online learning portfolio

1. 72 yr old female with uncontrolled diabetes 

https://rishikoundinya.blogspot.com/2022/08/54-year-old-female-with-uncontrolled.html?m=1

Learning impact-

-Cases of constipation in diabetic female

-Asymptomatic UTI vs symptomatic UTI

-Should we give treatment for asymptomatic UTI if it is for long standing

-Cranberry used as an treatment for asymptomatic UTI.

https://www.researchgate.net/publication/233799462_In_vitro_activity_of_cranberry_extract_against_etiological_agents_of_urinary_tract_infections

2. 23 yr old female with fever

https://rishikoundinya.blogspot.com/2022/08/23-year-old-female-with-fever.html?m=1

Learning impact-

-Dengue management

3. 70 yr old male with fever and dribbling of urine

https://rishikoundinya.blogspot.com/2022/08/70-year-old-male-with-fever-and.html?m=1

Learning impact-

-Causes of Dribbling of urine

-Management of nuerogenic bladder

-Condom catheters

4. 49 yr old female with fever

https://rishikoundinya.blogspot.com/2022/08/49-year-female-with-fever.html?m=1

Learning impact-

-Causes for tonsillar hypertrophy with fever

-Neck ridgidity with negative brudzinski and kernig's sign

-Management of dengue

5. 17 yr old female with fever

https://rishikoundinya.blogspot.com/2022/08/17-yr-old-female-with-fever.html?m=1

 Learning impact-

-What are causes of clot in urine

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7358921/

-What are the bleeding manifestations in dengue

-What are indications for blood transfusion for dengue patients

-What is the minimum platelet count for transfusion in dengue patient

https://pubmed.ncbi.nlm.nih.gov/28283286/

-What happens if the transfusion is not provided besides having low platelet count.

6. 31 yr old male with abdominal distension

https://rishikoundinya.blogspot.com/2022/08/31-yr-male-with-abdominal-distension.html?m=1

Learning impact-

-What is Hepatopulmonary syndrome

-Procedure of saline agitated 2d echo

-Ascitic tap procedure and sample investigation

UNDER GUIDANCE OF DR. KRANTHI SIR



7. 70 yr old female with sob

https://rishikoundinya.blogspot.com/2022/09/is-online-e-log-book-to-discuss-our.html?m=1

 Learning impact-

*Assisted Central line procedure 

UNDER GUIDANCE OF DR. RAVEEN SIR, NISHITHA MAM

8. 49yr old male with abdominal pain

https://rishikoundinya.blogspot.com/2022/09/49-yr-male-with-abdominal-pain.html?m=1

Learning impact-

-What are causes of altered sensorium

-What are the causes pain in chronic pancreatitis

-Causes of hyponatremia 

https://youtu.be/q_oplNyX15o

DURING ICU DUTY:

-LEARNT THE PROCEDURE OF CPR in Cardiac arrest patients

-MANAGEMENT OF PSVT PATIENT AND DKA EMERGENCY 

UNDER GUIDANCE OF DR. RAVEEN SIR

- Learnt how to place CANULA

- Learnt how to put RYLES TUBE

 UNDER GUIDANCE OF DR. BHARATH SIR

- Learnt the procedure of putting foleys catheter

-Learnt to take ABG sample

 UNDER GUIDANCE OF DR. CHARAN SIR

DURING NEPHRO DUTY:

-Learnt to put CENTRAL LINE. 

UNDER GUIDANCE OF DR. RAVEEN SIR

- taken ABG samples.

DURING WARD DUTIES:

-Took some samples. 

- Given IV and IM injections.

UNDER GUIDENCE OF WARD SISTERS 


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72 year old female with uncontrolled diabetes.

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55years old patient with seizures.

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 May 12 , 2021 Student- A. Rishi koundinya Batch- 2017 This is an online e log book to discuss our patient de-identified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence based input This E blog also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome 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 diagnosis and treatment plan. A 55year old male patient came to opd with c/o altered sensorium and involuntary movements from 11pm and recurrent episodes of seizures since 5yrs. Patient is
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