Internship assessment 2017

Name : P.ramyareddy 

Roll no:115

Unit-1

My experience in medicine department during internship from 13/4/23 to 12/6/23 

underthe guidance of dr .Lohith varma(Pgy1)

Dr.Nishita (Pgy2)

Dr.Venkat Sai (pgy2)

Dr.Zain (SR)

During these 2 months of posting I have been posted frst in 

peripherals from 14/4/23 to 28/4/23 then 

Unit 

Psychiatry 

During peripherals: 15days

First I was posted in nephrology:

I did Hrly monitoring of patients undergoing dialysis (maintanence hemodialysis)

Staging of CKD 

I learnt th procedure of central line catheterisation and assisted in central line insertion 

Learnt about central line care 

Indications of dialysis 

Complications of dialysis and their management

Sent post dialysis samples (CBP and RFT)

Significance of erythropoietin in CKD

Management of bradycardia during dialysis 

Ward duty:

I made pajr groups and follow up for ward patients 

Learnt clinical examination of major systems (respiratory,CNS,CVS)

During rounds ,attended  a dermatology ,psychiatry cases and a dextrocardia case which were so interesting ..

Drew blood samples and inserted cannulas

ICU AND AMC duty:

Attended rounds in ICU and AMC

Learnt how to take ABG sample and interpretation of ABG report 

Assisted in LP procedure 

Learnt how to do CPR in ICU 

Did bladder wash for a CLD patient 

Learnt about condom catheterisation 

Foleys insertion 

Ryles tube insertion 

Did a asicitic tap for CLD pt 

Learnt the difference between diagnostic and therapeutic asicitic tap 

Significance of SAAG ratio and interpretation of HIGH nd low SAAG cases 

Complications of ascites 

 Causes of Portal hypertension 

Management of ascites and complications 

Hepatica encephalopathy (grading and treatment)

Significance of thiamine in ALD

Learnt about insulin infusion rate in DKA pts 

Dressings for ostemyelitis case presented with AKI 

Radiological criteria of chronic pancreatitis 

Wells criteria for PE 

Unit duty :

Made op audit of different cases 

History and examination in op 

Learnt about the importance of clinical examination and coming to provisional diagnosis based on history and examination findings 

 Significance of Limited investigations

Counselling of patients with comorbities (DM,HTN) about diabetic diet and salt restriction diet 

Learnt about basic  ECG  interpretation 

Psychiatry duty:

Learnt about history taking in psychiatry 

Learnt about schizophrenia,Alochol dependence,tobacco dependence,OCD,depressive disorder ,Generalised anxiety disorders 

MSE significance 

attended rounds in DAC 

Counselling of psychiatry patients 

Medical management of psychosis 

 

The following links of blogs in internship period:

1)         https://ramyareddy105pebbeti.blogspot.com/2023/05/65-year-old-female-with-bl-pedal-edema.html

2) https://ramyareddy105pebbeti.blogspot.com/2023/05/45-year-old-male-with-alcoholic-liver.html

3) https://ramyareddy105pebbeti.blogspot.com/2023/05/65yr-old-female-with-apd-and-ckd-stage.html

4)https://ramyareddy105pebbeti.blogspot.com/2023/05/74year-old-female-with-abdominal.html

5) https://ramyareddy105pebbeti.blogspot.com/2023/05/31year-old-male-with-acute-pancreatitis.html

6) https://ramyareddy105pebbeti.blogspot.com/2023/04/65year-old-male-with-ckd-on-mhd.html

7) https://ramyareddy105pebbeti.blogspot.com/2023/04/45-year-old-female-with-anasarca-under.html