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Internship assessment

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UNIT DUTY Case -01  https://aitharaveena.blogspot.com/2022/09/year-old-male-with-1fever-since-15-days.html Case discussion  ▪This case is discussed in clinical lecture hall with live patient and attender and CNS examination was done by pgs to correlate with my findings and discussed why pt is having asymmetric reflexes with motor and sensory systems intact with cerebellar tests which he is not able to perform ▪Also tried to localise the lesion by reflex but it was no possible and tried to rule out Upper motor and lower motor involvement  ▪ As the patient is also having fever this might be due to encephalitis ?? to rule out and to know the final diagnosis- MRI scan was suggested  ▪ MRI has shown cerebellar atrophy ( which might be age related)  ▪ Some ugs have performed cns examination on this patient in lecture hall Case 2 https://aitharaveena.blogspot.com/2022/08/40-year-female-with-vomitings-loose.html Case discussion   This case is discussed in the group and questions that has been
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16 yr old male with

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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 patients clinical problems with collective current based inputs. CHIEF COMPLAINTS  16 year old male patient came with chief complaints of  •fever since 7 days HOPI Pt was apparently asymptomatic 7 days then he had fever which is high grade associated with chills and rigors more during night times. relieved by medications if taken every 4 hrly. 4 episodes of vomitings 4 days back with food as content non projectile non blood stained There are 4 episodes of loose stools 3 days back after consuming papaya leaf juice and relieved by medication NO H/ O cold, cough, headache, body weakness, burning micturition, hematuria, epigastric pain PAST HISTORY  N/K/C/O ASTHMA , EPILEPSY F
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58 year old male with fever

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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 patients clinical problems with collective current based inputs.   CHIEF COMPLAINTS 58 year old male Pt came with the chief complaints of  fever since 8 days HOPI  Pt was apparently asymptomatic 8 days back then had fever which was high grade associated with chills and rigors more during night time associated with cold cough, burning micturition, body pains, nausea, headache.  No history of vomitings , loose stools, hematuria PAST HISTORY  K/C/O ASTHMA since 10 years( used medication for it but now not using) N/K/C/O HTN , DM, TB, EPILEPSY, CAD DAILY ROUTINE wakes up at 5:00 does his daily routines and goes to farm and takes breakfast at 9:00 am and goes to work and takes lunch at
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28 year old male with cough and epigastric pain

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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 patients clinical problems with collective current based inputs. CHIEF COMPLAINTS  28 year old male came with the chief complaints of  cough since 5 days and  epigastric pain since 3 days HOPI Pt was apparently asymptomatic 5 days back then he had cough which was a dry type for 4 days and with sputum from today morning  which is whitish in colour,non foul smelling, non blood stained . Fever for 1 day which is low grade and more at night  relieved by taking medication. Since 3 days  he has epigastric pain which is insidious in onset gradually progressive aggravated in suline position and relieved by sitting and leaning forwards associated with giddiness No H/ O burning micturition,
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61 year old male with cough, sob and foreign body sensation

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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 patients clinical problems with collective current based inputs. CHIEF COMPLAINTS   Pt came to casuality with chief complaints of • cough since 5 days • SOB since yesterday evening • Foreign body sensation in the throat since today morning HISTORY OF PRESENTING ILLNESS Pt was apparently asymptomatic 3 months back then then he had weakness of bilateral lower limbs which was sudden in onset for which he consulted doctor and diagnosed have having low potassium and given medication and now pt is unable to walk without stand Now pt having cough since 5days which is dry type for 4 days and associated with sputum since today morning which is yellowish white in colour non foul smell
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