Skip to main content

Self assessment

during UNIT

Case 1:

https://nehareddygaddam.blogspot.com/2022/10/80yr-male-with-altered-sensorium.html

Learning points

- learned about Clolistimeth sodium 

- assisted in USG guided ascitic tap

- Took care of ICD (bag should be below waist level, cap -open, maintain water seal, check for coloum moment)

-got to know how imp. Input ,output and fever charting are!


Case 2:

https://nehareddygaddam.blogspot.com/2022/10/this-is-online-e-logbook-to-discuss-our.html

-MMRC grading 



-did sleep study to rule out OSA



Case3:

https://nehareddygaddam.blogspot.com/2022/10/chief- complaints-fever-since-10days-dry.html

Causes of HF- 



 Case4:

https://nehareddygaddam.blogspot.com/2022/10/72-female-with-fever-burning.html

-got to know about UTI caused by culture negative organism

(Cryptococus,mycoplasma)

-





during NEPHROLOGY 

1)assisted while placing central line , suturing done under the guidance of Dr.keerthi 

2)monitored vitals for patients during dialysis 

3)managed HTN during dialysis 

during WARD

Placed cannula

Monitored vitals

Managed HTN and fever spikes

during ICU

~Monitored vitals hourly

~Did CPR to 2 female patients (CKD on MHD) under the guidance of Dr. Vinay

~Did CPR to a (ventilated) male patient 

~Took ABG samples( femoral , radial)

~Drawn venous samples

~Given IM injection 

• Managed HTN urgency ?

• Managed Hypotension of male patient. —  noradrenaline started at 2ml/hr increased to 4ml/hr then to 6ml/hr .after bp is stable then tapered slowly(1ml )

• Managed pain with tramadol 

• Managed fever  if<101F, advices tapied sponging/dolo

If >102F , givenIV NEOMOL 

• Maintained Grbs of        Over night around 150-250gm/dl by adjusting rate of 25D infusion 

• did suction to a ventilator case

• placed foleys 

• did pleural tap under the guidance of Dr. Vinay

• did Intubation under the guidance of Dr. Vinay

during PSYCHIATRY  

# Delusion of jealousy 

# Delusion  of 

# Alcohol dependence syndrome

# learned symptoms of schizophrenia, depression and mania

# panic disorder

# alcohol intoxification 

# Alcohol withdrawal psychosis ( given lorazepam 2mg)

# learned about COGNITIVE BEHAVIORAL THERAPY 

# learned about Antipsychotics , Antidepressants and Benzodiazepines 

# read case h/o periodic catatonia,OCD

# Mental retardation 


On OP DAY

- check vitals of every patient without fail

- examined for reflexes, postural hypotension, Romberg sign

 -sensory examination for periferal neuropathy 

- placed a ryles tube 









  



Comments

Post a Comment

Popular posts from this blog

72 Female with Fever, Burning micturition, Abdominal pain

  Chief complaints:   Fever since 1month (sep15th) Burning micturition for 10days (sep15th -25th) Abdominal pain since 1month  Decreased appetite since 20 days HISTORY OF PRESENTING ILLNESS: A 72 year post menopausal female , came to casualty with complaints of fever since sep15th ( 36th day of illness). Fever was high grade with evening rise in temperature associated with chills and rigors, not associated with nausea and vomiting/headache/cold/cough . She was treated with oral medicines on day 2 of illness,But fever dint subside . Not associated with loose stools /blood in stools On 2nd October (17th day of illness ) she was given IV antibiotics for 2 days , and was on antipyretics From 9th October she had feverspike , she consulted a doctor, she was started on inj. Magnexforte and Tab. Farepeneum 200mg for a week.   “presented to outside hospital with fever , right hypochondriac pain and nausea , she was clinically as SEPSIS WITH MODS, surgical opinion was tak...
Post a Comment
Read more

80Yr male with altered sensorium

 This is an online Blog book to discuss our patients deidentified health data shared after taking his/ her guardians to sign an informed consent Here we discuss our patient problems through a series of inputs from the available Global online community of experts with n aim to solve those patient clinical problems with the current best evidence-based input This Blog also reflects my patient-centred online learning portfolio. Your valuable input on the comment box is welcome  I have been given this case to solve in an attempt to understand the topic of " Patient clinical data analysis" to develop my competence in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan CHEIF COMPLAINTS: Fever since 10 days  Burning micturition since 1 day Left loin pain since 1 day  Decreased urine output since 1day Blood in urine since 3 hrs HISTORY OF PRESENTING ILLNESS A 80Yr male, agriculture by occ...
Post a Comment
Read more

19 yr old with DKA

A 19 year old  male patient from miryalguda studying Degree first year has come to the   Opd with chief complaints of Vomiting since 3 days Shortness of breath on 24th march Chest pain on 24 th march  Hopi Patient was apparently asymptomatic one and half yr ago,then in the 1st 6 months -he noticed gradual loss of weight ,patient had history of polyuria,nocturia,polydypsia https://nikithaedam48.blogspot.com/2021/06/18-year-old-malefrom-miryalagudawho-is.html?m=1 He was diagnosed as Diabetic and during the hospital  stay on day 5 he went to coma for 7 days, then recoverd which was due to acute fulminant hepatic failure   . And discharged after 20 days 4 months back he developed vomitings , which was projectile type , food and water as it’s content  Now , Vomiting are 2-3 episodes /day , projectile, food and water as contents non bilious and not blood tinged SOB: insidious in onset, patient feels like  it’s due to increased sugar levels and decreased on t...
Post a Comment
Read more