Intern assessment

 



Intern assessment and extension sample:

 

Name : Jahnavi Chatla 


Posted from 11/8/2022 till 11/10/2022

Unit duty 

11/8/2022 to 11/9/2022

Peripheries

11/9/2022 to 26/9/2022


Current online learning portfolio (OLP) linked here 👉 https://jahnavichatla.blogspot.com/


Learning impact assessment from cases recorded  in OLP :


CASE 1


https://jahnavichatla.blogspot.com/2022/08/is-case-of-65-year-old-female-housewife.html


65 F 

DIAGNOSIS 

uncontrolled sugars with type 2 DM

 Right lower lobe consolidation


LEARNING POINTS 

1)First foleys attempt under the guidance of DR. Vinay PGY3 and Dr. Pavani PGY1

2)Understood the importance of 7 point profile glucose monitoring in a DKA patient 

3)My first exposure to group work in a hospital setting 


I have read this article about diabetes affecting the lung 


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3448171/



CASE 2


https://jahnavichatla.blogspot.com/2022/08/2amc-cubicle.html

16 M

Diagnosis 

Viral pyrexia with thrombocytopenia 


Learning points:

1)Properly known about Orthostatic hypotension and importance of it in Dengue patients 

2)Learned connecting IV fluids 😅


I have read this article regarding VIRAL PYREXIA WITH THROMBOCYTOPENIA 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7924611/#!po=4.20792

Image from the same article 






CASE 3


https://jahnavichatla.blogspot.com/2022/08/this-is-case-of-35-year-old-male-cable.html

35M


LEARNING POINTS 

1)Tried taking an ABG sample but failed at it 

2)Understood the importance of diet while on continuous HAI administration 

I have advised this patient about taking food and his sugar levels raised up. Made a mistake and learned from it😇


I have read this Article about Nonketotic hyperglycaemic seizures

https://cnjournal.biomedcentral.com/articles/10.1186/s41016-017-0073-8


CASE 4


https://jahnavichatla.blogspot.com/2022/08/blog-post.html


DIAGNOSIS 

Viral pyrexia with thrombocytopenia 


LEARNING POINTS 

1)Learned Tourniquet test in practical 


Procedure of Tourniquet test 

https://www.cdc.gov/dengue/training/cme/ccm/page73112.html


CASE 5 


https://jahnavichatla.blogspot.com/2022/08/24-year-old-primi-with-7-months.html


Diagnosis 

Primi with dengue NS1 +


LEARNING POINTS 

1)Learning about Dengue speciafically in a pregnant female 

I have read these articles 

https://www.fogsi.org/wp-content/uploads/2015/11/dpmp.pdf

About drugs during pregnancy 

https://www.medindia.net/amp/patients/patientinfo/drugs-pregnancy.htm


CASE 6


https://jahnavichatla.blogspot.com/2022/09/19yr-old-with-viral-pyrexia.html


DIAGNOSIS 

Viral pyrexia 


LEARNING POINTS 

1)Better patient care 


I have read this article regarding Dengue

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4784057/


CASE 7 


https://jahnavichatla.blogspot.com/2022/09/this-is-case-of-38-yr-old-male-daily.html


Diagnosis 

Diabetic ketoacidosis 


LEARNING POINTS 

1)Better patient care 

I have read this article regarding DKA

https://medlineplus.gov/ency/article/000320.htm


ICU AMC WARD DUTIES LEARNING POINTS 


1)Learned ABG sampling 


2)Learned venous sampling 


3)Learned placing IV cannula (under the guidance of Dr.Pavani PGY1)


4)Learned Ascitic tap (under the guidance of Dr. Kranthi PGY1)


5)Assisted 2 central lines (under the guidance of Dr.Pradeep PGY3,Dr.Durga Krishna PGY3 and Dr.Raveen PGY3)


6)Assisted Mini BAL (under the guidance of Dr. Vinay PGY3 and Dr.Venkat Sai PGY1)


7)Assisted during active management of Cardiac arrest patient 4 times 


8) Assisted Intubation (under the guidance of Dr.Raveen PGY3)


9)Learned foley’s placement  (under the guidance of Dr.Vinay PGY3 and Dr.Raveen PGY3)



10)Learned Ryles tube placement (under the guidance of Dr.Vinay PGY3, Dr.Raveen PGY3 and Dr.Deepika PGY1 )


Failed attempt at ABG sampling 



Venous sampling 



Discussion about a case 

https://youtu.be/UD6a5CfRuus


MiniBAL procedure 

https://youtu.be/AV62MatkxQM

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