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Internship Learning experience in medicine posting

Here, I have explained all the things that I've learnt and did in my General Medicine internship postings during 2023. Cases :   https://prathyushasingam.blogspot.com/2023/05/42m-calculous-cholecystitis.html http://prathyushasingam.blogspot.com/2023/05/55f-with-left-hemiparesis.html https://prathyushasingam.blogspot.com/2023/05/35m-with-pedal-edema-and-sob.html https://prathyushasingam.blogspot.com/2023/04/67f-with-sob-decreased-urine-output.html https://prathyushasingam.blogspot.com/2023/05/raju-ward-case.html   Procedures : - Inserted Ryle's tube under the guidance of  Dr. Vivek for an AMC case. - inserted Foley's catheter and also did the removal of Foley's catheter for different patients in ICU.  - Assisted 2 lumbar puncture procedures.  ICU/AMC duties : - Assisted 1 central line in ICU case and 1 central line for AMC case under the guidance of Dr. Venkat, Dr. Nithin.  - Assisted lumbar puncture for 2 ICU cases.  Ward duties : - guided my co-interns to update soap n

38/M with pain abdomen since 15 years

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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 patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio. Case history: A 38 year old male came with chief complaints of pain abdomen since 15 years, retrosternal burning sensation since 7 years. History of present illness: Patient had complaints of pain abdomen since 15years which is squeezing type, intermittent and diffuse. He also had episodes of loose stools and constipation over the past.   He also had complaints of retrosternal burning sensation and belching, episodes of blood in stools.   Then he visited local RMP with these complaints and was given medication for immediate r