Wayfaring IN THE DEPT OF MEDICINE
26/11/2023
Hello everyone! This is Movva Viswanth currently residing as an intern in the department of general medicine.
As it dawns upon the journey of my internship in the department of general medicine, I would love to share my opinions and experiences and the things that I’ve learnt in this blog.
Personally, I would like to thank my professors and my post graduates, For being my torch bearers in this maze of medicine and would be forever grateful for their guidance.
Journey
From an honest point of view, When my journey started in the department of Medicine, when I was in my fifth semester, I had no clue of any practical knowledge or clinical examinations to treat the patients in the department. Then came my first blog in which my professor helped me understand the causes of uremic pruritis in a CKD patient, this inculcated an idea in my brain, to look at medicine in a different perspective rather than going through the textbooks.
Here is the blog link:
This experience made me to do several other blogs and expand my clinical knowledge about various systems of the human body.
Journey in my internship
On the first day i was posted in the ICU WHERE THE FIRST CASE I ENCOUNTERED WAS OF a 20 yr old female with de novo diabetes with diabetic keto acidosis
This case thought me about the management of keto acidosis and management of high sugars and sliding scale of insulin
This knowledge about diabetes was really helpful as dm is one among the most common non communicable diseases
And this made me more knowledgeable to treat patients of dm who were my relatives and my closed ones
In the icu i was also able to learn the management of electrolytes imbalance and the clinical signs of imbalances like hyperkalemia hyponatremia
In the coming days i was able to identify a case of parkinsons disease by the characteristic triad of resting tremors, lead pipe rigidity, pill roll movement
And here THE MOST IMPORTANT PART WAS THAT I WAS ABLE TO READ AND IDENTIFY DIFFERENT ECG’s and ABG’s
THE NEXT FEW DAYS MY POSTING WAS IN THE NEPHROLOGY DEPARTMENT
HERE I WAS ABLE TO UNDERSTAND THE MECHANISM OF DIALYSIS , CAUSES OF AKI CKD
DISTINGUISHING BETWEEN THE CAUSES OF AKI
HERE I HAD A WONDERFUL OPPORTUNITY TO ASSIST MY POST GRADUATE IN PERFORMING CENTRAL LINE , I HAD TO COME TO KNOW ABOUT THE HIGH RISKS OF DIALYSIS
IN THIS DEPARTMENT I WAS ABLE TO PERFORM HIGH QUALITY CPR FROM MY BLS TRAINING
NEXT I WAS POSTED IN WARD DUTIES WHERE I HAD THE OPPORTUNITY OF MAKING BP CHARTINGS , DIABETIC CHARTINGS ,FEVER CHARTINGS AND INTERACT WITH THE PATIENTS AND GET TO KNOW MORE ABOUT THEIR PERSONAL LIVES AS INTERVENTION IN THAT CAN MODIFY THE DISEASE
THE NEXT 15 DAYS I WAS POSTED IN THE DEPARTMENT OF PSYCHIATRY WHICH WAS A UNIQUE AND DIFFERENT EXPERIENCE AS IT IS SOMEWHAT DIFFERENT FROM OTHER MEDICAL BRANCHES
IN HERE I WAS ABLE TO IDENTIFY PSYCHOTIC DISORDERS MOOD DISORDER AND MOST IMPORTANTLY THE DE ADDICTION
I WAS ABLE TO UNDERSTAND THE PLAN OF CARE OF DIFFERENT CASES
THEN I WAS POSTED IN THE UNITS
THIS IS WHERE THE MAGIC HAPPENS
ON OUR OP DAYS WE CHALLENGED OURSELVES TO MOSTLY FIND OUT THE SOURCE OF PROBLEM WITHOUT ANY INVESTIGATIONS THIS HELPED US TO INCREASE OUR KNOWLEDGE ABOUT THE CLINICAL SIGNS AND SYMPTOMS AND DECREASE THE DEPENDENCY ON INVESTIGATIONS . WE WERE ABLE TO SEE VIVID VARIETY OF CASES
WE WERE ABLE FIND OUT THE CAUSES OF ASCITIS WITH CLINICAL SIGNS
WITH THE HELP OF OUR POST GRADUATES WE WERE ABLE TO PERFORM
- USG ABDOMEN AND PELVIS
WE COULD IDENTIFY ANY LESIONS OR ABSCESS OF LIVERS LOOK FOR ANY FATTY CHANGES IDENTIFY ALL THE ORGANS CHECK FOR PORTAL HTN
WE WERE ALSO ABLE TO PERFORM USG GUIDED ASCITIC TAP FOR SEVERAL PATIENTS
- WE INSERTED FOLEYS TO COUNTLESS PATIENTS WHERE WE COULD STUDY THE OUTPUTS WHICH IS AN IMPORTANT FACTOR
- I ALSO PUT RYLES TUBE AND ALSO STARTED FEEDING THE PATIENTS
- I COULD SET UP IV LINES BY PUTTING CANNULAS
- I COULD ALSO PERFORM BLOOD TRANSFUSIONS
- I WERE ALSO ABLE TO TAKE AN ABG SAMPLE
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