prefinals paper 2

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Evidence based date wise workflow logs collated by the intern with clickable and verifiable links. Anecdotal self reflections on their internship learning with some video evidence of procedures performed

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Evidence based date wise workflow logs collated by the intern with clickable and verifiable links. Case 1:- A 32 yr old male came with the complaints of fever since 1 week  HOPI  Patient was apparently asymptomatic 1 week back and then developed fever which was sudden in onset gradually progressive high grade associated with chills and generalised weakness for which he went to local RMP and took medication for 2 days still the symptoms didnot subside and further investigation like blood test done and his blood sugars were 300mg/dl  As the symptoms didnot subside they went to Miryalguda hospital there USG was done and impression showed HEPATIC ABSCESS  and refered to our hospital  Patient came to hospital yesterday and USG was done impression showing:  NO H/o vomitings  No h/o cough cold diarrhoea  [10/7, 3:08 PM] Rakesh Biswas Sir HOD: Share the ultrasound video or image of his liver abscess asap [10/7, 3:09 PM] Rakesh Biswas Sir HOD: Do the ultra...
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A 53 year old came to casuality with C/o pedal edema since 2 months. C/O SOB Since 1 day. C/O decreased urine output since 2 months.

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A 53 year old male came to casualty with chief  C/o pedal edema since 2 months C/O SOB Since 1 day C/O  decreased urine output since 2 months. History of presenting illness:- Patient was apparently alright 1 year back then  he developed  decreased urine output for which he went to hospital and  was diagnosed as chronic kidney disease and was on Conservative management.  Patient  developed decreased urine output since 2 months. No  Hesitancy, dribbling of urine. -History of pedal edema Since 2 months, pitting type upto knee. -History of SOB since 1 day; Grade -IV according to MMRC  , Orthopnea present, no   PND. No chest pain, no palpitations.  3. HISTORY OF PAST ILLNESS K/c/o Dm-ll Since 7 years on insulin K/c/o HTN Snce 1 year on CILNIDIPINE 10mg. No history of asthma ,tuberculosis ,epilepsy  Personal history:  Diet mixed  Appetite normal  Sleep Adequate Bowel are regular Bladder movements decreased output ...
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A 4O year female presented with CHIEF COMPLAINTS of Deviation of mouth to the left side since 3years- c/o watering from the right eye since 3months- c/o Headache since 3 months

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CHIEF COMPLAINTS:- - c/o Deviation of mouth to the left side since 3           years - c/o watering from the right eye since 3months - c/o Headache since 3 months Patient was apparently asymptomatic 3 years back, then developed ear discharge, insidious in onset, gradually progressive, scanty discharge, for which she didn't visited any hospital. Later on she developed deviation of the mouth to the left side, sudden in onset, non-progressive, aggrevated with talking or during eating, no relieving factors. For which she went to khammam private hospital and o/e it was grade 4 right LMN facial palsy and CT temporal bone done showing Left otomastoiditis,  B/l reduced mastoid pneumatisation, Focal lesions in tympanic segment of left facial canal and adviced to higher centers stating chances of paralysis  And had her ear examination done I/v/o discharge from the ear and diagnosed as left CSOM for which left  mastoidectomy and tympanoplasty done on 08...
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