2nd Internal Assessment






































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4)Case based OSCE along with BLOOM’S learning levels Achieved  It all started when I was asked to send for the investigations of a 35 year old female who was taken over from the department of Dermatoloy on my OP day. I reluctantly went up as I was already on a roll with the 36hr shifts I had to take. But then as I went to the patient I was filled with compassion for that Thin and undernourished patient who was going through a lot!!  A 35 year old female presented with C/o painful skin lesions over arms, legs, back since 2 months -C/o Fever and Burning Micturition since 4 days HOPI- Patient was apparently asymptomatic 2 months back then she developed painful skin lesions over arms, legs, back. The lesions were sudden in onset, gradually progressive, with no aggravating and relieving factors. H/o vesicles associated with pus discharge + H/o fever since 4 days, not associated with chills and rigors, no diurnal variation, relieves with medication. H/o burning micturition since ...
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 A 25 year old male who is a resident of Choutuppal and a driver by occupation came with CC of  Pain and Redspots on the tips, pulp and nailbed of fingers (Rt hand) since 4 days ✓HOPI- The patient was apparently asymptomatic one and a half month back then he had burning sensation in the epigastric region aggravated on having heavy and spicy food. Associated with bloating after intake of food and abdominal tightness. For which he got treated by a local doctor ( Pantop-D for 6 days) Then 4 days back he had dragging type of pain which was sudden in onset and aggravated on doing work and relieved on rest. No H/o trauma. There are Redspots on the tips,pulp,nailbed of fingers of Right UL. ✓Past History - N/k/c/o DM, HTN, TB, Asthma, Epilepsy ✓Personal History- Appetite - Reduced Diet- Mixed Bowel and Bladder-Regular Sleep- Adequate Addictions - Nil ✓Family History - Not Significant ✓On Examination- Patient is conscious and coherent. Thin built and well nourished. Vitals Temp- Afebri...
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2)  Evidence based date wise workflow logs collated by the intern with clickable and verifiable links  Case 1 https://chat.whatsapp.com/LeUjoFdD9rnGmrmTBrAr8c  [31/08/23, 10:33:04 AM] Cherish Kandru: soap notes  31:8:23  ICU Bed 3 Dr.ZainSR) Dr.Haripriya(PGY2) DR.Govardhini(PGY1) S: No Fever Spikes O: Pt is Sedated and Intubated GCS- E1V1M1 PR-80bpm RR-15cpm BP-60/40 mmhg @20ml/hr NORAD @14ml/hr DOBU ACMV Mode FiO2 @70 SPO2 98% RS: BLAE + NVBS CVS: S1S2 +, No murmurs CNS:  Tone :Normal B/L both UL&LL Power :  Unable to elicit Reflexes: Absent B/L in both UL & LL I/O 1900/200ml GRBS 327mg/DK A: 3 weeks old L5 burst Fracture & Unstable with PLC injury Planned for L4-L5 S1 Fixation with Heart Failure with Reduced Ejection Fraction (44%) with k/c/o DM since 20 years, k/c/o CAD (PTCA done) 2 years back P:  1. INJ NORADRENALINE 4ml + 46ml NS @ 10 ml/ hr  2. INJ DOBUTAMINE 1AMP (5ml) + 45ml NS @ 10 ml /hr  3. INS 3% NACL @ 5...
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