Intern Online General Medicine Assessment

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Anigani Kavya

Roll no: 12

My learning experience:

During ICU: 12.8.22 to 17.8.22

1.Learnt CPR

2.Assisted For intubation for 

- ICU bed 2- 40year old male (CKD patient)

- ICU bed 1 (56 year old.female)

- ICU bed 2 (70 year old male)

3. Have taken ABG samples ( femoral, radial ) in both ICU and AMC

During ward duty and nephro duty: 18.8.22 to 26.9.22

Monitoring patients 

Took venous samples for investigations 

During casuality duty:

Have taken throat and nasal swabs for rapid and RTPCR covid tests

During Unit:

- Did ascitic tap for ICU bed 5


- Have assisted in performing central line on 2.10.22 icu bed 4

Case 1

https://aniganikavya06.blogspot.com/2022/10/55year-old-male-with-decreased-urinr.html

Question:

1. Causes of AKI

Ans- 


2. Absolute and relative indications of dialysis

Ans- 



Case 2:

https://aniganikavya06.blogspot.com/2022/10/this-is-online-e-log-book-to-discuss.html

Questions:

1. Findings in favour to ITP in this patient

Ans

- Patient has petechiae 

-Mucocutaneous bleeding

Not in favour: No hepatospelnomegaly, BT is usually prolonged in ITP, it is normal 4months back when she got tested her platelets were 2lakhs

2. Efficacy of steroids for ITP in pregnancy?

Ans

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3865128/


Case 3:

https://aniganikavya06.blogspot.com/2022/09/60-year-old-male-came-with-bleeding-per.html

Questions:

1. What is the cause of thrombocytopenia in this patient?

Ans- Peripheral destruction of platelets due to immune mechanisms is the most common cause of HIV-associated thrombocytopenia

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3332279/


2. Pathophysiology of ITP

Ans- 

https://ashpublications.org/hematology/article/2008/1/212/95865/Viral-Associated-Immune-Thrombocytopenic-Purpura

Multiple mechanisms may contribute to the development of CITP in the HIV-infected patient and these have recently been reviewed.10 Proposed mechanisms include accelerated platelet clearance due to immune complex disease, and antiplatelet glycoprotein antibodiesand/or anti-HIV antibodies that crossreact with platelet membrane glycoproteins (antigenic mimicry).The ability of the HIV-1 to rapidly mutate may facilitate both its ability to escape immune surveillance and to mimic host antigens. Direct infection of megakaryocytes results in defective platelet production and megakaryocytic apotosis

Psychiatry posting: 27.8.22 to 11.9.22

Learning experience:

- History taking 

- Seen different cases - Schizophrenia, OCD, Depression

- Attended Rounds in DAC

- On 10.9.22 world suicide prevention day along with my co interns and psychiatry pgs we conducted an awareness program and launched a helpline number which is available 24*7 to the staff and students of our college 


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