GENERAL MEDICINE

GENERAL MEDICINE INTERNSHIP ASSESSMENT RITHIKA.K ROLL NO 80 I have started my medicine duties even before our postings started  When i was posted in General surgery I've seen a case of 45 old female with septic encephalopathy with septic shock with MODS with lower limb cellulitis with ? Pulmonary embolism with grade 1 bed sore on gluteal region Daily cuticel dressing was done to that patient for the bed sore and for the cellulitis For the first 15 days and last 15 days  I was posted in the second unit under Dr Abhinaya ma'am , Dr prachetan sir, Dr Ajay sir Dr Harika ma'am OP DUTIES I've always been excited to attend the op duties as there's a lot to learn there I've looked at various ECGs during my OP duties and learnt to interpret them. I've learnt how to take important clinical history and to examine cases and it is important not to overburden the patient with all the investigations an

A 13 year old was brought to the casualty with chief complaints of generalized tonic clinic seizures since 6 30 in the morning Patient had episodes of GTCS ?  for 10 minutes associated with up rolling eyeballs, frothing present, tongue bite present, associated with fall (sustained head injury in frontal area)  5 to 6 episodes of GTCS with no regain of consciousness in between for 20 to 30 minutes  Each episode lasted for 2 to 3 minutes, not associated with involuntary micturition Patient was taken to a local hospital and was given midazolam and is brought for further management Associated with headache which is diffuse bilaterally,1 episode of vomiting present, no bilious, watery, ? projectile Not a k/c/o HTN,DM,Asthma History of Anti Tubercular therapy taken for 6 months 1 year back General physical examination Patient is concious,coherent, oriented to time place and person  No pallor , icterus cyanosis clubbing and lymphadenopathy Vitals on admission Temperature 98 F PR 125 bpm RR 24