My experience in general medicine department

My Experience in general medicine 


My actual general medicine exposure has actually started way long back when i first joined my college. It was during foundation course where HOD sir has interacted with us telling unique experience with regards to subject and also was patient oriented. 


In 2019 during foundation course HOD sir along with my senior ma'am who was in 3rd year actually presented the toxic hazards of plastic to human health which i think was for OSMICON that year( probably ). At that time i realised the high usage of plastic in everything (literally) around us and its impact on our heath. I really enjoyed that class which i still remember.


Due to lockdown during COVID 19 pandemic we were sent to home and all the classes were conducted online through web cam. With regards to general medicine, classes were conducted with HOD sir being bedside interacting with patient. This is the first time i got my real clinical exposure. Although to be honest there were few connectivity issues but i got the exposure i needed to integrate with the knowledge i had by then.Even afternoon classes were taken along with PG sirs and ma'am's where patients condition were discussed in a great detail. This helped me how to approach with respective to subject and patient care.


I took my first case in lockdown with help of inter ma'am assigned to me. ma'am had helped me so much on approach to patient and blog making.


https://mutyapuraghavendra.blogspot.com/2021/07/a-23-year-old-female-with-sore-throat_18.html


Case i had was suffering from COVID. It was such a unique experience that i was actually interacting with a covid patient who everyone was talking about. Here i got to know about proper symptomatology and treatment modality to a COVID patient.


After pandemic has settled, we were brought back to college but classes were conducted in strict covid policies. classes were still online but we were in college. Here i actually first time interacted with patient physically.


https://mutyapuraghavendra.blogspot.com/2021/08/a-70-year-old-female-with-chief.html


It is a case of a 75 yr old female admitted with complaints of fever from 3 days. Fever was intermittent type associated with chills and rigors. Along with fever pt also had complaints of shortness of breath,headache,loss of apetite. Pt was managed conservatively with initial suspicion of viral pyrexia with no favourable response and no positive diagnostic test. Pt was given empirical antibiotic therapy and fever subsided. It showed a typical step ladder pattern confirming diagnosis of Enteric Fever. With improvement in overall condition and resolution of above mentioned symptoms pt is being discharged with proper medications and adviced for follow up after 1 week.


In my 3 rd prof year i got serious exposure and experience  to clinics with knowledge of my first year and second year subjects. Although i agree its not needed to understand medicine but still i was able to integrate with knowledge i had within me.

For the following cases i made eblog



This i a case of viral pyrexia with thrombocytopenia. There were many differentials to it which were thought to me by PG sirs and ma'am's.



This is a case of alcohol dependence syndrome with grade 2 fatty liver. Here i got to know about all the effects of alcohol physically and mentally. Even though i know about it still it was first time i got to exposed physically and practically got experienced with this.



This is a case of diabetic keto acidosis. here in addition to knowing about subject i got emphasis on alcohol deaddiction to improve patients life and also to prevent its recurrence. I personally advised the patient regarding diet and life changes along with strict adherence to insulin he was onto( hes diabetic )



This is a case of type 2 respiratory failure secondary to TB along with recurrent episodes of hypoglycaemia. here i learnt to diagnose TB both clinically and radiologically. It was quite a learning experience.




This is a case of a 20 year female came with chief complaints of :
B/L pedal edema extending till the knees since 20 days
Abdominal distension since 8 days
Decreased bowel and bladder movements, decreased appetite, decreased width of opening mouth & intensity of sound, throat pain since 3 days

Here i first time saw retina with my own eyes of course with the help of indirect ophthalmoscopy where i saw exudates around retinal capillaries.




My final year postings have actually started few days back where i got exposed with patients along bed side with hod sir and pg ma'am's and sirs during rounds


This i case of UTI secondary to CKD. here i got to know about various treatment modalities and how to take proper  history regarding his daily activities and importance if it with patient heath improvement and care.


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