Madugula Vineeth 81

Hello everyone!Iam a medical student of India  First of all I would like to thank my parents and my teachers for making me well educated and made me choose my career in this medical field   I Joined as an intern in medicine department on 31/9/23 From that day onwards I had my Unit duty In the  very first morning I got to know the pG's that I had to work with .I am glad that My PG's are Dr.keerthi ma'am (pG 2 nd yr)  and Dr.Ajay sir(PG 1st yr)  it was great working under their guidance .I tried to make a list of cases in the medical ward which are in our unit, Daily evening Camp cases used to come from particular village and we took their case history and get all  the investigations done ,next day we used to collect their reports and if any abnormality found we would collaborate with our PG's and ask them what might be the case and what the treatment should be given.after patient recovered from illness we used to discharge them .we used to have OP Audit on previous day o

A 60 yr old male came to the OPD with chief complaints of  .Fever since 10days .pain in multiple joints of hand from past 2 yrs .pedal edema since 15 days HOPI:patient was apparently asymptomatic 2 yrs back then he had multiple joint pains( both hands metacarpophalangeal joints and both knee joints.joint restriction present . morning stiffness present c/o lower limb swelling since 1 yr pitting type till ankle H/o trauma to left leg middle toe 1 month back No c/o cough No c/o decreased urine output  H/o chronic NASID abuse since 1 yr for joint pain Past history:N/k/c/o HTN DM TB CVA CAD Asthma epilepsy  Family history:Not significant  Personal History   Diet:mixed   Appetite:decreased   Sleep:aquate   Bowel irregular and bladder: normal   No addictions     General Physical Examination   Patient is conscious coherent and cooperative     Moderately built and moderately nourished              No pallor,Icterus,cyanosis, clubbing,lymphadenopathy    Vitals          Temperature:100 F