Internship assessment
My internship started started with unit duty In 1 and 2 week these are the blogs I have done With detailed history and examination http://52-santoshkumar.blogspot.com/2022/12/65-yr-old-male-patient-with-soband.html This is a case of CHRONIC DECOMPENSATED LIVER DISEASE WITH HIGH SAAG LOW PROTEIN ASCITES SECONDARY TO ALCOHOLIC LIVER DISEASE WITH B/L LOWER LIMB EDEMA GRADE 2 WITH HYPONATREMIA AND HYPOKALEMIA here in this case I learned per ABDOMINAL examination in detail New learning points Grades of ascites Grade 1 clinically inevident ascites but by ultrasound Grade 2. Moderate ascites with symmetrical abdominal DISTENSION with flanks fullness Grade 3 large or gross abdominal DISTENSION Child Pugh score for portal hypertension Grades of hepatic enchephalopathy http://52-santoshkumar.blogspot.com/2023/01/60-yr-old-female-with-headache-and-neck.html Here this female complaints symptoms similar to Rheumatoid arthritis New learning points Other systemic disorder