CBBLE PAJR PARTICIPATORY LEARNING ACTION RESEARCH

Title: My Journey in the General Medicine Department: A Student's Perspective (2018-2023)

CBBLE PAJR PARTICIPATORY LEARNING ACTION RESEARCH DISCLAIMER

 NOTE: THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT

Introduction:

Embarking on my journey as a medical student in the General Medicine Department in 2018, I was filled with a mix of excitement, curiosity, and a deep sense of purpose. Over the course of five transformative years, I had the privilege of immersing myself in the world of medicine, witnessing the triumphs, challenges, and profound impact of healthcare on patients' lives. In this blog post, I will share a detailed account of my journey in the General Medicine Department from 2018 to 2023, highlighting the milestones, experiences, lessons, and personal growth I experienced along the way.

1. The Early Years: Building the Foundation (2018-2020)

The first years of my medical education were focused on laying a strong foundation of medical knowledge. I attended lectures, participated in practical sessions, and dedicated countless hours to studying anatomy, physiology, pharmacology, and other fundamental subjects. The rigorous curriculum instilled discipline, critical thinking skills, and the ability to assimilate vast amounts of information.

2. Clinical Exposure: Stepping into the Hospital (2021-2022)

 In the clinical years, I transitioned from the classroom to the hospital environment. I vividly remember the excitement and nervousness as I donned my white coat and stepped into the wards. Under the guidance of senior physicians and residents, I began interacting with patients, taking medical histories, and performing physical examinations. These hands-on experiences helped me develop vital skills in patient communication, clinical reasoning, and forming differential diagnoses.

Allow me to share with you the details of my first case, which was taken on January 9, 2022

a patient who has experienced decreased urine output and shortness of breath since few days. The patient noticed this as an issue leading them to seek treatment at this hospital.

In the past He had an injury to chest which led to rib fractures and thn after few yrs injury to abdomen there diagnosed as HTN,DM.injured his foot accidentally it developed as ulcer.

In addition he had pedal edema,facial puffiness,low grade fever,blood in urine after Foley's catheterization.

sessions of dialysis done in view of low urine output and raised creatinine levels

In terms of past medical history, the patient is a known case of diabetes, hypertension and not a known case of thyroid disorder, epilepsy, or tuberculosis.

During the examination, the patient was conscious, coherent, and cooperative. There were no signs of pallor, icterus, clubbing, cyanosis, lymphadenopathy.pedal edema was present

To summarize, we have a patient who has experienced a decreased urine output and shortness of breath since few days, along with pedal edema,facial puffiness.sessions of dialysis were done.

Further investigation and evaluation will be necessary to determine the underlying cause of the patient's issues.Additional tests and consultations with specialists will help us formulate an accurate diagnosis and provide appropriate treatment for the patient.

3.Rotations in Various Specialties.

During my rotations in the General Medicine Department, I had the opportunity to delve into various subspecialties, including cardiology, pulmonology, gastroenterology, nephrology, and endocrinology, among others. Each rotation exposed me to different patient populations, diagnostic challenges, and treatment modalities. I actively participated in patient care, attended ward rounds, and observed and assisted in various procedures. These rotations broadened my understanding of the diverse spectrum of medical conditions and allowed me to appreciate the complexities of managing complex cases.

4. Interprofessional Collaboration: Learning from Peers 

Collaboration with fellow medical students, nurses, pharmacists, and other healthcare professionals was a cornerstone of my journey in the General Medicine Department. Through interdisciplinary discussions and teamwork, I learned the importance of effective communication, mutual respect, and shared decision-making. Working together with professionals from different backgrounds enriched my learning experience, broadened my perspectives, and highlighted the value of a multidisciplinary approach to patient care.

5.Patient Stories: A Lesson in Compassion 

Interacting with patients and hearing their stories was a constant reminder of the human side of medicine. I witnessed moments of vulnerability, strength, hope, and resilience in the faces of those fighting illness. Each patient's journey provided me with valuable insights into the profound impact healthcare professionals can have on individuals and their families. These experiences reinforced the importance of empathy, active listening, and treating patients with compassion and dignity.

Experiences

Blog A

https://velpulapranitha170.blogspot.com/2023/04/a-63-yr-old-male-patient-came-with.html?m=1

I greeted the patient and asked how they were feeling. The patient replied that they were not feeling well and had been experiencing chest pain and shortness of breath. I expressed sympathy and asked for more details about when the symptoms started and any other symptoms the patient was experiencing.

The patient explained that the shortness of breath is exertional and chest pain was radiating to left arm associated with easy fatigability.I took detailed history by asking additional symptoms such as h/o giddiness nausea, vomiting,headche, sweating,orthopnea,paroxysomal noctural dyspnea, palpitations,postural hypotension,pedal edema, burning micturition, decreased urine output, blurring of vision, tingling sensation,numbness all were absent.

 I then discussed the patient's medical history, specifically asking about hypertension, diabetes mellitus, asthma, or any previous stroke. The patient reported that he was hypertensive n diabetic since 6 yrs and on medication.

I also inquired about the patient's family history, specifically if there were any significant medical conditions among immediate family members. The patient stated that there were no significant medical conditions in their family.

Moving on, I asked for information about the patient's lifestyle, including their diet and any specific eating habits. The patient mentioned having a mixed diet with a normal appetite and regular bowel movements 

I expressed gratitude for the information provided and proceeded to ask about habits or addictions, such as smoking, tobacco use, or alcohol consumption. The patient mentioned no addictions

Finally, I mentioned conducting a general examination and noted that the patient appeared conscious, coherent, and cooperative. I asked the patient to confirm if they had any pallor, icterus, cyanosis, clubbing of fingers, or swollen lymph nodes. The patient confirmed having some pallor but denied the presence of icterus, cyanosis, clubbing, or swollen lymph nodes.

After further questioning about his general well being I examined the patient for any further ailments he could possibly have .

Blog B

https://velpulapranitha170.blogspot.com/2023/01/50-yr-old-male-with-pain-abdomen-since.html?m=1

The patient with the painful n seeking soul explained the condition of severe pain abdomen thn  i greeted him hearfully and took detailed positive n negative history.

With the help of different consultants patient advised further investigations to rule out the exact unknown cause of the patient tears.

Blog C

https://velpulapranitha170.blogspot.com/2023/04/a-40yr-old-male-came-to-opd.html?m=1