Experience in case taking as a beginner
0 Comments
- What is case taking?? As a beginner I didn’t have much knowledge about the process of case taking. It was during the initial days of II BHMS when I was newly posted to hospital for clinics.
- First day, in the OPD, the doctor started taking the case . I being an observer could not perceive what exactly were the questions being asked by the doctor and my mind was filled with several queries and thoughts.
- While taking the case, doctor was asking several aspects in case taking like history of illness,modalities etc.
- I felt very silly and wondered, why the doctor is asking such type of questions like when your symptoms are increased or decreased, at which time they are more or less.
- After the completion of the case taking, the doctor used to explain to us about the case, I could not understand the case entirely, due to the incomplete knowledge in symptomatology i.e.., which symptom should be considered as characteristic and which should be neglected?
- I also could not differentiate between the acute and chronic case taking formats and what are the things that need to be added or neglected in either of them.
- As a beginner, I did not know much about the general examination and their importance in case taking.
- One day the doctor at the OPD, asked me to check the vital signs of a patient but I could not do it properly. Then sir explained in a very detailed manner and also said how each aspect in case taking is important to our diagnosis. g.- how a serious condition like heart failure can be diagnosed by the simple pulse rate of the person.
- Sir also explained to us as to how the appropriate investigations helps us to diagnose a disease in a patient. g- by simple ECG report, how myocardial infarction is diagnosed.
- As a beginner, I did not come to know the importance of what sir actually said.
- WHAT IS THE PROBLEM IN UNDERSTANDING THE CASE TAKING??
- Incomplete knowledge in different subjects { like Materia Medica,Organon of medicine, Pathology ,e.t.c..,}
- Exposure to different cases {acute &chronic} postings in different opds.
- General and systemic examination was knowledge and skills.
- Various concepts regarding case taking are taught in theory but I was unable to apply it practically in initial days.
- These might be the possible reasons that I felt for not understanding case taking.
- Finally, being a beginner my overall experience in case taking is good and at this stage,I understood several aspects in case taking and how to find the way to arrive at a proper similimum.
By:
P.VAMSHI
ROLL NO:74
2nd BHMS –JIMS HMC