Thursday, May 25, 2017

My census

At the end of my first month of intern year, I kept a pile of signout cards with all my patients' diagnoses on it.  This was my list of diagnoses for a month at a county hospital:

1) new onset DM
2) Trisomy 18 with aspiration pna
3) pancreatitis
4) alcoholic cirrhosis
5) inflammatory colitis
6) ascites and alcoholic cirrhosis
8) abscesses
9) pyelonephritis
10) UGIB
11) cardiomyopathy
12) gangrenous finger
13) CAD, here for PTCA
14) SOB/CP
15) diplopia
16) GB cancer
17) SOB
18) TIA
19) LLL pneumonia and UTI
20) CP and melena
21) pancreatitis
22) CP
23) CHF exacerbation
24) TIA and gout attack
25) UC exacerbation
26) gastroenteritis
27) N/V
28) herpes zoster. 

(Note that no non-standard abbreviations are used above :)


  1. Looks like a fairly typical inpatient medicine month except for the rather low CP rate(seems like about 20% of my admissions from the ER are for CP) and, assuming this was an unassigned service, there is suprisingly no overdose.

    1. Because we had a CP service.

    2. Oh! CP means "chest pain", not "cerebral palsy"!

      Though, to be fair, I'm not a medical professional.

  2. Sounds like you got the fullup assortment. Except for chest pain, as noted above. What, they didn't think you needed to learn how to treat chest pain? Everywhere doesn't have a CP service...and no overdoses, that IS unusual

    1. We all got a chance to be on the CP service and do nothing but CP for weeks.

  3. You only saw 28 patients in a month? Not hating - I'm sure as a result you did an awesome job and they got way better care then they would on the usual overpacked service, just surprised because as an ED resident I got frowny face if I saw less than 8 a shift, or, on inpatient, if I couldn't handle a 15+ patient service.