M Bhuvana phanindra Roll no:97 During my enriching tenure as a house surgeon at Kim's narketpally , I had the incredible opportunity to immerse myself in the diverse and challenging fields of General Medicine, Psychiatry, casualty and Nephrology. These rotations have not only expanded my clinical knowledge but also refined my interpersonal and diagnostic skills, preparing me to be a well-rounded medical professional. As I reflect on my journey as a house surgeon I'm humbled by the rich tapestry of experiences I've encountered during my rotations in the general medicine department. In the General Medicine department, I encountered a myriad of complex cases that tested our diagnostic acumen. One notable scenario involved a young girl in her late teens presenting with vague symptoms such as fatigue, jaundice and anemia. Through meticulous history-taking, physical examination, and collaboration with senior physicians, we successfully diagnosed an autoimmune disor