General medicine assignment-2

Moovika Reddy Siddenki

Roll no-84

 I have been given this assignment to solve: http://medicinedepartment.blogspot.com/2021/07/medicine-paper-for-july-2021-bimonthly.html?m=1

QUESTION 1:  Competency tested for Peer to peer review and assessment 

https://mohammedwahaaj11.blogspot.com/2021/07/bimonthly-assignment-of-medicine-for.html?m=1

1.pulmonology 

https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html

Reasons for patient’s SOB were clearly explained. Etiology was provided properly.he also gave a note on drug induced hyponatremia and how it led to electrolyte imbalance.

Overall good evaluation and required research was done.

2.neurology 

https://mdparvezahmedansari.blogspot.com/2021/06/medicine-blended-assignment.html

This is a case of altered sensorium and the patient was also suffering from diabetes. Etiology was given accurately. Role of alcohol was also stated by giving a appropriate relation between alcohol consumption and iron absorption. Treatment was also explained.

3.cardiology 

https://meesumabbas82.blogspot.com/2021/05/case-opinions-may-2021.html

This is a case of acute pericarditis. Reasons for heart failure were mentioned. Causes for hypotension was discussed. They also mentioned about the risk factors .

It was a good review. More explanation was required.

4. Gastroenterology and pulmonologist.

https://sofiajabeen1912.blogspot.com/2021/05/pulmonogy-1.html

This is a case of pancreatitis and pleural effusion. They mentioned about the symptoms and how the treatment was efficient

More points should have been mentioned regarding the diagnosis.

5.nephrology 

https://abhignyareddy71.blogspot.com/2021/05/online-blended-bimonthly-assignment.html

This is a case of renal infection more probably chronic kidney disease.

Reasons for urosepsis were given. How drugs used that is diuretics caused SOB was explained. All the points were identified and mentioned too.

6. Gastroenterology

https://srinithya27.blogspot.com/2021/05/genral-medicine-e-blogs.html

Clinical symptoms and prevention methods were discussed.good analysis was done.

7. Hepatology

https://muskaangoyal.blogspot.com/2021/05/bimonthly-clinical-case-assignment-1.html

Etiopathogenesis was discussed . This is a case of liver abscess. Adverse effects of alcohol consumption and how it led to liver infection was mentioned .

8. Opthalmology, Neurology, Mucormycosis

https://143vibhahegde.blogspot.com/2021/05/medicine-blended-assignment-may.html

Good analysis was done and he added a note on mucormycosis. All positive points were mentioned .

Treatment should have been mentioned.

9. Infectious disease (COVID-19)

Prognosis of COVID was discussed.reference links were provided for more useful information on the topic. Good research was done.

QUESTION 2

I still didn’t get a chance to engage with a patient this month.

QUESTION 3: testing peer review competency of the examines.

1) https://laharikantoju.blogspot.com/2021/07/58-year-old-male-patient-elog-lahari.html?m=1

• Present  and past history of the patient was taken and presented properly.
• Day to day follow up instructions were thoroughly presented.
• Treatment was accurately mentioned.

2) http://srinaini25.blogspot.com/2021/07/srinaini-roll-no-33-3rd-semester-this.html

• Systematic arrangement of all the information was done
• Appropriate lab investigations were mentioned along with the reports. This was helpful in easy diagnosis.
• Treatment was very detailed.

3) https://krupalatha54.blogspot.com/2021/07/a-49-yr-old-female-with-generalized.html?m=1

• Detailed history was taken
• Proper analysis was done and all the required information was provided.

4) https://casereports.bmj.com/content/2009/bcr.03.2009.1726

• Pathological basis of case was mentioned.
• Proper sequence was provided and detailed investigations were given.

5) https://ananyapulikandala106.blogspot.com/2021/06/a-35yr-old-female-elog.html

• History was briefly mentioned and was not properly categorised.
• But the treatment and the lab investigations were precise and were mentioned properly.

6) https://pallavi191.blogspot.com/2021/06/gm-cases_30.html?m=1

• All the examinations were detailed and appropriate pictures were provided
• All the all the required updates on treatment were also clearly monitored and were mentioned too.it helps us understand the recovery of patient 

7) https://kavyasamudrala.blogspot.com/2021/05/medicine-case-discussion-this-is-online.html?m=1

• The recommended treatment was accurately described 
• All the investigations and updates regarding the patient were provided 
• All the important information was highlighted. This helps us to easily understand the diagnosis and etiology of the patient .

8) https://rishikakolotimedlog.blogspot.com/2021/07/45-year-old-male-with-chief-complains.html?m=1

• All the investigations were clearly mentioned.
• All other relevant data was clearly presented.
• Useful links regarding the diseases were attached to provide required information.

9) http://chavvaclassworkdecjan.blogspot.com/2021/06/pancreatitis-in-chronic-alcoholic-with.html?m=1

• History was briefly taken
• Day to day updates about the investigations were given.
• Summary was provided so as to get an idea about the case in short.

10) https://keerthireddy42.blogspot.com/2021/07/43-yr-old-male-of-nalgonda-came-to.html?m=1

• Presentation was good .it should have been more detailed.
• History was explained well.

QUESTION 4:Testing scholarship competency of the examinees ( ability to read comprehend, analyze, reflect upon and discuss captured patient centered data as in their 'original' answers to the assignment for May 2021):

1: Acute kidney infection : https://laharikantoju.blogspot.com/2021/07/58-year-old-male-patient-elog-lahari.html?m=1

Complaints:

1. Lower abdominal pain
2. Burning micturation
3. Decrease urine output
4. No H/O chest 
5. The patient has kidney infection associated with bacterial infection.

Solutions:

1. Thiamine injection is given to increase the bit b1.this could reduce kidney infection
2. Lactulose syrup was given to maintain stools
3. Pantop injection is given to treat acid reflux which might be the possible reason for lower abdominal pain.

2. Chronic kidney disease: http://srinaini25.blogspot.com/2021/07/srinaini-roll-no-33-3rd-semester-this.html

Complaints:

1. Lower back ache 
2. Dribbling of urine since 10 days
3. Pedal edema since 3 days 
4. Increased involuntary movements
5. The patient has hyperuricemia 

Solution :

1. Lasix injection was given to treat fluid retention and edema
2. Piptaz injection was given
3. Tab neurobion was given. It helps in treating vitamin deficiencies and for improving nervous system health to treat involuntary movements.

3.CKD: https://krupalatha54.blogspot.com/2021/07/a-49-yr-old-female-with-generalized.html?m=1

Complaints:

1. History of muscle aches 
2. Vomitings since 3 days 
3. No fatigability or pedal oedema 
4. She has generalised weakness.
5. According to investigations she is likely to have multiple myeloma

Solutions:

1. Oral fluids are given 
2. Erythropoietin injection is given.it is the main growth factor of red blood cells .it also produces anti myeloma effect.

4.patient with coma and renal failure: https://ananyapulikandala106.blogspot.com/2021/06/a-35yr-old-female-elog.html

Complaints:

1. Fever and diarrhea 
2. Back pain since 5 days along with abdominal and chest pain
3. The patient is diagnosed with diabetic ketoacidosis with renal failure

Solutions:

1. Dopamine and nor adrenaline was given in order to prevent their deficiencies.
2. Levoflox was given to prevent any bacterial infections 

5. Patient with AKI

Complaints:

1. Loose stools since 20 days 
2. Pedal edema since 20 days 
3. Abdominal distention from 20 days 

Solutions:

1. Thiamine
2. Lasix for water retention
3. Pantop

QUESTION 5 Testing scholarship competency in logging reflective observations on your concrete experiences of this last month : (10 marks)

I’m glad that I’ve been presented with this opportunity. Admidst COVID we’ve been struggling to understand the clinical lectures. The general medicine department have been trying their best to pass on the knowledge to us. I haven’t got a chance to take a case as of now. They are trying to give us enough  clinical exposure through online classes. We were also asked to take patient cases which was very important and it also helps us in our communication with the patients .