BI MONTHLY BLENDED ASSIGNMENT (General medicine paper) - JUNE 2021

10 ANUSRI

QUESTION-1 : Competency tested for peer to peer review and assesment

Case:1

Details: https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html
Review:
The primary ethnology mentioned is correct. Treating with inj augmentin is also correct because it treats the patient if there is any bacteria causing infection present in lower respiratory tracts. Treation with azythromycin is also correct because it reduces the chest infections. This infection causes inflammation in lungs leading to narrowing of airways and blockage may occur due to swelling and mucus production and this is causing shortness of breath. The reason for her electrolyte balance is also given correctly.


Case 2: 
Details:  https://kausalyavarma.blogspot.com/2021/05/a-52-year-old-male-with-cerebellar.html?m=1
 Review:
Patient is a known case of Denovo hypertension. It is also true that the ataxia is the cause of loss of muscle control or coordination of voluntary movements. It is also true that blockage of bleeding in the brain which leads to deprived of nutrients in the brain and this leads to infract. The case is presented very well. It also tells about he impact of alcoholism on ischemic or haemorrhagic stroke. He is also given with tablets which treat his nausea, vomiting, to prevent clot formation, to treat wernickes encephalopathy and also to treat b12 deficiency. The case presentation is point to point and presented very well.


Case 3:
Review:
Everything is explained clearly and perfectly with diagrams. He also explained the reason for occurrence of Hoffman’s reflex which is a good thing. Diagrams are also explaining the question very well. 



 
Case 4:
Review:
Icortical vein thrombosis have been clearly explained. Risk factors have also been clearly explained. The reason given for gap of seizures for a period of time is due to the medications is absolutely correct. Usage of heparin as medication is absolutely correct for chronic venous thrombosis. The diagram given also explains the case very well.

Case 5: 
Review:
The difference between preserved ejection fraction and reviewed ejection fraction have been presented every clearly. The reason for performing cardioperentesis have also been clearly explained . The risk factors which cause the heart failure have also been clearly explained . The flow charts, diagrams, tables have made an impact in understanding. 


Case 6:
Review:
The reason for sob have been clearly explained. 
Acute tubular necrosis —> retention of fluid in lungs —>oedema in lungs —> shortness of breath
The reason for intermittent episodes of drowsiness also have been clearly explained and especially the complications of TURP which haha explained is point to point and understanding. 

Case 6:

ADHD (Attention Deficit Hyperactivity disorder) is clearly explained. The reason for no excessive urge of urination at night time is also clearly explained. The management process is also clear in which BEHAVIOURAL THERAPY is the most important thing.

Case 7:
Review:
The cause of liver abscess is clearly explained





Approach to patient is the most important thing in these type of cases. The approach is pinpointed,y explained with help of a diagram. It is as given below

  


  



Antibiotics were given for baceterial and amoebic causes and also ultracet and dolo 650 for fever. The treatment is also good.

Case 8:
Review:
The case presentation is very good. The diagrams helped in understanding. The approach towards the case seems convincing. The reasons and risk factors for hypokaelemia is also very well explained.

Case 9:
Review:
The warning signs of cva and drug rationale in cva is explained very well and the diagrams are also very convincing. The alcohol and lipid profile role on attack is also explained very well.

Case 10:
Reviews:
The evolution of symptamatology was clearly explained. He is a known case of type 2 diabetes mellitus.
The pharmacological interventions were also clearly described which include aspirin, atorvas, clopibb

QUESTION 2:
I haven’t got any chance to present a case.
QUESTION 3: PATEINT CENTERED DATA
CNS:
The case is presented very well and it’s a great work. The history taking was also good and all the reports were submitted in the form of pictures. The patient is a case of quadreparesis secondary to infectious spondylitis of C4 C5 C6 C7 D1 with epidural abscess at C5 - C6 level


QUESTION 5:
I have learnt a lot in the last month in general medicine department. I have learnt how to approach a patient and understand their problems. It taught me that not only being sympathetic but being empathetic is most important. It also taught me the importance of doctor patient relationship. It improved my case solving technique. I also understood the importance of listening. It not only helped me in my academic growth but also in my personal growth.




 
  

Comments

Post a Comment

Popular posts from this blog

GM CASE-3

Image
Name : A.Anusri Roll no :10 Introduction: A 47yr old female patient house wife  residing in narketpally came with complaints of adbominal distension, pedal oedema and shortness of breath Chief complaints: Abdominal distension since 2 months Pedal edema since 2 months Shortness of breath since 2 months History of present illness: She had abdominal distension and pedal edema since 2 months. She went to various local hospitals in nalgonda. She was diagnosed with hypertension and hypothyroidism after the necessary tests. She also used medication given by them. Pedal edema was subsided but not abdominal distention. So she came to KIMS for the treatment. She came to OPD 10 days back and she was given treatment for 1 week. Then she was admitted on 22/6/22 for further treatment. History of past illness: She is a k/c/o hypertension(since 2 months) , Diabetes mellitus(since 6 years) , thyroid (since 2months), diabetic nephropathy No H/O surgeries in the past Personal history: Married Appetite: n
Read more

BIMONTHLY ASSIGNMENT OCTOBER

Image
A.Anusri Roll no. 10 Question 1 Gastroenterology 1.https://vamsikrishnarollno16.blogspot.com/2021/10/a-case-of-64yrs-old-male-patient-with.html?m=1 COMPLETENESS:  •The case presented is correct with accurate data  CORRECTNESS : •The history of the patient,symptoms and signs have been listed well. The clinical images were provide with the laboratory investigations. USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES: All the investigations lead to the diagnosis of the case and better treatment of the patient. Hence, no diagnostic uncertainties were found. 2.https://63konakanchihyndavi.blogspot.com/2021/10/a-case-discussion-on-chronic-liver.html COMPLETENESS:  •The case presented is correct with accurate data.  •The case has completeness in all factors The case begins with the chief complaint the history of presenting complaints in a chronological order, past history, personal history is written well the vitals have been explained. •Icterus -present, oedema- present
Read more

GM CASE 4

Image
Name: Anusri Roll no : 10 Introduction:   45 yr old male came to gen medicine department with chief complaints of tremors, numbness in left lower and upper limb, dryness of mouth , loss of control , abdominal pain. HISTORY OF PRESENT ILLNESS: He was apparently asymptomatic 6 months back. He used to suffer from abdominal pain occassionally ( when he takes spicy food). He consulted doctor and took medicine. He got tremors on thursday morning 7:30 am as he did not consume alcohol. Tremors disappeared and became normal after consuming alcohol. He then took alcohol on friday and no symptoms seen. On saturday, he did not consume alcohol and he developed tremors, dryness of mouth, loss of control. He immediately went to RMP and took 2 injections. The symptoms did not diasappear. He then went to a private hospital. Ecg, RBS ,MRI,lipid profile tests were done and are completely normal. He was then reffered to KIMS hospital.  Past illness: No h/o DM HTN TB epilepsy asthma chromosomal abnormaliti
Read more