Skip to main content

GENERAL MEDICINE ASSESSMENT


NAME : SRINIJA KARNEKANTI

ROLL NO : 63

BATCH : 2019 ( 3rd SEMESTER )

JULY 2021 —BIMONTHLY BLENDED  ASSESSMENT 

★ QUESTION NO : 1

Competency tested for Peer to peer review and assessment : 

           I choose my friend which is closest to my roll number as reference for reviewing a blog .

          In the first question she selected Ten different cases and explained them in very well manner . The entry of her review on the cases were well  suggested . She mentioned the links of cases in her review making it easier to go through them. She covered major systemic organs. 

          In remaining questions her work is really well appreciated . The blog done by my friend is admirable . She entered the data in a chronological order and each and every points were clearly mentioned . The information of all the investigations was entered. The treatment plan is well explained in the blog . The terms and the use were described in a understandable way.

          The work done by friend is really commendable . Her efforts are very amazing in making a blog.


★QUEZTION  NO : 2


http://srinijakarnekanti63.blogspot.com/2021/07/a-49-year-old-female-patient-elog.html


★ QUESTION NO : 3

— AKI 

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

*This is the case link of  AKI Of 61 year old male patient 

* The patient came to the casuality with chief complaints of lower abdominal pain , lower back ache after lifting weights , burning micturition , SOB , decreased urine output .

* He was diagnosed as AKI 2° to UTI associated with Denovo-DM-2 

* Due to AKI there is build up of waste products in the body which disturbances the normal balance

* The done investigations for the case are mentioned in  organised way. The day to day investigations are all mentioned.

* The treatment plan given to the patient was entered in an order form making easy for understanding.


— ACUTE ON CKD

★https://srinaini25.blogspot.com/2021/07/srinaini-roll-no-33-3rd-semester-this.html

* This is the case of Acute on CKD of 78 year old male patient.

* The patient came to casuality with chief complaints of lower back ache , dribbling of urine , shortness of breath , involuntary movements of both upper limbs , pedal edema. 

* The probable diagnosis  was Acute renal failure  ( intrinsic ) Grade 1 L4-L5  spondylodiscitis , multifocal infectious spondylodiscitis, Hyperuricemia 2° to Renal failure , uremia induced tremors ( resolved ) , Delerium 2° to septic / uremic encephalopathy ( resolving ) 

* The timespan of patient was entered according to the symptoms.

* The systemic examination of the patient was well described 

* Day to day treatment plan is mentioned


— PATIENT WITH COMA AND RENAL FAILURE 

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

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

*  In the first link mentioned above the patient was unconscious when came to the hospital and all the details are said by the patient daughter , the blog consists of all the details in a chronological way , the investigations done are well described , the systemic examination of the patient was entered in an authorised form , the day by day treatment plan and the procedure of the done treatment is well mentioned.

* The second link mentioned above is very impressive , according to the patients symptoms the possible diagnosis was mentioned , the blog answers the all questions that come while examining , whole thing starting from history taking to treatment plan every tiny point was entered in the blog 


— PATIENT WITH ACUTE ON CKD 

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

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

★https://krupalatha54.blogspot.com/2021/06/this-is-online-e-log-book-to-discuss.html?m=1

*  In all the links Timespan of the patients symptomology  was described accordingly 

* All the investigations done are mentioned in an organised way 

* The history taking from the patients was done in a chronological order.

* In all the links mentioned above the details of each patient , there treatment plan , the reports of the done investigations , done examinations were well described. 


—  PATIENTS WITH AKI 

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

★https://casescape.blogspot.com/2021/06/acute-kidney-injury-secondary-to.html?m=1

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

* In all the links there is detailed information of the patient 's history ( present , past , treatment , family ) , the performed investigations , the reports of the investigations are added , the treatment plan assigned to the individual patient .

* The progress of the symptoms of the Patient also mentioned 

* General and systemic examination information is well displayed 


★ QUESTION NO : 4 

             The above mentioned all the cases are related to renal failures .

- The renal failure denotes the failure in function of the renal system.

- Renal system ( EXCRETION SYSTEM ) plays a vital role in our body by excreting all the toxic substances from the body 

- Failure of the renal system function results in accumulation of the various harmful substances inside the body leading to different type of complications which in turn makes the living of an individual difficult.

- In most cases renal failure is caused by other health problems ( The most common cause is  DIABETES ) 

- Renal ( KIDNEY ) failure is the last stage of CHRONIC KIDNEY DISEASE        ( CKD)

- The sudden stoppage of the function of the kidney is termed as ACUTE RENAL FAILURE ( AKI ) 

- The symptoms of the ACUTE KIDNEY FAILURE includes : 

  * Diarrhea

  * Vomiting

  * Abdominal pain 

   * Back pain 

- The symptoms suggesting Renal failure include :

  * Increased or decreased urine output

  * Loss of appetite

  * Trouble in sleeping 

  * Swelling of the feet of ankles

  * Breath problems etc.

{ The above mentioned symptoms are all present in one or other case links mentioned in the QUESTION NO : 3 }

- The treatment varies for the renal diseases and  is given symptomatically 

- In the above case links the treatment given to the individual patient varies and given according to their chief complaints , there history ( present , past , Drug.. ) , resolved symptoms , reports of investigations..


★ QUESTION NO : 5

                 It's been one more month going through this online clinical sessions , in this pandemic  time the faculty is trying there best in explaining all the cases arriving the hospital . They help a lot in exploring our knowledge regarding the cases . The proffesors make us to think all possible aspects of the cases. Though there are some hurdles coming on our way ,  we are trying our best to come across them. We are learning new points on daily basis through these sessions.

               We are learning how to take history from the patient and making a e-log under the guidance of our interns.Not everyone easily can go through the cause for the patients symptoms , but trying our best in knowing them . 

                 Thank you for all those members for these pandemic online learning .


                       


                                           THANK YOU ...


Comments

Post a Comment

Popular posts from this blog

A 65 year old female e log

  65 year old female patient with seizure December 05, 2023 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. A 65yr old female resident of lingotum with history of seizures  Chief complaints:- .  The patient was brought with chief complaints of Active involuntary movements 5 days back, history of frothing , mouth deviation to left  uprolling eyeball ,no h/o of tongue bite, urinary inc
Post a Comment
Read more

OSCE learning points

Learning points  - This is a case of 65 year old female with Generalised Tonic Clinic seizures  Osce questions 1) Reasons for seizures in old age people  * Neurodegenerative disorders * Cerebrovascular disorders  * Dementia  * Metabolic disorders      - Hypoglycemia      - electrolyte imbalances     - uraemia * Physical or mental exhaustion  2) pathophysiology of seizures  * To function normally brain must maintain a continual balance between excitation and inhibition , remaining responsive to environment while avoiding continued unrestrained  spontaneous activity * GABA inhibitory neurotransmitter acts on ion channels , enhances inflow of chloride and reduces formation of action potential  * Excitatory amino acids allow  influx of sodium and calcium and producing opposite effects  * It is likely that many seizures results from an imbalance between this excitation and inhibition.  ( From Davidson medicine text book ) 3) Drug of choice for different seizure disorders  4) phe
Post a Comment
Read more

GENERAL MEDICINE ASSESSMENT

Name  : Karnekanti Srinija Roll no : 63 Batch : 2019( 3rd semester) JUNE 2021 — BIMONTHLY BLENDED ASSESSMENT   Question No -1 *  First question is to go through the 10 answers of people  in following link and Write a summary on the case , tell about their work  LINK :- (https://generalmedicinedepartment.blogspot.com/2021/06/bimonthly-formative-and-summative_19.html?m=1 ANSWER :  *  I selected the case Regarding Pulmonalogy Here is the summary of the case  — This is a case of 55 year old female patient came to OPD with chief complaints of : shortness of breath ; pedal edema and facial puffiness — The patient is diagnosed with Acute exacerbation of COPD associated with right heart failure and bronchiectasis — she is a known case of Diabetes — The SOB is generally observed during the month of January (during which she works in the paddy field )and her first episode Of SOB observed 20 yrs ago — The systemic examination reveals barrel shaped chest , diffuse apex beat felt at 5 ICS , end ins
Post a Comment
Read more