MEDICINE DEPARTMENT PAPER FOR JUNE 2021 BIMONTHLY BLENDED ASSESSMENT

I was given the following assignment to study and analyze the patient related data and interpret the results.

I obtained the case related questions through the following link:




Question 1:

1) Pulmonology:

https://70pranaykp.blogspot.com/2021/05/general-medicine-assignment-may-2021.html

Q3:
The given explanation for the acute exacerbation was pretty accurate and really informative.

2) Neurology:

https://srisaipavan.blogspot.com/2021/05/2neurology-msri-sai-pavan-roll-no-79.html

Q1:
The given diagnosis for the patients problems are well explained and the entire GABA system was properly explained.

3) Case 1:

https://kalpanamiryala83.blogspot.com/2021/05/online-blended-bimonthly-assignment-for_31.html

Q2:
The explanation is precise and well presented.


4) Case 1:

https://nandininamani97.blogspot.com/2021/05/general-medicine-case-discussion.html

Q1:
the explanation is given through a flow chart which is very easy to understand and is very informative.


5) Case 9-2 :

https://neerajareddysingur.blogspot.com/2021/05/covid-elogs.html

Q3:
The role of d-dimer in identifying the severity of covid is explained here in a good manner.


6) Case 2:

https://caseopinionsbyrollno-148.blogspot.com/2021/05/medical-online-blended-bimonthly.html

Qb:
we can clearly see the pharmacological aspects of the case and a clear explanation of the mechanism of each drug.


7) Case A:

https://samhitaghanathay.blogspot.com/2021/05/medicine-bi-monthly-assessment-may.html

Q2:
The entire information is well expressed in the form of a table. Easy to read and understand.


8) Case A:

https://sowjanyareddypalakurthy130.blogspot.com/2021/05/general-medicine-assignment.html

Q2:
the format of the entire info Was well presented with highliting the imp. points


9) Case 2:

https://imamamuhmeen.blogspot.com

Q c:
The proper utilization of the patient history can be clearly observed in the following answer.


10) Case 1:

https://caseopinionsby183.blogspot.com/2021/05/general-medicine-assignment.html

The following was properly diagnosed and the history was properly taken. The drugs provided were apt for the case.

Question 2:
https://pavankalyanc.blogspot.com/2021/06/a-35-year-old-male-resident-of.html?m=1
https://pavankalyanc.blogspot.com/2021/04/short-case.html?m=1
https://pavankalyanc.blogspot.com/2020/05/case-1.html?m=1
https://anahitabehara.blogspot.com/2021/07/general-medicine-elog.html
https://96sanjanapalakodeti.blogspot.com/2021/07/a-23-year-old-female-with-sore-throat.html
https://96sanjanapalakodeti.blogspot.com/2021/07/a-48-yo-male-with-bl-pedal-edema-facial.html
https://nadipisneha.blogspot.com/2021/07/a-case-of-bl-pedal-edema-altered.html
http://munukutlasaimythili.blogspot.com/2021/07/a-63-yo-male-with-pedal-edema-shortness.html

http://munukutlasaimythili.blogspot.com/2021/08/a-45-yo-male-with-fever-dyspnea-burning.html
https://nadipisneha.blogspot.com/2021/07/a-45-year-male-with-feverdyspneaburning.html

QUESTION 3
Please go through the cases in the links shared above and provide your critical appraisal of the captured data in terms of completeness, correctness, and ability to provide useful leads to analyze the diagnostic and therapeutic uncertainties around the cases shared.


MULTISYSTEM:
All the data is given in the right order the chief complaint, the history of present illness, the personal history was given in detail, the information regarding the treatment was regularly updated all the lab reports were provided.

CNS:
The history of the patient was given in a systematic manner the diagnosis and treatment used for the patient was mentioned, the advice at discharge was provided all the lab reports and updates on the case were provided.

RENAL:
All the data of the patient is in the correct order and correctly arranged. All the investigations are done perfectly. All investigations (and their dates) were logged in.

CVS:
The history of present and past illness is coherent and well established. The videos are great for understanding the case. The case sheet has captured all the relevant data in the right order. Correct terminology was used. The reports of all the lab investigations conducted were given.

ABDOMINAL:
The history of the patient is coherent and brief. The diagnosis and the treatment of the patient are given properly and to the point. The reports of all the lab investigations conducted were shared.


QUESTION 4:

The above mentioned patient is diagnosed
With ACUTE KIDNEY INJURY SECONDARY TO UROSEPSIS WITH HYPERKALEMIA(resolved)with Anemia of chronic disease ..

▪︎Investigations :

-complete urine examination.
-ECG,ultrasound. 
-Serum creatinine,serum electrolytes,serum potassium :to check the electrolyte balance in the body.
-Urinary chloride, urinary potassium:to manifest the kidney functions. 
-Blood sugar fasting and random:to know about sugar levels to estimate diabetes.
-Complete blood picture:to know whether she is anemia. 
-Bacterial culture and sensitivity report: to check infections. 

▪︎Treatment or Therapeutics :

-Inj.LASIX 40mg is given to treat the symptoms of fluid retention like edema.
-IVF_Ns@UO+50ml/hr.
-inj.MAGNEX FORTE 1.5gm: it is used to treatment of severe or serious bacterial infections like urinary tract infections.
-Tab.NODOSIS XT :it is used in kidney disease ,mainly acts as antacid .
-inj HAI
-nebplain Asthalin 4 results.
-tab.OROFEA XT:it is a dietary supplement containing ,combination of folic acid and iron.
-tab ULTRACET :it acts as pain relieving medicine.

*the investigations and drugs given to the patient is satisfactory .where the drugs are very well described according to their action.The investigations made easy to diagnose the case .


QUESTION 5:
Testing scholarship competency in  

logging reflective observations on your concrete experiences of this last month : (10 marks) 


Over all it has been a good learning experience of how to log the patient data and in detailed presentation of the cases

Hands on experience regarding sample collection

Insertingand removing foleys and ryles

Drawing blood

Connecting IV fluids

About Equipments used in ICU

Drugs at ICU 


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