GENERAL MEDICINE ASSESSMENT
     
              -107 P.Sujeeth kumar

Question 1

 
PULMONOLOGY

Quantitative assessment:9/10
Qualitative assessment: 
  • Etiology and anatomical localisation of problem is clearly mentioned
  • Drug action is well explained
  • Timeline of symptomatology is helpful


GASTROENTEROLOGY

Quantitative assessment:8/10
Qualitative assessment :
  • Images are really helpful
  • Treatment for the condition is also given
3. https://rithikakunapareddy.blogspot.com/2021/05/online-blended-bimonthly-assignment.html

CARDIOLOGY

Quantitative assessment:8/10
Qualitative assessment:
  • Pathophysiology of the case is clearly depicted
  • Appropriate flow charts and tables are provided
4. https://abhignyareddy71.blogspot.com/2021/05/online-blended-bimonthly-assignment.html

NEPHROLOGY

Quantitative assessment:9/10
Qualitative assessment:

  • comical image make reader more enthusiastic 
  • The matter is simple and easily understandable 
5. https://spoorthychikati.blogspot.com/2021/05/online-blended-bimonthly-assignment.html
 

INFECTIOUS DISEASES

Quantitative assessment:8/10
Qualitative assessment:
  • Graphs and flow charts are given
  • Mucormycosis ,which is rapidly rising in India is addressed and it’s risk factors are mentioned.
6. https://meesumabbas82.blogspot.com/2021/05/case-opinions-may-2021.html

INFECTIOUS DISEASES

Quantitative assessment :9/10
Qualitative assessment:
  • There is plenty of matter ,carefully handled and neatly depicted
  • Each case is deeply explained
  • Images would make it much better


NEUROLOGY

Quantitative assessment:8/10
Qualitative assessment:

  • The answers are precise and are to the point
  • The blog is presented neatly
8. https://143vibhahegde.blogspot.com/2021/05/medicine-blended-assignment-may.html

 PULMONOLOGY

Quantitative assessment:7/10
Qualitative assessment:
  • Symptomatology and drug mechanism are presented well
  •  Flow charts and images would have been helpful
9.https://167pavankotha.blogspot.com/2021/05/general-medicine-assignment-for-may-2021.html
 
NEUROLOGY

Quantitative assessment:9/10
Qualitative assessment:

  • Good images and flow charts are used
  • Scans are helpful
  • It is well organised 
10 . https://psaikrupasri175.blogspot.com/2021/05/medicine-case-discussion.html

GASTROENTEROLOGY 

Quantitative assessment:9/10
Qualitative assessment:
  • Good images are used
  • X-ray is helpful

Question 3



MULTISYSTEM: The case is well presented.All the data is given in correct order
Patient history and examination was given in detail.All the required clinical reports are also provided
Treatment was also regularly updated.
 


CNS:
History was provide in proper format.Diagnosis was clearly explained and treatment provided is given
The data is simple and easy to understand.Clinical reports are provided and treatment was regularly updated


RENAL:
 Entire data is arranged chronologically.all the investigations are done.The data is precise.


CVS:
The history was well established.Videos are very helpful in understanding the case
All the required data is provided.Clinical reports are also provided.
 


ABDOMINAL:
The history is brief.Clinical reports are provided

Question 4

CNS
 Problems:
1.Weakness of limbs
2.Tubeculosis
3.Edema is observed

Diagnosis:
 Quadreparesis secondary to infectious spondylitis of C4, C5, C6, C7 and T1 with Epidural abscess at C5 - C6 level.

Treatment:
1.Optineuron
2.Thiamine
3.ATT

2.CVS
Problems:
1.Distension of abdomen 
2. shortness of breath
3.Hypothyroidism

Diagnosis:
HFrEF with Atrial fibrillation 2 to ?IHD.

Treatment:
 Inj. Amiodarone 150 mgIV stat (2 doses)
 Inj.Amiodarone infusion
 Inj.clexane 40mg Sc OD

3.ABDOMINAL:
Problems:
1.Pedal edema bilateral and pitting type
2.decreased urine output 
3.burning micturition
4.Fever

Diagnosis:
Acute kidney injury secondary to urosepsis with hyperkalemia ( resolved)
With anenmia of chronic disease .

Treatment:
1.Inj LASIX
2.Inj MAGNEXFORTE 
3.Tab NODOSIS

4.RENAL
Problems:
1.Altered Sensorium (Hypo active)
2.Lethargy.
3.fever 
4.Pedal edema with Anasarca 
5.Shortness of breath 

Diagnosis:
AKI ON CKD(HYPERTENSIVE NEPHROPATHY) WITH URAEMIC ENCEPHALOPATHY.

Treatment:
1.INJ.LASIX
2.INJ.NaHCO3

5.MULTISYSTEM:
Problems:
1.low backache 
2.fever
3.icterus
4.vomitings 
5.loose stools
6.blood tinged urine
7.polyuria,nocturia,polydypsia

Diagnosis:
Acute viral hepatitis is the provisional diagnosis in the patient and cerebral malaria is also suspected

Treatment:
1.FALCIGO- anti-malarial drug.
2.DOXYCYCLINE - is an anti-malarial

Question 5

The clinical classes are interesting  as this is a new experience for us.They help us to understand the challenges faced in the profession. Entire general medicine department is trying their best to provide us a
Good experience however there is difficulty in understanding because of the technical issues
Resolving the technical issues would be really helpful.The cases are interesting and hope they will be useful in the future.





Comments

Post a Comment

Popular posts from this blog

Image
  OSCE PREFINAL MBBS EXAMINATION https://107sujeethkumar.blogspot.com/2023/12/long-case-this-is-online-e-log-book-to.html OSCE QUESTIONS How vaccum assisted closure is useful? Vacuum-assisted closure (VAC) is an alternative method of wound management, which uses the negative pressure to prepare the wound for spontaneous healing or by lesser reconstructive options. Method of VAC application includes thorough debridement, adequate haemostasis and application of sterile foams dressing. A fenestrated tube is embedded in the foam and wound is sealed with adhesive tape to make it air tight. The fenestrate tube is connected to a vacuum pump with fluid collection container. The machine delivers continuous or intermittent suction, ranging from 50 to 125 mmHg. The VAC dressings are changed on 3rd day. Negative pressure therapy stabilizes the wound environment, reduces wound edema/bacterial load, improves tissue perfusion, and stimulates granulation tissue and angiogenesis. All this improves the
Read more
Image
  Long case: 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. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome.                                                                                      With  reference  https://mvineelarollno90.blogspot.com/2023/11/65-y-female-with-co-fever-since-4-days.html 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 Chief
Read more
  MY EXPERIENCES in GENERAL medicine IN A CASE BASED BLENDED LEARNING ECOSYSTEM'S CBBLE "  Hello, I am sujeeth kumar, medical undergraduate, I would like to share my learning experiences  about the patients I have come across in my general medicine postings NOTE: THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE INPUT Case 1 patient presented  with chief complaints of shortness of breath since five days, profuse sweating, generalized weakness and swelling of the lower limbs. Patient gave histroy of diabetes mellitus since 11 years which along with clinical examination and clinical investigations revealing the rise in serum urea and serum creatinine pointed towards d
Read more