GENERAL  MEDICINE  BIMONTHLY  BLENDED  ASSESSMENT

                                                                                                                     -107 P.Sujeeth kumar

  Question  1         

 Peer review: Review the last assignment of the person closest too  your roll number.Give positives , negatives or comment on relevancy of the topic.

   https://108koushikchandrarachuri.blogspot.com/2021/07/general-medicine-assessment-july-2021.html

  • The review of each case has been assessed both quantitatively and qualitatively
  • Positives and negatives of the  cases  are clearly mentioned
  • Cases related to all the systems are covered
  • Necessary suggestions were also given
  • The review is simple and to the point
  • It was an honest review

Question 3    

Patients with low back ache and renal failure :
AKI :

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

  • History is taken well
  • Reports of all the necessary investigations are provided
Acute on CKD:

2. http://srinaini25.blogspot.com/2021/07/srinaini-roll-no-33-3rd-semester-this.html
  • Treatment given to the patient is well describe.   
  • The case is well presented   
CKD: 

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

  •  Serological findings are provided
  •  X-ray and bone marrow aspiration reports are really helpful
Patient with coma and renal failure:

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

  • Images showing condition of the patient helps to know the severity here
  • Video showing 2D echo is remarkable 
5. https://pallavi191.blogspot.com/2021/06/gm-cases_30.html?m=1

  • Entire data is placed in chronological order
  • Investigations made the case easy to analyse 
Patients with acute on CKD: 

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

  • Highlighting the text made it easy to understand
  • Patient condition was updated regularly
7.  https://rishikakolotimedlog.blogspot.com/2021/07/45-year-old-male-with-chief-complains.html?m=1

  • All the investigations are placed in an orderly manner
  • The matter is precise and to the point
Patients with AKI:

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

  • Reports and images gave better insight about the case and patient
  • Treatment and prognosis of the condition is well established 
9.   https://casescape.blogspot.com/2021/06/acute-kidney-injury-secondary-to.html?m=1

  • History of the patient is  well established
  • Urine examination and other necessary findings are provided
10.  http://chavvaclassworkdecjan.blogspot.com/2021/06/pancreatitis-in-chronic-alcoholic-with.html?m=1

  • Examination and investigations are provided
  • Summary provided in the end helps to understand the case easily
Question 4

CASE-1

Diagnosis : AKI  secondary to UTI, associated with Denovo - DM -2 
Treatment : 
1)IVF : -RL  @ UO+ 30ml/hr -NS
2)SALT RESTRICTION  < 2.4gm/day
3)INJ    TAZAR    4.5gm  IV/TID
4)INJ     PANTOP 40mg  IV/OD
5)INJ     THIAMINE  1AMP  IN  100ml   NS   IV/TID

CASE-2

Diagnosis : Hyperuricemia 2° to Renal failure 
Treatment:
• IVF -    NS-0.9%  @100ml/hr
• Inj. Tazar 2.25gm I.V -TID 
• Inj. Lasik 40mg I.V -BD 

CASE-3

Diagnosis:  Chronic interstitial nephritis secondary to plasma cell dyscariasis
Treatment:   
- T. PAN 40mg /PO / OD
- oral fluids upto 1.5 - 2 lit / day
- Protein - x ( plant based ) 2 tablespoon   in 1 glass of  milk  

CASE-4

Diagnosis: DKA with AKI 
Treatment:
Inj. NORAD 2amp in 50ml NS
Inj. PIPTAZ 2.25gm.
Inj. DOPAMINE 2amp in 50ml
Inj. HAI 1ml in 39ml NS

CASE-5

Diagnosis: HFrEF secondary to CAD; CRF
Treatment: 
1. TAB. BISOPROLOL 5mg OD
2.TAB. NITROHART 20/37.5mg 1/2 T/D
3.TAB NICARDIA XL 30mg OD
4.TAB. GLICIAZIDE 80mg BD
5.TAB. NODOSIS 500 mg TD

CASE-6

Diagnosis: INFECTIVE ENDOCARDITIS
Treatment:
1. Inj. Monocef 1gm IV/BD
2. Inj. Vancomycin 500mg IV/BD in 100ml NS over 1hr
3. Proctoclysis enema
4. Inj. Pan 40 mg Iv/OD

CASE-7

Diagnosis: Renal AKI secondary to urosepsis with b/L hydroureteronephrosis
Treatment: 
Injection PANTOP 40mg IV/OD
Injection PIPTAZ  4.5 stat  and 2.25 gm  IV/ TID
Injection LASIX 40mg IV/BD
Injection optineuron 1AMP in 100ml NS slow IV/OD

CASE-8

Diagnosis: Alcoholic Hepatitis and aki sec to gastroenteritis
Treatment: INJ THIAMINE 100 mg in 100 ml NS slow IV / TID 
                    INJ OPTINEURON 1AMP in 100 ml NS slow IV / OD
                    INJ LASIX 40 mg  

CASE-9

Diagnosis: Acute Kidney Injury secondary to Urosepsis
Treatment:
 Inj LASIX 40mg (8am- 2pm -8pm)
IVF - NS @ UO + 50 ml/hr

CASE-10

Diagnosis: pancreatitis in a chronic alcoholic 
Treatment:
IV lasix  40 mg BD .
Tab Nodosis .
IV PIPTAZ 4.5 Gms. BD 
Iv 25%Dextrose. 100 ml BD 
Iv fluids : NS 40 ml /hr.


Question 5
  
The clinical classes help us to come across  Patients with different conditions and know the subject more deep . These classes also help to push our limits and understand the things practically. The entire general medicine department is really working hard to provide an offline experience. Resolving technical issues
might make the sessions better .All the cases are very interesting and hoping to learn a lot.






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