General medicine assignment

                 Name:- Himavathsa , 3rd semester 

       Roll No:- 50

   

We have been giving 5 questions to assess the ability to connect with and capture patient centered data and ability to connect with and engage in shared learning with their peers through peer review feedback.

Below is the link to the questions given to us:-

https://medicinedepartment.blogspot.com/2021/06/medicine-department-paper-for-june-2021.html?m=1

Question 1

1)Pulmonology Q 1

Link to the case:- https://aniganikavya06.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html

    Review :- 

All the symptoms are explained well which can identify the problem easily.Etiology and anatomical location of the problem is well identified and mentioned.

2) Neurology Q2 

Link to the case:-

https://pavitrabaldawa.blogspot.com/2021/05/medicine-blended-assignment-may-2021-by.html 

      Review:- 

Seizure episodes is well mentioned which can explain the remaining symptoms. Correlation of various aspects is seen.

3) CARDIOLOGY

REVIEW:

https://gumudalavishal.blogspot.com/2021/06/medicine-blended-assignment.html

CASE:

https://muskaangoyal.blogspot.com/2021/05/a-78year-old-male-with-shortness-of.html

QUESTION:

What is the difference btw heart failure with preserved ejection fraction and with reduced ejection fraction?

        Review :-

I agree with the answer given by the peer he explained it in very good way;

People with heart failure with preserved ejection fraction (HFpEF) do not have much of a change in their ejection fraction. This is often called diastolic heart failure. 

4) GASTROENTEROLOGY 

REVIEW:

https://kausalyavarma.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html

CASE:

https://63konakanchihyndavi.blogspot.com/2021/05/case-discussion-on-pancreatitis-with.html

Qn 1:- 

    

          Review:-

  

        I agree with the answer given by the peer , as the patient took alcohol and gone with abdominal pain after medications he stopped taking alcohol and got relieve from the pain , later he started alcohol consumption after 2 years and got up with pain in abdomen and vomiting , and next anatomical pain is in pancreas and left lung

The peer has explained it in a good way with proper understanding of the patient problem.

5) Case1 Q5

Link to the case:-

https://61tejarshini.blogspot.com/2021/05/medicine-case-discussion.html

 

   Review:-

imbalance in COPD, hypercapnic acidosis leads to electrolyte imbalance.

Increase of water and sodium retention is seen in this case.

6) Case C Qn 1

Link to the case:-https://rithikamukkawar113.blogspot.com/2021/05/medicine-case-based-learning-online_31.html?m=1

     Review:-

This case shows me that it involved in variety of neurological symptoms which are clearly explained regarding quadriplegia, bilateral pedal edema. 

7)INFECTIOUS DISESASE AND HEPATOLOGY:

CASE:

https://kavyasamudrala.blogspot.com/2021/05/liver-abscess.html

  Review:- yes i agree with the given answer by peer it is due to intake of contaminated toddy. its main cause is due to contamination.

8) Case D Q3 

Link to the case:-

https://129sowjanyaboyapati.blogspot.com/2021/05/medicine-department-assignment.html 

  Review:-

Every indication and contraindication are well mentioned including reasoning regarding ST elevation.  

 9)NEPHROLOGY:

REVIEW:

http://vishnubharathchippa189.blogspot.com/2021/05/general-medicine-assignment.html

CASE:

 Why does he have intermittent episodes of drowsiness ?

 REVIEW:

yes I agree with the answer given by the peer that their is the decrease in the renal clearance of waste nitrogenous products accompanies with their continuous generation leads to diverse uremic retention products such as urea, creatine, guanidine and homocysteine so many of this toxins affect functioning of cells and organs , neurotoxicity and congestive dysfunction. this reasons causes the drowsiness. 

10) Case4B Q1 

Link to the case:-https://rishitharaok.blogspot.com/2021/06/general-medicine-assignment.html 

   Review:-

The reason for the dyspnea and its relation to pancreatitis are valid. Reasons are good enough to prove the clinical symptoms.

QUESTION 2-

I haven't got a chance to present a case.

QUESTION 3 &4:-

 RENAL:

https://61tejarshini.blogspot.com/2021/06/general-medicine-case-discussion.html?m=1

A CASE OF A 45 YEAR OLD MALE WITH ACUTE KIDNEY INJURY ON CHRONIC KIDNEY DISEASE (HYPERTENSIVE NEPHROPATHY) WITH URAEMIC ENCEPHALOPATHY.

As the case presented by peer is very well and well explained.

 As the peer gone up with the provisional diagnosis after their analysis,  AKI ON CKD(HYPERTENSIVE NEPHROPATHY) WITH URAEMIC ENCEPHALOPATHY.

they gone with general examination where the patient showing pallor and anasarca positive it indicates that their is increase in fluid retention in the body where whole body swells up. this not indicates edema. swellings occurs for different reasons in the body. due to generalized swelling of fluid in tissues. 

TREATMENT:

IVF-NS(0.0+30ml/hr)

INJ.LASIX(40mg/IV/TID)

INJ.NaHCO3(100meq in 100ml NS/IV/Stat)

T.NODOSIS 550mg/P.O/TID

BP/PR/Strict I/O Charting 

QUESTION 5:-

Due to this pandemic we are unable to appear directly and experience the patient but even though we had a very good experience which is not had been possible without the general medicine department. Dr. Rakesh biswas sir, HOD made possible by teaching every single aspect regarding capturing the patient centered data. We have learned how to take the history and data from a patient so as to communicate and diagnose the problem. This paved us a way of learning new things in a  different way. Sharing knowledge with our peers and interacting with them regarding the cases has been so much help full to us. We have learning the basic knowledge regarding how to interact with the patient and taking history from them. This has been a wonderful opportunity to interact with the peers. The E logs which has been kept for us are helpful and made me learning so many new things. Once again thank you for this opportunity.