GENERAL MEDICINE E-LOG (JULY)

                                   Name- Himavathsa

                                   Roll.No- 50

   

Below is the link of assignment given for us,


medicinedepartment.blogspot.com/2021/07/medicine-paper-for-july-2021-bimonthly.html?m=1 

   >> Question 1)

Below is the link of the student for which I am giving my peer review.

https://prasannakalyan52.blogspot.com/2021/07/general-medicine-e-log-june-2020.html

Review to all the questions answered:

1)As he has done about 10 cases, in each case he has given a best review, which was very useful for us to understand about the case details.


2) He gone with good investigations and given a better explanation for every case. And he followed steps in investigations.


3) Every thing is fine and fare, but little more explanation is needed for every case which I thought personally, other than that every case he explained is very nice.


4) The review mentioned by him to study is too little, needed some more information to understand case clearly.


5) My overall review about the cases he reviewed was good. we get better understanding by studying the cases which he mentioned.


      >>Question 2)

I didn't got any chance for case study, i will upload it when i get a chance for case study.


      >> Question 3)

CASE 1: AKI 

Here is the link given below for the case details: 


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

1) She gone with good investigations and mentioned clear details about the case.Along with the treatment history and complains which are described correctly for easy analysis. Many investigations done are which are done are placed very well according to date.


CASE 2: Acute on CKD

Here is the link given below for the case:


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


 1)This is a case of chronic kidney disease. All the identifications and investigations are headed towards the disease, as he had radiating pain towards backward. All these are described very well in the log presentation.


CASE 3: CKD

Here is the link given below for case details:


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


The explanation about the case was very good and gone with detail investigations and finally got up with chronic interstitial nephritis secondary to plasma cell dyscariasis. investigations are very nicely gone to get probable diagnosis.


Case 4:- Patient with coma and renal failure Link to the case is below :


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


This is also a case od diabetic with breathlessnes. The pt. was diagnosed with Type 2 Diabetes 3 years ago and was put on some oral hypoglycemic agents


Case 5-Patient with coma and renal failure   Link to the case  is below: 

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

This is bit of complicated case as he was diagnosed with AKI secondary to UTI on CKD.  Icterus and pedal edema are seen.


CASE 6: Patient with acute on CKD 


Here is the link for the case:


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


The patient with post TURP with non oliguria ATN.


It is the case where pus is seen in the urine.


The patient has the history with transurethral resection of prostate gland.


Hydronephrosis is explained very nicely.


CASE 7: Patient with acute CKD.


Here is the link given for the case details:


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


Here is the patient with known Diabetics mellitus{DM} and Hypertension because of high BP .

This makes the patient to easy attraction for diseases.

the diagnosis is HFrEF secondary to CAD.

LFT and RFT are quite abnormal.


Case 8 :- Patient with acute on CKD Link to the case is below :


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


He was suffering with decreased urine output and vomitings and loose stools which are gradually subsided. Even fever is also spiked.


CASE 9: Patient with AKI


Here is the link given below for the case details:


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


The patient has dilated veins and distended abdomen.

bilateral pitting edema is seen up to knee. frequently consumption of alcohol caused alcoholic hepatitis.


Case 10:- Patient with AKI Link to the case is below :


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


Urosepsis is seen as there is infection of urinary tract. Generalized lymphadenopathy is present. For more information regarding urosepsis refer below link:


https://www.ncbi.nlm.nih.gov/books/NBK482344/



CASE 11: Patient with AKI


Below is the link for the case:

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


The patient facing pancreatitis due to chronic alcoholism.

Investigations are done well for getting better understanding on the case.

Like ultrasound.



          >>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
                                 |
                             2.25gm 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:INFECTIVE ENDOCARDITIS
Treatment:
1. Inj. Monocef 1gm IV/BD
2. Inj. Vancomycin 500mg IV/BD in 100ml NS over 1hr
3. Procto clysis enema
4. Inj. Pan 40 mg Iv/OD


# Case 6

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 7

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 8

Diagnosis: Acute on CKD 
Treatment: 
1. Tab. Augmentin 625 mg ×7 days
2. Tab. Wysolone 40 mg ×10 days.
    30 mg × 10 days 
    20 mg ×10 days
    10 mg ×10 days.
3. Tab . Lasix 20 mg  × 1 month.


# Case 9

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 10

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


# Case 11

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 first thing I thank GM department for giving us such opportunity to make blog. the every log and and every case are very useful for us to understand and get a clarity on patient centered data and treatment for the patient. During this pandemic its highly impossible for us to know about clinicals. In that situation GM medicine department helped us a lot for understanding a case oriented details. They clearly explained about everything about how the patient will be, what should we do, what investigations should be done, everything they clearly explained. and now we can easily go for postings and we can easily grab the info from the patient and what to be done further, I got up with a good knowledge. Thank you for GM department.





                           THANK YOU







                    


       

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