Ascites , CLD

GENERAL MEDICINE ASSIGNMENT-2021

NAME -GOLI SHREYA( 3 rd SEM) 

ROLL NO -45

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)NEUROLOGY

ink to case;- https://kausalyavarma.blogspot.com/2021/05/a-52-year-old-male-with-cerebellar.html?m=1

Insights:- Efficacy of each drug was well mentioned.

evolution of symptomology well explained. it was well comprehensable, easy to understand.

2)PULMONOLOGY:

Patient details: ttps://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html 

Insight :- 

event timeline of symptom occurrences in the patient were very well explained

It was clear and comprehensible. 

3)CARDIOLOGY: 

Link to case-

https://muskaangoyal.blogspot.com/2021/05/a-73-year-old-male-patient-with-pedal.htm

Insights:- The provided information was very reasonable and flow charts and diagrams made it more clear. 

4)GASTROLOGY:

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

Insights :-

• Efficacy of drugs well explained .

• Neat work to the point.

5)NEPHROLOGY:

Link to case 

A 55 year old female patient, a resident of Miryalaguda and farmer by occupation came to the hospital on 17/5/21 with the chief complaints of shortness of breath, pedal edema and facial puffiness 

https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html

Insight :answering has been done in a point wise manner, with nice detailing & information.Reference links to answer information are appreciated.

6)INFECTIOUS DISEASE(MUCORMYCOSIS,OPTHALMOLOGY,  OTORHINOLARYNHOLOGY) 

Link:http://manikaraovinay.blogspot.com/2021/05/50male-came-in-altered-sensorium.html

Insights: The reasons for the sudden rise in the mucormycosis incidence is explained. It can be triggered by steroids.

7)GASTROENTEROLOGY

Link:-https://sannithreddykasala.blogspot.com/2021/06/general-medicine-blended-assignment.html

Insights:The evolution of symptamology was compactly explained. And well presented with appropriate information. 

8)INFECTIOUS DISEASE &HEPATOLOGY

7q- link to case- https://kavyasamudrala.blogspot.com/2021/05/liver-abscess.html

Insights :- The pathopyshiology was clearly explained with beautiful flow charts and what is the primary etiology of the patient's problem was clearly explained.

9)COVID CASE

Link to case- https://nikh ilasampathkumar.blogspot.com/2021/05/covid-pneumonia-in-pre-existing-case-of.htmls

Insights -detailed explanation hasnot  been provided.. Must have added more information and explained a little more. 

10)NEPHROLOGY

Link:https://kavyasamudrala.blogspot.com/2021/05/medicine-case-discussion-this-is-online.html

Insight:The reasons for shortness of breath,intermittent episodes of drowsiness were clearly explained in the case.

QUESTION-2

This yet has to be done. I’ve been seeking help from my classmate on the learning of the her ongoing case, soon after which i’ll be doing one of my own. Once it is completee i will update it here. 

QUESTION-3&4

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

CASE DISCUSSION:

https://61tejarshini.blogspot.com/2021/06/general-medicine-case-discussion.html?m=1Date of admission:21/06/2021.

A 45 YEAR OLD MALE CAME TO THE HOSPITAL ON 21/06/2021 WITH,

CHEIF COMPLAINTS:

Complaint of Altered Sensorium (Hypo active):It's since Morning,lethargy.History of fever 10 days back,lasted for 3 days,(Outside Creatinine ?11-14.8)Followed by Pedal edema with Anasarca with Shortness of breath present 

HISTORY OF PRESENTING ILLNESS:

Patient was apparently asymtomatic 5 Years back,then he Complained of lower back pain and neck pain in 2014 and was found to have creatinine of 3.0 mg/dl for which he was managed symptomatically for 1Year.

Patient didn't come for further follow up after 2015 and attenders said that he was noncompliant in taking medications untill last week when he Came with the complaint of Shortness of breath even at rest(grade 4) and loss of appetite .now he complained of Altered Sensorium , Shortness of breath at rest, lethargy, Anasarca.therre is no history of decreased urine output ,No history of fluid loss,drug intake.

Provisinal diagnosis:

KI ON CKD(HYPERTENSIVE NEPHROPATHY) WITH URAEMIC ENCEPHALOPATHY.

Ecg

Complete urine examination

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.