GENERAL MEDICINE ASSIGNMENT -142 Divyasree vanka

           GENERAL MEDICINE ASSIGNMENT 

142 Divyasree vanka 

3rdsem 2019

I have been given the following assignment in an attempt to learn,read,comprehend,analyse,reflect upon and discuss the captured patient centered data.

This is the link to questions asked in assignment.

generalmedicinedepartment.blogspot.com/2021/06/bimonthly-formative-and-summative_19.html?m=1

QUESTION 1: 

1.CASE: 

CARDIOLOGY 

https://65thanmaireddy.blogspot.com/2021/06/medicine-blended-assignment.html

According to the question asked the answer was explained very well. The drug needed for the treatment was mentioned in a proper way with its mechanism of action. Also necessary pictures were provided for the given case because they were very essential for  proper  diagnosis of the case.

2.CASE

https://nehae-logs.blogspot.com/2021/05/bimonthly-assignment-for-may-2021.html

For  diagnosis of any case, history taking and timeline of the patient plays a key role which is highlighted here.Also after the case diagnosis etiology plays a pivotal role which is explained here with many beautiful flow charts for both timeline and  the etiology of the case.

3.CASE

https://ramyareddy105pebbeti.blogspot.com/2021/05/medicine-monthly-assignment.html

For  proper understanding of case the most important things  need to be highlighted or better underlined which is missed here. Apart from this all the adequate  information was given for the diagnosis of the case. Even the pictures were posted very nicely.

4.CASE

https://08arshewarpavankumar.blogspot.com/2021/05/a-40-year-old-male-with-complaints-of.html

In diagnosing a case the basic information needed is symptoms. Here the evolution of symptomology was well explained. It was comprehensible and easy to understand.

5:CASE

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

Here the Efficacy of each drug was mentioned,standard sources were used,and were mentioned in the answer.indications and mechanism of action was also explained in detail.it was clear and well comprehensible. 

6:CASE

http://nandininamani97.blogspot.com/2021/05/general-medicine-case-discussion.html

Pictures should have been included for easy understanding, instead of presenting the information in the form of paragraphs ,flow charts should have been made or point wise format would have been better,the pathophysiology was explained in detail and the GABA system and glutamate system were explained very well.

7:CASE

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

This is a case of a 55 yr old female patient came to the hospital with chief complaints of shortness of breath ,pedal edema,facial puffiness. After examination provisional diagnosis was found to be acute exacebration of copd associated with bronchietasis.Here all the comorbidities were well explained along with references. The answers were to the point ,well presented. Also the anatomical localisation of the organ was explained clearly.

8:CASE

 https://nehae-logs.blogspot.com/2021/05/bimonthly-assignment-for-may-2021.htm

This is a case of a 55 yr old female patient came to the hospital with chief complaints of shortness of breath ,pedal edema,facial puffiness. After examination provisional diagnosis was found to be acute exacebration of copd associated with bronchietasis.Detailed explanation was provided along with pictures,the work was commendable.

 9:CASE

http://nandininamani97.blogspot.com/2021/05/general-medicine-case-discussion.html

In this case  all the indications  like acute ST elevation and   non ST elevation acute coronary syndrome,unstable angina,stable angina,high risk stress test findings were mentioned.And mentioned.And contraindications like intolerance for oral antiplatelets longterm,absence of cardiacsurgery backup were described but reasoning should have been included for each point.

 10:CASE

https://caseopinionsbyrollno110.blogspot.com/2021/05/i-h-ave-been-given-following-cases-to.html?m=1

The presentation was remarkable. flowcharts were included wherever necessary,the answers were up to the mark to the point, detailed explanation was given and it was easy to understand.

QUESTION 2:

I haven't  got a chance to  present a case. so I didn't make any blog.

QUESTION 3:

RENAL

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

This is a case of  45 year old male came to the hospital on 21/06/2021 with complaint of altered sensorium(hypoactive) since morning later he has history of fever 10 days back followed by pedal edema with anasarca with shortness of breath even at rest.The present illness of the patient includes lower back pain and neck pain.he is a known case of hypertension since 5 yrs also a known case of chronic kidney disease. he is having normal appetite.His provisional diagnosis was found to be HYPERTENSIVE NEUROPATHY and UREMIC ENCEPHALOPATHY. 

HYPERTENSIVE NEUROPATHY: it is a clinical syndrome characterised by long term essential hypertension. It is the leading cause of end stage renal disease in Africans is the second cause of were workdwide.Glomerular hypertension and glomerular ischemia ate the two physiological mechanisms involved.so in this case the patient has hypertension past five years and so his bp  was poorly controlled.hence the patient also witnessed mental status changes which are also the symptoms of uremia.this caused uremic encephalopathy.

UREMIC ENCEPHALOPATHY:Its an organic brain  disorder which occurs due to the build up of toxins which are normally cleared by kidneys. It develops in patients with renal failure usually when creatinine clearance levels fall and remain below 15ml/min.Uremia is final stage of progressive renal insufficiency and result in multi organ failure.This results from accumulating metabolites of proteins in amino acids and concomitant failure of renal Catabolic,metabolism and endocrinologic processes.Uremic encephalopathy is one of many manifestations of renal failure.

 

QUESTION 4:

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

The patient came with the chief complaints of weakness of both lower limbs and loss of hand grip since 10 days associated with bladder and bowel incontinence.on examination of other systems was normal but he is known case of TB.on detailed examination of cns it was found to be there is increased tone in the lower limbs which suggests that he has some neurological disorder,Finally he was diagnosed Quadreparesis secondary to infectious spondylitis of c4,c5,c6 c7 and t1 with epidural abscess at c5-c6 level.He was treated with appropriate medication for  about 4 days and there was improvement in his condition.The decision and treatment have been a very good help which improved patients condition.

QUESTION 5

As third semester just began and started our clinical postings for the first time through online learning which is difficult compared to offline teaching.This has become a quite difficult challenge for all of us in coping  up with the patients ,syllabus,communication. This is the situation that cannot be changed that easily and quickly ,this is why we have to go through the system of online teaching. Though it is a difficult  task our professors are really working hard to make us  understand and learn everything.we are really thankful to them and appreciate the opportunity that our professors are giving and we will try to utilize this opportunity to the maximum and do our best to learn.