GENERAL MEDICINE BIMONTHLY ASSESSMENT

Kundana 

Roll no:60 

3 rd semester 

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

This is  the link given to me regarding cases:

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

Question 1:

Below is the link of student assignment for which I am sharing my review:-

http://rithika59.blogspot.com/2021/06/59-k-rithika-vasantha.html

Review to the questions in above link:

1) She had given reviews for the given cases very clearly .She gave reviews describing the entire cases. We can go through her reviews for the cases thoroughly. She described every single detail clearly. She gave reviews  as if they ate student friendly which are easily understood by a student . She described everything in flow charts.

2)  she took the detailed history of patient and mentioned them .she explained a case of  chronic kidney disease .she has put the investigations done to the patient .she included treatment .she has given a detailed discharge summary. This case was depicted clearly in the form of log with all the required history and details of patient.

3) she explained the condition of patient by referring to a case.she explained the cause of the disease along with symptoms.she has done a qualitative research on  her selected case.

4) she has done a review sensitivity and specificity of all diagnostic interventions. She has done a proper diagnosis. She included specified  investigations done to the patient and she has explained the treatment given to the patient.she explained every detail of the patient very clearly.

5) The overall review and personal experience review was great. It has been expressed everything in emojis. The patient centered approach of collecting and learning data has been well understood by student. 


Question 2:-

I haven’t get a case yet i ll upload as soon i get one


Question 3:-

Case 1:- AKI based case below:

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

• Timeline of compliants has been decscribed  well

• Investigations of patient are depicted clearly 

• The case is presented well in an orderly manner

Case 2:-Acute on CKD :


• This is a case of acute renal failure 

• complete history of treatment has been explained clearly

• timelines of symptoms were briefed

Case 3:-CKD :



• Timelines has been depicted orderly
• Investigations were included 
• Treatment is also included

Case 4:- Renal failure and coma 

 
• This is a case of diabetic and breathlessness patient
•  day to day treatment has been included 
• discharge summary is precise and brief

Case 5:-


• This is a case of alcoholic liver disease, hapatic encephalopathy and AKI
• diagnosis has been described clearly 
• The case has been presented clearly 

 Case 6:- Acute CKD 


• This is a case of diabetic patient and burning micrurition
• Hydronephrosis is seen in the patient which is elicited  
 
Case 7:-

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

• This is a case of heart failure (HFrEF) secondary to CAD 

• The patient is suffering from chest paind and shortness of breath 

• The case is presented well with all the required details

Case 8:-

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

• This is the case of pedal edema and shortness of breath 

• the patient is suffering from vomitings and loose motions

• the symptoms are subsided with the resepective treatment

Case 9:- 

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

• This is a case of alcoholic hepatitis, alcoholic and tobacco dependence syndrome 

• treatment and symptoms are described along with the timelines

• the case was presented well

Case 10:-

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

• This is a case of Acute kidney injury secondary to urosepsis

•  The patient is also diagnosed with diabetes,pedal edema and shortness of breath 

Case 11:-http://chavvaclassworkdecjan.blogspot.com/2021/06/pancreatitis-in-chronic-alcoholic-with.html?m=1

• This is a case of pancreatitis in a chronic alcoholic with AKI

•  The patient is suffering from vomiting 

• investigations are done to examine internal organs as ultrasound 


Question 4:-

Case 1:-

Diagnosis: Acute kidney injury and diabetes 

Investigations:

 complete urine examination

Bacterial culture and sensitivity  , ABG analysis

Hemogram

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:- Acute renal failure , uremic encephalopathy 

Investigations:

ECG,RFT,hemogram,ABG,USG abdomen,LFT,blood urea

Treatment:-

•Inj.Piptaz 2.25gm I.V -TID 

• Inj.Lasix 40mg I.V -BD

• Inj.Pantop 40mg I.V -OD 

•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 
 Investigations:- ECH, X-ray,bone marrow aspiration ,serum electorophoresis, USG abdomen
Treatment:-
 -T. PAN 40mg /PO / OD 

-  T. ZOFER 4mg / PO /SOS 

- TAB NODOSIS  550 mg / PO/BD 

Case 4:-

Diagnosis:- DKA with AKI

Investigations:-ABG,CBP,LFT,RFT

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:- Alcoholic liver disease, Diabetic nephropathy
Investigations:-CUE,hemogram,RFT,LFT,CBP
Treatment:-
1.Inj. Monocef 1gm IV/BD
2. Inj. Vancomycin 500mg IV/BD in 100ml NS over 1hr
4. Inj. Pan 40 mg Iv/OD
5. Inj. Thiamine 200mg in 100ml NS /BD
 
Case 6:-
Diagnosis:- Renal AKI, urosepsis
Investigations:-hemogram, CBP 
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

Injection NEDMOL 100ml IV/SOS

Case 7:-
Diagnosis:- HFrEF secondary to CAD,CRF
Investigations:-blood sugar, LFT, USG,RFT,pulmonary function test
Treatment:-
1.TAB. Bisoprolol 5 mg OD
2. TAB. Nitrohart 20/37.5 mg1/2T/D
3. TAB.Nicardia XL 30 mg OD

Case 8:-
Diagnosis:- Acute on CKD
Investigations:-USG abdomen,CUE, hemogram
Treatment:-
•Tab. Pan 40 mg po OD 
• Inj. Lasix 80 mg IV BD
•Thiamin 200 mg in 100 ml NS IV BD
•Tab. Levocet 5 mg Po BD
 
Case 9:-
Diagnosis:-Alcoholic hepatitis, AKI
Investigations:- CUE, LFT, CBP, hemogram 
Treatment:-
TAB. BENFOMETPLUS OD 

TAB NEUROBION FORTE OD 

TAB ECOSPORIN 75 mg OD 

TAB LIVOGEN OD 

INJ. VITCOFOL 500mg IM/OD 

TAB. LASIX 20mg OD 


Case 10:-
Diagnosis:- Acute kidney injury secondary to urosepsis 
Investigations:-CBP, bacterial culture and sensitivity report
Treatment:-
  • Inj LASIX 40 mg IV/TID [ 1 -1 - 1 ]
  •  Tab Norflox 200 mg PO/BD
  •  Tab ULTRACET 1/2 tab QID[ 1/2 - 1/2 - 1/2 - 1/2 ]
  •  Tab OROFEA - XT PO/OD
  •  Tab SHELCAL-CT PO/OD
  •  Inj HAI s/c TID [ 10U - 8U - 8U ]
Case 11:-
Diagnosis:- pancreatitis in a chronic alcoholic 
Investigations:- LFT,  CT scan
Treatment:-
 Iv fluids : NS 40 ml /hr.
IV lasix  40 mg BD .
Tab Nodosis .

Question 5:-

In the pandemic time we are not loosing the opportunity of taking cases with patients by the general medicine department help.For every clinical case they have guided us how to study and analyze the case. We are able to understand history taking and general examination which is the main important thing in diagnosing a disease of patients. By making these e logs and taking up cases helps us with quick and orderly examination of patient. General medicine department has providing a great opportunity to us to interact with patients in a easier way . The whole department including lectures, interns and PG s are helping us a lot even in this pandemic period through online interaction.











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