MY EXPERIENCE WITH GENERAL CELLULAR AND NEURAL CELLULAR PATHOLOGY IN A CASE BASED BLENDED LEARNING ECOSYSYTEMS CBBLE
HELLO
This is Kundana Kanumilli a final year medical student from India.
In the field of medical education ,integration of narrative and data plays a main role in shaping the learning experience of students . I would like to share few experience in my medicine postings.
we started to go to wards from our 2nd MBBS COURSE we used to talk to patients and take history , until we got into actual work covid wave started we were sent home ,even though the medicine department in our institute helped us to learn in a new way using technology , we took history from patient by phone calls we were able to learn even in the pandemic .this all happened because of the medicine department in our institution.
I would like to share few of my experience in medicine department
CBBLE PAJR PARTICIPATORY LEARNING ACTION RESEARCH DISCLAIMER
NOTE: THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS/HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT
CASE:1
The first patient I examined and documented during my clinical postings as a 3 rd yr mbbs student, was a 40 year old male patient with seizures . He had exaggerated reflexes in both right and left knee. I never saw a patient with hyper reflexes. I did not know how to perform reflexes until then ,in this patient my seniors and faculty helped me to learn and elicit the reflexes, which I did not forget till now
CASE REPORT:
https://kanumillikundana60.blogspot.com/2021/07/study-by-kundana-kanumilli
-3rd-sem-40.html
CASE:2
This case is about a 70 year old male with burning micturition, pedal edema and fever. He had edema which is pitting type , this is the first time I saw practically how actually a pitting edema looks until then we just experienced virtually .He is diagnosed with post renal benign hyperplasia with AKI .
CASE REPORT:
https://kanumillikundana60.blogspot.com/2021/07/a-70-year-old-male-with-burning.html
CASE:3
This was a case of 69 yr old male patient who came to opd with chief complaints of itching and pedal edema . He had itching all over the body . His appetite had reduced. even his urine output reduced for 2 weeks. He is diagnosed with AKI with bilateral hydrouretronephrosis .
CASE REPORT:
https://kanumillikundana60.blogspot.com/2022/03/69-year-old-male-with-itching-and-pedal.html
CASE:4
This is a case of 50 year old male farmer by occupation came to hospital with chief complaints like generalized weakness from 2 weeks , itching , polyuria and polydipsia. He had classical symptoms of diabetes mellitus and he even had Herpes zoster . We monitored his blood sugar levels frequently.
CASE REPORT:
https://kanumillikundana60.blogspot.com/2022/08/50-yr-old-male-with-uncontrolled-type-2.html
CASE :5
This was a case of a 45 year old male patient farmer by occupation came to hospital with chief complaints of fever since a week, slurring of speech from 4 days , burning micturition since 4 days .In this patient i realized to take a note of his daily routine. I understood how important to follow a patient's daily routine. He had significant weight loss. He had 3 sessions of haemodialysis. He is diagnosed as a case of urosepsis with diabetes.
CASE REORT:
https://kanumillikundana60.blogspot.com/2022/08/general-medicine-elog.html
CASE:6
This a case of 60 year old male brought to casualty on mechanical ventilation with history of vomiting
and pain abdomen with local irreducible hernia and was operated . after 3 days of post op he was diagnosed with delirium tremors. He got discharged and brought back to same hospital with complaints of altered sensorium , hypotension and reduced urine output . He is on mechanical ventilator , vitals are normal on examination . on examination of limbs power is 0/5 . there are no reflexes present . He is farmer and shepherd .
DAILY ROUTINE :
PROBABLE DIAGNOSIS:
Locked in syndrome
A Journey with Locked-In Syndrome
In a world where communication is often taken for granted, imagine being trapped within a body that no longer responds. Locked-In Syndrome (LIS) is a condition that leaves patients with complete body paralysis, except for their eyes. This blog aims to shed light on the experiences, challenges, and resilience of individuals living with LIS and emphasizes the power of communication beyond spoken words.
As a young student who will be wandering everywhere and talking to everyone and sharing our thoughts we might not able to understand the situation or feeling of a paralysed man who can not move his limbs nor can he express his feelings . He had a surgical scar of hernia . he cant even talk , he is just able to blink his eyes . After seeing this i decided to word hard as a medical student and learn all the possible ways to treat patients like him.
Living with Locked-In Syndrome is undoubtedly challenging, but it is important to recognize the strength, resilience, and inherent worth of individuals who navigate this condition. By embracing alternative forms of communication and extending empathy and support, we can help bridge the gap between the locked-in world and our own. Let us strive to create a society that values the voices, experiences, and contributions of all its members, regardless of physical limitations.
In conclusion, the medical cases explored in this blog provide us with invaluable insights into intricacies of human body and the challenges that patients face. Through these stories I have witnessed the power of diagnosis , treatment , and the resilience of human spirit.
These cases remind of complexity and diversity of illnesses exist . They shed light on importance of early detection , timely intervention and treatment plans .
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