GENERAL MEDICINE ASSIGNMENT [JUNE 2021]

Name - D.Vijaya ratna , MBBS[3rd sem]

Roll number - 34

QUESTION 1: Competency tested for Peer to peer review and assessment : 

Please go through one particular answer of ten students in this link:

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

and share your peer review of each answer with your quantitative marking input as well as qualitative insights into what was good or bad about the answer. 

          PULMONOLOGY

REVIEW- https://aitharaveena.blogspot.com/

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

This is the case of COPD presenting with the chief complaints of shortness of breath,generalized weakness,pedal edema,facial puffiness.She has been diagnosed with diabetes[8 years ago] and hypertension[5 years ago].The evolution of symptoms are explained well in chronological order.Placebo effect was explained well . All the answers are simple and easy to understand.

     NEUROLOGY

1.REVIEW - https://bejugamomnivasguptha.blogspot.com/

CASE - http://bejugamomnivasguptha.blogspot.com/2021/05/a-45-years-old-female-patient-with.html

The case has been presented very well with the flowcharts and made it easy to understand through it.The reasons and riskfactors are also eplained.The changes seen in ECG are shown pictorally.

2.REVIEW - https://chippaakhila23.blogspot.com/

CASE - https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html

Evolution of symptomatology was explained in flowchart.The pharmalogical actions with mechanisms are given.The answers are upto the point.

3.REVIEW -https://gsuhithagnaneswar.blogspot.com/?m=1 

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

The evolution of symptoms was explained in tabular form chronologically,it is quite good.Pharmacological and non-pharmacological interventions of each drug are explained with their mechanisms.But they are no pictures and flow charts.The journal link was also updated for more info.

    CARDIOLOGY

1.REVIEW - https://sannithreddykasala.blogspot.com/

CASE -https://muskaangoyal.blogspot.com/2021/05/a-78year-old-male-with-shortness-of.html

The answers are straight forward.But pictures and flowcharts would have made it more fitting.Presentation was very nice.

2.REVIEW - https://lasyasakilam27.blogspot.com/

CASE - https://preityarlagadda.blogspot.com/2021/05/biatrial-thrombus-in-52yr-old-male.html

The evolution of symptoms are explained detailly.The answering is done very well through flow charts and tabular forms.It is easy to understand.

    NEPHROLOGY AND [UROLOGY]

REVIEW - https://67ankithareddy.blogspot.com/?m=1

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

The answers are pretty good, the 2nd question had not been answered.Must have used pictures for better understanding.

    GASTROENTEROLOGY 

1.REVIEW - https://kalpanamiryala83.blogspot.com/

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

The answering is done pretty well,must have tried using flow charts for easy understanding.

2.REVIEW - https://sahithinalaboluelog.blogspot.com/

CASE - https://nehae-logs.blogspot.com/2021/05/case-discussion-on-25-year-old-male.html

The presentation is upto the point and easy to understand,more pictures would have made it more appropriate.

    INFECTIOUS DISEASES(MUCORMYCOSIS, OPHTHAMALOGY, ENT, NEUROLOGY)

REVIEW -https://108subramanyamelogcases.blogspot.com/

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

The information is very detail,all the answers are simple and easy to understand.Must have tried explaining through flowcharts.

QUESTION 2 : I haven't taken up any case as of now and make a case report yet.

QUESTION 3 : 

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

The patient presented with sudden fall followed by weakness of both the lower limbs (paraplegia),loss of hand grip 10 days back,associated with bowel and bladder incontinence.He is a known case of TB since 1 month and on ATT - HRZE.His father is a known case of TB and used ATT for 2 years.As per the  examinations done ,the provisional diagnosis were made as cervical myelopathy and potts spine.The treatment given was Inj. Optineuron 1Amp in 100ml NS  IV/OD,Inj. Thiamine 200mg in 100ml NS IV/TID, ATT - according to body weight 2 tab PO/OD.MRI scan was done which showed the impression of  infectious spondylitis of C4, C5, C6, C7 and D1 with Epidural abscess at C5 - C6 level.

QUESTION 4:

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

The patient presented with pedal edema since 10 days,decreased urine output since 10 days and fever since 10 days.She is a known case of diabetes mellitus since 10 years and on tab Teneligliptin 20 mg and not known case of hypertension, bronchial asthma, tuberculosis.There is no significant family history.On general examination bilateral  Pitting type pedal edema is seen.High BP with O2 90 per mmHg.On systemic examination,the provisional diagnosis was made as Acute kidney injury secondary to urosepsis.After the investigations she was diagnosed with Acute kidney injury secondary to urosepsis with hyperkalemia [resolved]With anenmia of chronic disease 

QUESTION 5 :

This assessment helped me learn basics of clinical practice like history taking and writing case sheets during this pandemic even though it is inconvenient.It would have been better offline rather than online.Dr.Rakesh biswas sir,HOD and the general medicine department has put all their efforts teaching us .As I'm new to clinical postings,I'm very glad to learn much of it collected by our department and learn more.