GENERAL MEDICINE ASSIGNMENT
July,03,2021
NAME: K.ROHIT
ROLL NO: 54
BATCH: 2019
We have been given 5 questions as an assignment to analyze, assess, understand and write the preview of the cases
QUESTION 1:
1.PULMONOLOGY
CASE LINK: https://aitharaveena.blogspot.com
Insights:- A55 yr old female patient came to the hospital with chief complaints of shortness of breath, pedal edema, and facial puffiness.
The evolution of symptomatology was greatly explained with a beautiful flowchart and the mechanisms of each drug are presented briefly. Even the probable consequences which occur during the treatment are mentioned which was very informative.
2.NEUROLOGY
CASE LINK:https://blendedasessmentmadhukumar.blogspot.com
Insights:-A 40 yrs old male with complaints of irrelevant talking and decreased food intake since 9 days
The etiology of the case was presented concisely. The withdrawal effects were clearly presented. Episodes of seizures are mentioned on the precise timeline. It was very impressive mentioning the treatment for the ulcers occurs during the treatment.
3.GASTROLOGY
CASE LINK: https://31nehareddy.blogspot.com/
Insights:-This the case of 33yr old male with pancreatitis, pseudocyst, and left bronchopleural fistula.
Insights:-A 78-year-old male with shortness of breath, chest pain, B/L pedal edema, and facial puffiness
The etiology of the case was presented nicely. The questions answered were reasoning proof and were brief. The images and videos used were very helpful which make us easy to understand the case. Each and every investigation were comprehensively explained.
5.NEPHROLOGY
CASE LINK: https://gsuhithagnaneswar.blogspot.com/?m=1
Insights: It is a case of 52yr old male who came to the OPD with the chief complaint of fever for 4 days and pus in the urine
And was diagnosed with renal AKI secondary to urosepsis with b/l hydroureteronephrosis with K/c of DM-2 since 5 yrs with diabetic nephropathy with anemia secondary to CKD with grade 1 bedsore.
The patient's case history is mentioned perfectly with the timeline. The questions answered were precise and informative. clinical investigations are mentioned clearly with the images.
pus in the urine
6.INFECTIOUS DISEASES
CASE LINK: https://prietyarlagadda.blogspot.com/
Insights:-[ Mucormycosis, ophthalmology,otorhinology, neurology.]
mucormycosis(black fungus)
50 yrs male came to the OPD with chief complaints of fever for 10 days, facial puffiness and periorbital edema since 4 days, and altered sensorium since 2 days
The questions were answered with reasoning information. Events of timeline and evolution of symptomatology were briefly mentioned in short. mentioning the primary etiology of mucormycosis and the additional medical education regarding pandemic times was impressive.
CASE LINK: https://160vasistamadhavareddy.blogspot.com/
Insights:- liver abscess
A 55 yr old male patient came to the OPD with chief complaints of pain abdomen since one-week
decrease appetite for one week and fever for 2 days.
The case was explained clearly based on events of the timeline. Each every detail of the case was mentioned specifically with detailed reports and images.
liver abscess aspirate
8.NEUROLOGY
CASE LINK: https://marisatejaswini.blogspot.com/
Insights:-This is a case of 52 yr old male with cerebellar ataxia
In this case, the questions were answered very clearly and the mechanism of drugs was better to understand. mentioning the adverse effects of alcohol abuse was interesting
9. PULMONOLOGY
CASE LINK: https://143vibhahegde.blogspot.com/
Insights:- I find that all the symptomatology is well explained clearly. This helps in the identification of the particular problem. The etiology and anatomical location of the problem are well identified and mentioned. The flow charts and diagrams included made it easy to assess the case.
10.CARDIOLOGY
CASE LINK: https://tejasreekandregula.blogspot.com/
Insights: The provided information was very reasonable and the indications and contraindications were mentioned clearly, it is very comprehensively explained as flow charts and diagrams were included.
QUESTION 2
Still didn't get a chance to do a case E log. Once it's completed shall update it here.
QUESTION 3 & 4
ABDOMINAL:
Acute kidney injury secondary to Urosepsis
Case link:https://casescape.blogspot.com/
A 60 yr old female presented to the OPD with chief complaints of pedal edema for 10 days, decreased urine output since 10 days, and fever since 10 days
The patient was apparently asymptomatic 5 years back following her was diagnosed with diabetes mellitus type 2 on check-up and on teneligliptin 20 mg . 2 years ago she developed fever, shortness of breath, and pedal edema, and diagnosed with acute kidney injury secondary to urosepsis and resolved conservatively after dialysis.
Now presented with a history of fever, high grade since 10 days, not associated with vomiting and loose stools. patient complaints pedal edema bilateral and pitting type, with decreased urine output and burning micturition.
outside reports of her suggest acute kidney injury. Known case of diabetes mellitus since 10 years and on teneligliptin 20 mg and not known case of hypertension, bronchial asthma, and tuberculosis.
Investigations ordered:
Complete urine picture, ECG, ultrasound, serum creatinine, Blood sugar fasting, blood sugar Random, blood urea, serum electrolytes, urinary potassium, chloride and sodium, Haemogram, ABG, and bacterial culture and sensitivity report.
Diagnosis: Acute kidney injury to secondary to urosepsis with hyperkalemia (resolved)
Treatment:
Inj LASIX 40 mg IV/TID 1-1-1
IVF-NS @UO + 50ml/hr
Inj MAGNEXFORTE 1.5gm/IV/BD
Tab NODOSIS-XT PO/OD
Inj HAI s/c
Neb plain asthalin 2 respules QID
BP/PR/SO2/Temperature monitoring
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