23,Divya.B

 General Medicine blended assessment.

Name:B.Divya

Roll no: 23

Batch:2019(3rd semester).

Question 1)

Pulmonology:

Review:-https://yrahul190.blogspot.com/?m=1

Case1: https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html

       The case was diagnosed as COPD associated with right heart failure and bronchiectasis.The patient is presented with shortness of breath, generalized weakness, pulmonary odema.In this case due to obstructive lung disorder,the workload on right heart leading to right heart failure. All the examination was done thoroughly and with proper investigations. This is very good presentation with all the images required for proper diagnosis and the treatment of all symptoms was also given properly.

Neurology

Review:-https://157siddhanth.blogspot.com/

Case2:https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html

      The case was diagnosed as wernickes encephalopathy secondary to chronic alcohol dependence along with uraemic encephalopathy.The case presentation is well done with the information of all the required investigation reports.The given ABG analysis,2D echo,USG abdomen clearly emphasis the disease of the patient.The video of the patient reveals complete picturization to analyse the disease.I feel the presentation is very accurate and complete information can be analysed.

Cardiology

Review:-https://navyarathlavath.blogspot.com/

Case3:https://muskaangoyal.blogspot.com/2021/05/a-78year-old-male-with-shortness-of.html

     The patient was diagnosed with acute pericarditis with moderate pericardial effusion.Tge patient came to op with shortness of breath,chest pain which is a suggestive of heart disease.The The investigations shown reveals the cardiac effusion but the pictures of the 2D echo have to be put for clear analysis.Its good that they have suggested the medication to be taken after the discharge.

Gastroenterology

Review:-https://sahithinalaboluelog.blogspot.com/

Case4:https://63konakanchihyndavi.blogspot.com/2021/05/case-discussion-on-pancreatitis-with.html

            The patient was diagnosed with pancreatitis,pseudocyst and left broncho-pleural fistula.All the examination was presented perfectly but there should be more images of the patient.The x-rays are shown well and the complete analysis of the report is well presented. The examination of the patient is shown properly in the video.The medication is also well prescribed and all the reports are clearly pasted inthe case sheet.

Nephrology and urology

Review:https://15abhishek.blogspot.com/?m=1

Case5:https://kavyasamudrala.blogspot.com/2021/05/medicine-case-discussion-this-is-online.html

         The patient was diagnosed with fever and pus in the urine.The history of fleshy mass like and foamy passage in his urine was enquired from his attenders which is suggestive of great communication with attenders of the patient. The patient renal function tests are shown clearly which are with impaired function.KUB X ray was also done showing the patient bilaterally.Adequate  treatment and medicines were suggested to the patient.I really appreciate the presentation given.

Infectious Diseases.

   Review: https://chennabhavana.blogspot.com/

Case6:http://manikaraovinay.blogspot.com/2021/05/50male-came-in-altered-sensorium.html

             The patient has infected with pathogens and was having periorbital swelling associated with facial puffiness.On detailed examination  and observation  for a period of time showed many fluctuations in the vitals which led to examination of CVS and neural systems.The details of the examination was picturised clearly with ecg and MRI scan. They came to conclusions that the patient was infected with mucormycosis (a fungus).All the images clearly shows the infection and is well presented.

Infectious Diseases and Hepatology

Review:https://saichennuru.blogspot.com/

Case7:

https://vyshnavikonakalla.blogspot.com/2021/05/a-40-year-old-lady-with-dysphagia-fever.html

       The ingestion of infectious cysts led to ameobic liver abscess.The patient who is also an alcoholic made his abscess worsen his condition.The flowcharts depicting the pathophysiology were presented very neatly.The treatment and  efficacy of the drugs to be utilised are very clearly shown but more of the clinical pictures must have shown .Then there could be a clear cut analysis would have made easy for diagnosis.

 Neurology

Review:https://laharika29.blogspot.com/

Case8:https://shivanireddymedicalcasediscussion.blogspot.com/2021/05/a-30-yr-old-male-patient-with-weakness.html

      The patient is presented with weakness of both the upper and lower limbs There was difficulty for him in walking,has dizziness, numbness of face,loss of balance and coordination.The gait of the patient clearly indicates us that he has a neurological disorder.The  patient was diagnosed with neurological disease and the treatment approach was mentioned clearly with medication but the should be presented with some more pictures to depict the condition of the patient clearly.

Cardiology

Review:

https://akash688.blogspot.com/2021/05/online-blended-bimonthly-assessmentmay.html

Case9:https://daddalavineeshachowdary.blogspot.com/2021/05/67-year-old-patient-with-acute-coronary.html?m=1

    

        This is a case of acute coronary syndrome associated with Diabetes mellitus and the past history of TB.The ECG showed there are fluctuations in the ECG with depressed  ST wave and  no progression of Q wave.The patient was suspected  to get covid  due to her weak immune system.The patient was given appropriate medications and was sent to home without admitting in to the hospital due to ongoing pandemic situation.This case is not so serious that requires hospitalization so the doctors didn't suggest her to stay in the hospital.Later  after  everything sets into good position in the society she again have to be examined carefully later on.

Neurology

Review:https://164sasiharshithjasthi.blogspot.com/2021/05/have-been-given-following-cases-to.html

Case10:https://neerajareddysingur.blogspot.com/2021/05/general-medicine-case-discussion.html?m=1

            This is a case of cervical myelopathy associated with weakness of all four limbs.He is also a known case of Hypertension and is also on medication since he was diagnosed with HTN.All the appropriate investigations were done and found wartenbergs sign and finger escape sign which are indications of his neurological conditions. The treatment was advised to have vitamin supplementation along with steroidal therapy.The case was represented very well and is dealt with atmost care such that the patient recovered very well.

Question 2) 

I haven't yet got the chance  to make a case report.

Question 3)

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

      

     Case:-The patient acute kidney injury with uraemic encephalopathy.The data of serum creatinine was estimated day by day to find any variations with continuation of the treatment.The final diagnosis was made after all the investigations wee can conclude that the patient has chronic renal failure with metabolic acidosis also associated with hypertension.The ECG,ABG,RFT,LFT,USG reports,Chest X- ray are investigated and the patient is kept on treatment for some days and there is a better improvement in the patient.The medication prescribed was very effective and he was well treated.The patient should be treated with electrolytes appropriately to overcome the metabolic acidosis and maintain the proper Ph and homeostasis of the body's internal environment.

Question 4)

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

  

       The patient came with the chief complaint 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 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 D1 with Epidural abscess at C5-C6 level. He was treated with appropriate medication for about 4 days and there was improvement in his condition.Later the patient  improved his condition .The decision and the treatment have been a very good help which improved patients condition.

Question 5)

We, the students of third semester just began our clinical postings for the first time through online learning system which is a little difficult task compared to direct or the 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 we appreciate the opportunity that our professors  are giving and we will try to utilise this opportunity to the maximum and do our best to learn.

  

                THANK YOU.