23 B.Divya
GENERAL MEDICINE DEPARTMENT - JUNE 2021 BIMONTHLY BLENDED ASSESSMENT.
23 B.Divya
3rd semester,2019 batch.
The following blog is an assignment that was given to us - for evaluation of our skills over the last month
Max Marks: 100 (5 questions in total and 20 marks for each answer)
Link for the Question
Q1) (Testing peer review competency in the active reader of this assignment) :
Please go through the case reports in the links shared above and provide your critical appraisal of the captured data in terms of completeness, correctness and ability to provide useful leads to analyze the diagnostic and therapeutic uncertainties around the cases shared.
Please review the E logged case report links around our current cases by some of our students in the links given
Gastroenterology
COMPLETENESS:
•The case presented is correct with accurate data
CORRECTNESS :
•The history of the patient,symptoms and signs have been listed well. The clinical images were provide with the laboratory investigations.
USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:
All the investigations lead to the diagnosis of the case and better treatment of the patient. Hence, no diagnostic uncertainties were found.
COMPLETENESS:
•The case presented is correct with accurate data.
•The case has completeness in all factors
The case begins with the chief complaint the history of presenting complaints in a chronological order, past history, personal history is written well the vitals have been explained.
•Icterus -present, oedema- present ,abdominal dissension are shown with images.
•All Investigations done are suggesting the provisional diagnosis and any changes occuring in the patient on every day basis and uncertainties around the diagnosis have been given.
CORRECTNESS:
The given data is correct
USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:
COMPLETENESS:
•The case seems incomplete
•Missing ones are
Date of admission
Segmentation of the case as chief complaints,history of presenting illness, history of past illness ,personal and family history.
• The history taking is in chronological order but a clear explanation can be given .
•Clinical images are attached including radiological findings.
CORRECTNESS:
The given data is correct.
USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:
The patient has chronic hemolytic anemia that is not ruled out in the patient's previous investigations outside the hospital
The patients investigations reveal bileduct dilation instead of doing costly procedures a permanent surgical procedure could be done.
CNS
COMPLETENESS:
•The case is complete with all necessary data
•The case log has details of the patient's complaints and history of present illness , past illness , all the investigations are shown with images .
CORRECTNESS:
The data provided is correct.
USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:
COMPLETENESS:
•Patient's treatment plan according to the status of the patient is not mentioned also discharge summary is missing.
CORRECTNESS:
The data provided is correct.
USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:
The therapeutic uncertainties can not be understood as the treatment done on each day of hospital stay is not provided.
COMPLETENESS:
•The case log has details of the patient's complaints and history of present illness , past illness , all the investigations are shown with images .
• no discharge summary
CORRECTNESS:
The data provided is correct.
COMPLETENESS:
•The case log has details of the patient's complaints and history of present illness , past illness , all the investigations are shown with images .
•any changes in the plan of treatment is not described.
CORRECTNESS:
The data provided is correct.
Hematology
COMPLETENESS:
•Patient's treatment plan well explained further status of patient to be provided .
CORRECTNESS:
The data provided is correct.
Pulmonology, Cardiology :
COMPLETENESS:
History of presenting illness , the timeliness of symptamatology well described.
CORRECTNESS:
The data provided is correct.
Nephrology https://bhargavikantipudirollno21.blogspot.com/2021/10/a-46-year-old-male-with-pedal-edema.html?m=1
CORRECTNESS:
The data provided is correct
COMPLETENESS:
•The case log has details of the patient's complaints and history of present illness , past illness , all the investigations are shown with images .
•on going case daily updates required.
Q2: Testing scholarship competency of the examinees ( ability to read comprehend, analyze, reflect upon and discuss captured patient centered data):
Please analyze the above linked long and short cases patient data by first preparing a problem list for each patient in order of perceived priority (based on the shared data) and then discuss the diagnostic and therapeutic uncertainty around solving those problems.
Gastroenterology
All the investigations lead to the diagnosis of the case and better treatment of the patient. Hence, no diagnostic uncertainties were found.
The patient has chronic hemolytic anemia that is not ruled out in the patient's previous investigations outside the hospital
The patients investigations reveal bileduct dilation instead of doing costly procedures a permanent surgical procedure could be done.
All the investigations lead to the diagnosis of the case and better treatment of the patient. Hence, no diagnostic uncertainties were found.
Q3) Include the review of literature around sensitivity and specificity of the diagnostic interventions mentioned and same around efficacy of the therapeutic interventions mentioned for each patient
4) Testing competency in patient data capture and representation through ethical case reporting/case presentation with informed consent :
Share the link to your own case report this month of a patient that you connected with and engaged while capturing his her sequential life events before and after the illness and clinical and investigational images along with your discussion of that case.
In this October month we are not posted to general medicine department clinical postings . Soon I'll provide the case report Link attending the postings ..
5) Testing scholarship competency in
logging reflective observations on your concrete experiences of this last month
Im actually thankful to this method of learning since it's bringing lot of understanding and interpretation.The checking of the cases in the hospital, enquiring and making this log brings a proper understanding of the case and helps us think about the the clinical condition of the patient.I hope this will really be very helpful in our clinical practice and learning.
THANK YOU