GENERAL MEDICINE ASSIGNMENT (JULY 2021)
Name- A. Sri Sai Tarun
Roll no - 03
BELOW IS THE LINK TO THE QUESTIONS ASKED TO US :
http://medicinedepartment.blogspot.com/2021/07/medicine-paper-for-july-2021-bimonthly.html?m=1
QUESTION 1
-Below is the link of the student assignment for which I am sharing my peer review.
https://shruthiarukonda02.blogspot.com/2021/07/shruthi-arukonda-02.html?m=1
Reviews to all the Questions answered :-
1) The reviews for the cases selected are well described. A detailed pinpoint review has been given to each particular case selected, which is helpful in easy analysis. Even though the peer reviews giving are short they are well described. There is even more possibility for more case depicting points which can be selectively described.
2) Every investigation and detailed history has been correctly described in order. The case of TMJ is depicted in the form of log which has each and every detail of the case.
3&4) The peer review is written on acute kidney injury on chronic kidney disease. A good and well described appraisal has been provided regarding the important aspects of the case. Many useful leads and articles are mentioned so as to understand the case. The diagnostic and therapeutic intervention is one of the important aspects which is very well described.
4) The overall review and personal experience review is quite good. I'm sure that the patient centered approach of collecting and learning data has been well grasped by the student.
QUESTION 2
Below is the link of my case report of a patient that I've 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.
https://03saitarun.blogspot.com/2021/07/03-sai-tarun.html
QUESTION 3
Case 1:-AKI Link to the case is below :
https://laharikantoju.blogspot.com/2021/07/58-year-old-male-patient-elog-lahari.html?m=1
⇒Scenario of the case is depicted very well. Along with the treatment history and complains which are described correctly for easy analysis. Many investigations done are which are done are placed very well according to date.
Case 2:- Acute on CKD Link to the case is below :
https://srinaini25.blogspot.com/2021/07/srinaini-roll-no-33-3rd-semester-this.html
⇒This is a case of chronic kidney disease. All the identifications and investigations are headed towards the disease, as he had radiating pain towards backward. All these are described very well in the log presentation.
Case 3:- CKD Link to the case is below :
https://krupalatha54.blogspot.com/2021/07/a-49-yr-old-female-with-generalized.html?m=1
⇒Many serological investigations are done including LFT. 2D echo, bone marrow aspiration test is also done to identify any underlying cause for this disease.
Case 4:- Patient with coma and renal failure Link to the case is below :
https://ananyapulikandala106.blogspot.com/2021/06/a-35yr-old-female-elog.html
⇒This is also a case od diabetic with breathlessnes. The pt. was diagnosed with Type 2 Diabetes 3 years ago and was put on some oral hypoglycemic agents
Case 5:- Patient with coma and renal failure Link to the case is below:
https://pallavi191.blogspot.com/2021/06/gm-cases_30.html?m=1
⇒This is bit of complicated case as he was diagnosed with AKI secondary to UTI on CKD. Icterus and pedal edema are seen.
Case 6 :- Patient with acute on CKD Link to the case is below :
https://kavyasamudrala.blogspot.com/2021/05/medicine-case-discussion-this-is-online.html?m=1
⇒Post TURP with non oliguria ATN. It is a classical case where pus is seen in urine. There is a history of Transurethral Resection of Prostrate. Hydronephrosis is beautifully explained with MRI scans.
Case 7 :- Patient with acute on CKD Link to the case is below :
https://rishikakolotimedlog.blogspot.com/2021/07/45-year-old-male-with-chief-complains.html?m=1
⇒He is a known case of DM and hypertension which make him more prone to diseases. LFT and RFT are quite abnormal. HFrEF secondary to CAD is the diagnosis.
Case 8 :- Patient with acute on CKD Link to the case is below :
https://krupalatha54.blogspot.com/2021/06/this-is-online-e-log-book-to-discuss.html?m=1
⇒He was suffering with decreased urine output and vomitings and loose stools which are gradually subsided. Even fever is also spiked.
Case 9:- Patient with AKI Link to the case is below :
https://keerthireddy42.blogspot.com/2021/07/43-yr-old-male-of-nalgonda-came-to.html?m=1
⇒Bilateral pitting edema upto the knew is seen. There is dilated veins and distended abdomen . Alcoholic hepatitis occured as because of consuming alcohol previously.
Case 10:- Patient with AKI Link to the case is below :
https://casescape.blogspot.com/2021/06/acute-kidney-injury-secondary-to.html?m=1
⇒Urosepsis is seen as there is infection of urinary tract. Generalized lymphadenopathy is present. For more information regarding urosepsis refer below link:
https://www.ncbi.nlm.nih.gov/books/NBK482344/
Case 11 :-Patient with AKI Link to the case is below :
http://chavvaclassworkdecjan.blogspot.com/2021/06/pancreatitis-in-chronic-alcoholic-with.html?m=1
⇒Pancreatitis occured due to chronic alcholism. Many investigations are done including ultrasound to get a detailed view of the liver and if condition due to alcholism.
QUESTION 4
✱Case 1
Diagnosis : AKI secondary to UTI, associated with Denovo - DM -2
Treatment :
1)IVF : -RL @ UO+ 30ml/hr -NS
2)SALT RESTRICTION < 2.4gm/day
3)INJ TAZAR 4.5gm IV/TID
|
2.25gm IV/ TID
4)INJ PANTOP 40mg IV/OD
5)INJ THIAMINE 1AMP IN 100ml NS IV/TID
Diagnosis : Hyperuricemia 2° to Renal failure
Treatment:
• IVF - NS-0.9% @100ml/hr
• Inj. Tazar 2.25gm I.V -TID
• Inj. Lasik 40mg I.V -BD
Diagnosis: Chronic interstitial nephritis secondary to plasma cell dyscariasis
Treatment:
- T. PAN 40mg /PO / OD
- oral fluids upto 1.5 - 2 lit / day
- Protein - x ( plant based ) 2 tablespoon in 1 glass of milk
Diagnosis: DKA with AKI
Treatment:
Inj. NORAD 2amp in 50ml NS
Inj. PIPTAZ 2.25gm.
Inj. DOPAMINE 2amp in 50ml
Inj. HAI 1ml in 39ml NS
Diagnosis:INFECTIVE ENDOCARDITIS
Treatment:
2. Inj. Vancomycin 500mg IV/BD in 100ml NS over 1hr
3. Procto clysis enema
4. Inj. Pan 40 mg Iv/OD
Diagnosis: Renal AKI secondary to urosepsis with b/L hydroureteronephrosis
Treatment:
Injection PIPTAZ 4.5 stat and 2.25 gm IV/ TID
Injection LASIX 40mg IV/BD
Injection optineuron 1AMP in 100ml NS slow IV/OD
Diagnosis: HFrEF secondary to CAD; CRF
Treatment:
2.TAB. NITROHART 20/37.5mg 1/2 T/D
3.TAB NICARDIA XL 30mg OD
4.TAB. GLICIAZIDE 80mg BD
5.TAB. NODOSIS 500 mg TD
Diagnosis: Acute on CKD
Treatment:
2. Tab. Wysolone 40 mg ×10 days.
30 mg × 10 days
20 mg ×10 days
10 mg ×10 days.
3. Tab . Lasix 20 mg × 1 month.
Diagnosis: Alcoholic Hepatitis and aki sec to gastroenteritis
- INJ THIAMINE 100 mg in 100 ml NS slow IV / TID
- INJ OPTINEURON 1AMP in 100 ml NS slow IV / OD
- INJ LASIX 40 mg
Diagnosis: Acute Kidney Injury secondary to Urosepsis
Treatment:
IVF - NS @ UO + 50 ml/hr
Diagnosis: pancreatitis in a chronic alcoholic
Treatment:
IV lasix 40 mg BD .
Tab Nodosis .
IV PIPTAZ 4.5 Gms. BD
Iv 25%Dextrose. 100 ml BD
Iv fluids : NS 40 ml /hr.
QUESTION 5
⇛During the span of 2months I have experienced and seen many cases which are really helpful in clinical way. I have learned many things during the posting session.Even i have got a chance to log for a case the experience was quite helpful for me in understand how the system works. The General medicine department has done a quite a good work in making us understand the subject. For every clinical case they have guided us how to study and analize the case. I have learned how to capture the patient centred data for diagnosing the diseas. I have got a chance to see the many types of investigations done in order to diagnose a disease. I am grateful for this opportunity to involve in these study.
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