General medicine monthly online assessment




Link to questions for assignment http://medicinedepartment.blogspot.com/2021/07/medicine-paper-for-july-2021-bimonthly.html?m=1
QUESTION:1

Q1] Peer review of previous month's assignment of a student closest to my roll no.

A1] I have selected the following assignment to review: https://17bhavyaranjan.blogspot.com/2021/07/general-medicine-monthly-online.html

I chose Bhavya Roll no:17 as reference for reviewing a blog.
She took a neurology case and gave reviews to 10 random answers,even I studied the case thoroughly and also 10 random answers which was mentioned in her blog.

Neurology case details was given in following link:
https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html
My analysis of case:
The patient was talking,as well as laughing to himself. He was also unable to lift himself off the bed and move around,and had to be assisted.
All the above things are signs of mental confusion.
He was alcoholic, had stopped drinking .he
developed seizures following cessation of alcohol for 24 hrs, which was associated with restlessness, sweating and tremors.
All the above are signs of alcohol withdrawal delirium.
Albumin is decreased,this may indicate liver or renal problems.

Most probable diagnosis would be 
1.Wernicke's encephalopathy secondary to chronic alcohol dependence.
2.Alcohol withdrawal delirium.

The 10 random answers of the above case reviewed by my friend were correct and had valid points.
Another case was also mentioned by her.
https://amishajaiswal03eloggm.blogspot.com/2021/05/a-50-year-old-patient-with-cervical.html
She provided all the useful leads to analyse the diagnostic and therapeutic uncertainties around the case.
The efforts made by my friend were really admirable. I really appreciate her work in understanding and making the elog appropriately.
QUESTION :2
Yet to be done 
QUESTION:3

Critical appraisal of captured patient data for the following cases of renal failure

Case 1

Acute kidney infection case https://laharikantoju.blogspot.com/2021/07/58-year-old-male-patient-elog-lahari.html?m=1

History taken is clear and relavent. Diagnosis is accurate. Images are clear. 

Coma and renal failure case 2 here: https://pallavi191.blogspot.com/2021/06/gm-cases_30.html?m=1

This elog is very well Formated. Diagnosis and treatment is clear. Symptoms are mentioned. Every detail is clear. 

AKI Case 3:http://chavvaclassworkdecjan.blogspot.com/2021/06/pancreatitis-in-chronic-alcoholic-with.html?m=1

History is elaborate and relevant. Diagnostic section is clear. Format of the elog is comprehensive. Discharge summary is also provided making it the most complete and clear elog. 

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/ OD  2.25gm IV/ TID
4)INJ PANTOP 40mg IV/OD
5)INJ THIAMINE 1AMP IN 100ml NS IV/TID

Question:5 

This assignment made me learn basics that has to be done during clinical practice like history taking, case presentation, communication with patient and dealing with the investigations done. As all of us stuck at home due to present situation this online thing helped me in learning new things and diagnose diseases. The guidance and help by interns made our learning easy. 

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