GENERAL MEDICINE ASSIGNMENT-56 MAHENDRA

GENERAL MEDICINE ASSIGNMENT

56 KANCHARLA MAHENDRA -2019 batch(3rd SEMESTER)

I have given the following assignment in an attempt to learn,read,comprehend,analyse,reflect upon and discuss the captured patient centered data

This is the link to questions asked in assignment:

https://generalmedicinedepartment.blogspot.com/2021/06/bimonthly-formative-and-summative_19.html?m=1

I have been given the following assignment in an attempt to read, comprehend, analyze, reflect upon patient centered data.nd discuss captured. 

1ST QUESTION:

QUESTION 1.

 CARDIOLOGY

https://65thanmaireddy.blogspot.com/2021/06/medicine-blended-assignment.html

According the question asked the answer is very well explained.The drugs needed for treatment are mentioned in a proper way with its action of mechanism.Also necessary pictures were provided for the given case because they are very essential for a proper diagnosis of the case.

QUESTION 2.

 PULMONOLOGY

https://nehae-logs.blogspot.com/2021/05/bimonthly-assignment-for-may-2021.html

For any diagnosis of a case,History taking and the timeline of the patient plays a key role Which is highlighted here.Also after the diagnosis Etiology plays a pivotal role for any clinical case which is explained here with many beautiful flowcharts for both timeline and the etiology of the ill condition.

QUESTION 3.

 NEPHROLOGY

https://ramyareddy105pebbeti.blogspot.com/2021/05/medicine-monthly-assignment.html 

For proper understanding of a case the most important things need to be highlighted or better underlined which is missed here.Apart from this an adequate information is provided for the diagnosis of the case.even  pictures were also provided well which is most important.

QUESTION 4.

 NEUROLOGY

https://08arshewarpavankumar.blogspot.com/2021/05/a-40-year-old-male-with-complaints-of.html

In diagnosing of a case the basic information needed is the symptoms.here the evolution of symptoms are very well explained.It was very comprehensable,easy to understand.

QUESTION 5.

 GASTROENTEROLOGY

https://mridultak.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html

Efficacy of the drug was mentioned,standard sources are used,and were mentioned in answer.Indications and mechanism of action was also explained in detail.It was very clear and well comprehensible.

QUESTION 6

 NEUROLOGY

http://nandininamani97.blogspot.com/2021/05/general-medicine-case-discussion.html

Pictures should have been included for easy understanding.Instead of presenting the information in the form of paragraphs,flow charts should have been better,the pathophysiology was explained in detail and the GABA system and glutamate system were explained well

QUESTION 7

 CARDIOLOGY

https://mridultak.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html

As this a case of 55 old female with chief complaints of shortness of breath and pedal edema,facial puffiness after examination provisional diagnosis was found to be actual exacebration of COPD associated with bronchieccasia.Here the comorbodities were well explained along with references.the answers were to the point,well presented.Also the anatomical localisation of the organ is mentioned very well.

QUESTION 8

 INFECTIOUS DISEASES AND HEPATOLOGY

https://nehae-logs.blogspot.com/2021/05/bimonthly-assignment-for-may-2021.html

As this a case of 55 old female with chief complaints of shortness of breath and pedal edema,facial puffiness after examination provisional diagnosis was found to be actual exacebration of COPD associated with bronchieccasia.Detailed explaination was provided along with pictures,the work was commendable here.Flow charts are used for the clear explanation of case.

QUESTION 9

 CARDIOLOGY

http://nandininamani97.blogspot.com/2021/05/general-medicine-case-discussion.html

In the case all the indications lyk acute ST levation myocardial infraction and non

ST leviation acute coronary syndrome,unstable angia,stable angina,high risk stress findings were mentioned and contraindications lyk intolerance for oral antiplatelets long term,absence of cardiac surgery backup were described but reasoning should have been included for each point.

QUESTION 10

 GASTROENTEROLOGY

https://caseopinionsbyrollno110.blogspot.com/2021/05/i-h-ave-been-given-following-cases-to.html?m=1

the presentation was remarkable,flowcharts were included where necessary,the answers were upto the mark,to the point,detailed explaination,easy to understand.

2ND QUESTION: 

I haven't got any got any chance to make a case report yet.So I didn't made any blog here.

3RD QUESTION:

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

  E LOG MEDICINE CASE

A CASE OF A 45 YEAR OLD MALE WITH ACUTE KIDNEY INJURY ON CHRONIC KIDNEY DISEASE(HYPERTENSIVE NEPHROPATHY) WITH URAEMIC ENCEPHALOPATHY.

This is case of old male came to the hospital with complaints of  Altered Sensoriun(hypo active).later history of fever 10days which is followed by pedal edema with anasarca with Shortness of breath even at rest

.

  The present illness of the patient includes lower back pain and neck pain.He is known case HYPERTENSION  5yrs and also known case of CHRONIC KIDNEY DISEASE since 5years.

The provisional diagnosis is AKI ON CKD(HYPERTENSIVE NEPHROPATHY) WITH UREMIC ENCEPHALOPATHY.

1.HYPERTENSIVE NEPHROPATHY: has been used to describe the clinical syndrome Characterised long-term essential hypertension. HN is the leading cause of ESRD in Africans in the second leading cause of ESRD worldwide.

 -Two physiological mechanisms have been proposed for the development of hypertensive nephropathy:

i) Glomerular ischaemia- chronic hypertension results in narrowing of pre-glomerulus arteries and arterioles with the consequent reduction in glomerular Blood flow

ii) Glomerular hypertension and glomerular hyperfiltration

Most of the patients with hypertension, the condition present for many years as in this case it was present for the past five years because of the periods of accelerated or poorly controlled BP. Hence the patient also witnessed mental status changes which are also the symptoms of Uremia. This caused Uremic Encephalopathy 

2UREMIC ENCEPHALOPATHY:It’s an organic brain disorder which occurs due to the buildup of toxins which are normally cleared by kidneys.

      It develops in patients with renal failure usually when creatinine clearance levels fall and remain below 15 mL/min.Uremia is final stage of progressive renal insufficiency and result in multiorgan failure.

 

    Results from accumulating metabolites of proteins in amino acids and concomitant failure of renal catabolic, metabolic and endocrinologic processes. Uremic encephalopathy  is one of many manifestations of Renal failure. Accumulation of diamethylarginine leads to Vasoconstruction inducing hypertension.

4TH QUESTION:

  CNS: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

5TH QUESTION:

         We, the students of third semester just began our clinical postings for the first time through online learning system which is a very difficult task compared to 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.