Bimonthly assessment for July

 I have been given the following formative assessment for bimonthly blended assessment for July  2021 .This is the link regarding assessment: .https://generalmedicinedepartment.blogspot.com/2021/06/bimonthly-formative-and-summative_19.html?m=1

Question:1

This is the question link I choose to give peer review  ⬇️

https://pravallikagade41.blogspot.com/

My review for her answers to questions given :

The way she explained ever case is so wonderful and also explanation was so appropriate.

This are the cases she covered in question 1 of her blog :

❇️Pulmonology

❇️Neurology

❇️Nephrology and urology

❇️Gastroenterology

❇️ infectious disease and hepatology 

❇️Cardiology 

She discussed different aspects of each case like case , treatment ,cause ,investigations and also diagnosis , symptoms of the given case. 

She even answered the case so well and also she had even a brief explanation of each case.

She even didn't stick one particular case but done all the different cases .she even suggested the better treatment for each particular case and as well precautions to be taken .Atlast the blog was good .

Question :2 -4

Case :1 patient with low back ache and renal failure 

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

Review : Diagnosis : Acute kidney injury( AKI) 2° to UTI, associated with Denovo - DM -2With ? Right HEART FAILURE,With K/C/O - HTN ( Not on Rx)

 AKI causes a build-up of waste products in your blood and makes it hard for your kidneys to keep the right balance of fluid in your body

➡️It is very well discussed in this case and also the history is taken in very well done .

Treatment history is given in detail

Case 2: Acute on CKD :

http://srinaini25.blogspot.com/2021/07/srinaini-roll-no-33-3rd-semester-this.html

Review : Probable Diagnosis ; 

Acute renal failure (intrinsic)

 Grade 1 L4-L5 Spondylodiscitis ,Multifocal infectious Spondylodiscitis

Hyperuricemia 2° to Renal failure 

Uraemia induced tremors( resolved)

Delerium 2° to septic /Uremic encephalopathy (resolving)

Here treatment for every day is displayed very well .she had informed every day treatment .

And also introduction is very well .Every aspect of the case like history taking , investigations , personal and family history is also good 

Case 3: CkD 

3: https://krupalatha54.blogspot.com/2021/07/a-49-yr-old-female-with-generalized.html?m=1

4: Past E log similar to last case :casereports.bmj.com/content/2009/bcr.03.2009.1726

Review : DIAGNOSIS :

 CKD ? Chronic interstitial nephritis secondary to plasma cell dyscariasis, (multiple myeloma - 70% plasmacytosis).

Here also treatment is explained in good way .really nice to read this blog and also x ray is also included in this blog to understand better .

Both the cases are same and this is ver well done .

Case :5  Patient with coma and renal failure  :

https://ananyapulikandala106.blogspot.com/2021/06/a-35yr-old-female-elog.html

Review : Provisional diagnosis: DKA with AKI ( ? Pre renal) 

The pictures in this  blog explains the case more appropriately . Nice blog .

Case :6 : Patient with coma and renal failure 

https://pallavi191.blogspot.com/2021/06/gm-cases_30.html?m=1

Review : Provisional Diagnosis:

Infective endocarditis?

Hepatic encephalopathy?

Investigations done in this case are : Hemogram:

RFT:

Urine Sodium:

Urinary Potassium:

Urinary chloride

Urine Protein: Creatinine ratio:

Coagulation profile:

PT - 15 sec

INR - 1.1

APTT - 31 sec

2D ECHO 

This case is well explained with all the investigations and all aspects of the case are discussed very well .

Case :7 

Patients with acute on CKD :https://kavyasamudrala.blogspot.com/2021/05/medicine-case-discussion-this-is-online.html?m=1

Review : Diagnosis 

Renal AKI secondary to urosepsis with b/L hydroureteronephrosis with K/c/of DM -2 since 5 yrs with diabetic nephropathy with Anemia secondary to CKD with grade 1 bed sore

This is the case of AKI and the treatment is given explained very well .TREATMENT 

 Injection PANTOP 40mg IV/ODI

njection PIPTAZ 4.5 stat and 2.25 gm IV/ TID

Injection LASIX 40mg IV/BD

Injection optineuron 1AMP in 100ml NS slow IV/OD

Injection NEDMOL 100ml IV/SOS

Tab PCM 650mg TID

Insulin Human actrapid - 16 IU/TID

Case : 8 patients with acute on CKD 

https://rishikakolotimedlog.blogspot.com/2021/07/45-year-old-male-with-chief-complains.html?m=1

Review : INVESTIGATIONS 

1. AFB CULTURE AND SENSITIVITY REPORT -

NEGATIVE- 

 2.PULMONARY FUNCTION TEST - 20th July 2021 Findings- Pre Medication findings 

1. Early small airway obstructions as FEF25-75 % Pred or  PEFR % Pred <70

2.Spirometry within normal limits as (FEV1/FVC) % Pred> 95 and FVC% Pred >80 

Post Medication Findings 

3. Mild restriction as (FEV1/FVC) % Pred >95 and FVC % <80 TREATMENT - 14/7/2021

1. TAB. BISOPROLOL 5mg OD

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

6.Cap. BIO-D3 OD

7.Cap. GEMSOLINE OD

8.TAB. ECOSPRIN-AV 150/20mg OD

9.TAB.LASIX 40mg BD

10. SYP. LACTULOSE 15ml here all the aspects of the case is discussed well .

Case :9 patients with acute on CKD 

https://krupalatha54.blogspot.com/2021/06/this-is-online-e-log-book-to-discuss.html?m=1

Review : 

Treatment:-

1. IV fluids

2. Tab. Pan 40 mg po OD 

3. Inj. Lasix 80 mg IV BD

4. Thiamin 200 mg in 100 ml NS IV BD

5.Tab. Levocet 5 mg Po BD

6.Liquid paraffin for LIA

7.Grbs 6 th hrly

8.I/o charting, temp. Charting.This is the case of CKD .It is very well discussed in this case and Every aspect of the case is discussed very well .

Case 10 : Patients with AKI :

https://keerthireddy42.blogspot.com/2021/07/43-yr-old-male-of-nalgonda-came-to.html?m=1

Review :PROVISIONAL DIAGNOSIS: ALCOHOLIC HEPATITIS ,

AKI SECONDARY TO ACUTE GASTROENTERITIS  

HFrEF SECONDARY TO CAD 

ALCOHOLIC AND TOBACCO DEPENDENCE SYNDROME 

➡️ INVESTIGATIONS: Hemogram

CUE

CBP

RFT

LFT

ECG

CXR PA VIEW

USG ABDOMEN

PT/ INR

APTT 

This are are investigations and every thing arrnaged in a proper order and very well discussed .

Case 11 : patients with AKI 

https://casescape.blogspot.com/2021/06/acute-kidney-injury-secondary-to.html?m=1

Review : Provisional diagnosis:

  Acute kidney injury secondary to urosepsis

Here also treatment based on days is given in a proper way and case presentation is very well .

Case 12 : patients with AKI 

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

Review : 

PROVISIONAL D I A G N O S I S-

Acute pancreatitis with AKI 

with ?B/L pleural effusion and moderate ascitis . 

Currently in ?Alcohol withdrawal.here summary of the case is given nicely we can easily understand the case just by reading the summary .

Question :5: this is about the monthly assessment of Gm department 

This is our 2 nd month of gm department .it is difficult for us to understand in online class .but we are trying to understand it . Voice is not clear to understand but good is they are trying to make us understand it .

Thank u from 2019 batch .

name : Akshara kruthi 

Roll no : 40