General medicine assignment

Name :M varshith 

Roll no : 85 

 

QUESTION1 

1)Given the detailed reviews to the cases.

Even the thought the review is short but given pinpoint and detailed data

Per review: Review the last assignment of the person closest to your roll no. Example: If you are roll no. 10 review 11 or 9.

Give positives, negatives, or comment on relevancy of 

 

https://mohammedwahaaj11.blogspot.com/2021/07/bimonthly-assignment-of-medicine-for.html?m=1

For the per review I have choosed Roll.no:83 the elog  describes accurately about the cases and in question 2 and 3 correct method of treatment is given and in question  1 the review are given in the form of pie charts which are good to refer and easy to comprehend the answers  are short and clear

QUESTION2 

https://varshithmorampudi.blogspot.com/2021/07/morampudi-varshith_41.html

QUESTION 3

Case1 

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.

Case2

http://srinaini25.blogspot.com/2021/07/srinaini-roll-no-33-3rd-semester-this.html  This is a case of chronic kidney disease Clear cut explanation about the prognosis of the disease is given.

Case.3  ckd 

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

The History e-log is presented in a systematic manner. General examination and Systemic examination are perfect and thoroughly written. Diagnosis of the patient is well written.

Case 4 

patient  with coma and renal failure 

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 

https://pallavi191.blogspot.com/2021/06/gm-cases_30.html?m=1  The case is about AKI secondary to UTI on CKD.clear explaination of the case is givenIcterus and pedal edema are seen.

 Case 6 

 Patients with acute on CKD  

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

The patient's history is arranged in a well manner and is easily understandable. Diagnosis of patient is precise. The graphs use in tis e-log is good. The highlighted text made the information clear. The investigations and clinical findings arranged in neat and well mannered.

Case 7  patient with acute ckd 

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

Case 8 

https://krupalatha54.blogspot.com/2021/06/this-is-online-e-log-book-to-discuss.html?m=1  The case is very well explained and good radiography images and the investigations of the patient is explained 

 

Case 9  patient with AKI

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 

 https://casescape.blogspot.com/2021/06/acute-kidney-injury-secondary-to.html?m=1  In this e-log the history of patient is well explained. The daily treatment history and medications for urosepis also arranged in well mannered. The daily investigations done also mentioned in a proper manner. It would be better if the text  highlighted. Overall this e-log is well written and easilyunderstandable.

QUESTION 4 

Case 1 Diagnosis : AKI  secondary to UTI, associated with Denovo - DM -2 

*IVF : -RL  @ UO+ 30ml/hr -NS
*SALT RESTRICTION  < 2.4gm/day
*INJ          2.25gm IV/ TID

*INJ     PANTOP 40mg  IV/OD
*INJ     THIAMINE  1AMP  IN  100ml   NS   IV/TID

CASE-2

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

CASE-3

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  

CASE-4

Diagnosis: DKA with AKI 

Treatment:

 

*Inj. PIPTAZ 2.25gm.
*Inj. DOPAMINE 2amp in 50ml
*Inj. HAI 1ml in 39ml NS

CASE-5

Diagnosis: HFrEF secondary to CAD; CRF

Treatment: 

*  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

CASE-6

Diagnosis: INFECTIVE ENDOCARDITIS

Treatment:

1. Inj. Monocef 1gm IV/BD
2. Inj. Vancomycin 500mg IV/BD in 100ml NS over 1hr
3. Procto clysis enema
4. Inj. Pan 40 mg Iv/OD

CASE-7

Diagnosis: Renal AKI secondary to urosepsis with b/L hydroureteronephrosis

Treatment: 

njection PANTOP 40mg IV/OD

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

CASE-8

Diagnosis: Alcoholic Hepatitis and aki sec to gastroenteritis

Treatment: 

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  

CASE-9

Diagnosis: Acute Kidney Injury secondary to Urosepsis

Treatment 

 Inj LASIX 40mg (8am- 2pm -8pm)
IVF - NS @ UO + 50 ml/hr

CASE-10

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

It has been two months since these e log experience has started for us and  it has been an wonderful  experience  till now. with the help of e log we are able to read multiple patient  cases and also give peer review  of it  .and we were also given  chance to create our own e logs and I  have learnt a lot from thanks tho the general medicine department and our hod sir it has been a good experience