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BIMONTHLY ASSIGNMENT

 QUESTION1 

https://medicinedepartment.blogspot.com/2021/06/medicine-department-paper-for-june-2021.html?m=1

1 PULMONOLGY

PATIENT LINK https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html

Review for the link~ 

https://meesumabbas82.blogspot.com/2021/05/case-opinions-may-2021.html

  *Diagnosis of hypertension  was given 20 days ago 

 *15 days ago she started developing pedal edema and  facial puffiness

* episodes of SOB are diagnosed  

  • Exposure to allergens which could make it a possible occupational hazard 
  • Infections by Moraxella, H. influenzae or Pneumococcus
  • Dust or pesticides exposure 
*The possible etiological factors are given in a good manner

2 NEUROLOGY

 PATIENT  LINK https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html

Reviews for the link~

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

*The patient suffers from Wernicke's encephalopathy 

*The mechanism of action indication and efficacy over placebo of each of the pharmacological and non pharmacological interventions are given correctly

*It explains perfectly the reason for giving thiamine 

3 CARDIOLOGY 

PATIENT LINK 

link given:/2021/05/a-78year-old-male-with-shortness-of.html

Review s for the the link 

https://prathyushamulukala666.blogspot.com/2021/05/online-blended-bimonthly-assignment.html

*difference between heart failure with preserved ejection fraction and with reduced ejection fraction is explained 

*risk factors for development of heart failure are explained in a good manner 

*The cause of hypertension in the patient is explained  


4 GASTROENTEROLOGY

PATIENT LINK

https://chennabhavana.blogspot.com/2021/05/general-medicine-case-discussion-1.html

REVIEW LINK

http://savanthreddy.blogspot.com/2021/05/online-blended-bimonthly-assignment-may.html

*The cause of her death is given is explained

*The most probable diagnosis of ruptured liver is given 

5 NEPHROLOGY

PATIENT LINK 

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

REVIEW LINK

https://saichennuru.blogspot.com/2021/05/online-blended-medicine-assignment.html

*The reason for sob is correctly described 

*The reason for intermittent episodes of drowsiness is given 

*The complications of turo are given correctly

6 INFECTIOUS DISEASE S {HI VIRUS , MYCOBACTERIA, GASTROENTEROLOGY}

PATIENT LINK 

https://vyshnavikonakalla.blogspot.com/2021/05/a-40-year-old-lady-with-dysphagia-fever.html

REVIEW  LINK 

https://chippaakhila23.blogspot.com/2021/05/online-medicine-blended-assignment-may.html

*Physical findings and clinical history of tracheo oeshophageal fistula is given  

*The chances of the patient developing immune reconstitution inflammatory syndrome and prevention are described  

 7 INFECTIOUS DISEASES AND HEPATOLOGY 

PATIENT LINK 

https://kavyasamudrala.blogspot.com/2021/05/liver-abscess.html

REVIEW LINk 

https://divyasree1999.blogspot.com/2021/05/general-medicine-assignment-for-may-2021_31.html?m=1

*It tells about the etiopathogenisis of liver abscess in chronic alcoholic patient 

*Also how local alcohol affects people 

8 INFECTIOUS DISEASE (MUCOMYROSIS , OPTHALMOLOGY,OTORHINOLOGY,NEUROLOGY)

PATIENT. LINK

http://manikaraovinay.blogspot.com/2021/05/50male-came-in-altered-sensorium.html

REVIEW LINK 

https://143vibhahegde.blogspot.com/2021/05/medicine-blended-assignment-may.html 

*Primary aetiology: Diabetic ketoacidosis promoting infection with mucormycosis is given

* The efficacy of drugs is given and mechanism of action of drugs is given


9 INFECTIOUS DISEASE(COVID 19

PATIENT LINK

https://nikhilasampathkumar.blogspot.com/2021/05/covid-pneumonia-in-pre-existing-case-of.html

REVIEW LINK

https://sreshtaj.blogspot.com/2021/05/medicine-case-discussion-covid-cases.html

*Tells how prexsisting ILD determine s the prognosis of the patient

*And why she prescribed plexane.

10 GASTROENTROLOGY

PATIENT LINK

https://nehae-logs.blogspot.com/2021/05/case-discussion-on-25-year-old-male.html

REVIEW LINK 

https://nikhilasampathkumar.blogspot.com/2021/05/blended-assignment-for-month-of-may-2021.html

*tells what causes the patients dyspnoea and how it's related to pancreatitis 

*It's  clear and elaborate 


QUESTION NO 2 

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


QUESTION 3 and 4

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

The history  of present illness includes patient was asymptomatic  5 years back following she was diagnosed  with DM2  she developed  fever ,shortness of breath and pedal edema and diagnosed  with acute kidney injury secondary to urosepsis  and resolved conservatively after dialysis and past illness history  includes acute kidney injury known case of diabetes milletus since ten years on tablet teneligliptin 

The patient was married eats a moderate mixed diet and sleeps adequately and her bowl movements  were  regular and consumes alcohol  regularly  and has no significant  family  history 

General examination includes pallor no icterus vitals included pulse of 111 beats per minute and blood pressure  of 170/110 mg  abdominal examination  s included  no ascites bowel sounds were normal and hernial orifices intact the cardiac sound  s1 and s2 were heard normal  no murmurs heard the respiratory  examination  included no chest wall deformity the trachea central vocal resonance normal and symmetrical  Percussion  note resonant musculoskeletal  syestem includes gait normal  no muscle or soft tissues changes no limitation of movements central nervous syestem examination  includes  no final abnormality detected speech normal higher mental function s intact 

PROVISIONAL DIAGNOSIS was given the person suffering  from acute kidney injury scores to urosepsis 

THE INVESTIGATIONS  DONE WERE 

*complete urine examination 

*ecg

*ultrasound 

* serum creatinine 

*blood sugar fasting 

*blood sugar random

*blood urea 

*serum electrolyte s

* serum posttasium

*urinary chloride 

* urinary potassium

*urinary sodium

*haemogram

*ABG

*bacterial culture and sensitivity report

* complete blood picture 

From these these tests  it was diagnosed  with acute kidney  injury secondary  to urosepsis with hyperkalemia with anemia of chronic  disease  

TREAMENT INCLUDED 




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


15/6/21, 5:30 p.m.

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


16/6/21

Treatment:
  •  Inj LASIX 40 mg IV/TID          1 -1 - 1
  •  IVF - NS @ UO + 50 ml/hr
  •  Inj MAGNEXFORTE 1.5 gm/IV/BD
  •  Tab NODOSIS - XT PO/OD
  •  Inj HAI s/c
  •  Neb plain Asthalin 4 respules    [ 1 - 1 - 1 - 1 ]


17/6/21

Treatment:
  •  Inj LASIX 40 mg IV/TID    1 -1 - 1
  •  IVF - NS @ UO + 50 ml/hr
  •  Inj MAGNEXFORTE 1.5 gm/IV/BD
  •  Tab NODOSIS - XT  PO/OD
  •  Tab OROFEA - XT  PO/OD
  •  Inj HAI s/c
  •  Neb plain Asthalin 2 respules
  •  Strict I/O charting


18/6/21

Treatment:
  •  Inj LASIX 40 mg IV/TID   1 -1 - 1
  •  IVF - NS @ UO + 50 ml/hr
  •  Inj MAGNEXFORTE 1.5 gm/IV/BD
  •  Tab NODOSIS - XT  PO/OD
  •  Tab OROFEA - XT  PO/OD
  •  Inj HAI s/c
  •  Neb plain Asthalin 2 respules  QID
  •  Strict I/O charting
  • Tab ULTRACET 1/2 tab QID [ 1/2 - 1/2 - 1/2 - 1/2 ]

19/6/21

Treatment:
  •  Inj LASIX 40 mg IV/TID    1 -1 - 1
  •  IVF - NS @ UO + 50 ml/hr
  •  Inj MAGNEXFORTE 1.5 gm/IV/BD
  •  Tab NODOSIS - 500 mg  PO/OD
  •  Tab OROFEA - XT  PO/OD
  •  Inj HAI s/c
  •  Neb plain Asthalin 2 respules  QID
  •  Strict I/O charting
  •  Tab ULTRACET 1/2 tab QID[ 1/2 - 1/2 - 1/2 - 1/2 ]

20/6/21

Treatment:
  •  Inj LASIX 40 mg IV/TID [ 1 -1 - 1 ]
  •  IVF - NS @ UO + 50 ml/hr
  •  Inj MAGNEXFORTE 1.5 gm/IV/BD
  •  Tab NODOSIS - 500 mg PO/OD
  •  Tab OROFEA - XT PO/OD
  •  Inj HAI s/c
  •  Neb plain Asthalin 2 respules QID
  •  Strict I/O charting
  •  Tab ULTRACET 1/2 tab QID[ 1/2 - 1/2 - 1/2 - 1/2 ]
  •  BP/PR/SO2/Temperature monitoring
  •  GRBS charting

21/6/21

Treatment:
  •  Inj LASIX 40 mg IV/TID [ 1 -1 - 1 ]
  •  IVF - NS @ UO + 50 ml/hr
  •  Inj MAGNEXFORTE 1.5 gm/IV/BD
  •  Tab NODOSIS - 500 mg PO/OD
  •  Tab OROFEA - XT PO/OD
  •  Inj HAI s/c TID  [ 10U - 8U - 8U ]
  •  Neb plain Asthalin 2 respules QID
  •  Tab Norflox 200 mg PO/BD
  •  Tab ULTRACET 1/2 tab QID[ 1/2 - 1/2 - 1/2 - 1/2 ]
  •  BP/PR/SO2/Temperature monitoring
  •  GRBS charting
  •  Strict I/O charting

22/6/21

Treatment:
  •  Inj LASIX 40 mg IV/TID [ 1 -1 - 1 ]
  •  IVF - NS @ UO + 50 ml/hr
  •  Tab Norflox 200 mg PO/BD
  •  Ing OPTINEURON 1amp in 100 ml  NS IV/OD
  •  Tab OROFEA - XT PO/OD
  •  Tab SHELCAL-CT PO/OD
  •  Inj HAI s/c TID [ 10U - 8U - 8U ]
  •  Tab ULTRACET 1/2 tab QID[ 1/2 - 1/2 - 1/2 - 1/2 ]
  •  BP/PR/SO2/Temperature monitoring
  •  GRBS charting
  •  Strict I/O charting

23/6/21

Treatment:
  •  Inj LASIX 40 mg IV/TID [ 1 -1 - 1 ]
  •  Tab Norflox 200 mg PO/BD
  •  Tab ULTRACET 1/2 tab QID[ 1/2 - 1/2 - 1/2 - 1/2 ]
  •  Tab OROFEA - XT PO/OD
  •  Tab SHELCAL-CT PO/OD
  •  Inj HAI s/c TID [ 10U - 8U - 8U ]
  •  BP/PR/SO/Temperature monitoring
  •  GRBS charting
  •  Strict I/O charting

I feel that the disease  was diagnosed  in a correct  manner and .The tests concluded  the disorder that
the patient  was suffering 



QUESTION 5  

 This month's logging  and learning  was a  good experience  to me with the help of it we learnt different types of clinical cases, It has given a good valuable  experience  in these difficult  pandemic  times .The elogs gives us good exposure of clinical cases   it has shown us a way to interact  with our faculty  and our interns. I  have also seen multiple  elogs each and every case was almost  discussed  with its pathophysiology.  by this kind of experience  it has given me the confidence  to create more elogs and also see different  elogs .
These type of elogs should  be conducted  more often in order to improve interaction  with the patients and also to maintain a good environment our faculty members and interns and our seniors experience  their experience  is very valuable  to us  so I  have liked the elog experience 




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