MEDICINE DEPARTMENT PAPER FOR JUNE 2021 BIMONTHLY BLENDED ASSESMENT BY ASJAD ALAM ROLL NO. 78
Question 1: Competency tested for Peer to peer review and assessment :
Please go through one particular answer of ten students in this link:
https://
and share your peer review of each answer with your quantitative marking input as well as qualitative insights into what was good or bad about the answer.
ANSWER
Review is done to the best of my understandings.
Quantitative evaluation is done out of 5 as maximum score.
1)PULMONOLOGY CASE
55 year old female with shortness of breath, pedal edema and facial puffiness
https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html
SELF REVIEW: The case was presented with shortness of breath and pedal edema with the provisional diagnosis of COPD and right heart failure.
Answer provided is brief and providing the evolutionary timelines of COPD.{4}
Treatment mentioned is well established and elaborated but adverse effects should be there for wide array of comprehension.{3}
Pathophysiology are well explained and properly put using informative diagrams.{4}
Evaluation is proper but needs better presentation of case.{2.5}
Case is explained best of the understanding but it lacks diagrams.{3}
The answers are more specific and accurate.{4}
The physiological reasons and drug interventions are neatly outlined.{4}
Answers is not brief and specific. needs to be well presented.{3}
Attractively presented with proper stats and diagrams.{4}
Answers are well presented outlining the physiology behind the symptoms.{4}
Q2) Share the link to your own case report of a patient that you connected with and engaged while capturing his her sequential life events before and after the illness and clinical and investigational images along with your discussion of that case.
ANSWER ) A CASE OF HEPATIC ABSCESS PRESENTED IN SUMMER 2021 https://asjad24.blogspot.com/2021/07/a-case-of-hepatic-abscess-presented-in.html
Q3) (Testing peer review competency of the examinees) :
Please go through the cases in the links shared above and provide your critical appraisal of the captured data in terms of completeness, correctness and ability to provide useful leads to analyze the diagnostic and therapeutic uncertainties around the cases shared.
CASE 1: CNS case https://pallavi191.blogspot.com/2021/06/gm-cases.html?m=1
History is well mentioned. Patient is well deidentified and provisional diagnosis is made correct.
Discharge summary with the advices after discharge is well established and helps in building patient doctor relationship.
CASE 2: Renal case https://61tejarshini.blogspot.com/2021/06/general-medicine-case-discussion.html?m=1
The case is well presented and patient's data is deidentified. All the reports are uploaded day wise which makes the things easier for better understanding. Although allergic history is missing.
The case is well evaluated maintaining the patient's privacy. Although history is not well presented.
CASE 4: Abdomen https://casescape.blogspot.com/2021/06/acute-kidney-injury-secondary-to.html?m=1
The case is properly evaluated and data are deidentified. Although history is not well taken. drug history and allergic history are missing which can provide an important leads for further management of the case.
Q4: Testing scholarship competency of the examinees ( ability to read comprehend, analyze, reflect upon and discuss captured patient centered data as in their 'original' answers to the assignment for May 2021):
Please analyze the above linked patient data by first preparing a problem list for each patient (based on the shared data) and then discuss the diagnostic and therapeutic uncertainty around solving those problems. Also include the review of literature around sensitivity and specificity of the diagnostic interventions mentioned and same around efficacy of the therapeutic interventions mentioned for each patient.
ANSWER) CASE 1: CNS case https://pallavi191.blogspot.com/2021/06/gm-cases.html?m=1
PATIENT'S PROBLEMS:
Bowel and bladder incontinence.
Weakness of both the lower limbs
Infectious spondylitis
Epidural abscess
TREATMENT
1. Inj. Optineuron 1Amp in 100ml NS IV/OD
2. Inj. Thiamine 200mg in 100ml NS IV/TID
3. ATT - according to body weight 2 tab PO/OD
4. Bp/ PR/ Spo2/ Temp charting
Distension of abdomen
shortness of breath
Hypothyroidism
Treatment plan;
Inj. Amiodarone 150 mgIV stat (2 doses)
Inj.Amiodarone infusion
Inj.clexane 40mg Sc OD
Altered Sensorium
Fever
Pedal edema
Anasarca
Shortness of breath
IVF-NS(0.0+30ml/hr)
INJ.LASIX(40mg/IV/TID)
INJ.NaHCO3(100meq in 100ml NS/IV/Stat)
T.NODOSIS 550mg/P.O/TID
BP/PR/Strict I/O Charting
pedal edema
decreased urine output
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
Q 5) Testing scholarship competency in
logging reflective observations on your concrete experiences of this last month : (10 marks)
ANSWER}
The current situation of COVID-19 pandemic has posed challenges in all quadrants of our lives, majorly the healthcare and education sector.
However, today's digital era has emerged has a powerful medium to support both education and provide healthcare services in our country.
The online connects with Faculty, Patients and the Hospital Wards and ICU have indeed provided with lot of exposure and learning in a very short
span of 2 hours bi-weekly.
The assignment has really helped me to enhance my knowledge on the Clinical aspects of MBBS curriculum. I got an opportunity to personally
go through on Patient's medical condition, associated drugs and intervention required.
I am grateful to HoD sir for providing mw with this valuable opportunity for patient-centered active learning.
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