GENERAL MEDICINE BLENDED ASSIGNMENT FOR JULY BY ASJAD ALAM ROLL NO. 78

QUESTION 1 Competency tested for Peer to peer review and assessment

https://vaishnavimanga.blogspot.com/2021/07/77-vaishnavi-manga.html.

    1) Peer review is done on 10 neurology cases. Cases selected are well interesting . All the investigation pattern and line of treatment is explained precisely keeping around minimizing the presented symptoms with the underlying cause.

2) E-log in that assignment is not available.

3) Two cases are mentioned there. Both are properly reviewed and concluded.

Patient data has be deidentified and privacy is marked. Clearly explained about diagnosis, investigations with line of treatment.

4) Problems are clearly mentioned with its solutions and line of treatment.

all the drugs are mentioned appropriately in accordance to the presenting syptoms.

mechanism of action of drug is not mentioned 

5) Crystal clear and non fabricated experience is  presented highlighting the hardships of pandemic and asynchronized communication.    

QUALITATIVE ASPECT

1)  3/5

2) N/A

3) 3.5/5

4)3/5

5)5/5

QUESTION 2

A CASE OF HEPATIC ABSCESS PRESENTED IN SUMMER 2021 (asjad24.blogspot.com)

QUESTION 3

CASE 1

Review is done to the best of my understandings.

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

Patient came to casualty with  chief complaints of:

Lower abdominal pain: 1 week

Burning micturation:1week

Decrease of urine out put:1week

Fever :1 week

SOB , rest :1week


With no H/O chest pain, palpitations, pedal oedema, facial puffiness.

K/C/O - HTN:  1 year (not on medication)

N/K/C/O- DM-2

 Burning micturation and -fever signifies UTI

TLC-13,100

Serum creatinine: 5.9 mg/ dl

Blood urea: 128 mg/ dl

- plenty of pus cells (>10/HPF) seen

-culture report: Polymicrobial flora

- 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.
-mild hepatomegaly with Grade-1 fatty liver 

-With K/C/O - HTN  exaggerated the condition

 PROVISIONAL DIAGNOSIS :  
acute kidney injury secondary due to UTI(positive urine culture with increased total count)
as creatinine and urea level lowers just by using antibiotics(without dialysis)
AKI can also be attributed to no medication for HTN

hepatomegaly can be attributed due to regular alcohol intake

RT heart failure cant be put into diagnosis with proper investigations like ECG as physical CVS examination is normal
Answers are well presented outlining the physiology behind the symptoms.


Although this E-log is not updated.

CASE 2

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

dribbling of urine since 10days

• Pedal edema since 3days 

• SOB at rest since 3days 

• Bilateral pedal edema ( R >L)

• Left upper limb edema 

personel history and drug history is mentioned

probable diagnosis

ARF

infective spondylitis(increased total count and X ray) hyperuricemia causing pain

tremors due to uremia

use of antibiotics can resolve the condition

use of ultracet should be avoided as it can exaggerate the ARF.

The physiological reasons and drug interventions are neatly outlined.

CASE 3

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

 She is using NSAID for long term . This can also be probable cause of  CKD.

Urine output - Normal 

 No fatigability , pedal edema 

No SOB , facial fluffiness , yellowish discoloration of stools 

- pallor  ++

SERUM CREATININE : 6.6 mg/dl 

BLOOD UREA : 120mg /dl 

      

M band detected due multiple myeloma

 CKD ?  Chronic interstitial nephritis secondary to plasma cell dyscariasis, (multiple myeloma

The case is well presented and precisely structured but it needs to be updated

Chief complaint is not mentioned separately

CASE 4

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

Type 2 Diabetes 3 years

severe breathlessness and pain in the chest region.

GRBS(general random blood sugar)  was 580mg/dl

  • Unconscious / altered 
  • Speech no response
  • No signs of meningeal irritation
  • GCS (coma scale) :E 3 V 4 M 5 ( before arrest ) 
  • After arrest E 1 V T M1 
  • Provisional diagnosis:  DKA with AKI ( ? Pre renal) 

The ELOG is more specific and accurate.
Case is explained best of the understanding.

CASE 5


A 52-year-old man presented to the OPD with Chief Complaints of abdominal distension from the past 7 days.
Tingling in the upper limbs up to the palms, in the lower limbs up to the knee.  
 Abdominal Distension NOT associated with pain, No nausea, No Vomiting, No loose stools and was diagnosed with 
pedal edema grade 2
FINAL DIAGNOSIS:WITH ?UREMIC ENCEPHALOPATHY

WITH AKI
WITH HYPOALBUMINEMIA ? 

Evaluation is proper but needs better presentation of case.

Treatment mentioned is well established 

CASE 6

 
COMPLAINTS

Fever
Pus in urine
k/c/o DM 2

Treatment mentioned is well established and elaborated but adverse effects should be there for wide array of comprehension.


CASE 7



Shortness of breath grade - II
  • Diabetes Mellitus from the past 7 years 
  • Hypertension from the past 7 years 
  • Edema of feet present 

PROVISIONAL DIAGNOSIS  - HFrEF secondary to CAD; CRF

                
ELOG is briefly structured  and providing the evolutionary timelines.

CASE 8


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

COMPLAINTS

Pedal edema 

Decreased urine

Elog is precisely outlined describing the proper prognosis and and diagnosis.


CASE 9


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

A 43 yr old male came to casuality with chief complaints of

  • loose stools since 20 days 

  •   Pedal edema since 20 days
  •    Abdominal distension since 20 days 
  • AKI SECONDARY TO ACUTE GASTROENTERITIS  
Any identifiers such as address of the patient should not be mentioned.
Allergic history should also be mentioned.

CASE 10


https://casescape.blogspot.com/2021/06/acute-kidney-injury-secondary-to.html?m=1
 
Pedal edema since 10 days, decreased urine output since 10 days and fever since 10 days.

Elog is perfectly structured showing day wise  parameters needful in improving the patient care and in closely monitoring the prognosis of patient


CASE 11

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

31 yr male  farmer by occupation came with c/o
  pain in abdomen since a week
Vomiting since a week
Sob since 2 days.
SOB since 2 days

Any identifiers such as address of the patient should not be mentioned.
Over all elog is perfectly structured making the patient more efficient.


QUESTION 4

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

COMPLAINTS

Lower abdominal pain.

Burning micturation.

Lower back ache after lifting weights.

Dribbling / decrease of urine output.

Fever.

SOB at rest 

INVESTIGATIONS

X-ray of pelvic region to rule out any fractures or age related bone erosion.

RFT to check for the functional viability of kidney

Hemogram to rule out any blood infection and anemia . 

CUE and bacterial sensitivity test to rule out UTI .

USG abdomen for ruling out any organ abnormality and fluid accumulation.

TREATMENT

INJ.TAZAR  2.25gm IV/ TID- Azithromycin is an antibiotic used to treat  UTI.

SYP LACTULOSE 15ml PO/TID-Lactulose is a type of sugar used to treat constipation. It’s known as a laxative and makes your stool easier to pass by drawing water into your bowel.

Case 2

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

 COMPLAINTS

Lower back ache

Dribbling of urine 

 Pedal edema

 SOB at rest 

 Increased involuntary movements of both upper limbs

INVESTIGATIONS

 ECG to rule out any cardiac dysfunction .

 RFT to check for the functional viability of kidney.

 CUE to rule out hematuria or albuminuria  and urosepsis.

Hemogram to rule out any blood infection or anemia.

Serum electrolytes to rule out electrolyte imbalance secondary to AKI  

 USG Abdomen for ruling out any organ abnormality and fluid accumulation

 MRI brain to rule out any neural damage causing involuntary movements 

TREATMENT

Inj. PIPTAZ 2.25gm -I.V -TID Piperacillin+Tazobactum is a combination of two antibiotics. It is used to treat various types of bacterial infections. It fights against the infection by killing the microorganisms.

Inj.Lasix 40mg I.V -BD  diuretics to reduce the swelling (edema) caused by too much water

Case 3

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

COMPLAINTS

Generalized weakness

Vomiting

Pallor present

INVESTIGATIONS

RFT to check for the functional viability of kidney 

CBC  to rule out any blood infection , anemia and cause of anemia.

Since iron and vitamin B-12 are normal still there is persisting anemia then bone marrow aspiration is done to rule out  bone marrow suppression.

TREATMENT

T. PAN 40mg /PO / OD Pantoprazole is a medicine that reduces the amount of acid produced in your stomach.

T. ZOFER 4mg / PO /SOS Anti emetics .Ondansetron is a medicine used to prevent you from feeling or being sick (nausea and vomiting)

Case 4
https://ananyapulikandala106.blogspot.com/2021/06/a-35yr-old-female-elog.html

COMPLAINTS

Fever and Diarrhea

Back pain

Abdominal pain  

Chest pain.

Unconscious  

Altered Sensorium

INVESTIGATIONS

2D echo to check for cardiac abnormalities which can be a cause of chest pain.

ABG to check for metabolic abnormalities like acidosis and alkalosis.

Complete blood picture to rule out any blood infection, anemia and cause of anemia.

Liver function tests: to rule out liver dysfunction

RFT to check for the functional viability of kidney  

TREATMENT

Inj. NORAD 2amp in 50ml NS Norepinephrine is used to treat hypotension (low blood pressure) that may occur due to causes such as sepsis (infection). It helps to increase blood pressure by narrowing the blood vessels of the heart.

Inj. PIPTAZ 2.25gm.Piperacillin+Tazobactum is a combination of two antibiotics. It is used to treat various types of bacterial infections. It fights against the infection by killing the microorganisms.

Inj. DOPAMINE 2amp in 50ml for inotropic effects


Case 5

 
COMPLAINTS

Abdominal distension 
Constipation
Pedal edema grade 2

INVESTIGATIONS

Complete blood picture to rule out any blood infection, anemia and cause of anemia.

Liver function tests: to rule out liver dysfunction

RFT to check for the functional viability of kidney .

2D echo to check for cardiac abnormalities  which can also cause edema

Serum electrolytes, to rule out electrolyte imbalance secondary to AKI

 USG Abdomen for ruling out any organ abnormality and fluid accumulation.
 Bacterial sensitivity test to rule out UTI 

TREATMENT

 Inj. Monocef 1gm IV/BD Ceftriaxone is an antibiotic medicine used to treat bacterial infections in your body. It is effective in infections of the brain, lungs, ear, urinary tract.

Inj. Vancomycin 500mg IV/BD in 100ml NS Vancomycin is an antibiotic used in the treatment of severe bacterial infections in hospitalized patients. It is effective against infections of the respiratory tract (eg. pneumonia), urinary tract, over 1hr both are antibiotics for treating urosepsis

Procto clysis enema for constipation

Maintenance Hemodialysis. for removal of excess fluid and metabolic wastes

Case 6



 COMPLAINTS

Fever
Pus in urine
k/c/o DM 2

INVESTIGATIONS

Complete blood picture to rule out any blood infection, anemia  and cause of anemia.

RFT to check for the functional viability of kidney  ,

Serum electrolytes, to rule out electrolyte imbalance secondary to AKI  

ABG to check for metabolic abnormalities

TREATMENT

tab pcm-antipyretics for reducing body temp.

pantop 40-preventing s/e of pcm

optineuron - preventing vit b12 deficiency and curing anemia


Case 7


COMPLAINTS

Shortness of breath grade - II

Edema of feet present 

INVESTIGATIONS

Hb1ac - for monitoring the control of diabetes

ESR-for figuring out any inflammation

Complete blood picture to rule out any blood infection, anemia  and cause of anemia

RFT to check for the functional viability of kidney  ,

Serum electrolytes, to rule out electrolyte imbalance secondary to AKI  

 Liver function tests: to rule out liver dysfunction

USG  for ruling out any organ abnormality and fluid accumulation, in either peritoneal cavity or 
pleural cavity

2D echo to check for cardiac abnormalities  which can also cause edema

 ECG to rule out any cardiac dysfunction

ABG to check for metabolic abnormalities like acidosis or alkalosis 

TREATMENT
 
TAB. BISOPROLOL 5mg OD Bisoprolol belongs to a group of medicines called beta-blockers. It is used to treat high blood pressure

TAB NICARDIA XL 30mg OD Nifedipine is a medicine used to treat high blood pressure (hypertension) and to prevent angina

TAB. GLICIAZIDE 80mg BD Gliclazide is a medicine used to treat type 2 diabetes mellitus in adults.

TAB. NODOSIS 500 mg TD  treatment of metabolic acidosis

Cap. GEMSOLINE OD  supplement for calcium, vitamin D and zinc deficiency.

TAB.LASIX 40mg BD diuretics to reduce the swelling (edema) caused by too much water

Case 8

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

COMPLAINTS

Pedal edema 

Decreased urine output


INVESTIGATIONS

Complete blood picture to rule out any blood infection, anemia and cause of anemia.

Liver function tests: to rule out liver dysfunction

RFT to check for the functional viability of kidney .

2D echo to check for cardiac abnormalities  which can also cause edema

Serum electrolytes, to rule out electrolyte imbalance secondary to AKI

 USG Abdomen for ruling out any organ abnormality and fluid accumulation.
 Bacterial sensitivity test to rule out UTI 

TREATMENT
  • Inj LASIX 40 mg IV/TID    1 -1 - 1 diuretics to reduce the swelling (edema) caused by too much water
  • T. PAN 40mg /PO / OD Pantoprazole is a medicine that reduces the amount of acid produced in your stomach.

Case 9
 https://keerthireddy42.blogspot.com/2021/07/43-yr-old-male-of-nalgonda-came-to.html?m=1

COMPLAINTS

Loose stools 

Pedal edema

Abdominal distension

INVESTIGATIONS

Complete blood picture to rule out any blood infection, anemia  and cause of anemia

RFT to check for the functional viability of kidney 

Serum electrolytes, to rule out electrolyte imbalance secondary to AKI  

ABG to check for metabolic abnormalities

CUE to rule out urosepsis, glycosuria, hematuria

X RAY chest pa-to rule out any chest congestion and pulmonary hypertension

Liver function tests: to rule out liver dysfunction

USG Abdomen for ruling out any organ abnormality and fluid accumulation, 

TREATMENT


PLENTY OF ORAL FLUIDS and ORS- for fluid replacement compensating fluid loss in diarrhea


INJ.METROGYL 400mg /IV/TID antibiotic and anti-parasitic for controlling loose stools


INJ .CIPROFLOX 500mg /IV//OD antibiotics


INJ.OPTINEURON 1ampin 100ml NS IV/OD combination of nutritional supplements that is prescribed to treat nutritional deficiency


TAB .SPORLAC DS PO/TID  composed of lactic acid bacilli that bear spore probiotic used to treat diarrhea caused due to infections, antibiotics, etc.


Case 10

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


COMPLAINTS

 

Chief complaints of pedal edema


Decreased urine output


Fever


INVESTIGATIONS

 RFT to check for the functional viability of kidney  

 CUE to rule out hematuria or albuminuria  

Hemogram to rule out any blood infection and anemia   

Serum electrolytes, to rule out electrolyte imbalance secondary to AKI  

ABG to check for metabolic abnormalities like acidosis or alkalosis

TREATMENT

  • Inj LASIX 40 mg IV/TID    1 -1 - 1 diuretics to reduce the swelling (edema) caused by too much water
  • Tab NODOSIS - XT  PO/OD  treatment of metabolic acidosis
  • tab pcm-antipyretics for reducing body temp.
  • pantop 40-preventing s/e of pcm
Case 11

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

COMPLAINTS

Pain in abdomen 
Vomiting 
SOB .

INVESTIGATIONS

CUE to rule out hematuria or albuminuria  

Hemogram to rule out any blood infection and anemia   

 Serum electrolytes, to rule out electrolyte imbalance secondary to AKI  

USG  for ruling out any organ abnormality and fluid accumulation in either peritoneal cavity or pleural cavity

 RFT to check for the functional viability of kidney  

TREATMENT
 
Lasix  40 mg BD . diuretics to reduce the swelling (edema) caused by too much water

Zofer  antiemetic medicine commonly used to control vomiting

IV PIPTAZ 4.5 Gms. BD  Piperacillin / Tazobactam  antibiotics

QUESTION 5

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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