BImonthly Blended Assessment June 2021

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Name: Ch.Srilekha 

 Roll.no:32 3rd semester (2019 batch)

 
Question 1: Competency tested for Peer to peer review and assessment : 

 Please go through one particular answer of ten students in this link: https://generalmedicinedepartment.blogspot.com/2021/06/bimonthly-formative-and-summative_19.html?m=1

 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 


                   PULMONOLOGY : 


 Case 1:

 Link to patient details: 

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

  Review: https://aniganikavya06.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html


 This is a case of exacerbation of COPD associated with right heart failure and brochiecstasis presenting with chief complaints of shortness of breath, Pedal edema,and puffiness of face.She is a known case of diabetes and hypertension.The evolution of symptoms are explained well. Placebo effect was explained well .All the answers are explained very Well and are easy to understand. 



                     NEUROLOGY : 


 Case 2:

 Link to patient details:

https://kausalyavarma.blogspot.com/2021/05/a-52-year-old-male-with-cerebellar.html?m=1 


Review: https://caseopinionsbyrollno05.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html 


 This is case of cerebellar ataxia secondary to Acute Cerebrovascular Accident. With infarct in the right inferior cerebellar hemisphere presenting with slurring of speech and deviation of mouth that lasted for 1 day and resolved onthe same day. The evolution of symptomatology is ver well explained.Pharmacological actions are explained up to the point.
 


                         NEUROLOGY 


 Case 3: 

 
Link to patient details: https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html 


 Review: https://divyaraju266.blogspot.com/2021/05/answers.html 



 Evolution ofsymptomatology is explained very well in terms of event timeline. All the answers are explained easily with the help of diagrams. 




                      NEUROLOGY 

 Case 4:

 Link to the patient details: https://amishajaiswal03eloggm.blogspot.com/2021/05/a-50-year-old-patient-with-cervical.html 

Review : https://nehae-logs.blogspot.com/2021/05/bimonthly-assignment-for-may-2021.html 


 Myelopathy hand and fingers sign are eplained with the help of diagrams in a simple way. Hoffman's reflex is explained easily in a simple steps. All theanswers are explained up to the point. 



                       CARDIOLOGY : 



 Case 5: 


 Link to patient details: 

https://muskaangoyal.blogspot.com/2021/05/a-78year-old-male-with-shortness-of.html.


 Review : https://33manogna.blogspot.com/2021/05/general-medicine-assignment-for-month.html 
 

The answers are explained very well in a simple way and are easy to understand. 
 

                      CARDIOLOGY
  
 
 Case 6 : 

 Link to patient details : 

https://preityarlagadda.blogspot.com/2021/05/biatrial-thrombus-in-52yr-old-male.html 

 Review: 

http://pranaykumar32.blogspot.com/2021/06/general-medicine-assignment.html
 
  The evolution of symptomatology is explained in a simple way and easy to understand.Pharmacology actions are eplained up to the point along with efficacy. 



                      NEPHROLOGY : 
 

case 7: 
 

Link to the patient details: https://drsaranyaroshni.blogspot.com/2021/05/an-eight-year-old-with-frequent.html 
 
Review : https://gumudalavishal.blogspot.com/2021/06/medicine-blended-assignment.html 


 The answers are explained with simple lines up to the point. 




                  GASTROENTROLOGY:
 Case 8:

 Link to the patient details: https://63konakanchihyndavi.blogspot.com/2021/05/case-discussion-on-pancreatitis-with.html 


Review : 
https://sannithreddykasala.blogspot.com/2021/06/general-medicine-blended-assignment.html 


Evolution of symptomatology was explained neatly . The pharmacological actions ,drug therapy was explained up to the point . 


                   GASTROENTROLOGY 
 

Case 9: 

Link to the patient details:

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


Review : https://srilekha77.blogspot.com/2021/05/i-have-beengiven-following-cases-to.html 


 The are very well explained with the help of diagrams and are easy to understand. The line of treatment was explained in a simple way. 

                   

               INFECTIOUS DISEASES :


 Case 10 : 

Link to the patient details:

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


   Review : https://nehae-logs.blogspot.com/2021/05/bimonthly-assignment-for-may-2021.html 

 
The evolution of symptomatology is explained easily with the help of flow chart.The sudden rise in the incidence of mucormycosis in india is vey well explained with causes. 



 

QUESTUON :2


Iam really sorry for not answering this question sir. I have not taken any case as of now yet. 







QUESTION :3


 CVS https://60shirisha.blogspot.com/2021/06/medicine-case-discussion_14.html?m=1 



The patient presented with abdominal distension the onset is gradual and progressive and the distension is generalized. She is a known case of hypothyroidism since 5years and using Thyronorm. Family history was insignificant. As per the examinations done the diagnosis is HFrEF with atrial fibrillation . The treatment plan is Inj. Amiodarone 150 mgIV stat (2 doses), Inj.Amiodarone infusion 1mg/min till 6hr f/b 0.5 mg/min for next 18 hours, Inj.clexane 40mg Sc OD Her biochemical report showing severe hyperthyroidism possibly relating to her refractory Atrial fibrillation .And attempted for defibrillation.






 QUESFION 4: 


RENAL: https://61tejarshini.blogspot.com/2021/06/general-medicine-case-discussion.html?m=1 


 The Patient presented with altered sensorium and Pedal edema with Anasarca with Shortness of breath present even at rest. Patient was apparently asymtomatic 5 Years back,then he Complained of lower back pain and neck pain in 2014 and was found to have creatinine of 3.0 mg/dl for which he was managed symptomatically for 1Year. He is a known case HYPERTENSION:5 YEARS and on T.STAMLOBETA OD.He is also a known case of CHRONIC KIDNEY DISEASE:5 YEARS and on Conservative .There is no history of DIABETES MELLITUS,CAD, ASTHMA,TB.Not a Known case of NSAID Use history.There is no history of blood transfusions.No history of previous surgeries.No Radiation exposure.On general examination Pallor and odema with anasarca is seen. On Systemic examination of respiratory system Dyspnea is seen.The provisional diagnosis is AKI ON CKD(HYPERTENSIVE NEPHROPATHY) WITH URAEMIC ENCEPHALOPATHY.The treatment given was 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. 





 QUESTION 5 :


 This assessment helped me learn the basics of clinical practice.This pandemic has a major impact on study due to which we cannot attend the offline postings and we cannot interact directly with patients. This way of clinical exposure helped us to learn history taking and writing case sheets. As Iam new to clinical postings , I am very glad to learn these from the data collected by our department which is encouraging to learn and get more knowledge on clinical postings.

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