06 Anvitha reddy

 06 Anvitha reddy

3 July 2020

E-LOGS GENERAL MEDICINE

Hi,this is Anvitha, roll no.06, 3rd semester medical student     E-log is a platform for patient centered care in learning medicine. Hope this will be informative.

Name:Anvitha reddy 
Roll no: 06

QUESTION:1)

This blog is an assessment and the questions are in the below link 
https://medicinedepartment.blogspot.com/2021/06/medicine-department-paper-for-june-2021.html?m

Following are the answers for questions in the link 

Q.1.  I'm sharing my  peer review of the  answers with quantitative marking input as well as qualitative insights into what was good or bad about the answer , basically providing a feedback based on theme of scholarship of integration in medical education and research. 

1) Link for the case study answer 
CASE OF PULMONOLOGY 

https://jahnavichatla.blogspot.com/2021/05/Jahnavi%20Online%20blended%20Bimonthly%20Assessment-%20May.html

Quantitatively:9/10
Qualitatively:
The symptomatology and its evolution were described in a flowchart as best part. 
The cause for her acute exacerbation was detailed and the pharmacological and non pharmacological interventions aspect was well described  just a small suggestion would be the format  like font and style of the text could be a little attractive. 

2) Link for the case study answer 
CASE OF PULMONOLOGY 

https://pradeep177.blogspot.com/2021/06/general-medicine-assignment-for-month.html?m=1

Quantitatively:9/10

Qualitatively:

The answer described well about the symptoms its evolution the causes for acute exacerbation is described well as per my knowledge and the efficay of placebo over the pharmacological and non pharmacological interventions is decsribed well 

3) Link for case study answer 
CASE OF PULMONOLOGY 

https://preethicheera.blogspot.com/2021/05/general-medicine-case-presentation-may.html?m=1

Quantitatively:7/10
Qualitatively:
The symptomatology timeline if presented as a chart it might be easier to understand the evolution of symptoms. The causes of  electrolyte imbalance is explained well by a simple flow diagram

4) link for case study answer 
CASE OF PULMONOLOGY 
aniganikavya06.blogspot.com

Quantitatively: 8/10
Qualitatively:
The timeline of the symptomatology, the anatomical location and the primary etiology are mentioned clearly described. The flow chart would makes it easier to analyze and keep track of the case. A flowchart or an explanation of how the symptoms might have progressed would be helpful.The pharmacological and non pharmacological interventions  can be explained in detail.

5)link for case study answer
CASE OF PULMONOLOGY

https://nandininamani97.blogspot.com/2021/05/general-medicine-case-discussion.html?m=1

Quantitatively:8/10
Qualitatively:
The timeline of symtomatology was described well and the etiology is in the form of a flowchart that was easier to understand .Pharmacological and non pharmacological interventions are also detailed.

6)link for case study answer 
 
https://soumyanadella128eloggm.blogspot.com/2021/05/bimonthly-assignment-i-may.html

Quantitatively: 8/10
Qualitatively:
The timeline of symtomatology is described well as point wise but the causes of etiology there could be other possibilities mentioned like exposure to paddy dust etc. The other question pharmacological and non pharmacological interventions mechanism of action were described enough.

7)link for case study answer 

https://prashanthanugu1999.blogspot.com/2021/06/medicine-assignment-by-prashanth-reddy.html?m=1

Quantitatively:5/10
Qualitatively : 
The answer for the timeline of symtomatology  and Anatomical localization part is not mentioned and the etiology was decsribed well. The effiacy of placebo over pharmacological and non pharmacological interventions   is not attempted including the causes for acute exacerbation. Could be attempted and described well.
Case of multisys

8) link for case study 


Quantitatively:7/10
Qualitatively:
The answer for the timeline of symtomatology and localization is well mentioned and flow of information was from simple to complex and diagrams would have been helpfull 

9) link for case study
  
CASE OF GASTROENTEROLOGY 


Quantitative :10/10
Qualitatively :
Answering was done in a point wise manner ,with nice detailing and information.reference links to answer information was appreciable and written in simple way with point information.

10) link for case study

CASE OF CARDIOLOGY 


Quantitative:8/10
Qualitative:
Given presentation neat and easy to flow and more diagrams would have been made it more comprehensive and point wise answering is precise.

QUESTION:3

ABDOMINAL:

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

•This case was about ACUTE KIDNEY INJURY SECONDARY TO UROSEPSIS.

A 60 year old female presented to the OPD
with chief complaints of pedal edema ,decreased urine output ,fever..

-History of present illness:  she was diagnosed with DM 2 ,along with acute kidney injury secondary to urosepsis and resolved after dialysis.
Now she presented with history of fever -high grade,not associated with vomitings and loose stools .she complained bilateral pedal edema -pitting type ,with decreased urinary output and burning micturition.
The data which is provided by the patient is quite sufficient to understand the disease.                                                            The diagnosis of the patient is appreciated and drugs given to treat her is good choice and the investigations done on her reveals that she was correctly diagnosed to her condition.


QUESTION 4:

The above mentioned patient is diagnosed
With ACUTE KIDNEY INJURY SECONDARY TO UROSEPSIS WITH HYPERKALEMIA(resolved)with Anemia of chronic disease ..

▪︎Investigations :

-complete urine examination.
-ECG,ultrasound. 
-Serum creatinine,serum electrolytes,serum potassium :to check the electrolyte balance in the body.
-Urinary chloride, urinary potassium:to manifest the kidney functions. 
-Blood sugar fasting and random:to know about sugar levels to estimate diabetes.
-Complete blood picture:to know whether she is anemia. 
-Bacterial culture and sensitivity report: to check infections. 

▪︎Treatment or Therapeutics :

-Inj.LASIX 40mg is given to treat the symptoms of fluid retention like edema.
-IVF_Ns@UO+50ml/hr.
-inj.MAGNEX FORTE 1.5gm: it is used to treatment of severe or serious bacterial infections like urinary tract infections.
-Tab.NODOSIS XT :it is used in kidney disease ,mainly acts as antacid .
-inj HAI
-nebplain Asthalin 4 results.
-tab.OROFEA XT:it is a dietary supplement containing ,combination of folic acid and iron.
-tab ULTRACET :it acts as pain relieving medicine.

*the investigations and drugs given to the patient is satisfactory .where the drugs are very well described according to their action.The investigations made easy to diagnose the case . 

Question:5

 reflect on and share  your telemedical learning experiences from the  hospital as well as community  patients over the last month particularly while you were E logging their case report while even in the hospital or perhaps when locked down at home
 
Answer:

As I am new to clinical postings , I am very excited to take up the case .It was quite interesting to search for the drug uses .I am glad to study the case through pictures which are collected by our doctors. The pictures of investigation reports are useful to diagnose the case easily.


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