Ananya_94

 General medicine monthly online summative 

June 2021

Question 1

1.https://amishajaiswal03eloggm.blogspot.com/2021/05/medicine-blended-assignment.html

4.5/5

There was a very neat presentation and clear explanation and to the point answers and the diagrams were very explanatory…. the timeline presented in a diagram format shows the effort put in by the student the language was easy to understand and clean presentation and text, added references would make it more impressive 

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

3.5/5

Very good explanation and elaborate answers understandable but the text size should have been increased and should have been more organised with respect to the headings and text size as it was too monotonous 

3.http://02shishirareddy.blogspot.com/2021/05/assignment-45-year-old-female-patient.html

3.5/5

Very neat presentation and good amount of information about the case but highlighting the main points would make it more easy to catch onto the most important points very good explanation and clear cut work

4.https://chennabhavana.blogspot.com/2021/05/general-medicine-blended-assignment.html

4.5/5

Very attractive representation looks organised and actual effort is seen elaborate explanation and to the point, important points are well highlighted ,addition of flow charts and diagrams would have made it the best

5.https://31nehareddy.blogspot.com/2021/05/general-medicine-assignment-for-may-2021.html?m=1

3/5

Nice explanatory flowchart and good explanation the answers could have been elaborated for the 3rd and 5th question

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

5/5

Very nice table format many references were added with give a very good impression of the work the person has done and there was a very good explanation and point to point answers 

7.https://anuragreddy72.blogspot.com/2021/05/online-blended-bimonthly-assignment.html

5/5

Very nice explanation and difference is a given elaborate explanation with graphs and pictures it actually showed a very good effort put by the person who made it actually showed a very good effort put by the person differences were also added with made it more informative

8.https://imamamuhmeen.blogspot.com/2021/06/medicine-blended-assignment-m.html

4/5

To the point answers and very understandable especially for second-year student could have used pictures and charge to make it more impressive the examiner evolution of symptomology was missing but otherwise a good read

9.http://shivanireddymedicalcasediscussion.blogspot.com/2021/05/neurology-1.html

4.5/5

Very neat and impressive work with flow charts and diagrams short explanations of pharmacological interventions relating to the case would have been better understanding very nice to the point explanation and a very good presentation overall a very good impression

10.http://stimitamaity132.blogspot.com/2021/05/online-blended-bimonthly-assignment.html

3.5/5

 Good and explanatory answer highlighting the text would have been easier to catch on to the important points but a very good content was represented in the answer

Question 2

Click here to access my elog

https://ananyajohn94.blogspot.com/2021/06/a-70-year-old-male-patient-elog.html

Question 3

1.https://nikithaedam48.blogspot.com/2021/06/18-year-old-malefrom-miryalagudawho-is.html?m=1

A very good detail was presented in the case

Everyday update made the case more clear connected and understandable and the proper situation was I am disturb great analysis of the case was done and all the investigations were presented in a very good manner the concerns were also very well mentioned and and was managed very carefully

2https://pallavi191.blogspot.com/2021/06/gm-cases.html?m=1

Good history presentation images and time to time test results

Updates were all properly arranged very clean and neat presentation

Case felt complete and well managed

The addition of advise and discharge added to the case feeling more completed and organised

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

Good analysis and timely update of reports along with the dates

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

Good amount of data and good understanding

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

Day to day update of treatment very organised and good explanation

Question 4

Case 1

Problem list 

Acute liver failure secondary to viral infection?toxin mediated

hepatic coagulopathy 

denovo diabetes type 1

Diabetic ketoacidosis ( on presentation ; resolved)

No appetite no passing of stools 

Ketoacidosis : 

Insulin for lowering blood glucose levels. 

IV dextrose to prevent rapid lowering of blood glucose & prevent hypokalemia

Vitamin k to prevent haemorrhage 

Edema : 3% NaCl IV Solution to draw fluid from EC comapartment into vascular compartment.

Enema done to pass out the stools and syp lactulose given for support 

Case 2

Problem list

TB 

quadriparesis 

Infection spondylitis

Pharmacological interventions 

monocef given works against bacteria and interviews formation by a in the bonds that hold the cell wall together(and hence treats infection)

Optineurin helps with vit B12 B6 nicotinamide supplementation 

Case 3

Problem list

HTN

CKD

edema

SOB

Lasix has been used to drain out excess fluid

It works by blocking sodium water and chlorine reabsorption and hence diuresis 

IVF NS also aids in diuresis

Nahco3 given to stabilize the metabolic acidosis which is the cause for SOB

Case 4

Problem list

SOB

abdominal distention 

Atrial fibrillation 

Amiodarone to block the potassium rectiferrants which cause depolarization

Hence acts as an anti arrhythmatic drug

Clexane stops the formation of unwanted clots

Case 5

Problem list 

pedal edema

fever 

acute kidney injury 

Urosepsis

Therepeutic possibilities: 

Treating the underlying cause of edema or using loop diuretics like lasix

Use of antibiotics for urosepsis and antipyretics for fever management 

Question 5

It's been more or less just 2 weeks into the second year of my MBBS and we have heard from our senior that is going to be an exciting new experience for us as we would be visiting the hospital for the first time. We were already looking forward to it and hope that we won't be shut in our home due to the pandemic but unfortunately that's what happened and we are compared to learn through telecommunication

It was initially a bit confusing but we stuff to the class since it was the first time we are listening to to the actual cases with actual patients that we were able to see through the screen and then we were slowly able to get a Just of what was happening at the place and what we are supposed to take in from the class

I took up one case to make an elog and I found it very interesting as it was a new experience for me since that's the first time I was taking a history of a patient. Since the history taking was on the call it definitely was a bit awkward to both the patient and myself but it went smooth and I had expected

Even though I read of the base book of history taking before I actually to the history I did was asking a few points to the patients attender which I needed so I called him back again and and spoke to him

The patient was very patient in answering all my questions and during this I actually felt the need and the importance of being there in person the physical presence is really important Especially to build relation between a doctor and patient.

The patients attender had also shared how important this person is in his life which made me feel empathetic and actually wish for the patient to recover without any complications 

I had put all the history together and try to analyse what the problem was but there were definitely a lot of fun filled gaps and questions for which I had to take my seniors help who guided me really well I also got to know the pharmacological actions of the drugs used which help in better understanding

I get receiving updates from my senior and I was actually happy since he was getting better and his condition is stable

Our physical presence would have added a better experiences to sure but at the moment I think we are able to absorb a lot of knowledge and this exposure is surely very informative the patient centred learning is really interesting as we get to converge our knowledge at one place

Even though it's  telemedical learning we got to involve and engage ourself in various cases as our professor was keen on doing that through a WhatsApp group and effectively discussing every case helped us feel involved... I really thank and appreciate the effort of a professor the pages and interns were also supported to help us learn all the details and kept interacting with us through telemedical learning even if it is a bit inconvenient for them.