66 KVN Sudheer kumar

 

 BIMONTHL Y    BLENDED 

ASSESSMENT 

[JUNE 2021]

Name: KVN Sudheer kumar, MBBS
[3rd Semester]

ROLL NO: 66

Question 1: Competency tested for peer to peer review and assessment:
I have been given the following assignment in an attempt to read, comprehend, analyze,reflect, clinical data including history, clinical findings,investigations and diagnosis. 

ANSWER 1

PULMONOLOGY



This case is explained in detail and easy to understand. And he described some drugs and their mechanisms in detail. The reasons and risk factors also presented in detail.The placebo effect explained in detail which is easy to understand.

CARDIOLOGY



This case is presented very good. It has good illustrations and flow charts. In this case diagnosis is easy to understand and the reasons for the drugs administered is mentioned with their mechanism this helps in understanding clearly.



NEUROLOGY



This case is explained in detail and easy to understand. In this presentation flow charts are prepared well and primary etiology is explained well which is good at reading and the meachanism which is explained is very understandable.

CARDIOLOGY



In this case difference between heart failure with preserved ejection fraction and with reduced ejection fraction is explained very well. In this presentation risk factors and other complications are explained well. And explained the reasons for hypotension.

NEPHROLOGY



In this case a patient with SOB and burning micturation has came to hospital and the reasons for the burning micturation and SOB are explained in detail. And also explained the reasons for drowsiness and also mention that the fleshy appearence in urine as pus cell which is important to recognise. And also explained the complications of TURP.


HEPATOLOGY



In this case it is well explained about the hazards caused by locally made alcohol consumption and ita effects on liver. And also notified what are the indications for the Ultra sound sound guided aspiration of liver and also mentioned that right lobe is more frequently involved in abscess. With this it is easy to understand the case.

CARDIOLOGY



In this case it is explained about the heart failure because of chronic alcohol consumption. And also mention about belbs and non healing ulcers in the leg associated with the diabetes mellitus. And also clearly mentioned abount the sequence of stages of diabetes. With this information it is easy to understand while reading.

NEUROLOGY



In this case the main points are highlighted which help in easy reading and understanding. The case decribed here is cerebellar ataxis. And in this case it is clearly presented the relationship between the alcoholism and risk of ischemic stroke. Here it is mentioned about hypertension which can attribute for the current condition. All this information helps us understand the case easily which can contribute for a good diagnosis and patient can have a speed recovery.

CARDIOLOGY



This is described in a simple way with pictures and flowcharts which is very helpful for understanding. It also mentions about the cardio renal syndrome and its complications. Here it decribes about the renal complications and hypertenion with these informations we can understand the relationship between heart and kidney in detail. And it is very helpful in understanding.

NEUROLOGY



This is a very good case related to alcohol withdrawal effect. And here it is mentioned about the thiamine and its benefits for the nervous system. And kidney damage also explained here because of dehydration. And here it is also mentioned about the anemia caused and its effect on the foot ulcer. This is a very good explanation and presented very simple which is easy to understand.

QUESTION 2 :

I didn't get any chance till now so i couldn't prepare a blog.

QUESTION 3&4 :


Here the  patient was previously diagnosed with type2 DM. And she developed fever, shortness of breath and she developed pedal edema since 10 days. And she is not known for hypertension, Tuberculosis and bronchial asthama. She has bilateral pitting type pedal edema which is seen on general examinations and it is found that she has high BP with O2 of 90 per mmhg. 
On systemic examination the provisional diagnosis is made as Acute kidney injury secondary to urosepsis which is resolved along with anemia.
After the investigations done it is diagnosed as Acute kidney injury  secondary to urosepsisalong with hyperkalemia which is resolved.

TREATMENT:
Inj LASIX 40mg (8am- 2pm -8pm)
IVF - NS @ UO + 50 ml/hr
Inj HAI s/c
These were some of the medications given.

QUESTION 5:

During this pandemic i have  learnt a lot through this sessions for preparing blogs for cases. By the virtual learning it is a bit inconvieniant but it helps a lot in the leaning process of how to prepare a case sheet as i am new tk this stuff i am looking forward to learn more through this activites.

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