66 KVN Sudheer kumar
GENERAL MEDICINE ELOG
Question 1:
Review:
1)Given the detailed reviews to the cases.
The review is detailed and pinpoint.
This is the case done by peer.
3)Peer given a satisfactory explanation about the case investigations and treatment given to the patient
4)Peer was given the positive suggestion why to use ciprofloxacin.
QUESTION 2:
QUESTION 3:
Review 1
▪The case is about AKI secondary to UTI on CKD.
▪Detailed explaination of the case is presented.
▪Icterus and pedal edema are seen.
Review 2
▪This is a case of Renal AKI secondary to urosepsis with b/L hydroureteronephrosis with K/c/of DM -2
▪Radiological are images and investigations are good
Review 3
▪This is a case of HFrEF secondary to CAD; CRF
▪presentation of case good as the main points are highlighted..
▪Every thing is explained in detail.
Review 4
▪The case is very well explained and good radiography images and the investigations of the patient is explained.
Review 5
▪The general examination and history of the patient was very concise and easy to understand.
Review 6
▪Patient's present history was well explained and easy to understand and diagnostic images were very clear and many images of the patient made it clear to understand.
Review 7
•it was very concise and easy to understand , biochemical reports were clear.
Review 8
▪︎Case Is about CKD
▪I find that all the symptomatology is well explained detailed. This helps in identification for the particular cause of disease.
Review 9
▪A case of a diabetic with breathlessness
▪The investigations of the patient is well given and the case in very well explained.
Review 10
▪︎The case is about AKI
▪︎The investigation and treatment of the patient is well explained and given detail information about examination of patient is provided.
Review 11
▪︎This is a case of chronic kidney disease
▪︎Detailed explanation about the prognosis of the disease is given.
QUESTION 4
Case1
DIAGNOSIS:-
•INFECTIVE ENDOCARDITIS
TREATMENT:-
1. Inj. Monocef 1gm IV/BD
2. Inj. Vancomycin 500mg IV/BD in 100ml NS over 1hr
3. Procto clysis enema
4. Inj. Pan 40 mg Iv/OD
5. Inj. Thiamine 200mg in 100ml NS /BD
Case2
DIAGNOSIS
•Renal AKI secondary to urosepsis with b/L hydroureteronephrosis with K/c/of DM -2
TREATMENT
1)Injection PANTOP 40mg IV/OD
2)Injection PIPTAZ 4.5 stat and 2.25 gm IV/ TID
3)Injection LASIX 40mg IV/BD
4)Injection optineuron 1AMP in 100ml NS slow IV/OD
5)Injection NEDMOL 100ml IV/SOS
Case3
DIAGNOSIS
•HFrEF secondary to CAD; CRF
TREATMENT
1. TAB. BISOPROLOL 5mg OD
2.TAB. NITROHART 20/37.5mg 1/2 T/D
3.TAB NICARDIA XL 30mg OD
4.TAB. GLICIAZIDE 80mg BD
5.TAB. NODOSIS 500 mg TD
6.Cap. BIO-D3 OD
7.Cap. GEMSOLINE OD
Case4
DIAGNOSIS
•Acute on CKD
TREATMENT
Tab. Pan 40 mg po OD
3. Inj. Lasix 80 mg IV BD
4. Thiamin 200 mg in 100 ml NS IV BD
5.Tab. Levocet 5 mg Po BD
6.Liquid paraffin for LIA
Case5
DIAGNOSIS
•Acute pancreatitis and AKI
TREATMENT
1) Iv fluids : NS 40 ml /hr.
2)IV lasix 40 mg BD .
3)Tab Nodosis .
4)IV PIPTAZ 4.5 Gms. BD
5)Iv 25%Dextrose. 100 ml BD
Case6
DIAGNOSIS
•Acute kidney injury secondary to urosepsis
TREATMENT
1)Inj LASIX 40mg (8am- 2pm -8pm)
2)IVF - NS @ UO + 50 ml/hr
Case7
DIAGNOSIS
•Alcoholic Hepatitis and aki sec to gastroenteritis
TREATMENT
1)INJ THIAMINE 100 mg in 100 ml NS slow IV / TID
2)INJ OPTINEURON 1AMP in 100 ml NS slow IV / OD
3)INJ LASIX 40 mg .
Case8
DIAGNOSIS
•Chronic interstitial nephritis secondary to plasma cell dyscariasis
TREATMENT
oral fluids upto 1.5 - 2 lit / day
- T. PAN 40mg /PO / OD
- T. ZOFER 4mg / PO /SOS
- TAB NODOSIS 550 mg / PO/BD
- Protein - x ( plant based ) 2 tablespoon in 1 glass of milk
Case9
DIAGNOSIS:-
•INFECTIVE ENDOCARDITIS and AKI
TREATMENT:-
1)Inj. NORAD 2amp in 50ml NS
2)Inj. PIPTAZ 2.25gm.
3)Inj. DOPAMINE 2amp in 50ml
4)Inj. HAI 1ml in 39ml NS
Case10
DIAGNOSIS
Acute kidney injury( AKI) 2° to UTI, associated with Denovo - DM -2
With ? Right HEART FAILURE,
With K/C/O - HTN ( Not on Rx)
TREATMENT
1)IVF : -RL @ UO+ 30ml/hr
2)SALT RESTRICTION < 2.4gm/day
3)INJ TAZAR 4.5gm IV/TI
4)INJ PANTOP 40mg IV/OD
5)INJ THIAMINE 1AMP IN 100ml NS IV/TID
6)INJ HAI S/C ACC TO SLIDING SCALE
Case11
DIAGNOSIS
: Hyperuricemia 2° to Renal failure
TREATMENT
1)IVF - NS-0.9% @100ml/hr
2)Inj. Tazar 2.25gm I.V -TID
3)Inj. Lasik 40mg I.V -BD
4)Inj. Pantop 40mg I.V -OD
5)Tab. PCM 650mg -TID
QUESTION 5:-
1)I express my gratitude to the general medicine department in making me understand the cases and doing e-logs
2)It give me a great experience of taking history of patient.
3)Recently I did a patient elog to at first I failed to mention all the required information but my intern mam corrected me so that I try not to make the mistake again
4)Although I m not able to guess the diagnosis of the patient after taking the history...but on coming days I will try.
5)I have learned how to take history and data from a patient so as to communicate and diagnose the problem
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