KAVYA SREE (04 OLD BATCH) BIMONTHLY ASSIGNMENT-JULY 21
GENERAL MEDICINE
KAVYA SREE 04(OLD BATCH 3RD SEM)
BIMONTHLY ASSIGNMENT-JULY
I have been given the following assignment in an attempt to read, comprehend, analyze, reflect upon and discuss captured patient centered data
🟇She described her e-log in a very elaborate manner. She made it more informative.
🟇She reviewed the e-log and gave review about different cases.
My reviews on her e-log is as follows:👇
❃Regarding the review she made it very clear by adding pictures where ever neccessary.
❃She mentioned the pros and cores of the given cases.
❃She gave picturisation, prime importance and included pictures where ever needed.
❃The case details were also mentioned and the links also.
❃She also gave the answers in her own way and her own kind of explanations.
The link to her blog has been mentioned. It directed to all the blogs posted by the student. It would have been better if the link was more particular to the blog she meant to share. Anyways the blogs was very well made with a perfect sequence of history and diagnosis.
❃Her idea of pictorial represented is easy to memorise and helps the visual learners.
❃Overall she did it very well her explanation is good.
❃She gave the points which were missing and made it clear.
❃Logging experience is also very well described. It would be better if she could elaborate experience more.
The reviews for the cases selected are well described. A detailed pinpoint review has been given to each particular case selected, which is helpful in easy analysis. Even though the peer reviews giving are short they are well described. There is even more possibility for more case depicting points which can be selectively described.
❃She really made great efforts.
QUESTION: 2
This is the e-blog link which i made dis month. Below is the link👇
CASE LINK: https://04kavyasreekaluvala.blogspot.com/.👈
QUESTION:3 Testing peer review competency of the examinees :
- weak back , after weight lifting
- Patient had sudden onset of pain in abdomen
- By burning micturation with high fever : grade associated with chills and rigor
- Decrease urine output associated with SOB (grade -4)
- With no H/O chest pain, palpitations, pedal oedema, facial puffiness.
Diagnosis : AKI secondary to UTI, associated with Denovo - DM -2
Treatment :
1)IVF : -RL @ UO+ 30ml/hr -NS
2)SALT RESTRICTION < 2.4gm/day
3)INJ TAZAR 4.5gm IV/TID
|
2.25gm IV/ TID
4)INJ PANTOP 40mg IV/OD
5)INJ THIAMINE 1AMP IN 100ml NS IV/TID
✱Case 2
Acute on CKD :
- Lower backache since 10days
- dribbling of urine since 10days
- Pedal edema since 3days
- SOB at rest since 3days
- Increased involuntary movements of both upper limbs since 10days .
The patient has hyperurecemia secondary to renal failure.
Treatment:
• IVF - NS-0.9% @100ml/hr
• Inj. Tazar 2.25gm I.V -TID
• Inj. Lasik 40mg I.V -BD
- fever
- generalised weakness
- facial fluffiness and yellow discolouration of stools
- muscle aches and is taking NSAIDs
Treatment:
- T. PAN 40mg /PO / OD
- oral fluids upto 1.5 - 2 lit / day
-✱Case 4
- Fever and Diarrhea since 5 days( 4 to 5 times a day with blood discharge).
- Back pain( 5 days ago) with abdominal pain and chest pain.
Treatment:
Inj. NORAD 2amp in 50ml NS
Inj. PIPTAZ 2.25gm.
Inj. DOPAMINE 2amp in 50ml
Inj. HAI 1ml in 39ml NS
Treatment:
2. Inj. Vancomycin 500mg IV/BD in 100ml NS over 1hr
3. Procto clysis enema
4. Inj. Pan 40 mg Iv/OD
- Fever since 4 days
- Pus in the urine
Treatment:
Injection PIPTAZ 4.5 stat and 2.25 gm IV/ TID
Injection LASIX 40mg IV/BD
Injection optineuron 1AMP in 100ml NS slow IV/OD
Treatment:
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
Treatment:
2. Tab. Wysolone 40 mg ×10 days.
30 mg × 10 days
20 mg ×10 days
10 mg ×10 days.
3. Tab . Lasix 20 mg × 1 month.
- loose stools since 20 days
- Pedal edema since 20 days
- Abdominal distension since 20 days
- INJ THIAMINE 100 mg in 100 ml NS slow IV / TID
- INJ OPTINEURON 1AMP in 100 ml NS slow IV / OD
- INJ LASIX 40 mg
Diagnosis: Acute Kidney Injury secondary to Urosepsis
Treatment:
IVF - NS @ UO + 50 ml/hr
Treatment:
IV lasix 40 mg BD .
Tab Nodosis .
IV PIPTAZ 4.5 Gms. BD
Iv 25%Dextrose. 100 ml BD
Iv fluids : NS 40 ml /hr.
QUESTION 5
⇛During the span of 2months I K.KAVYA SREE have experienced and seen many cases which are really helpful in clinical way. I have learned many things during the posting session .Even i have got a chance to log for a case the experience was quite helpful for me in understand how the system works. The General medicine department has done a quite a good work in making us understand the subject. For every clinical case they have guided us how to study and analize the case. I have learned how to capture the patient centered data for diagnosing the disease. I have got a chance to see the many types of investigations done in order to diagnose a disease. I am grateful for this opportunity to involve in these study.
This is helping us learn despite not being with the patient. It gives us an understanding on history taking and how to understand the investigations and come to a conclusive diagnosis. It gives us a knowledge of various aspects of medicine. We have also learnt to respect the privacy of the patient and that we should never expose the patient information. It teaches us that even tiny details play an important role in diagnosis of the disease. Personal history is important for giving the right treatment without causing any side effects to the patient. I hereby look forward to learning more about this and hopefully one day will be good enough to provide the right diagnosis and treatment for the patient..
THANK YOU FOR GIVING ME THE OPPURTUNITY
K.KAVYASREE
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