Bimonthly assessment

Bimonthly blended assessment

I have been given the following assignment 

Name : P Charitha 

Roll no : 95(2019 batch)

The questions for the assignment are in the link : http://medicinedepartment.blogspot.com/2021/07/medicine-paper-for-july-2021-bimonthly.html?m=1

Question 1 : competency tested for peer to peer review and assessment

The answer I have reviewed is https://96sanjanapalakodeti.blogspot.com/2021/07/bimonthly-blended-assessment-june-2021.html 

Review :

The review for the 1st question is very well written  by differentiating it into qualitative and quantitative headings and marks were alloted. The elog case consists of all the data in an order and all investigations were there with required pictures. The answer to the 3rd question was answered to the point. The 4th question answer was written well by subheadings and Drugs uses were explained. 

Question 3 : Testing peer review competency

Case link : http://srinaini25.blogspot.com/2021/07/srinaini-roll-no-33-3rd-semester-this.html

Critical appraisal :

The case was presented in an order with all requirements. There were no diagnostic and therapeutic uncertainties. 

Case link :https://pallavi191.blogspot.com/2021/06/gm-cases_30.html?m=1

Critical appraisal :

The case was presented completely with 2D echo videos. The patient was diagnosed with alcoholic liver disorder which may have lead to hepatic encephalopathy. He was diagnosed with type 2 DM which may have caused nephropathy leading to kidney injury. Uremic encephalopathy as the serum uric acid level was increased. As the patient was diagnosed with alcoholic liver disease, the liver may not produce the albumin resulting in hypoalbuminemia. The vegetation was shown in the 2D echo. 

Case link :http://chavvaclassworkdecjan.blogspot.com/2021/06/pancreatitis-in-chronic-alcoholic-with.html?m=1

Critical appraisal :

The case was presented completely. There are no diagnostic and therapeutic uncertainties. 

Case link: https://kavyasamudrala.blogspot.com/2021/05/medicine-case-discussion-this-is-online.html?m=1

Critical appraisal :

The case was presented in an order with all essentials and there was comparison picture in NCCT KUB showing the difference between normal and hydronephrosis. There are no diagnostic and therapeutic uncertainties. 

Case link: https://rishikakolotimedlog.blogspot.com/2021/07/45-year-old-male-with-chief-complains.html?m=1

Critical appraisal :

The case was presented completely with all reports. The HFrEF may be caused due to HTN or DM. 

Case link : https://keerthireddy42.blogspot.com/2021/07/43-yr-old-male-of-nalgonda-came-to.html?m=1

Critical appraisal :

The case was presented with all essentials. The diagnostic uncertainty was what could have caused coronary artery disease as there is no mention of obesity or any other symptoms leading to CAD. 

Question 4 : Testing scholarship competency 

Case link : http://srinaini25.blogspot.com/2021/07/srinaini-roll-no-33-3rd-semester-this.html

Problem list:

Lower backache

Dribbling of urine

Involuntary movements of upper limbs

Pedal edema with pitting type 

Shortness of breath

Sensitivity : ultrasound showing raised echogenicity of both kidneys, RFT showing increased urea ,uric acid ,creatinine ,phosphorus levels, MRI showing spondylodiscitis

Efficacy of therapeutic interventions :

Inj Tazar for  bacterial infection 

Inj Lasix to get rid of excess water and salts through urine

Inj Pantop to decrease acid production in stomach 

Tab Pcm pain killer 

Foleys catherization to drain urine from urinary bladder

Inj Neomal pain killer

Inj Piptaz for bacterial infection

Tab Febuxostat for hyperurciema

Inj optineuron nutritional supplement

Syrup Mucaine gel for acidity 

Case link : https://krupalatha54.blogspot.com/2021/07/a-49-yr-old-female-with-generalized.html?m=1

Problem list :

Generalized weakness

Restricted movement of wrist joint 

Increased blood urea and serum creatinine 

Acidosis 

Dimorphic anemia

Anisopoikilocytosis

Sensitivity : Bone Marrow aspiration, electrophoresis 

Efficacy of therapeutic interventions :

Tab PAN stomach ulcers

Tab Zofer anti emetic drug

Tab Nodosis alkalinizing agent for acidosis

Inj optineuron nutritional supplement 

Tab orofer for anemia

Inj erythropoietin for RBC production 

Tab Pantop to decrease acid production 

Case link :https://ananyapulikandala106.blogspot.com/2021/06/a-35yr-old-female-elog.html

Problem list :

Fever 

Diarrhoea 

Back pain

Abdominal pain

Chest pain ,breathlessness 

DM type 2

High RBS

Bed sores

Sensitivity : RFT, ABG, CT scan, MRI 

Efficacy of therapeutic interventions :

Inj Norad for low BP

Inj piptaz for bacterial infection 

Inj Dopamine 

Inj Hai insulin injection 

Inj clexane for blood clots

Inj levoflox for bacterial infection 

Inj vancomycin antibiotic 

Inj meropenem antibiotic

Inj fosfomycin antibiotic

Case link :https://pallavi191.blogspot.com/2021/06/gm-cases_30.html?m=1

Problem list :

Abdominal distension

Altered sleep patterns

Constipation 

Pedal edema with pitting type 

Sensitivity : RFT, LFT, MRI showing multiple small infarcts, 2D echo showing vegetation in left ventricle, bacterial cluture and sensitivity. 

Efficacy of therapeutic interventions :

Inj Monocef bacterial infections

Inj vancomycin antibiotic 

Inj PAN stomach ulcers

Inj thiamine 

Inj Hai insulin injection 

Inj augmentin antibiotic 

Tab ecosprin for stroke

Tab clopidogrel for heart stroke, blood clot

Tab atrovas for blood clot

Case link :https://krupalatha54.blogspot.com/2021/06/this-is-online-e-log-book-to-discuss.html?m=1

Problem list :

Decreased urine output 

Pedal edema 

Vomiting 

Diarrhoea 

Acidosis 

Sensitivity : RFT, ABG, ultrasound, HRCT, C3 and C4 complement panel

Efficacy of therapeutic interventions :

Tab PAN for stomach ulcers

Inj Lasix to get rid of excess water and salts through urine

Tab levocet for allergy

Inj Thiamine

Case link : https://keerthireddy42.blogspot.com/2021/07/43-yr-old-male-of-nalgonda-came-to.html?m=1

Problem list :

Abdominal distension

Bilateral Pedal Edema 

Diarrhoea

Hypoalbuminemia

Sensitivity : RFT, ultrasound, LFT

Efficacy of therapeutic interventions :

Tab Aldactone 

Inj Pantop to decrease acid production 

Inj thiamine 

Inj optineuron nutritional supplement 

Inj Lasix to get rid of excess water and salts through urine 

Inj metrogyl for bacterial infections

Inj ciproflox for bacterial infections

Tab sporolac to improve GIT tract flora

Tab loperamide to decrease frequency of diarrhoea 

Tab benfometplus for diabetic polyneuropathy

Tab livogen for iron deficiency anemia

Inj vitcofol nutritional supplement 

Tab rifaximin for diarrhoea 

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

Problem list :

Decreased urine output 

Burning micturition 

Bilateral pedal edema with pitting type 

Sensitivity : ultrasound, RFT, Bacterial culture 

Efficacy of therapeutic interventions :

Inj Lasix to get rid of excess water and salts through urine 

Tab Nodosis alkalinizing agent

Inj magenexforte for bacterial infections

Inj Hai insulin injection

Tab orofer nutritional supplement 

Tab ultracet pain reliever

Tab norflox antibiotic 

Question 5 : Testing scholarship competency in logging reflective observations 

In this month I got to know different cases of renal failure and it's causes. The treatment of renal failure cases was slight different and by making this assignment I got to know to about the role of various drugs used in the treatment. I got to know the difference between specificity and Sensitivity more clearly. I wish I could take the patient history directly and make a elog. 

End.