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. 


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