GENERAL MEDICINE ASSESSMENT
R SUMANTH RAJ
ROLL NO:- 109
GENERAL MEDICINE ASSIGNMENT I have been given the following assignment in an attempt to read, comprehend, analyze,reflect, clinical data including history, clinical findings,investigations and diagnosis.
This is the link to questions asked in the assignment; https://generalmedicinedepartment.blogspot.com/2021/06/bimonthly-formative-and-summative_19.html?m=1
question no 1
1) answer by roll no 50
case of gastrentrology
quantitatively:-9/10
qulitatively
1)The timeline of symptomatology, anatomical localization and the primary etiology are mentioned and are clearly described.
2)It is informative and easy to comprehend.
3)drugs used and approach to patient is well and good.
2)answer by roll no 8
case of pulmonology
quantitatively:-9/10
qualitatively:-
1)the symptomology is given in a chronologica order and in detail.
2)this makes easier to understand and comprehend.
3)mechanism of drug intervention is well explained.
3)answer by roll no 12
case of pulmonology
quantitatively:-8/10
qualitatively:-
1)the symptomology is given in detain.
2)presentation was very neat.
3)the information provided was concise, clear and to the point.
4)answer by roll no 88
case of cardiology
quantitatively :-8/10
qualitatively:-
1)presentation is very neat and easy to follow.
2)answers are point wise and clear.
3)anatomical localization and primary etiology are well and good.
CARDIOLOGY
Quantitative assessment:9/10
Qualitative assessment:
1.The pictures used explain the case well and are easy to understand.
2.Points mentioned are cohesive.
INFECTIOUS DISEASE AND HEPATOLOGY
Quantitative assessment:8/10
Qualitative assessment:
1.The etiology and pathogenesis of the patient is precise and excellent.
2.Indications for the disease are coherent.
NEUROLOGY
quantitative assessment : 8/10
qualitative assessment :
1)Different sections have been clearly marked & separated
2)Answers are easily comprehendible & to the point timeline of events has been detailed neatly .
3)diagrams could have made explainations of mechanisms better.
CASE OF PULMONOLOGY
Quantitative: 7/10
Qualitative:
1)the evolution of symptomology is clearly explained in bulleted points. primary etiology is brief and to the point.
2)mechanism of action, indications, efficacy of drugs is explained. usage of abbreviations can be reduced, overall it is well written and easy to comprehend.
CASE OF CARDIOLOGY
Qualitative: 9/10
Qualitative:
1)the elog was presented with information arranged neatly and concisely. the usage of highlighted text made the information clear.
2)choice of diagrams, pictures, and their placement is good, it is overall well written and easy to comprehend.
PULMONOLOGY
Quantitative assessment:8/10
Qualitative assessment:
1.The timeline of the symptoms and anatomical localisation is precise.
2.Mechansim of action and indication of the drugs is highlighted.
3.Possible causes are well written.
QUESTION 3
MULTISYSTEM:
All the data is given in the right order the chief complaint, the history of present illness,the personal history were given in detail, the information regarding the treatement were regularly updated all the lab reports were provided.
CNS:
1)The history of the patient was given in a systematic manner.
2)the diagnosis and treatement used for patient was mentioned,the advice at discharge was provided all the lab reports and updates on the case were provided.
RENAL:
1)All the data of the patient is in correct order and correctly arranged.
2) All the investigations are done perfectly.
3)All investigations (and their dates) were logged in.
CVS:
1)History of present and past illness is coherent and well established.
2)The videos are great for understanding of the case.
3)The case sheet has captured all the relevant data in the right order.
4)Correct terminology was used. The reports of all the lab investigations conducted were given.
ABDOMINAL:
1)The history of the patient is coherent and brief.
2)history of patient is described in chronological order.
3)the lab reports and updates on the case were provided.
QUESTION4
1.CNS
Problems:
1.Weakness of limbs
2.TB
3.Edema is present
Diagnosis:
Quadreparesis secondary to infectious spondylitis of C4, C5, C6, C7 and D1 with Epidural abscess at C5 - C6 level.
Treatment:
1.Optineuron
2.Thiamine
3.ATT
2.CVS
Problems:
1.Distension of abdomen
2. shortness of breath
3.Hypothroidism
Diagnosis:
HFrEF with Atrial fibrillation 2 to ?IHD.
Treatment:
Inj. Amiodarone 150 mgIV stat (2 doses)
Inj.Amiodarone infusion
Inj.clexane 40mg Sc OD
3.ABDOMINAL:
Problems:
1.Pedal edema bilateral and pitting type
2.decreased urine output
3.burning micturition
4.Fever
Diagnosis:
Acute kidney injury secondary to urosepsis with hyperkalemia ( resolved)
With anenmia of chronic disease .
Treatment:
1.Inj LASIX
2.Inj MAGNEXFORTE
3.Tab NODOSIS
4.RENAL
Problems:
1.Altered Sensorium (Hypo active)
2.Lethargy.
3.fever
4.Pedal edema with Anasarca
5.Shortness of breath
Diagnosis:
AKI ON CKD(HYPERTENSIVE NEPHROPATHY) WITH URAEMIC ENCEPHALOPATHY.
Treatment:
1.INJ.LASIX
2.INJ.NaHCO3
5.MULTISYSTEM:
Problems:
1.low backache
2.fever
3.yellowish discolouration of eyes
4.vomitings
5.loose stools
6.blood tinged urine
7.polyuria,nocturia,polydypsia
Diagnosis:
Acute viral hepatitis is the provisional diagnosis in the patient and cerebral malaria is also suspected
Treatment:
1.FALCIGO- anti-malarial drug.
2.DOXYCYCLINE - is an anti-malarial.
QUESTION 5
It would be a better experience if it was offline. till now we have learned general examination and history taking.
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