GENERAL MEDICINE ASSESSMENT -JULY 2021                                    - 103 CH.PAVAN


QUESTION 1

Please go through one particular answer of ten students in this link:
and share your peer review of each answer with your quantitative marking input as well as qualitative insights into what was good or bad about the answer.

ANSWER 1

LINK 1:https://143vibhahegde.blogspot.com/-CASE OF PULMONOLOGY

Quantitative: 7/10
Qualitative: the evolution of symptomology is clearly explained in bulleted points. primary etiology is brief and to the point. mechanism of action, indications, efficacy of drugs is explained. usage of abbreviations can be reduced, overall it is well written and easy to comprehend.

ANSWER 2

LINK2:https://chennaharsha.blogspot.com/-CASE OF PULMONOLOGY

Quantitative: 5/10
Qualitative: the side headings and matter cannot be clearly differentiated by text and the presented form is not easy to read, the cause for a current acute exacerbation is not clearly mentioned. drugs were not clearly mentioned.

ANSWER 3


Qualitative: 9/10
Qualitative: the elog was presented with information arranged neatly and concisely. the usage of highlighted text made the information clear. choice of diagrams, pictures, and their placement is good, it is overall well written and easy to comprehend.

ANSWER 4

LINK4:https://avulanikhil09.blogspot.com/-CASE OF NEPHROLOGY

Quantitative: 7/10
Qualitative: the elog was informative and easy to comprehend to the point answers and very brief the usage of flow charts and diagrams is well used the usage of text can be better and the overall elog was well written.

ANSWER 5


Quantitative:9/10
Qualitative:
The evolution of symptomatology is perfect and well established.
The mechanism of drug intervention is well explained.
The anatomical localization of the problem and its cause is easy to understand. 
                                          
ANSWER 6


 Quantitative:8/10
 Qualitative:
 The Pathophysiology of the case is easy to read and understand.
 The systems which are affected by the disease are well written.
 Symptoms and the causes are coherent.

ANSWER 7

LINK7:https://aitharaveena.blogspot.com/-CASE OF CARDIOLOGY

Quantitative:9/10
Qualitative:
 The pictures used to explain the case well and are easy to understand.
 The points mentioned are cohesive.

ANSWER 8

LINK8:https://nehae-logs.blogspot.com/-CASE OF GASTROENTEROLOGY

Quantitative:8/10
Qualitative:
The flowchart explaining the timeline of the symptoms is good.
Drugs used and the approach to the patient is well written.
       
ANSWER 9

LINK9:https://162rahulsai.blogspot.com/-CASE OF NEPHROLOGY

Quantitative:7/10
Qualitative:
The causes of the disease are not well detailed.
Answering is precise and to the point.
Answers are easily comprehendible.

ANSWER 10

LINK10:https://sahithireddy158.blogspot.com/-CASE OF INFECTIOUS DISEASE AND HEPATOLOGY

Quantitative:8/10
Qualitative:
The etiopathogenesis of the patient is precise and excellent.
 Indications for the disease are coherent.


QUESTION 3
Please go through the cases in the links shared above and provide your critical appraisal of the captured data in terms of completeness, correctness, and ability to provide useful leads to analyze the diagnostic and therapeutic uncertainties around the cases shared.


MULTISYSTEM:
All the data is given in the right order the chief complaint, the history of present illness, the personal history was given in detail, the information regarding the treatment was regularly updated all the lab reports were provided.

CNS:
The history of the patient was given in a systematic manner the diagnosis and treatment used for the patient was mentioned, the advice at discharge was provided all the lab reports and updates on the case were provided.

RENAL:
All the data of the patient is in the correct order and correctly arranged. All the investigations are done perfectly. All investigations (and their dates) were logged in.

CVS:
The history of present and past illness is coherent and well established. The videos are great for understanding the case. The case sheet has captured all the relevant data in the right order. Correct terminology was used. The reports of all the lab investigations conducted were given.

ABDOMINAL:
The history of the patient is coherent and brief. The diagnosis and the treatment of the patient are given properly and to the point. The reports of all the lab investigations conducted were shared.

QUESTION 4

MULTISYSTEM:-

Problems:
1.low backache 
2.fever
3.yellowish discoloration of eyes
4.vomitings 
5.loose stools
6.blood-tinged urine
7.polyuria,nocturia,polydipsia 
8.High grade, intermittent, fever

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

CNS:-

Problems:
1.Weakness of limbs
2.TB
3.Edema is present
4.Bowel and bladder incontinence
5.Generalised weakness and myalgia

Diagnosis:
 Quadreparesis are 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

RENAL:-

Problems:
1.Altered Sensorium (Hypoactive)
2.Lethargy.
3.fever 
4.Pedal edema with Anasarca 
5.Shortness of breath 
6.Lower back and neck pain

Diagnosis:
Aki on CKD(hypertensive nephropathy) with uraemic encephalopathy

Treatment:
1.INJ.LASIX
2.INJ.NaHCO3

CVS:-

Problems:
1.Distension of abdomen 
2. shortness of breath
3.Hypothyroidism 

Diagnosis:
HFrEF with Atrial fibrillation based on ECG

Treatment:
 Inj. Amiodarone 150 mgIV stat (2 doses)
 Inj.Amiodarone infusion
 Inj.clexane 40mg Sc OD

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 anemia of chronic disease.

Treatment:
1.Inj LASIX
2.Inj MAGNEXFORTE 
3.Tab NODOSIS


QUESTION 5

These COVID times have been really tough and since the begining clinical aspect has not been my strong hold, but since it has been more or less 3 to 4 week since the begining of the second year doing e-logs is a bit difficult during this time as we are not able to directly interact with the patient due to lack of interaction, but we are trying our level best to present our logs. Interns, pg's and faculty of general medicine  are helping us to understand the case during our online classes, but there have been times i faced some troubles due to connectivity issues and due to high level of clinical concepts it has been hard to comprehend the subject, we will try to cope up with the subject and will try to be in contact with the interns and faculty and get the jist of the subject as soon as possible .


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