general medicine assignment


GENERAL MEDICINE ASSIGNMENT -2021


Hi, I'm Tejaswi enduri, a medical student (3rd sem).

E-log is a platform for patient-centered care in learning medicine. Hope this will be informative! 


we have been given 5 questions to assess the ability to connect with and capture patient-centered data and the ability to connect with and engage in shared learning with their peers through peer review feedback.


below is the link to the questions given to us 

https://medicinedepartment.blogspot.com/2021/06/medicine-department-paper-for-june-2021.html?m=1


Question 1 

1) Pulmonology

link to the case 

 https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html

insights -

the evolution of symptomatology was explained in a detailed manner, with all the possible explanations and flowcharts, and also an account was given on placebo effect. the mechanism of drugs was also discussed thoroughly.

2)Neurology 

link to the case 

https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.htmlA 

A CHRONIC ALCOHOLIC PATIENT WITH DEVELOPED SEIZURES FOLLOWING CESSATION OF ALCOHOL FOR 24 HRS 

insights - 

the long-term effects of alcohol on neurotransmitters were explained in detail, investigations were done and treatment was given accordingly.


3) Cardiology 

link to the case 

 https://muskaangoyal.blogspot.com/2021/05/a-78year-old-male-with-shortness-of.html

A 78 YRS OLD MAN WITH SHORTNESS OF BREATH, CHEST PAIN, BILATERAL PEDAL EDEMA, AND FACIAL PUFFINESS 

insight -

 a thorough history taking has been done and the case is well explained using all the pictures of investigations and reports.


4)Gastroenterology 

link to the case

  https://63konakanchihyndavi.blogspot.com/2021/05/case-discussion-on-pancreatitis-with.html 

insights - 

the symptomatology was well  explained and presented .all the images necessary were provided properly

5 )Neurology 

A 55 YR OLD PATIENT WITH ALTERED SENSORIUM AND INVOLUNTARY MOVEMENTS 

link to the case 

https://rishikoundinya.blogspot.com/2021/05/55years-old-patient-with-seizures.html

insights - 

a detailed presentation of the case with all the necessary investigations, images, and was showing day-to-day proper observance.

6)Mucormycosis 

link to the case

 http://manikaraovinay.blogspot.com/2021/05/50male-came-in-altered-sensorium.html

 insights -     

the evolution of the symptomatology in this patient in terms of event timeline and where are the anatomical location.the efficacy of the drugs used along with the nonpharmacological treatment modalities explained.

 7 )Cardiology 

link to the case

 https://muskaangoyal.blogspot.com/2021/05/a-78year-old-male-with-shortness-of.html.

insights -

the detailed information is given with the indications and contraindication .very well-illustrated diagrams are present .

8)Infectious diseases 


link to the case 


A  40 YR OLD LADY WITH  DYSPHAGIA, FEVER, AND COUGH

insights -

the patient is asked a thorough history .also the various investigations are supported by the image and clips . the patient is well taken care of by prophylaxis measures, etc

9)Neurology

link to the case

https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html 

insights =-

EVOLUTION OF SYMPTOMATOLOGY WAS MENTIONED INCLUDING tremors, sleep disturbances, sweating.Involuntary rolling of eyes, tongue biting, frothing, loss of consciousness.

10 )Nephrology 

link to the case

 https://54tejasreekandregula.blogspot.com/2021/05/general-medicine-assignment.html

insights 

the reasons for shortness of breath and intermittent episodes of drowsiness were clearly explained in the case 

Question 2

this is yet to be done . still waiting for a chance to update you with an ongoing case.  once it is done it shall be uploaded here 


Question 3 and 4 

A case of alcoholic cirrhosis (hepatology )

https://nikhilasampathkumar.blogspot.com/2021/06/a-case-of-alcoholic-liver-cirrhosis.html

A 46-year-old male who is a known case of liver cirrhosis presented to the casualty ward with the chief complaints of Grade IV shortness of breath, yellowish discoloration of eyes, bilateral pedal edema, and abdominal pain for the past 10 days

HISTORY OF PRESENTING ILLNESS 

the patient is a known case of liver cirrhosis but gradually 14 days back started developing fever and 10 days back complained with abdominal distension and  shortness of breath insidious and slow 

PAST HISTORY 

Known case of liver cirrhosis had similar episode one yr and also he is type 2 diabetic and is on oral glycemic drugs like grime star.

all the vitals are normal and physical examination showed icterus and bilateral pitting type edema .and dyspnea 

the various investigations are done and the provisional diagnosis is given as jaundice under evaluation in case of an exacerbated alcoholic liver cirrhosis 

Investigations 


1)HbA1c

2) APTT
 

                                         

                                                              3)SERUM ELECTROLYTES 




4)BLOOD UREA AND CREATININE

5 )ECG 
   

6)LFT
 7) BLEEDING TIME AND CLOTTING TIME 

8)PROTHROMBIN TIME 
9)USG 

TREATMENT 


  • Fluid restriction (2L/day)
  • alt restriction (2g/day)
  • INJ. PAN 40mg IV OD
  • SYRUP LACTULOSE 10ml PO BD
  • TAB UDILIV 300mg PO BD (Ursodeoxycholic acid)
  • TAB LASI LACTONE 20/50mg OP BD (Furosemide)
  • INJ HUMAN ACTRAPID INSULIN SC
  • GRBS Charting 6th hourly
  • BP Charting 8th hourly
  • Monitor Vitals
  • TAB DOLO 650mg PO SOS


QUESTION 5 


Due to this pandemic, we are unable to appear directly and experience the patient but even though we had a very good experience which is not had been possible without the general medicine department. Dr. Rakesh Biswas sir, HOD made it possible by teaching every single aspect regarding capturing the patient-centered data.

We've got to learn a lot online too. As our college has created a group where we get all the cases taken up by interns and pgs and is being discussed and updated till the patient gets discharged. It feels accomplished .

It's great to have experience of taking the history of the patients admitting to our hospital in the 3rd semester itself and understanding why and how the disease is being caused. 

These questions are making us curious to learn clinical subjects more efficiently.

 We have learned how to take the history and data from a patient to communicate and diagnose the problem.

This paved a way for learning new things differently. 

Sharing knowledge with our peers and interacting with them regarding the cases has been so helping full to us. 

We have to learn the basic knowledge regarding how to interact with the patient and taking a history from them.

This has been a wonderful opportunity to interact with my peers. 

The E logs which have been kept for us are helpful and made me learn so many new things. 











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