GENERAL MEDICINE ELOG BY SRI CHAKRA

Online bimonthly assignment

M. Sri Chakra 

3rd semester

Roll no. 72

i have been given the assignment to check our ability to connect with and capture patient centered data (as already demonstrated by many of the 2019, 2017, 2016 batch students) and also 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://generalmedicinedepartment.blogspot.com/2021/06/bimonthly-formative-and-summative_19.html?m=1

QUESTION-1

1. PULMONARY

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

A 55yr old female  with cheif complaints of shortness of breath.

IN SIGHTS- The evolution of symptomatology beginning from shortness of breath to the failure of right side of the heart is clearly mentioned and also the mechanisms of action,indications and efficacy of both pharmacological and non pharmacological investigations are performed well.

2. CASE-2

Link of the case : http://bejugamomnivasguptha.blogspot.com/2021/05/a-45-years-old-female-patient-with.html

A 45yr  old female  with chief complaints of palpitations, pedal edema, chest pain , chest heaviness and radiating pain Alon left upper limb 

INSIGHTS- diagnosis of the patient is bilateral pedal edema. syptomes of hypokalemia was mentioned.

anatomical localization-electrolyte imbalance in body can affect cardiovascular system and primary etiology is hypokalemia

3. NEUROLOGY

Link of the case : https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html

40 year old male presented to old with chief complaints of irrevalent talking and decreased food intake since 9 days

 INSIGHTS-due to addiction to alcohol and cigar affected the most.seizures were occuring regularly.proper investigations are done and treatment was given according.

4. INFECTIOUS DISEASE 

24th CASE

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

50/Male came with altered sensorium

INSIGHTS -PRIMARY ETIOLOGY- IMMUNO SUPRESSION by DIABETES 

• diabetes is main drawback for mucomycrosis.

TREATMENT-

•  amphoterin b effective against most invasive fungal infections.

5.PULMONOLOGY

Link of the case : 

https://preityarlagadda.blogspot.com/2021/05/biatrial-thrombus-in-52yr-old-male.html

 A - fib and bilateral thrombosis in a 54 year male

 INSIGHT-Anatomical location of problem - lungs

Primary etiology of patient- usage  of chulha since 20 yrs might be due to chronic usage.

Isoniazid and rifampcin -nephrotoxic - raised RFT was seen.

6. CASE 

Link of the case

 -http://shivanireddymedicalcasediscussion.blogspot.com/2021/05/a-30-yr-old-male-patient-with-weakness.html

A 30 yr old male patient lorry driver by occupation, with Chief complaints of weakness of right upper limb and lower limb since  one day and deviation of mouth towards left since one day.

INSIGHTS-Each and every differences is well explained along with contraindicative points.

8.NEUROLOGY

Link to the case :

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

INSIGHT 

Symptomotology is mentioned  tremors, sleep disturbances, sweating,involuntary rolling of eyes, tongue biting, frothing, loss of consciousness.

• Anatomical localisation:  basal ganglia, thalamus and midbrain.
• Chronic Alcoholism could be a potential cause of Thiamine deficiency.
• Elevated levels of urea and creatinine are  most likely cause of kidney injury in this patient. This can be a result of decreased blood flow to the kidneys possibly due to dehydration secondary to alcoholism.

9. CASE  

   

Link to the case : 

https://bhavaniv.blogspot.com/2021/05/medicine-bimonthly-assignment-may-2021.html

       

   A 60year old Male patient, resident of nalgonda, came to the OPD with the  Chief complaint of chest pain since 3 days and giddiness and profuse sweating since morning.

INSIGHT-all the examinations and vitals we checked. Required investigations were done.

Information based on the above investigations is suggestive of inferior wall MI with uncontrolled  sugars with k/c/o DM since 8yrs.

treatment- patient was immediately administered with antiplatelets and anticoagulants STAT dose prophylactically and was advised for thrombolysis

10. CASE 

 

Link to the case : 

https://63konakanchihyndavi.blogspot.com/2021/05/assignment.html

A 33 yr old male with abdominal pain in umbilical, left hypochondriac, left lumbar and hypogastric regions.

Pain is throbbing type and radiating to back, fever,  constipation, burning micturaton

after all examinations and investigations the patient is diagnosis with

• Acute on chronic pancreatitis with pseucyst and acute infective peri pancreatic fluid collections.
• Moderate left pleural effusion with basal atelectasis.
• Left pneumothorax secondary to broncho pleural fistula.

         Treatment was done accordingly.

QUESTION 2

         Still didn't get a chance to do a case E log. Once its completed shall be updated here.

QUESTION 3 & 4

https://60shirisha.blogspot.com/2021/06/medicine-case-discussion_14.html?m=1

Case Discussion : 

          A 70 year old female presented to casuality with complaints of Distension of abdomen and shortness of breath Grade-3 since 5days.
In ECG it shows atrial fibrillation.

she was suffering from hyperthyroidism and was on Thyronorm 100mg OD.

According to the investigations done.

DIAGNOSIS -

 HFrEF with Atrial fibrillation 2 to ?IHD

TREATMENT-

Inj. Amiodarone 150 mg IV stat (2 doses)

Inj. Amiodarone infusion

 1mg/min till 6hr f/b 0.5 mg/min for next 18 hours

 Inj. clexane 40mg Sc OD 

QUESTION-5

          Due to this pandemic we when online classes started, we were not able understand anything but as the days progressed with the help of professors, we were able to understand better. We learn about history taking.

         Even though we are not able to meet live patients in the wards, telemedicine is helping us learn the subject almost at that level. Professors are trying to their at most capabilities to make us understand the subject in this online mode of classes.

         We now able to corelate our 1st year and 2nd year subjects, what we have learnt in the general medicine wards. That is helping in understanding the subject even more.

        Even we are able to learn the subject in the online classes, we with that soon we will able attend college directly and learn from the patients in the wards directly. This is our first E - log. Hope we could more and improve a lot.

        I would like to thank HOD sir for giving this opportunity and all Professors and PGs of GM department for helping understand about E - Log.