General Medicine - Internal exam 

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BIMONTHLY BLENDED ASSESSMENT - JUNE 2021

BIMONTHLY BLENDED ASSESSMENT - JUNE 2021 -114 Sai Ajay Bompalli The following is a link to the assignment which has been given to me for a monthly progress evaluation: https://medicinedepartment.blogspot.com/2021/06/medicine-department-paper-for-june-2021.html?m=1 QUESTION 1: Please go through one particular answer of ten students in this link: http://generalmedicinedepartment.blogspot.com/2021/06/bimonthly-formative-and-summative_19.html?m=1  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: After reviewing the pulmonology case in the following links: Link 1: https://aitharaveena.blogspot.com/   Qualitative: 8/10 Quantitative:  The symptomatology has been explained in a chronological order of occurrence but had missed the order for one of the symptoms. But the mechanism of action was very well explained with essential amount of information to expl...
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Acute Kidney Injury secondary to Urosepsis

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A 60yr old female presented to the OPD with chief complaints of pedal edema since 10 days, decreased urine output since 10 days and fever since 10 days. History of present illness: The patient was apparently asymptomatic 5 years back following which she was diagnosed with DM2 on checkup and on Teneligliptin 20 mg. In 2019 ( 2 years ago) she developed fever, shortness of breath and pedal edema and diagnosed with Acute kidney injury secondary to urosepsis and resolved conservatively after dialysis (4 sessions) Now presented with history of fever, high grade since 10 days, not associated with vomiting and loose stools . Patient complaints pedal edema bilateral and pitting type, with decreased urine output and burning micturition. History of past illness: Outside reports suggest acute kidney injury. Known case of diabetes mellitus since 10 years and on tab Teneligliptin 20 mg and not known case of hypertension, bronchial asthma, tuberculosis. Personal history: Married  Mixed diet ...
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65 YEARS OLD FEMALE WITH SYNCOPE

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  This is an online e log book to discuss our patient's de-identified health data shared after taking his/her/guardians' signed informed consent. This Elog reflects my patient-centered online learning portfolio. A 65 year old female, housewife, resident of Chinatunalgudam  presented to the casualty with loss of consciousness. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic two days ago. Then,  after walking for a long time,  she had an episode of syncope, associated with sweating,   After gaining consciousness after approximately. Not associated with palpitations, flushing, chest pain, muscle weakness, slurring of speech, headache.  The patient was brought to the casualty and given medication (glucose saline) and recovered completely. PAST HISTORY: 4 days ago, patient has history of chest pain   (sudden onset , in the centre of chest, squeezing type, non progressive, not radiating ) with shortness of breath following exertion, w...
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