BIMONTHLY BLENDED ASSESSMENT - JUNE 2021

NAME:G.SUPRIYA REDDY ROLL NO:42

 Question 1: Competency tested for Peer to peer review and assessment : Please go through one particular answer of ten students in this link: 

https://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.

 1 PULMONOGY 

 REVIEW: https://akash688.blogspot.com/2021/05/online-blended-bimonthly-assessmentmay.html 

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

 This is a case of Acute exacerbation of COPD associated with right heart failure and bronchiectasis.She is presented with shortness of breathe,genaralised weakness,facial puffiness,drowsiness and decreased urine output.She is a known case of Diabetes Mellitus for the past 8 years.She is a known case of Hypertension.The treatment for all the symptoms has given and placebo effect was explained well.so i think the case was handled well.

 2.NEUROLOGY 

 REVIEW:https://vignatha45.blogspot.com/2021/05/medicine-blended-assignment-may.html 

 CASE:https://kausalyavarma.blogspot.com/2021/05/a-52-year-old-male-with-cerebellar.html?m=1 

 This is a case of Cerebellar Ataxia secondary to Acute Cerebrovascular Accident (CVA) with infarct in the right inferior cerebellar hemisphere.- Patient has H/o postural instability- he is unable to walk without presence of supports, swaying is present and he has tendency to fall while walking .IN past history he was found to have denovo HTN.His tone was normal.He presented with ataxic gait.all the investigations are done.so i think the case was explained well. 

 3.CARDIOLOGY 

 REVIEW:https://vignatha45.blogspot.com/2021/05/medicine-blended-assignment-may.html 

 CASE:https://muskaangoyal.blogspot.com/2021/05/a-73-year-old-male-patient-with-pedal.html 

 This is a case of Heart failure with preserved ejection fraction.He has a history of chronic alcoholism and non smoker.He is a known case of Diabetes mellitus and hypertension,Pedal edema since 4 years associated with exertional dyspnea.Blurring of vision , since 4yr ( Diabetic retinopathy).He was tested covid positive. On ABDOMINAL EXAMINATION, free fluid - present ( SHIFTING DULLNESS PRESENT).All the related investigations are done and possible treatment is given.The case was explained well. 

 4.GASTROENTEROLOGY 

 REVIEW:https://supriyakammari53.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html

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

 This is a case of chronic pancreatitis with pseudocyst and acute infectious peripancreatic fluid collections eith moderate left pleural effusion with atelectasis with pneumothorax secondary to broncho pleural fistula.He is presented with abdominal pain in umbilical, left hypochondriac, left lumbar and hypogastric regions.He is a chronic alcoholic and smoker.so he is associated with acute pancreatitis and pneumothorax.all the investgations are done and possible treatement is given.so i think the case was explained well.

 5.NEPHROLOGY 

 REVIEW:https://supriyakammari53.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html 

 CASE:https://kavyasamudrala.blogspot.com/2021/05/medicine-case-discussion-this-is-online.html 

 This is a case of acute kidney infection secondary to urosepsis with known case of diabetes mellitus with diabetic nephropathy with anaemia secondary to chronic kidney disease. He presented to the hospital with decreased Appetite and Generalised weakness.And there was raised creatinine levels upto 10mg/dl.He presented to the hospital with complaints of High grade fever and pus in the Urine.so all these conditions may lead to chronic renal failure.all the possible investigations are done and possible treatment is given.hence the case was explained well.

 6.INFECTIOUS DISEASE

 REVIEW:https://supriyakammari53.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html

 CASE:https://vyshnavikonakalla.blogspot.com/2021/05/a-40-year-old-lady-with-dysphagia-fever.html 

 This is a could be a case of tracheoesophageal fistula or esophageal candialiasis or esophageal stricture.It is a congenital disorder.she also has aids.she is tested TB positive.It should be noted that any treatment given to her should not encourage the retro virus to grow.all the possibe investgations are done and possible treatment is given.

 7.INFECTIOUS DISEASE AND HEPATOLOGY 

 REVIEW:https://supriyakammari53.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html 

 CASE:https://kavyasamudrala.blogspot.com/2021/05/liver-abscess.html 

 This is a case of liver abscess.He is presented with PAIN ABDOMEN SINCE ONE WEEK and DECREASE APPETITE SINCE ONE WEEK and fever. he developed pain abdomen in Right Upper Quadrant dragging type which is non radiating, sudden onset, non progressive not associated with nausea / vomiting / loose stools .He is also chronic alcholic.On examination, Decreased movements in Right Upper Quadrant on respiration is seen.All possible investigations are done and treatment is given. 

 8.NEUROLOGY

 REVIEW:https://supriyakammari53.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html

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

 This is a case of Wernicke's encephalopathy secondary to chronic alcohol dependence with Uraemic encephalopathy and Alcohol Withdrawal delirium. He was unable to lift himself off the bed and move around.He also had short term memory loss .he had 2-3 episodes of seizures.K/C/O Type 2 Diabetes.He is Addicted to alcohol.His albumin,hemoglobin levels are very abnormal.All the possible investigations are done.and possible treatment was given to him.

 9.NEUROLOGY 

 REVIEW:https://supriyakammari53.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html

 CASE:https://nikhilasampathkumar.blogspot.com/2021/05/a-48-year-old-male-with-seizures-and.html?m=1 

 This is a case of Generalized tonic-clonic seizures secondary to acute hemorrhage in the frontal, temporal, and parietal lobes.he developed involuntary jerky movements on all four limbs. He has a history of binge drinking 3 hours prior to the onset of drowsines. CT scan showed an acute cerebral hemorrhage of the frontal, parietal and temporal lobes.these conditions say that he had come up with hemorrhage in lobes.All the investigations are done and possible treatment was given. 

 10.CARDIOLOGY

 REVIEW:https://supriyakammari53.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html 

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

 This is a case of Atrial Fibrillation and Biatrial Thrombosis.Patient has come up with complains of decreased urine output and Anuria since morning.He has past history of shortness of breathe ,facial puffiness and surgery.He is also a chronic alcoholic. All the possible investigations are done and all possible treatment is given to him.so the case was eplained so well. 

 QUESTION 2

 I havent got a chance to make a case report. 

 Q3) (Testing peer review competency of the examinees) : 

 https://61tejarshini.blogspot.com/2021/06/general-medicine-case-discussion.html?m=1 

 This ia a case of AKI ON CKD(HYPERTENSIVE NEPHROPATHY) WITH URAEMIC ENCEPHALOPATHY.patient presented with complains of Altered Sensorium , Shortness of breath at rest, lethargy, Anasarca. He is a known case of HYPERTENSION.He is also a known case of CHRONIC KIDNEY DISEASE.All possible investigations are done .even the microbiology tests are done.planning of hemodialysis was done.so all possible investigations are done. and all possible treatment is given.It usually develops in patients with renal failure usually when creatinine level fall below 15ml/min.Uremia is final stage of progressive renal insufficiency and may lead to multiorgan failure.

 QUESTION 4: Testing scholarship competency of the examinees 

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

 The diagnosis is HFrEF with Atrial fibrillation.This is diagonsed with examination of ECG and 2D ECHO results. ECG showing Showing Atrial fibrillation.2D ECHO Showing Akinetic segment in LAD territory with EF 35% and RVSP 100mmhg.All other investigations are done and they are found out to be normal.As the patient came with cardiac problem the ecg and 2D echo results were found to be very useful,which helped in diagnoe with correct disorder.

 QUESTION:5

 Testing scholarship competency in logging reflective observations on your concrete experiences. Since we were at home we couldnt attend for the clinical postings due to the paandemic.its becoming very tough for us to understand the patient problems but the interns and pgs are expalining very well to make us understand utmost.It really helping me to know the difference between the clinical postings and reading books.Through the clinical classes its becoming very easy to understand my subjects.We are gaining lots of information through the case discussions.Its quite interesting to discuss the cases with my professors,pgs interns.finally i would like to thank my general medicine department for giving us this great opputunity and helping me to do better.

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