BIMONTHLY ASSIGNMENT-AUGUST 2021

42 SUPRIYA GAGIREDDY


QUESTION 1:

PEER TO PEER REVIEW 


LONG CASE  Review:
Quantitative marking:10/10
Qualitative insight: 
-Summary of the case is well explained.
-It is explained in a chronological order which is very easy to understand.
-The provisional diagnosis and the features to look for was comprehensive.
-All the investigations are done .
-Pedal edema was clearly noticeable.
-Diagnostic approach was comprehensive
-pedagogic answers has given lot of information and impressive.


SHORT CASE 1 Review:
Quantitative marking:9.5/10
Qualitative insight:
-It is explained in a chronological order which is very easy to understand
-Summary of the case is well explained.
-Appropriate investigations are done.
-Only two pictures are uploaded which is very difficult to analyse the case.
-No pedagogic answers are given.
Diagnostic approach was comprehensive.

SHORT CASE 2 Review:
Quantitative marking:10/10
Qualitative insight:
-Summary of  the case is well explained
-It is explained in a chronological order which is very easy to understand
-Appropriate investigations are done
-Diagnostic approach was comprehensive
-Pictorial representation was quite impressive


QUESTION 2:
Problem solution list :

Long case

Patient's problem                                                     

Generalized edema

Facial puffiness

Dilutional Hyponatremia

Decreased urine output

Hyperuricemia

Pain in finger joints and wrist

Sub cutaneous swellings in the proximal joints of fingers

Erosive Rheumatoid arthritis

Burning sensation in eyes with increased tearing


Solution 

Free water restriction for hyponatremia to treat edema

                Hyponatremia in presence of edema

indicates increased total body sodium and water levels resulting in edema

Tab.Febuxostat for Hyperuricemia and pain in finger joints and wrist

Tab Prednisolone for Rheumatoid arthritis and inflammatory conditions



Short Case 1 


Patient's problem

Stiffness

Slowness of movements

Involuntary movements rhythmic to and fro oscillations

Hypertension


Solution 

Tab Syndopa Plus for stiffness and involuntary movements

Tab Telma for Hypertension



Short Case 2


Patient's problem

Itchy ring lesions

Pedal edema

Facial puffiness

Purple stretch marks

Abdominal distension

Low back ache

Hypertension

Feeling low

Weight gain

Low cortisol levels


Solution

Inj Actom prolongatum for low cortisol levels

Tab Telma for hypertension

Tab Hizone for hypertension,anxiety etc

Saline compress and antifungals for itchy ring lesions.



QUESTION 3 :

 Diagnostic and therapeutic uncertainty around solving the patient problems. 



LONG CASE:
Free water restriction for hyponatremia-To treat hyponatremia which helps to retain water instead of excreting.

Tab.PREDNISOLONE P/O 20 mg OD-It is the most commonly used preparation for allergic,inflammatory,autoimmune disorders and in malignacies.

Tab FEBUXOSTAT P/O 80 mg OD- Is used to treat hyperuricemia in adults who have gout. 

Haemodialysis for worsening renal dysfunction.


SHORT CASE 1:

Tab.SYNDOPA PLUS 125 mg QID-It is a combination of levodopa and carbidapa used to treat parkinsonism .

Tab.TELMA 40 mg OD-To treat hypertension .


SHORT CASE 2:

Ointment AMLORFINE-To treat fungal infections in fingernails and toenails

FUSIDIC ACID CREAM-To treat bacterial infections like skin lesions

Tab SHELCAL 500 0D and Tab Vit D3 od-To treat low calcium levels

Tab ULTRACET PO/SOS-To treat moderate to moderately severe pain.

Tab HISONE-Used as anti inflammatory medication.



QUESTION 4:
Own case report




QUESTION 5
Reflective Writing
Since we were at home we couldn't attend for the clinical postings due to the pandemic becoming very tough for us to understand the patient problems but the interns and pg's are explaining 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,pg's interns.finally i would like to thank my general medicine department for giving us this great opportunity and helping me to do better.

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