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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