GENERAL MEDICINE ASSIGNMENT
NAME: SRINAINI
ROLL NO: 33
BATCH:2019
We have been given 5 questions as an assignment to analyze,asess , understand and write the preview of the cases.
QUESTION 1:
A.PULMONOLOGY
INSIGHT:This is case of a 55yr old female who came with opd with chief complaints of pedal edema and SOD,and diagnosed with exacerbation with COPD and right heart failure.
The evolution of symptamology was compactly explained with a beautiful flowchart .
And the mechanisms of each drug used was very briefly explained.
2.CARDIOLOGY
INSIGHT:The information was very reasoning and to the point and all the questions were very knowledgeable .
But it would be even more comprehensible if some images and flowcharts were added.
3.NEUROLOGY
INSIGHT: It is a case of 40 year old male presented to the OPD with the chief complaints of irrelevant talking and decreased food intake since 9 days.
The etiology of the case of the case was presented through a very comprehensive and concised flow chart.
And the mechanism was very clearly explained with effective visuals.
4.GASTROLOGY
INSIGHT: This is a case of a 33yrd old male with pancreatitis,pseudocyst and left broncho-pleural fistula.
The pathophysiology of the case and the pharmacological interventions were comprehensively and informatively put up with beautiful images.
5.NEPHROLOGY
INSIGHT
It is a case of a 55yr old male came who came to the opd with cheif complaint of fever since 4 days and pus in urine and was diagnosed with renal AKI secondary to urosepsis with diabetic nephropathy since 5yrs.
The questions were answered very compactly with point to point information but the answers would be even more comprehensive if pictures and flowcharts were added.
6.INFECTIOUS DISEASE
INSIGHT
This is an very intresting case of Mucormycosis (black fungus).
The evolution of symptamology was nicely explained but the case would be great if the MRI imaging was also added.
7.NEUROLOGY
This is a case of 52 yr old male with cerebellar ataxia.
The questions were answered very appropriately and links were provided for better understanding of the mechanism of each drug.
The case would have been great if the appropriate pictures of the patient have been added.
8.RHEUMATOLOGY
INSIGHT
This is a case of COVID-19 Pneumonia in a preexisting case of interstitial lung disease.
The etiology was very intellectually presented and the clearly described the usage of the drug clexane.
9.CARDIOLOGY
INSIGHT:It is case of 52yr old male came to OPD with cheif complaints of decreased urine output and SOD at rest since 1day.
The symptomology was presented in a very through a very informative flowchart .
And also the pharmacological intervention was briefly explained with effective visuals.
10.GYNAECOLOGY
CASE LINK:
INSIGHT
This is a case of 56 yrs old female who came to the opd with cheif complaints of burning micturition since 1yr and a scan report showing left ovarian cyst measuring 1.5 ,1.3cm.
The case was very informatively presented with all the investigation reports attached and and with effective video visuals.
QUESTION 2
https://srinaini25.blogspot.com/2021/07/srinaini-roll-no-33-3rd-semester-this.html
QUESTIONS 3 &4
CASE LINK:
CARDIOVASCULAR CASE
This is a case of 70yrs old female who came to the opd with cheif complaints of distention of abdomen and shortness of breath which was grade-3 since 5days.And she was known patient of hypothyroidism and was treated with Thyronorm 100mg for it.
There was no loss of appetite or irregular bowel movements .The vitals were normal except for the temperature was afebrile and pulse rate was feeble.
The CVS and Respiratory and CNS systems seemed to be normal,
but on testing the abdomen it was found to be flat ,distented ,non-tender and bowel sounds were heard .
The ECG report showed atrial fibrillation and the 2d echo video was been attached which showed akinetic segment in LAD and plueral and mild pericardial effusion.
And blood investigations :-serum creatinine ,HbsAG,blood urea ,C-reactive protein,RBS, serum electrolytes and CBP were done.
And therefore by taking all these into consideration the case was diagnosed as "Heart failure with reduced ejection fraction with atrial fibrillation.
Plan of treatment
1.Inj. Amiodarone 150 mgIV stat (2 doses)
2.Inj.Amiodarone infusion
1mg/min till 6hr f/b 0.5 mg/min for next 18 hours
3.Inj.clexane 40mg Sc OD
4. And finally they also tried to defibrillate but unfortunately the patient couldnt be saved.
QUESTION 5
It's been 2months since we started our 3rd semester .In the 1st yr there were hardly a handful of cases we could see over the year and and that was also in the classroom environment ,So we were all very excited and enthusiastic that we could enter into a very intresting and a new Hospital environment where we could come across a wide range of cases and daily there would be some or other sort of learning , But at the same time because of the pandemic we were quite disappointed that we couldnt attend offline postings ,but apparently even through online under the guidance of our Proffesors ,Pg's and interns we are able to see different cases daily .They left no stone unturned to make us understand the cases in detail by making us do the elogs,assignments dicussing each and every case elaborately and by giving us an opportunity to interact with the patient .
I specially thank the general medicine department for including us in all the cases and patiently explaining everything and giving us so many opportunities!
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