General Medicine Online Assessment

 51 year old male patient who is resident of chityal ,and works in a transportation company came to the hospital with complaints of  1- Fever since 10 days 2- Cough since 10 days  3-shortness of breath since 6 days  History of presenting illness :  Patient is apparently asymptomatic 10 days back then he developed. Fever since 10 days which is high grade , with chills and rigors , intermittent ,relieving with medication. Associated with cough and shortness of breath. Cough since 10 days which is productive ,mucoid in consistency,whitish ,scanty amount ,more during night times and on supine position ,non foulsmelling ,non bloodstained . Right sided chest pain - diffuse , intermittent ,dragging type , aggravated on cough ,non radiating ,not associated with sweating , palpitations. Shortness of breath since 6 days , insidious onset , gradually progresive ,of grade 3 - (MMRC scale ),not associated with wheeze ,no orthopnea ,no Paroxysmal nocturnal dyspnea, no pedal e...

 Name - Bhavya Ranjan Roll no. -17

Name - Bhavya Ranjan  Roll no. -17 Batch - 2019( third sem) Question 1) Peer review of one particular answer of 10 randomly selected  students.  https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html The case is reviewed  and explained very well . The necessary questions were posed and checked,reviewed and assesed appropriately taking into the consideration of patients history, diagnosis and also the treatment partof the diagnosed  disease. The patient was talking,as well as laughing to himself. He was also unable to lift himself off the bed and move around,and had to be assisted. All the above things are signs of mental confusion. He was alcoholic, had stopped drinking .he developed seizures following cessation of alcohol for 24 hrs, which was associated with restlessness, sweating and tremors. All the above are signs of alcohol withdrawal delirium. Albumin is decreased,this may indicate liver or renal problems. Question 2: I haven't yet got t...

Name - Bhavya Ranjan Roll - 17 Semester - third Q1) Review  of answers to the questions based on the following  case: Neurology   Case : https://amishajaiswal03eloggm.blogspot.com/2021/05/a-50-year-old-patient-with-cervical.html Review : https://151arushikimari.blogspot.com/2021/05/online-blended-bimonthly-assignment.html Condition  of  myelopathy hand, finger escape and Hoffman's reflex are explained  very well . Its causes and features are properly  explained with the help of pictures for better understanding.    Pulmonology    Review : https://166sasirakasinadhuni.blogspot.com/ Case :  https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html She has a history of diabetes and high blood pressure. After a thorough inspection of all systems and the necessary tests, a diagnosis of potential right heart failure and bronchiectasis was made. RHF was caused by an increase in...

Name -  Sravani bekkam , Bhavya Ranjan  Roll no. - 15,17 Semester - third       A CASE OF ANALGESIC NEPHROPATHY This Eblog has been created under the guidance of  Dr MADHUMITHA BUDIGAM. This E blog also reflects patient centered online learning portfolio and your valuable inputs on the comment box is welcome. A 72 years old patient , who is a farmer ,  presented to the opd with chief complaints of - 1) On CKD, he has Analgesic nephropathy 2)hypertension (HTN) since 4 years 3)Underwent 4 sessions of HD(hemodialysis).  4)Had h/O consuming NSAID 7yrs back intermittently .  History of present illness - The patient was apparently asymptomatic 7 years ago. He has a history of consuming NSAIDs since 7 years intermittently  because of which he developed chronic kidney disease for which he was on conservative management. He is a k/c/o hypertension since 4 years. He came to us on 19.06.2021 for AKI (secondary to GN) on CKD (Analgesic nephropa...