GENERAL MEDICINE ASSIGNMENT (JULY 2021)

Name-Sanjay Bandaru Roll no -121

 QUESTION 1

 Below is the link of the student assignment for which I am sharing my review http://119roopesh.blogspot.com/2021/07/119roopesh.html

 1)The review for the cases are well. The insights given are very helpful and in a very orderly fashion. This helps in the easy review of the patient in the near future. 3)The peer review is written on Quadreparesis secondary to infectious spondylitis of C4, C5, C6, C7 and D1 with Epidural abscess at C5 - C6 level Acute kidney injury secondary to urosepsis with hyperkalemia.The review given re  ch vundhi hhhfbcr give, cutehim was good enough 4) The overall review and personal experience review is quite good. I'm sure that the patient centered approach of collecting and learning data has been well grasped by the student.n

ehguyu

QUESTION 2 

 

 THIS IS THE ELOG I MADE FOR THIS MONTH

https://draft.blogger.com/blog/post/edit/2567399535563486119/3530166936971989813

QUESTION 3

AKI  

https://laharikantoju.blogspot.com/2021/07/58-year-old-male-patient-elog-lahari.html?m=1

⇒Scenario of the case is depicted very well. Along with the treatment history and complains which are described correctly for easy analysis. Many investigations done are which are done are placed very well according to date.

Acute on CKD :

http://srinaini25.blogspot.com/2021/07/srinaini-roll-no-33-3rd-semester-this.html

The e-log was very informative and easy to comprehend the points. The usage of highlighted text made the information clear. Choice of diagrams, pictures and their placement is good. 

 CKD   

https://krupalatha54.blogspot.com/2021/07/a-49-yr-old-female-with-generalized.html?m=1

⇒Many serological investigations are done including LFT. 2D echo, bone marrow aspiration test is also done to identify any underlying cause for this disease.

Patient with coma and renal failure :

https://ananyapulikandala106.blogspot.com/2021/06/a-35yr-old-female-elog.html

History of present and past illness is coherent and well established. Investigations showing ECHO and related photos are remarkable. The videos are great for understanding of case. It would be better if text would be highlighted better and use some colours for headings.

 Patient with acute on CKD   

https://kavyasamudrala.blogspot.com/2021/05/medicine-case-discussion-this-is-online.html?m=1

⇒Post TURP with non oliguria ATN. It is a classical case where pus is seen in urine. There is a history of Transurethral Resection of Prostrate. Hydronephrosis is beautifully explained with MRI scans.

Patient with AKI   

https://casescape.blogspot.com/2021/06/acute-kidney-injury-secondary-to.html?m=1

⇒Urosepsis is seen as there is infection of urinary tract. Generalized lymphadenopathy is present. For more information regarding urosepsis refer below link:

https://www.ncbi.nlm.nih.gov/books/NBK482344/

Patient with AKI  

http://chavvaclassworkdecjan.blogspot.com/2021/06/pancreatitis-in-chronic-alcoholic-with.html?m=1

⇒Pancreatitis occured due to chronic alcholism. Many investigations are done including ultrasound to get a detailed view of the liver and if condition due to alcholism.

QUESTION 4 

a.ELECTROLYTE IMBALANCE:-

      Patients with chronic renal failure, since there is an absence of renal regulatory mechanisms. In renal failure, acute or chronic, one most commonly sees patients who have a tendency to develop hypervolemia, hyperkalemia, hyperphosphatemia, hypocalcemia, and bicarbonate deficiency (metabolic acidosis). Sodium is generally retained, but may appear normal, or hyponatremic, because of dilution from fluid retention. Following the relief of a urinary tract obstruction, hypovolemia, hyponatremia (true loss of sodium), hypokalemia, hypocalcemia, hypomagnesemia, and bicarbonate loss are most apt to occur. Electrolyte imbalances after urinary diversion vary depending on the site of urine diversion.

*Treatment:-

Intravenous fluids, electrolyte replacement.

A Minor electrolyte imbalance may be corrected by diet changes. For example; eating a diet rich in potassium if you have low potassium levels, or restricting your water intake if you have a low blood sodium level.

  

*Most commonly cause an electrolyte imbalance are:-

vomiting

diarrhea

not drinking enough fluids

not eating enough

excessive sweating

certain medications, such as laxatives and diuretics

eating disorders

liver or kidney problems

cancer treatment

congestive heart failure

b.UROSEPSIS:- is a term used to describe a type of sepsis that is caused by an infection in the urinary tract.

*Symptoms of urosepsis include:-

pain near the kidneys, on the lower sides of the back

nausea with or without vomiting

extreme fatigue

reduced urine volume or no urine

trouble breathing or rapid breathing

confusion or brain fog

unusual anxiety levels

changes in heart rate, such as palpitations or a rapid heartbeat

weak pulse

high fever or low body temperature

profuse sweating

A doctor may diagnose urosepsis after confirming that the person has a UTI, which is done through a simple urine sample. If a UTI has been left untreated or the doctor thinks the infection may have spread, they may order immediate blood tests to help diagnose urosepsis.

*Treatment:-

If caught early, UTIs are easy to treat with antibiotics. A person with a UTI also needs to drink plenty of fluids to help flush the urinary tract,it may not respond to antibiotics alone.

Some people will need surgery to get rid of the source of an untreated infection completely.

QUESTION 5 

 I have experienced and seen many cases which are really helpful in clinical way. I have learned many things during the posting session.Even i have got a chance to log for a case the experience was quite helpful for me in understand how the system works.I'm also glad that we are connected to our patients discussing about their illnesses through telepathy,we're learning and exploring new medical cases through this new change that's bought up in our lives