GENERAL MEDICINE E-LOG {JULY}
NAME: SANVITH ANGA
ROLL NO: 09
Below is the link of assignment given for us,
medicinedepartment.blogspot.com/2021/07/medicine-paper-for-july-2021-bimonthly.html?m=1
QUESTION 1:
Below is the link of the student for which I am giving my peer review.
https://anahitabehara.blogspot.com/2021/07/general-medicine-monthly-assignment.html
Review to all the questions answered:
1}As she done about 10 cases, in each case she given a best review, which was very useful for us to understand about the case details.
2}She gone with good investigations and given a better explanation for every case. And she followed steps in investigations, She also used grades for each case.
3}Everything was fine and fare, but little more explanation is needed for every case which I thought personally, other than that every case she explained is very nice.
4}The review mentioned by her was too little to study. Little eloberation is needed to get a good clarity on the case.
5}My overall review about the cases she reviewed was good. we get better understanding by studying the cases which she mentioned.
QUESTION 2:
Below is the link of my case report of a patient that I have gone with personal investigations, and I mentioned every detail based on information given by patient later on I gone up with investigation that should be needed and also pictorial representation.
https://angasanvith09.blogspot.com/2021/07/anga-sanvith-roll-no-09-general.html
QUESTION 3:
CASE 1: AKI
Here is the link given below for the case details:
https://laharikantoju.
1}First I would like to appreciate the student for good explanation. She gone with good investigations and mentioned clear details about the case. It would be easy for analyzing the case. And she given a good presentation.
CASE 2: Acute on CKD
Here is the link given below for the case:
http://srinaini25.blogspot.
1}Explanation was good and well presented about the case and gone with good picturization on the case.
2}The patient gone with many treatments by using different drugs to get relief. Every treatment that they gone was well written. finally they gone with diagnosis of acute renal failure.
CASE 3: CKD
Here is the link given below for case details:
https://krupalatha54.blogspot.
The explanation about the case was very good and gone with detail investigations and finally got up with chronic interstitial nephritis secondary to plasma cell dyscariasis. investigations are very nicely gone to get probable diagnosis.
CASE 4: Patient with coma and renal failure
Below is the link for case that she explained:
https://ananyapulikandala106.
The patient was facing type 2 diabetics 3 years ago and given some oral hypoglycemic agents with mistard injection.
CASE 5: Patient with coma and renal failure
Link for the case given below:
https://pallavi191.blogspot.
The case presentation was excellent and given good explanation, This is a complicated case as the patient facing many problems, present he got up with type 2 diabetics, the treatment given was very good, they got with the diagnosis of infective endocarditis with severe AKI which is a complicated problem.
CASE 6: Patient with acute on CKD
Here is the link for the case:
https://kavyasamudrala.
The patient with post TURP with non oliguria ATN.
It is the case where pus is seen in the urine.
The patient has the history with transurethral resection of prostate gland.
Hydronephrosis is explained very nicely.
CASE 7: Patient with acute CKD.
Here is the link given for the case details:
https://rishikakolotimedlog.
Here is the patient with known Diabetics mellitus{DM} and Hypertension because of high BP .
This makes the patient to easy attraction for diseases.
the diagnosis is HFrEF secondary to CAD.
LFT and RFT are quite abnormal.
CASE 8: Patient is acute on CKD
Here is the link given below for the case:
https://krupalatha54.blogspot.
The patient is with pedal oedema with decreased urine output and have history of SOB as the patient use the inhalers since 15 years. Patient also admitted with fever.
CASE 9: Patient with AKI
Here is the link given below for the case details:
https://keerthireddy42.
The patient has dilated veins and distended abdomen.
bilateral pitting edema is seen up to knee. frequently consumption of alcohol caused alcoholic hepatitis.
CASE 10: Patient with AKI
Below is the details of the case presented:
https://casescape.blogspot.
⇨Here urosepsis is seen as there is infection of urinary tract.
⇒Generalized lymphadenopathy is seen.
The link given below is the info about the urosepsis:
https://www.ncbi.nlm.nih.gov/books/NBK482344/
CASE 11: Patient with AKI
Below is the link for the case:
http://chavvaclassworkdecjan.blogspot.com/2021/06/pancreatitis-in-chronic-alcoholic-with.html?m=1
The patient facing pancreatitis due to chronic alcoholism.
Investigations are done well for getting better understanding on the case.
Like ultrasound etc.
QUESTION 4:
✱Case 1
Diagnosis : AKI secondary to UTI, associated with Denovo - DM -2
Treatment :
1)IVF : -RL @ UO+ 30ml/hr -NS
2)SALT RESTRICTION < 2.4gm/day
3)INJ TAZAR 4.5gm IV/TID
|
2.25gm IV/ TID
4)INJ PANTOP 40mg IV/OD
5)INJ THIAMINE 1AMP IN 100ml NS IV/TID
Diagnosis : Hyperuricemia 2° to Renal failure
Treatment:
• IVF - NS-0.9% @100ml/hr
• Inj. Tazar 2.25gm I.V -TID
• Inj. Lasik 40mg I.V -BD
Diagnosis: Chronic interstitial nephritis secondary to plasma cell dyscariasis
Treatment:
- T. PAN 40mg /PO / OD
- oral fluids up to 1.5 - 2 lit / day
- Protein - x ( plant based ) 2 tablespoon in 1 glass of milk
Diagnosis: DKA with AKI
Treatment:
Inj. NORAD 2amp in 50ml NS
Inj. PIPTAZ 2.25gm.
Inj. DOPAMINE 2amp in 50ml
Inj. HAI 1ml in 39ml NS
Diagnosis:INFECTIVE ENDOCARDITIS
Treatment:
2. Inj. Vancomycin 500mg IV/BD in 100ml NS over 1hr
3. Procto clysis enema
4. Inj. Pan 40 mg Iv/OD
Diagnosis: Renal AKI secondary to urosepsis with b/L hydroureteronephrosis
Treatment:
Injection PIPTAZ 4.5 stat and 2.25 gm IV/ TID
Injection LASIX 40mg IV/BD
Injection optineuron 1AMP in 100ml NS slow IV/OD
Diagnosis: HFrEF secondary to CAD; CRF
Treatment:
2.TAB. NITROHART 20/37.5mg 1/2 T/D
3.TAB NICARDIA XL 30mg OD
4.TAB. GLICIAZIDE 80mg BD
5.TAB. NODOSIS 500 mg TD
Diagnosis: Acute on CKD
Treatment:
2. Tab. Wysolone 40 mg ×10 days.
30 mg × 10 days
20 mg ×10 days
10 mg ×10 days.
3. Tab . Lasix 20 mg × 1 month.
Diagnosis: Alcoholic Hepatitis and aki sec to gastroenteritis
- INJ THIAMINE 100 mg in 100 ml NS slow IV / TID
- INJ OPTINEURON 1AMP in 100 ml NS slow IV / OD
- INJ LASIX 40 mg
Diagnosis: Acute Kidney Injury secondary to Urosepsis
Treatment:
IVF - NS @ UO + 50 ml/hr
Diagnosis: pancreatitis in a chronic alcoholic
Treatment:
IV lasix 40 mg BD .
Tab Nodosis .
IV PIPTAZ 4.5 Gms. BD
Iv 25%Dextrose. 100 ml BD
Iv fluids : NS 40 ml /hr.
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