GENERAL MEDICINE ASSESSMENT
-82 Vivek

Question 1


PULMONOLOGY

Quantitative:- 9/10
Qualitative:-

  • Timeline of symptom occurrences were described in a point wise manner.
  • Pharmacological along with non-pharmacological interventions described were helpful.

Gastroenterology

Quantitative:- 9/10
Qualitative:-

  • Treatment with reasoning helped in understanding.
  • The pictures inserted were also helpful.


Neurology

Quantitative:-9/10
Qualitative:-

  • In depth explanation of the symptoms was very helpful.
  • Usage of different fonts and colours for easy identification was thoughtful.


Cardiology


Quantitative:- 8/10
Qualitative:-

    • Various graphs and pictures were inserted.
    • Pathology and physiology of the disease were also explained.


    Nephrology


    Quantitative:- 9/10
    Qualitative:-

      • Pictures were very few.
      • Many treatment options were discussed.


      Infectious  Diseases


      Quantitative:- 9/10
      Qualitative:-

        • Mucormycosis a post COVID complication was discussed in this blog.
        • Usage of graphs and pictures is appreciated.


        Infectious Diseases


        Quantitative:- 9/10
        Qualitative:-

          • Detailed explanation of the diseases was included.
          • The matter is sufficient and easily comprehended.


          Pulmonology 


          Quantitative:- 8/10
          Qualitative:-

            • The discussion of the case is simple and easily understandable.
            • Addition of pictures and flow charts would make it better.


            Neurology


            Quantitative:- 9/10
            Qualitative:-

              • Addition of graphs was very helpful.
              • Very well presented.


              Gastroenterology 


              Quantitative:- 9/10
              Qualitative:-

                • X-Rays and images used were very helpful.
                • In depth explanation of the case and simple vocabulary is easily understandable.

                Question 3

                Question 4

                CNS
                 Problems:
                1.Weakness of limbs
                2.Tubeculosis
                3.Edema is observed

                Diagnosis:
                 Quadreparesis secondary to infectious spondylitis of C4, C5, C6, C7 and T1 with Epidural abscess at C5 - C6 level.

                Treatment:
                1.Optineuron
                2.Thiamine
                3.ATT

                2.CVS
                Problems:
                1.Distension of abdomen 
                2. shortness of breath
                3.Hypothyroidism

                Diagnosis:
                HFrEF with Atrial fibrillation 2 to ?IHD.

                Treatment:
                 Inj. Amiodarone 150 mgIV stat (2 doses)
                 Inj.Amiodarone infusion
                 Inj.clexane 40mg Sc OD

                3.ABDOMINAL:
                Problems:
                1.Pedal edema bilateral and pitting type
                2.decreased urine output 
                3.burning micturition
                4.Fever

                Diagnosis:
                Acute kidney injury secondary to urosepsis with hyperkalemia ( resolved)
                With anenmia of chronic disease .

                Treatment:
                1.Inj LASIX
                2.Inj MAGNEXFORTE 
                3.Tab NODOSIS

                4.RENAL
                Problems:
                1.Altered Sensorium (Hypo active)
                2.Lethargy.
                3.fever 
                4.Pedal edema with Anasarca 
                5.Shortness of breath 

                Diagnosis:
                AKI ON CKD(HYPERTENSIVE NEPHROPATHY) WITH URAEMIC ENCEPHALOPATHY.

                Treatment:
                1.INJ.LASIX
                2.INJ.NaHCO3

                5.MULTISYSTEM:
                Problems:
                1.low backache 
                2.fever
                3.icterus
                4.vomitings 
                5.loose stools
                6.blood tinged urine
                7.polyuria,nocturia,polydypsia

                Diagnosis:
                Acute viral hepatitis is the provisional diagnosis in the patient and cerebral malaria is also suspected

                Treatment:
                1.FALCIGO- anti-malarial drug.
                2.DOXYCYCLINE - is an anti-malarial

                Question 5 

                Clinical postings online are difficult due to the various technical difficulties. The entire general medicine team is really trying their best but we are unable to comprehend due to the technical difficulties.
                Resolving the technical difficulties can help us understand better and learn more. All the cases are very interesting and we are hoping to learn a lot.








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