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.
Comments
Post a Comment