General Medicine
B I M O N T H L Y B L E N D E D
A S S E S S M E N T
[JUNE 2021]
Name: Vankadoth Sai Teja MBBS
[3rd Semester]
ROLL NO: 143
Question 1: Competency tested for peer to peer review and assessment:
I have been given the following assignment in an attempt to read, comprehend, analyze,reflect, clinical data including history, clinical findings,investigations and diagnosis.
Below is the link for the given questions for us:https://generalmedicinedepartment.blogspot.com/2021/06/bimonthly-formative-and-summative_19.html?m=1)
Question 1
PULMNOLOGY:
Case 1: :https://02shishirareddy.blogspot.com/2021/05/assignment-45-year-old-female-patient.html?m=1
Comment:
Very attractive representation looks organised and actual effort is seen elaborate explanation and to the point, important points are well highlighted ....
NEUROLOGY:
Review 2:
Case 2:
Comment:
The entire document is very well-formatted, the organization of the data makes it very easy to look..
Correlation of different aspects is observed..
CARDIOLOGY
Review 3:
Case 3:
Comment:
I agree with the answer given by the peer he explained it in very good way...Each drug was mentioned and explained in detail about the mechanism of action,in an understandable way.
PULMNOLOGY
Review 4:
Case 4:
Comment:
Each drug was mentioned and explained in detail about the mechanism of action,in an understandable way.
GASTROENTEROLOGY
Review 5:
Case 5:
Comment:
Answering has been done in a point wise manner, with nice detailing & information.
Written in a simple & easy to under
stand manner with to the point information. .
PULMNOLOGY
Review 6:
Case 6:
Comment:
The symptomatology has been explained in a chronological order of occurrence.
The primary etiology of the patient has been mentioned with the necessary finding along with the pictorial representation.
NEUROLOGY:
Review 7:
Case 7:
Comment:
Presentation is very neat & easy to follow.
Point wise answering is clear & precise
more diagrams would have made it more comprehensive....
NEUROLOGY:
Review 8:
Case 8:
Comment:
The explanation was good, but the certain points could have been highlighted...
NEPHROLOGY AND UROLOGY:
Review 9:
Case 9:
Comment:
Presentation is very neat & easy to follow.
Point wise answering is clear & precise
more diagrams would have made it more comprehensive....
CARDIOLOGY
Review 10:
Case 10:
Comment :
Each drug was mentioned and explained in detail about the mechanism of action,in an understandable way.
QUESTION 2:
I am sorry for not answering this question sir because I have not taken up any case as of now.
Question 3:
Please go through the cases in the link shared above and provide your critical appraisal of the captured data in terms of completeness, correctness and ability to provide useful leads to analyze the diagnostic and therapeutic uncertainties around the cases shared
Answer 3:
Renal:
All the required data has been included in the chronological order.
If the history was mentioned in a point wise manner it would have been more comprehensive.
All the investigations done were mentioned along with the deidentified reports.
No discussions on diagnostic and therapeutic uncertainties were given.
The general examination and the systematic examinations done were mentioned accordingly.
The treatment plan was well described with the dates on which drugs were administered.
QUESTION 4:
Please analyze the above linked patient data by first preparing a problem list for the patient (based on the shared data) and then discuss the diagnostic and therapeutic uncertainty around solving those problems.
ANSWER 4:
Problem list at the time of arrival :
1. Complaints of Altered Sensorium
2. Shortness of breath at rest
3. Lethargy
4. Anasarca
5. Complaints of lower back pain and neck pain
6. Loss of appetite
Problems found while systematic examinations:
1. Presence of oedema
2. Dyspnea is present
3. Hypoactive and delayed response to commands
Treatment :
Inj. LASIX was given to manage Anasarca.
ANSWER 5:
If we just take a look at what we have achieved with the help of telemedical communication the answers are never ending. Like all the case history can be shared throughout the world, and we can also recieve suggessions from the experts who have always been working in that field for a long time. The task of making an elog might look as an easy one but it's not. Making an elog consumes a lot of time and effort, we have to collect the patient history by talking to their attendent or patient themselves which was a tough task. It is the first time ever that we started an interaction with the patient which was enough to increase our anxiety but the task was incomplete. Talking to the patient directly would have given us much more valuable information and we could understand their pain and suffering by looking at them. We've missed all these interactions due to the pandemic but there is nothing else we could think of to use the time available to the fullest. This experience we gained by writing elogs and writing the assignment gave us an opportunity to learn something new, basics of what a doctor should do when he has encountered a patient. History taking which includes present history, past history, family history, treatment history and so on along with their biodata. Each step gives us a clue of some sort, helps us the process of diagnosis. We believe this experience would help us gain a better perspective in the future.
