GENERAL MEDICINE ASSESSMENT AUGUST MONTH

 M.SNEHA

ROLL NO-74

3RD SEMISTER


QUESTION-1 :

Clinical Appraisal-

https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006003-case-presentations.html?m=1

- The patient's clinical history is well presented in a chronological order by mentioning even minute details in his past.

- Drug history is presented which attrevated his symptoms.

- Provisional diagnosis is made clear with appropriate explanation regarding the pathology and causes. 

- General and Systemic Examination is done with appropriate pictures posted which makes me clear in understanding the case.

- The cause of Polyarthritis is well defined with differential diagnosis and their classification chart.

- The answers to the questions are well explained to the point.

- The short cases are also well mentioned with their periodic follow up and appropriate treatment is given for the cause.

- The analysis of diagnostic and therapeutic uncertainties are detail.


QUESTION-2 , 3 :

1. Diagnosis - Acute glomerulonephritis with peripheral arthritis.

Investigations - CUE , ECG

- Blood tests

- X- Rays of hands and wrist

Treatment - 

- Free water restriction for Hyponatremia

- Tab. PREDNISOLONE P/O 20 mg OD

- Tab FEBUXOSTAT P/O 80 mg OD

- Haemodialysis for worsening renal dysfunction

2. Diagnosis -

- Idiopathic Parkinson's Disease Stage 1 with denovo HTN.

- Multiple System Atrophy - Parkinsonian Type (MSA-P).

Investigations - 

- 2D echo

- ECG

- Higher mental functions

Treatment - 

 - Tab. Syndopa Plus 125 mg QID

- Tab. Syndopa 125 mg CR OD

- Tab. Telma 40 mg OD

3. Diagnosis -

IATROGENIC CUSHINGS SYNDROME SECONDARY TO TOPICAL CLOBETASOL APPLICATION ALL OVER BODY FOR APPROXIMATELY ONE YEAR.

TINEA CORPORIS 

DENOVO HTN 

Investigations - 

- CBP , HB

- TLC , PLT , RBS

- CUE - ALBUMIN, SUGARS, PUS CELLS 

- RBC 

- LFT , DB

- ALBUMIN 

- RFT , UREA

- SERUM CREATININE 

- ELECTROLYTES

   - Na, K , Cl levels

- USG ABDOMEN

- ECG

Treatment - 

- TAB HIZONE

- TAB SHELCAL

- TAB ULTRACET

- TAB TELMA

The investigations and treatment for all the above three  patient's clinical diagnosis is appropriate and are followed up regularly .


QUESTION - 4 :

The link of patient's elog in this month is -

https://madamsneha74.blogspot.com/2021/08/a-case-of-hyponatremia.html


QUESTION - 5 :

- The competency based approach in medical education is a very good initiative which make us understand regarding the subject with clinical orientation. The clinical exposure is very important as we can diagnose the patient with our theoritical knowledge which can be demonstrated practically.

- The blogs of the patients which are shared give us a thought regarding the approach to a particular diagnosis.

- It would be quite interesting if we can participate in the live clinical postings as we can examine the patient by taking the history and can try to gain the knowledge for the provisional diagnosis related to the presented signs and investigations done.

- I thank our Gen medicine department for such sessions of elog preparation.






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