BIMONTHLY BLENDED ASSIGNMENT OF MEDICINE --- JULY 2021

NAME : G.PREETHI REDDY 


ROLL NO : 43 

BATCH - 2019 (3rd SEM)


I have been given the assignment to check our ability to connect with and capture patient Centered data  and also the ability to connect with and engage in shared learning with their peers through peer review feedback.

Below is the link to the questions given to us:-

http://medicinedepartment.blogspot.com/2021/07/2019-batch-medicine-department-online.html?m=1

I went through the previous assignment of Goli Shreya  no 45  and breifly reviewed all her answers. Here is my review of her assignment

QUESTION 1

Q1

I went through the previous assignment of Goli Shreya ,Roll No 45  and breifly reviewed all her answers. Here is my review of her assignment- 

All cases was studied and insights were given on each case 

Q2

Not Done 

Q3 ANS Q4

A case on   KI ON CKD(HYPERTENSIVE NEPHROPATHY) WITH URAEMIC ENCEPHALOPATHY is mentioned .
Case was described elaborately. Chief complaints and history of the patient is mentioned in chronological order .Reports of the investigstion were uploaded .Treatment given to the  patient was properly mentioned . 
Images related to the case was not uploaded.

Q5 

Her point of view about the present online classes was mentioned 


QUESTION 2 

Havent got the chance yet 

QUESTION 3 

1) AKI : 


Case history (present and past ) was metioned clearly .relevant investigations have been done on the case. More detailed explanation about the cane done. .

2) ACUTE ON CKD 

http://srinaini25.blogspot.com/2021/07/srinaini-roll-no-33-3rd-semester-this.html

Case was described very well with all the information related to history taking,chief complaints,diagnosis and the treatment . Investigations are also done and uploaded with respective images.

3) CKD 


Case description was given well .The details about the case were updated day day which was helpful in understanding about the case 

4)PATIENT WITH COMA AND RENAL FAILURE 


Investigations on the case are done and reports and images related to patient illness are uploaded .


5) .52 yr old presented with cheif complaints of abdominal distension, constipation ,pedal oedma , hiccups since morning .he is a known case of diabetes.he was a alcoholic.Patient is diagnosed and infective endocarditis wait KI assioasited with alcholic liver diasease with multiple infarcts in the bilateral cerebral and cerebrellar regions .



Blog was clear .Patients history was breifly mentioned . Treatment and discharge summary mentioned clearly .

6)PATIENT WITH ACUTE ON CKD 


Case was described well but the treatment was mentioned briefly .images relevant to the case have uploaded 

7) case link 


Detailed explanation about the case is given .The blog is clear and impressive 


8)Case link 


Blog is clear and precise.detailed explanation can be done 

9)case link- Patients with AKI 



Patient history have been mentioned in detailed .relevant images also uploaded 

10)case link 


case was explained briefly .Treatment and drug summary have been mentioned in detail .


11) case link 



blog is clear and explanation about the case is  given  with help of images which are helpful in easy understanding of case .


QUESTION 4 

CASE -1

DIAGNOSIS :Acute kidney injury( AKI)  2° 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

4)INJ     PANTOP 40mg  IV/OD

5)INJ     THIAMINE  1AMP  IN  100ml   NS   IV/TID

6)INJ     HAI  S/C  ACC  TO   SLIDING SCALE

              8AM  -  2PM  -  8PM


CASE 2 : 

DIAGNOSIS :Acute renal failure,Hyperuricemia 2° to Renal failure 
                      Uraemia induced tremors

TREATMENT : 

• IVF -    NS-0.9%  @100ml/hr
• Inj. Tazar 2.25gm I.V -TID 
• Inj. Lasik 40mg I.V -BD 
•Nebulization Salbutamol -4th hourly 
• Inj. Pantop 40mg I.V -OD 
• Tab. PCM 650mg -TID 
• Foleys catheterization 


CASE 3: 

DIAGNOSIS : Chronic interstitial nephritis secondary to plasma cell dyscariasis, (multiple myeloma                          - 70% plasmacytosis).

TREATMENT :
- T. PAN 40mg /PO / OD
- oral fluids upto 1.5 - 2 lit / day
- Protein - x ( plant based ) 2 tablespoon   in 1 glass of  milk  
- Donot give IV fluids unless instructed
- T. ZOFER 4mg / PO / SOS
- Evaluate Anaemia start Iron Supplementation (oral ) after Gastritis ( (resolved )
- TAB NODOSIS  550 BD

CASE 4 : 

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

CASE 5 :

DIAGNOSIS :INFECTIVE ENDOCARDITIS

TREATMENT :
1. Inj. Monocef 1gm IV/BD
2. Inj. Vancomycin 500mg IV/BD in 100ml NS over 1hr
3. Procto clysis enema
4. Inj. Pan 40 mg Iv/OD
5. Inj. Thiamine 200mg in 100ml NS /BD
6. Inj. HAI 6U S/C TID


CASE 6

DIAGNOSIS :  Renal AKI secondary to urosepsis with b/L hydroureteronephrosis

TREATMENT :

Injection PANTOP 40mg IV/OD
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
Injection NEDMOL 100ml IV/SOS
Tab PCM 650mg TID
Insulin Human actrapid - 16 IU/TID

CASE 7:

DIAGNOSIS: HFrEF secondary to CAD;  CRF 

TREATMENT : 

1. TAB. BISOPROLOL 5mg OD
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
6.Cap. BIO-D3 OD
7.Cap. GEMSOLINE OD
8.TAB. ECOSPRIN-AV 150/20mg OD
9.TAB.LASIX 40mg BD
10. SYP. LACTULOSE 15ml

CASE 8:

DIAGNOSIS :Acute on CKD 

TREATMENT :

1. IV fluids
2. Tab. Pan 40 mg po OD 
3. Inj. Lasix 80 mg IV BD
4. Thiamin 200 mg in 100 ml NS IV BD
5.Tab. Levocet 5 mg Po BD
6.Liquid paraffin for LIA
7.Grbs 6 th hrly
8.I/o charting, temp. Charting

CASE 9:

DIAGNOSIS:  ALCOHOLIC HEPATITIS ,
                       AKI SECONDARY TO ACUTE GASTROENTERITIS 

TREATMENT :

  • 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
  • TAB. ALDACTONE 50 mg PO / BD
  • INJ PANTOP 40 mg IV/ OD
  • ABDOMINAL GIRTH MEASUREMENT DAILY
  • BP /PR/TEMP/ RR -4 hourly 
  • I/O CHARTHING

CASE 10 : 

DIAGNOSIS : Acute kidney injury secondary to urosepsis


TREATMENT : Inj LASIX 40mg (8am- 2pm -8pm)
                             IVF - NS @ UO + 50 ml/h
                          
CASE 11:

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.


QUESTION 5 

NOT SATISFIED WITH THIS ONLINE CLASSES ,ITS BECOMING DIFFICULT DAY BY DAY .














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