GENERAL MEDICINE ASSIGNMENT
Name:Sudarsan sai Mallarapu
Roll no:75
Question 1:-
I have selected the following elog for reviewing:
https://asjad24.blogspot.com/2021/07/medicine-department-paper-for-june-2021.html
The reviews for the cases selected are well described. A detailed pinpoint review has been given to each particular case selected, which is helpful in easy analysis.There is even more possibility for more case depicting points which can be selectively described.
All the investigations were listed clearly. CT scan images are clear.
Patients details are not shown in any reports, x rays.
Vitals are noted properly.History taking was good and well explained.
As a whole elog was good , understandable. Images were clear and explanation was good.
Question 2:-
I haven't done any elog on history taking yet.I will upload it when i get a chance.
QUESTION 3:-
Case 1:-
▪︎The case is about AKI
▪︎The investigation and treatment of the patient is well explained and given detail information about examination of patient.
Case 2:-
▪︎This is a case of chronic kidney disease
▪︎Clear cut explanation about the prognosis of the disease is given..
▪︎
Case 3:-
▪︎Case Is about CKD
•I find that all the symptomatology is well explained clearly. This helps in identification for the particular cause of cause
Case 4:-
•A case of a diabetic with breathlessness
•the investigations of the patient is well given and the case in very well explained
Case 5:-
▪︎The case is about AKI secondary to UTI on CKD.
•clear explaination of the case is given
•Icterus and pedal edema are seen.
Case 6:-
•This is a case of Renal AKI secondary to urosepsis with b/L hydroureteronephrosis with K/c/of DM -2
•Radiological are images and investigations are very well
Case 7:-
•This is a case of HFrEF secondary to CAD; CRF
•presentation of case good as the main points are highlighted..
•pinpoint explaination of the case
Case 8:-
•The case is very well explained and good radiography images and the investigations of the patient is explained
Case 9:-
•it was very concise and easy to understand , biochemical reports were clear.
Case 10:-
•Patient's present history was well explained and easy to understand and diagnostic images were very clear and many images of the patient made it clear to understand at first glance
Case 11:-
•the general examination and history of the patient was very concise and easy to understand
QUESTION 4:-
Case 1
DIAGNOSIS
Acute kidney injury( AKI) 2° to UTI, associated with Denovo - DM -2
With ? Right HEART FAILURE,
With K/C/O - HTN ( Not on Rx)
TREATMENT
1)IVF : -RL @ UO+ 30ml/hr
2)SALT RESTRICTION < 2.4gm/day
3)INJ TAZAR 4.5gm IV/TI
4)INJ PANTOP 40mg IV/OD
5)INJ THIAMINE 1AMP IN 100ml NS IV/TID
6)INJ HAI S/C ACC TO SLIDING SCALE
CASE 2:-
DIAGNOSIS
: Hyperuricemia 2° to Renal failure
TREATMENT
1)IVF - NS-0.9% @100ml/hr
2)Inj. Tazar 2.25gm I.V -TID
3)Inj. Lasik 40mg I.V -BD
4)Inj. Pantop 40mg I.V -OD
5)Tab. PCM 650mg -TID
Case 3
DIAGNOSIS
•Chronic interstitial nephritis secondary to plasma cell dyscariasis
TREATMENT
oral fluids upto 1.5 - 2 lit / day
- T. PAN 40mg /PO / OD
- T. ZOFER 4mg / PO /SOS
- TAB NODOSIS 550 mg / PO/BD
- Protein - x ( plant based ) 2 tablespoon in 1 glass of milk
Case 4
DIAGNOSIS:-
•INFECTIVE ENDOCARDITIS and AKI
TREATMENT:-
1)Inj. NORAD 2amp in 50ml NS
2)Inj. PIPTAZ 2.25gm.
3)Inj. DOPAMINE 2amp in 50ml
4)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
CASE 6
DIAGNOSIS
•Renal AKI secondary to urosepsis with b/L hydroureteronephrosis with K/c/of DM -2
TREATMENT
1)Injection PANTOP 40mg IV/OD
2)Injection PIPTAZ 4.5 stat and 2.25 gm IV/ TID
3)Injection LASIX 40mg IV/BD
4)Injection optineuron 1AMP in 100ml NS slow IV/OD
5)Injection NEDMOL 100ml IV/SOS
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
CASE 8
DIAGNOSIS
•Acute on CKD
TREATMENT
. 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
CASE 9
DIAGNOSIS
•Alcoholic Hepatitis and aki sec to gastroenteritis
TREATMENT
1)INJ THIAMINE 100 mg in 100 ml NS slow IV / TID
2)INJ OPTINEURON 1AMP in 100 ml NS slow IV / OD
3)INJ LASIX 40 mg
CASE 10
DIAGNOSIS
•Acute kidney injury secondary to urosepsis
TREATMENT
1)Inj LASIX 40mg (8am- 2pm -8pm)
2)IVF - NS @ UO + 50 ml/hr
CASE 11
DIAGNOSIS
•Acute pancreatitis and AKI
TREATMENT
1) Iv fluids : NS 40 ml /hr.
2)IV lasix 40 mg BD .
3)Tab Nodosis .
4)IV PIPTAZ 4.5 Gms. BD
5)Iv 25%Dextrose. 100 ml BD
Question 5:-
I express my gratitude to the general medicine department in making me understand the cases and doing e-logs.
This platform of doing e-logs and reviewing assignments has been very useful in learning and knowing many case studies.Solving each case was very interesting this way. Hoping to learn much more in coming days.
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