AUGUST -GENERAL MEDICINE ASSESSMENT.

 AUGUST 2021 BIMONTHLY BLENDED ASSESSMENT. 

Name: M.YASHWITHA. 

Roll.no:73.

3rd semester (2019 batch).


QUESTION 1:

Testing peer review competency in the active reader of this assignment.

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

-Long case ,short case 1 and 2:

• The e log made was explained in all aspects and history taking, investigations  and explanation with diagnosis was appropriate. 
•localisation of acute and chronic problems well explained in long case.
• Images captured are quite satisfactory to explained the long case and short case 2.
•All the three cases are well diagnosed and with investigations. 
•The data provided was sufficient and explained with laboratory reports. 
•The general examination and  history of the patient was very concise .
•The Question and answers are very easily understandable. 
•The history taking was highly appreciable.


QUESTION:2

-Long case:

Problems list:

•patient presented with a 3 day history of Anasarca.
•frothy urine.
•gradually decreased urine output.
•10 year history of chronic bilaterally symmetric polyarthritis ,evidenced by severe pain ,edema and limitation of joint movements. 

Diagnosis:

Acute Glomerulonephritis, likely due to Secondary Amyloidosis due to Chronic Poorly Treated Seronegative Erosive Rheumatoid Arthritis.

Dilutional Hyponatremia secondary to Anasarca due to Glomerulonephritis

Hyperuricemia likely due to decreased Uric Acid Excretion Precipitating Gouty Arthritis

Anemia of Chronic Disease secondary to Poorly Treated Rheumatoid Arthritis.


-Short case:1

Problems list :

 •Patient with a 6 months history of gradually progressive, asymmetric rest tremor with autonomic features.


Diagnosis :

1. Idiopathic Parkinson's Disease Stage 1 with denovo HTN.
2. Multiple System Atrophy - Parkinsonian Type (MSA-P).

Short case:2

Problems list :

Itchy Ring leisons over arms ,abdomen ,thigh and groin since 1 and half year .

-Purple stretch marks all over abdomen ,lower back ,upper limbs ,thighs since 1 year .

-Abdominal distension and facial puffiness since 6 months.

- Pedal edema since 3 months.

- Low back ache since 3 months .

- Feeling low , not feeling to talk to anyone.

- Weight gain and decreased libido since 3months.

- Loss of libido and erectile dysfunction since 2 months .


Diagnosis :

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

TINEA CORPORIS

DENOVO HTN . 


QUESTION 3:

Long case:

Investigations:
  • X-RAY, ECG ,CUE ,ESR .
  • Serum urea ,creatinine. 
  • Electrolytes:Na,K,Cl.
  • 2D echo .
  • USG 
  • Urinary microscopy.
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.


Short case:1

Investigations:
  • ECG 
  • 2D ECHO. 
Treatment:

1 .Tab. Syndopa Plus 125 mg QID.
2. Tab. Syndopa 125 mg CR OD.
3. Tab. Telma 40 mg OD.


Short case:2 

Investigations:
  • CBP ,TLC ,PLT ,ALBUMIN.
  • RFT ,LFT.
  • Serum creatinine, electrolytes (Na,K ,Cl).
  • USG abdomen 
  • ECG and 2D Echo. 

Treatment:

 -Ointment AMLORFINE .

-FUSIDIC ACID CREAM.

-TAB HIZONE 15 mg per day.


QUESTION 4:

-Blog link


https://73myashwitha.blogspot.com/2021/08/general-medicine.html


QUESTION 5 :

This month I got a chance to make Blog on nephrotic syndrome .

















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