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Showing posts from 2021

A 37 y/o male came with complaints of pain in epigastrium

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  Note  : This is an online E Log book recorded to discuss and comprehend our patient's  de-identified health data shared, AFTER taking his/her/guardian's signed informed consent. Here, in this series of blogs, we discuss our various patients' problems through series of inputs from available global online community of experts with an aim to solve those patients' clinical problems, with collective current best evidence based inputs. This E-log book also reflects my patient-centered online learning portfolio and of course, your valuable inputs and feedbacks are most welcome through the comments box provided at the very end.  I have been given the following case to solve, in an attempt to understand  the concept of "Patient clinical analysis data" to develop my own competence in reading and comprehending clinical data, including Clinical history, Clinical findings,  Investigations and come up with the most compatible diagnosis and treatment plan tailored exclusiv

General Medicine Bimonthly blended assessment August

  Note :  The following answers are solely my own interpretations and opinions on the recorded cases from my own observations. Please feel free to comment below, all constructive criticism and feedback is welcome.  QUESTION 1: Reviewing peer cases 1) Long case The presentation of history and the symptoms and the line of treatment was done good.  Orderly fashion of presenting the diseases and the related scientific studies have also been well written Pedagogic questions provide more insight into the issue 1.  Glomerulonephritis This is the acute problem. Symptom wise treatment is given in the patient, for example in this disease, the relation to heart failure and liver dysfunction are ruled out first, is presented well. 2. Polyarthritis This is the chronic problem, and inflammation is a characteristic with features like fever, weight loss and bilateral pain for a long time.  This case is also presented with 4 possible scenarios with their likely probabilities, making us to think about

General Medicine paper for Bi-monthly blended assessment - July 2021

I have been given the following cases to solve in an attempt to understand the topic of "Patient clinical data analysis" to develop my competency in reading and comprehending the clinical data including history, clinical findings, Investigations and diagnosis and come up with a treatment plan. Link for the respective question paper : http://medicinedepartment.blogspot.com/2021/07/medicine-paper-for-july-2021-bimonthly.html?m=1 Written below are my answer to the given questions : Main topic of the case data analysis: Renal Failure Question   1   : Competency   tested   for   Peer   to   Peer   review and   Assessment Reviewed case link : https://mutyapuraghavendra.blogspot.com/ A) Question   1  : Pulmonology 1) As the peer review states, well explained with relevant diagrams and the etiology, symptomatology, pharmacological and non-pharmacological treatments of this case of Acute Exacerbation (A.E) of C.O.P.D associated with right heart failure and bronchioectasis. 2) The rea

Bimonthly Blended Assessment for June 2021

  Note : The following answers are solely my own interpretations and opinions on the recorded cases from my own observations. Please feel free to comment below, all constructive criticism and feedback is welcome.  Q1) Peer to peer review of case histories Note 2 : I have not assigned quantitative markings to the following case histories as the individuals covering it aren't my peers, as I find myself lacking the immense knowledge they possess in comparison to me. I find myself only capable of giving a qualitative review by assessing the details of the case.  1) Case   by  : https://lasyamithrakandregula.blogspot.com/2021/06/covid-case-discussion-45-year-female.html?m=1 Diagnosis  : Viral pneumonia secondary to COVID-19 and known case of hypothyroidism Review  :  (1) Primary testing of COVID-19 has been done, which is of prime importance under the current pandemic situation. Dexamethasone, a corticosteroid used for the treatment, not just for COVID-19, but also pneumonia. (2) As usu

23 y/o under parapesis diagnosed with cerebellar atrophy associated with Phenytoin toxicity

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Note  : This is an online E Log book recorded to discuss and comprehend our patient's  de-identified health data shared, AFTER taking his/her/guardian's signed informed consent. Here, in this series of blogs, we discuss our various patients' problems through series of inputs from available global online community of experts with an aim to solve those patients' clinical problems, with collective current best evidence based inputs. This E-log book also reflects my patient-centered online learning portfolio and of course, your valuable inputs and feedbacks are most welcome through the comments box provided at the very end.  I have been given the following case to solve, in an attempt to understand  the concept of "Patient clinical analysis data" to develop my own competence in reading and comprehending clinical data, including Clinical history, Clinical findings,  Investigations and come up with the most compatible diagnosis and treatment plan tailored exclusivel