BIMONTHLY BLENDED ASSESSMENT-JUNE 2021
The following blog is an assignment that was given to us.
Question link : https://medicinedepartment.blogspot.com/2021/06/medicine-department-paper-for-june-2021.html?m=1
Question 1: Please go through one particular answer of ten students in this link:https://generalmedicinedepartment.blogspot.com/2021/06/bimonthly-formative-and-summative_19.html?m=1 and share your peer review of each answer with your quantitative marking input as well as qualitative insights into what was good or bad about the answer.
Answer:
Chosen case is on Pulmonology.
Case link :https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html
1) Link 1: http://02shishirareddy.blogspot.com/2021/05/assignment-45-year-old-female-patient.html
Qualitative insight: The symptomatology with anatomical localization and primary etiology was explained very well. The explanation was done with help of diagrams which made it easier to understand. The treatment part was also explained with all the drugs and injections that were given to the patient. The causes that are explained for acute exacerbation and for electrolyte imbalance were appropriate. At last all the questions were answered and case was handled well.
2) Link 2: https://aniganikavya06.blogspot.com/2021/05/medicine-blended-assignment-may-2021.html
Qualitative insight: In this link, the evaluation of symptomatology was explained well. Pharmacological and Non pharmacological interventions were mentioned but not in a detailed manner. The placebo effect was also not explained properly. I think the overall case and the answers to the questions could have been explained properly.
3) Link 3: http://savanthreddy.blogspot.com/2021/05/online-blended-bimonthly-assignment-may.html
Qualitative insight: Evolution of symptomatology was listed in a chronological order which was easy to understand. Only non-pharmacological interventions were explained, could have been better if pharmacological interventions were also included. The cause for acute exacerbation in this case was not explained in detail. Overall, the answers to the questions could have been answered in a better way by adding some of the elements as mentioned above and explaining them in detail.
4) Link 4: https://divyaraju266.blogspot.com/2021/05/answers.html
Qualitative insight: In this link, the presentation of all the answers were eye-catching. Etiology, anatomical localization and symptomatology were all explained with the help of flow charts, and the important points were highlighted, which makes us easy to read and understand. Answers to all the questions were appropriate and in detail.
5) Link 5: https://chippaakhila23.blogspot.com/2021/05/online-medicine-blended-assignment-may.html
Qualitative insight: The evolution of symptomatology was explained in a chronological order. The mechanism of action of pharmacological and non-pharmacological interventions were in detail. The cause for electrolyte imbalance was explained with the help of a flow chart. Overall, there was detailed information given in the answers on the case.
Chosen case is on Neurology
Case link: https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html
6) Link6: https://blendedasessmentmadhukumar.blogspot.com/2021/05/medicine-blended-assesment-may.html
Qualitative insight: The symptomatology in the patient in terms of an event, based on timeline was explained properly. The pharmacological and Non-pharmacological interventions used by this patient were appropriate and in detail. All the questions were also answered but could have been listed the causes properly.
7) Link 7: http://budigesaikiran14.blogspot.com/2021/05/xyz.html
Qualitative insight: The evolution of symptomatology, anatomical localization for the problem was explained in detail with appropriate reasons along with the diagrams. The pathophysiology was also included. All the other questions were also explained with the help of diagrams which helped us to understand the case in an easy way.
8) Link 8: https://31nehareddy.blogspot.com/2021/05/general-medicine-assignment-for-may-2021.html?m=1
Qualitative insight: The symptomatology was listed in a chronological order and in an easy way to understand. Anatomical localization was explained with the help of diagrams. Neurobiological mechanism was explained along with the indications and risks of substance abuse. All the answers were also explained beautifully along with the diagrams and flow charts.
9) Link 9: https://gumudalavishal.blogspot.com/2021/06/medicine-blended-assignment.html
Qualitative insight: The evolution of symptomatology, pathophysiology, anatomical localization were all listed, diagrams were also included at some places. Overall, it was good, but could have been better if the answers would have been in detail which would have made us understand the case in an easy way.
10) Link 10: http://54tejasreekandregula.blogspot.com/2021/05/general-medicine-assignment.html
Qualitative insight: The symptomatology, anatomical localization, etiology of the patients problem were explained, but could have been better to understand, if the diagrams were included. The pathophysiology, mechanism of action of pharmacological and non-pharmacological interventions were listed properly. The reasons for the neurological problems could have been elaborated in a detailed manner. All the other questions were also answered.
Question 2:Share the link to your own case report of a patient, along with your discussion of that case.
Note: This is an ongoing case, the E-LOG will up updated as and when we find new information along with diagnosis and treatment.
https://varshinireddychada.blogspot.com/2021/07/chief-complaint-year-old-male-patient.html
Question 3:Please go through the case in the link and provide your critical appraisal of the captured data in terms of completeness, correctness and ability to provide useful leads to analyze the diagnostic and therapeutic uncertainties around the cases shared.
case related to renal system:
Link: https://61tejarshini.blogspot.com/2021/06/general-medicine-case-discussion.html?m=1
It is a case of a 45 year old male with acute kidney injury on chronic kidney disease(hypertensive nephropathy) with Uraemic Enchephalopathy.
In terms of completeness, the history that was taken, the investigations that are done, the examination data that was written, all these elements were complete along with diagnosis but the treatment part was not complete, the medication that was given to patient was not updated on daily bases. And there was no information about the discharge of the patient.
In terms of correctness, the data was given correctly.
Ability to provide useful leads - the leads were given in the form of investigations that they did, which lead them to know about the diagnosis. Could have better if they could have included the similar case studies related to this case, that might give a lead to analyze the diagnostic and therapeutic uncertainities around the case.
Question 4: Please analyze the patient data by first preparing a problem list for the patient (based on the shared data) and then discuss the diagnostic and therapeutic uncertainty around solving those problems.
Link :https://61tejarshini.blogspot.com/2021/06/general-medicine-case-discussion.html?m=1
The problem list in this patient includes- the patient was having a chief complaint of Altered sensorium, he had pedal edema with anasarca and with shortness of breath even at rest. He also had Morning lethargy. Pallor was also present.
He was also a known case of hypertension and chronic kidney disease for the past 5 years. The Investigations that are done in this patient are:
- Complete blood picture
- Complete urine examination
- ECG
- Ultrasound
- HbsAg-rapid
- Anti HCVAb -rapid
- HIV-rapid
The problems that were found from the investigations are, there seemed to be a slightly less range in the hemoglobin level and the leucocyte count from complete blood picture. The urine examination shows that abnormal levels of albumin, and there are some other problems also from other investigations.
The diagnosis of the patient was Acute Kidney Injury with Chronic Kidney Disease(hypertensive nephropathy). The treatment that was given to the patient includes Inj.lasix, Inj.NAHCO3, and tab.Nidosis for retension of fluid, to treat the swelling, and to correct the metabolic acidosis.
Question 5:Please reflect on and share your telemedical learning experiences from the hospital as well as community patients over the last month particularly while you were E logging their case report.
The clinical postings for our semester began last month after our results were announced. But, the unfortunate thing is that because of the the lockdown due to the pandemic, we didn't get a chance to attend our clinical posting in the hospital. So we have been working on the virtual clinical cases, with discussions made through the whatsapp groups, and making an E-LOG for our case studies. The E-LOGs had been a great help in keeping up with update of the patient every day. The telemedical experience was good, but the most important thing that was missing was direct communication with the patient. Even though attending classes, clinicals through the online classes, was a little difficult, but we are trying to cope up with our studies in this pandemic situation. I hope the situation of this pandemic gets better and we get attend our offline classes.
-THANK YOU
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