19 Lavanya

19 lavanya 

 july -03 -2021

bimontly blended assessment for june 2021  

i have been given the following formative assesment for bimontly blended assessment for june 2021 this is the link regarding assessment  

https//generalmedicine department .blodspot .com/2021/06/bimontly-formative3 and summative _19.html?m=1 

question ::peer review 

case :https ://avulanikhil09.blog .com 

Question ;could chronic alcoholism have aggraveted the foot ulcer formation ? if yes and why ? 

the answer for vthis explained is true and due chronic alcoholism and deminished immune response leads to ulcers 

case  : https blendedasessmentmadhur .blogspot   kuma

diagnosis inferior wall mi with uncontrolled sugars and dm since 8yrs

chest pain since 3 days  

what is the symtomology in the patient in terms of an event and where is the anatomical localization for the problem and the etiology of patient problem ? 

giddiness since morning profuse sweating since mrng anatomical location of lesion is inferior wall of the heart 

case : https amisshajaiwal03loggm.blog.com 

review :on the question is what is the evolution of sytomatology in the patient in terms of events timeline and whatis the etiology of patient problem 

reveiew  i agrees with the diagniosis bcz the patient works in paddy fields and dhe got effected the allergens in feild 

case : https// daddalavineeshachowdary.blogspot.com/

in this case of 55 yr old female with pnenumonia secondary to covid 19 and dm 

review: in this case discussion regarding

ng case wsa good and treatment for patient expalined  well  

case: https//budigesakiran14.blogspot.com/ 

diagnosis : alcohol induced cerebellar ataxia 

review : reasons for cerebellar ataxia is well discussed 

case : https/anigankavya06blogspt.com/ 

diagnosis acute exacebation of copd asssociated with right heart failure and brochiectasis 

review: casuses for electolyte imblance repiratory acidosis with metabolic alkalosios in AECOPD patient with chronic hypercapnia is the usual cause of hyperchloremia in thes patient .common cause of deranged serum sodium levels includes hyperglycemia use of thiazided or non steriodal anti inflammatory drugs ,congestive cardiac failure chronic renal failure and salt intake 

common cause of hypokalemia include diarrhea laxative abuse vomiting certain diuretics drugs like insukin  thus COPD patient perse are predisposed to electrolyte imbalance can cause respiratorymuscule weakness cardiac arrhythmia  and finally it is intersting to know abt the acidosis and really helpful 

case : https// 02shishirareddy.blogspot.com/ 

diagnosis : alcohol induced dementia 

review causes for electrolyte imbalance 

thus the presences of electrolyte imbalance leads to significantly poor outcome among copd patient and it is interesting to know abt acidosis and very happy to read and get the knowledge abt respiratory acidosis 

case : https// savanthreddy.blogspot.com /

diagnosis : infectious disese mucomycosis 

review what are the postulated resaons for a sudden apparent rise in the incidence of mucomycosis in india at this point of time and i think it is bcz use of steriod in an uncontrolled manner 

case: https//gsuhithagneswar.blogspot.com 

diagnosis cervical spondylosis recurrent hypokalemia paralysis 

review what are the reasons for recurrence of hypokalemia in her and importany risk factor for her hypokalemia since the patient complains of odema  the drugs used to relieve it such as diurectics can cause hypkalemia and the patient also no albumin which cause for both odema and hypokalemia the risk factors include alcohol use chronic kidney disease ; etc 

Question 3 and 4           

reflection on given few cases 

1. multisystem 

https//nikithaaeda m.blogspot.com

//8yr old male from miryalaguda whois html? m=1 

review : it is really awesome work and i can understand hardwork behind this work it is the case of acute fulminant hepatic failure secondary to post infectious toxic mediated    

with hepatic encephalopathy with thrombocytopenia they really managed the case very carefully 

2. CNS 

https//pallavi191.blogspot.com/2021/06/gm cases html m=1 

review this is case of quadreparesis secondary to infectious spondylitis of c4 c5 c6 c7 and d1 with epidural abscessas at c5 c6 level .as ug can be able to handle this huge diagnosis but very happy that atleast i got to know abt this case 

3.renal 

https//61 tejarshini.blogspot.com/2021/06/general medicine 

review the provisional diagnosisis hypertensive nephropathy with uraemic encephalopathy this is explained well    

4.CvS: 

https//60shrisha.blogspot.com/2020/06/medicine case discussion_14html =1 

review this is the case of HFrEf  with atrial fibrillation but the patient is dead unfortunately ;but history taking and the way preseting the case was good 

5.abdominal: 

the case is about acute kidney inhjury secondary to urosepsis is with hyperkalemia and the case is well present

Question:5 

this is my pleasure to write this blog and iam very happy for the hod sir and for all pg and intern mam and sirs out there who were helping us in this online clincal postings but personally i felt  online clinical postings are diffucut for us to understand the  subject   

THANK U FROM 2K19 BATCH 

NAME: LAVANYA 

ROLL NO : 19