FORMATIVE BIMONTHLY BLENDED LEARNING ASSIGNMENT.
Hi , this is G. Jagadeesh , 3rd semester student on online E-learning platform .
These are pe er reviews of certain cases of deidentified data of some patients.
Q-1
CASE-GASTROENTEROLOGY
https://vamsikrishnarollno16.
The case is about the Obstructive jaundice .
He is of 64 year old male .
The presentation is very nice - appreciable
The pictorial represention of Icterus sign in the sclera is excellent.
CASE - CNS
https://87tharunkumar.
The case is related to Demyelinating lesion secondary to Hypertension .
case presentations is very good with side headings
Every Investigation reports are mentioned clearly and with appropriate Graphs and photos Which actually gives a completion to the blog and is satisfactory .
Treatment is mentioned clearly with all drugs such as their
routes of administrations and perfect dosage.
patient progress report daily is not mentioned.
CASE-HEMATOLOGY
It is case of pancytopenia of 70 year old male
The case presented is very good
But I thick they must share some images of pallor as this is the Chance where we can clearly analyse the pallor of palms.
Every day progress report of patient in mentioned and is appreciable.
In this Blog there are no appriate side headings
Treatment given to the patient is very well presented.
CASE- PULMONOLOGY, CARDIOLOGY .
This blog is something like a paragraphs .
But pictorial representation of patientis excellent
Investigations done are good and excellent mentioned in this blog
Echo videos are very very excellent .
CASE- NEPHROLOGY .
https://
The case presented is very good in this blog-
But treatment is not mentioned
The pictorial representation is Satisi factory.
Sub headings are very well mentioned.
Q-2
https://vamsikrishnarollno16.
case problems and their diagnostics .
problems
1. Yellowish discolouration of urine
2. passage of pale coloured stools .
3. Loss of weight and generalised weakness..
problem in Diagnosis.
L F T is performed to confirm the type of jaundice .
As this in a case of obstructive jaundice there is very much elevated levels of ALP than other 2 types of jaundice.
B ilirubin levels are also increased.
RFT is performed to confirm any tubular problems where there is increased excretion of Bilirubin as this is a obstructive jandice there is definetly appearance of Dirent Bilirubin as it is is not excited via faces. I think itis of no use performings RFT ..
xRay
of chest - no use .
If they want they can per form MRI abdomen to know obstruction.
Hermongram
Is also a gold standard test to rule out hemolytic jaundice but not obstructive jaundice
As a diagnosis of case it is necessary to perform and to come to provisionaldiagnosis from Differential diagnosis.
As per my knowledge
Urine UROBILINOGEN by EHRLICHS test is a gold standard for confirming obstructive jaundice
1.AS urine Urobilinogen is decreased when there is Obstruction as there is no bile which flows through the intestine EHRLICH tast - ve
2. As the urobilinogen starts appearing in the Urine it indicates that the obstruction is clearing and EHRLICH Test + Ve turn pink colour.
As in Intestine
Bilirubin→ urobilinogen→ Stercobilinogen
Bilirubin → water insoluble
Urobilinogen → water soluble and excreted in urine .
LFT performed to know the protein panel of Liver as there is oedema.
MRI- to conform any Spinal cord deformities.
problems
1. SOB
2. Leg pain on Walking
3. pedal oedema.
Diagnosis
Hemogram is important to rule of anaemia as these are Symptom of anaemia.
LFT to known the albumin levels forale out oedema .
problems
1. pedal oedema
2. pallor .
Diagnosis
Hemogram is important to rule out anaemia as patient is pallor .
Renal function test to rule out any damage to glomerular membrane.
complete urine examination to examine any loss of albumin which is the main culprit for oedema . [Hypoalbuminemia].
Q-4
https://gouthajagadeesh37.blogspot.com/2021/07/nameg.html
Q-5
our postings are going very well and everyday we are learning so many things in our clinical lecture halls . Because Biswas sir explain the case very clearly and questioning about the cases which really imparts us to learn .
As of I'am a 3rd sam student i am it the stage of history taking and I'am pretty Successful but I have confidence that I will be successful as days goes on in my practice.
Recently Ihad a case of Diabetic keto acidosis for which have seen the patient really for the first time and asked for the history.he was in ICU.
It was a great expierence in coming to hospital and taking history ,trying to understand,making blog on it .
our Interms and PG 's are really helping us in understanding various cases..
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