General medicine assessment
Roll no:46
3rd sem
G. Bhanuja
S:Question 1
Gastroenterology
COMPLETENESS:
•The case presented is correct with accurate data
CORRECTNESS :
•The history of the patient,symptoms and signs have been listed well. The clinical images were provide with the laboratory investigations.
USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:
All the investigations lead to the diagnosis of the case and better treatment of the patient. Hence, no diagnostic uncertainties were found.
COMPLETENESS:
•The case presented is correct with accurate data.
•The case has completeness in all factors
The case begins with the chief complaint the history of presenting complaints in a chronological order, past history, personal history is written well the vitals have been explained.
•Icterus -present, oedema- present ,abdominal dissension are shown with images.
•All Investigations done are suggesting the provisional diagnosis and any changes occuring in the patient on every day basis and uncertainties around the diagnosis have been given.
CORRECTNESS:
The given data is correct
USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:
COMPLETENESS:
•The case seems incomplete
•Missing ones are
Date of admission
Segmentation of the case as chief complaints,history of presenting illness, history of past illness ,personal and family history.
• The history taking is in chronological order but a clear explanation can be given .
•Clinical images are attached including radiological findings.
CORRECTNESS:
The given data is correct.
USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:
The patient has chronic hemolytic anemia that is not ruled out in the patient's previous investigations outside the hospital
The patients investigations reveal bileduct dilation instead of doing costly procedures a permanent surgical procedure could be don
COMPLETENESS:
•The case is complete with all necessary data
•The case log has details of the patient's complaints and history of present illness , past illness , all the investigations are shown with images .
CORRECTNESS:
The data provided is correct.
USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:
COMPLETENESS:
•Patient's treatment plan according to the status of the patient is not mentioned also discharge summary is missing.
CORRECTNESS:
The data provided is correct.
USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:
The therapeutic uncertainties can not be understood as the treatment done on each day of hospital stay is not provided.
COMPLETENESS:
•The case log has details of the patient's complaints and history of present illness , past illness , all the investigations are shown with images .
• no discharge summary
CORRECTNESS:
The data provided is correct.
COMPLETENESS:
•The case log has details of the patient's complaints and history of present illness , past illness , all the investigations are shown with images .
•any changes in the plan of treatment is not described.
CORRECTNESS:
The data provided is correct.
Question 2
Gastroenterology
All the investigations lead to the diagnosis of the case and better treatment of the patient. Hence, no diagnostic uncertainties were found.
The patient has chronic hemolytic anemia that is not ruled out in the patient's previous investigations outside the hospital
The patients investigations reveal bileduct dilation instead of doing costly procedures a permanent surgical procedure could be done.
All the investigations lead to the diagnosis of the case and better treatment of the patient. Hence, no diagnostic uncertainties were found.
Q3) Include the review of literature around sensitivity and specificity of the diagnostic interventions mentioned and same around efficacy of the therapeutic interventions mentioned for each patient
Question 4
http://bhanujagummalla.blogspot.com/2021/08/general-medicine-blended-assignment.html
Question 5
Students can record their professional ,clinical experience based on the objectives in the logbooks ,which facilitate and monitor students learning elog can assist in reaching educational and clinical goals and also it can provide feedback to students and teachers.
A salient feature of e log is the opportunity to provide formative feedback.importance of timely and positive feedback can never be underestimated. It helps to bridge gap between current and desired understanding.
It is an important tool,which not only guides but also monitors the progress of a trainee through a training program. Majority of students believed that it had strong impact on clinical skills.E-log system is regarded as useful exercise for their learning as it not only increases motivation but also interaction with supervisors .The overall acceptance of this system by students is very high.
Popular posts from this blog
Beyond the blog 2
General medicine blended assignment Ch.janani Roll no. 29 Question 1 https://28chikatlalaharisha.blogspot.com/ I have chosen roll no. 28 laharisha. Her reviews are very good .she mostly did on pulmonology and some neurological cases.she had studied the case very well. In pulmonology case she hd understood about the causes of copd .specially she commented on vital features of the case. In cardiology case she had commented that the terms in theaaanswers arevery confusing. In neurology case it becomes easier for the diagnosis of the disease with all the symptoms and history taken by our seniors the evaluation of symptomatology is clearly described.the patient condition is summarized briefly history of present illness and past had been described briefly and are easy to understand.she had commented on the history of the case is very well presented with both general and systemic examination. The investigations are given according to the timeline. She had learnt how to take the history o
Beyond the blog 4
Ch.janani Roll no. 29 This is an online e-log platform to review about the cases done by our seniors This is the link regarding the assessment https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006003-case-presentations.html?m=1 Question 1 : Long case 44 year old stonemason from Miriyalguda, presented with a 3 day history of anasarca, frothy urine and gradually decreasing urine output, on a background of a 10 year history of chronic bilaterally symmetric polyarthritis (evidenced by severe pain, edema and limitation of joint movements). He has been diagnosed to have Acute Glomerulonephritis Localisation of Acute and chronic problem with different provisional diagnosis is done well leading to specify the condition and make the progression of treatment easy. Features leading to diagnose Acute Glomerulonephritis has been mentioned well like 1.Hypertension(secondary in Glomerulonephritis) 2. Serum albumin/total proteins etc.. Question and answers were quite helpful to know t
Beyond the blog 3
Ch.Janani Roll no. 29 This is an online e-log platform to discuss case scenarios of a patient with their guardian's permission. I have been given this case to solve in an attempt to understand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including, history, clinical findings, investigations, and come up with a diagnosis and treatment plan ◇ 61 year old male ,tailor by occupation came to the old with c/0 involuntary movements of bilateral upper and lower limbs (tonic type ) 2 episodes while talking to attender which lasted for 5 mins with uprolling of eye since yesterday night History of present illness : Patient was apparently asymptomatic 2 days back while going to washroom with help of walker.patient had blurring of vision and fall on the floor (since then patient is unable to getup from supine position and walk with support ) No h/0 head injury ,no h/0 loc Later yesterday in the evening while talking to at
COMPLETENESS:
•The case presented is correct with accurate data
CORRECTNESS :
•The history of the patient,symptoms and signs have been listed well. The clinical images were provide with the laboratory investigations.
USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:
All the investigations lead to the diagnosis of the case and better treatment of the patient. Hence, no diagnostic uncertainties were found.
COMPLETENESS:
•The case presented is correct with accurate data.
•The case has completeness in all factors
The case begins with the chief complaint the history of presenting complaints in a chronological order, past history, personal history is written well the vitals have been explained.
•Icterus -present, oedema- present ,abdominal dissension are shown with images.
•All Investigations done are suggesting the provisional diagnosis and any changes occuring in the patient on every day basis and uncertainties around the diagnosis have been given.
CORRECTNESS:
The given data is correct
USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:
COMPLETENESS:
•The case seems incomplete
•Missing ones are
Date of admission
Segmentation of the case as chief complaints,history of presenting illness, history of past illness ,personal and family history.
• The history taking is in chronological order but a clear explanation can be given .
•Clinical images are attached including radiological findings.
CORRECTNESS:
The given data is correct.
USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:
The patient has chronic hemolytic anemia that is not ruled out in the patient's previous investigations outside the hospital
The patients investigations reveal bileduct dilation instead of doing costly procedures a permanent surgical procedure could be done.
COMPLETENESS:
•The case is complete with all necessary data
•The case log has details of the patient's complaints and history of present illness , past illness , all the investigations are shown with images .
CORRECTNESS:
The data provided is correct.
USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:
COMPLETENESS:
•Patient's treatment plan according to the status of the patient is not mentioned also discharge summary is missing.
CORRECTNESS:
The data provided is correct.
USEFUL LEADS TO ANALYZE THE DIAGNOSTIC AND THERAPEUTIC UNCERTAINTIES:
The therapeutic uncertainties can not be understood as the treatment done on each day of hospital stay is not provided.
COMPLETENESS:
•The case log has details of the patient's complaints and history of present illness , past illness , all the investigations are shown with images .
• no discharge summary
CORRECTNESS:
The data provided is correct.
COMPLETENESS:
•The case log has details of the patient's complaints and history of present illness , past illness , all the investigations are shown with images .
•any changes in the plan of treatment is not described.
CORRECTNESS:
The data provided is correct.
Question 2
Gastroenterology
All the investigations lead to the diagnosis of the case and better treatment of the patient. Hence, no diagnostic uncertainties were found.
The patient has chronic hemolytic anemia that is not ruled out in the patient's previous investigations outside the hospital
The patients investigations reveal bileduct dilation instead of doing costly procedures a permanent surgical procedure could be done.
All the investigations lead to the diagnosis of the case and better treatment of the patient. Hence, no diagnostic uncertainties were found.
Q3) Include the review of literature around sensitivity and specificity of the diagnostic interventions mentioned and same around efficacy of the therapeutic interventions mentioned for each patient
Question 4
Question 5
Students can record their professional ,clinical experience based on the objectives in the logbooks ,which facilitate and monitor students learning elog can assist in reaching educational and clinical goals and also it can provide feedback to students and teachers.
A salient feature of e log is the opportunity to provide formative feedback.importance of timely and positive feedback can never be underestimated. It helps to bridge gap between current and desired understanding.
It is an important tool,which not only guides but also monitors the progress of a trainee through a training program. Majority of students believed that it had strong impact on clinical skills.E-log system is regarded as useful exercise for their learning as it not only increases motivation but also interaction with supervisors .The overall acceptance of this system by students is very high.
Popular posts from this blog
Beyond the blog 2
General medicine blended assignment Ch.janani Roll no. 29 Question 1 https://28chikatlalaharisha.blogspot.com/ I have chosen roll no. 28 laharisha. Her reviews are very good .she mostly did on pulmonology and some neurological cases.she had studied the case very well. In pulmonology case she hd understood about the causes of copd .specially she commented on vital features of the case. In cardiology case she had commented that the terms in theaaanswers arevery confusing. In neurology case it becomes easier for the diagnosis of the disease with all the symptoms and history taken by our seniors the evaluation of symptomatology is clearly described.the patient condition is summarized briefly history of present illness and past had been described briefly and are easy to understand.she had commented on the history of the case is very well presented with both general and systemic examination. The investigations are given according to the timeline. She had learnt how to take the history o
Beyond the blog 4
Ch.janani Roll no. 29 This is an online e-log platform to review about the cases done by our seniors This is the link regarding the assessment https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/18100006003-case-presentations.html?m=1 Question 1 : Long case 44 year old stonemason from Miriyalguda, presented with a 3 day history of anasarca, frothy urine and gradually decreasing urine output, on a background of a 10 year history of chronic bilaterally symmetric polyarthritis (evidenced by severe pain, edema and limitation of joint movements). He has been diagnosed to have Acute Glomerulonephritis Localisation of Acute and chronic problem with different provisional diagnosis is done well leading to specify the condition and make the progression of treatment easy. Features leading to diagnose Acute Glomerulonephritis has been mentioned well like 1.Hypertension(secondary in Glomerulonephritis) 2. Serum albumin/total proteins etc.. Question and answers were quite helpful to know t
Beyond the blog 3
Ch.Janani Roll no. 29 This is an online e-log platform to discuss case scenarios of a patient with their guardian's permission. I have been given this case to solve in an attempt to understand the topic of patient clinical data analysis to develop my competency in reading and comprehending clinical data including, history, clinical findings, investigations, and come up with a diagnosis and treatment plan ◇ 61 year old male ,tailor by occupation came to the old with c/0 involuntary movements of bilateral upper and lower limbs (tonic type ) 2 episodes while talking to attender which lasted for 5 mins with uprolling of eye since yesterday night History of present illness : Patient was apparently asymptomatic 2 days back while going to washroom with help of walker.patient had blurring of vision and fall on the floor (since then patient is unable to getup from supine position and walk with support ) No h/0 head injury ,no h/0 loc Later yesterday in the evening while talking to at
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