CLINICAL E LOG GENRAL MEDICINE

BIMONTHLY BLENDED ASSESSMENT - OCTOBER  2021



- OCT, 24

BIMONTHLY BLENDED ASSESSMENT - OCTOBER  2021
—104. JESHMITHA PERUMALLA 

Q1) (Testing peer review competency in the active reader of this assignment) :

Please go through the case reports in the links shared above 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.


Q2: Testing scholarship competency of the examinees ( ability to read comprehend, analyze, reflect upon and discuss captured patient centered data):

Please analyze the above linked long and short cases patient data by first preparing a problem list for each patient in order of perceived priority (based on the shared data) and then discuss the diagnostic and therapeutic uncertainty around solving those problems. 

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. 

Q4) Testing competency in patient data capture and representation through ethical case reporting/case presentation with informed consent :

Share the link to your own case report this month of a patient that you connected with and engaged while capturing his her sequential life events before and after the illness and clinical and investigational images along with your discussion of that case. 

Answer 4:

http://jeshmitha104.blogspot.com/2021/10/a-known-case-of-hypertension-suffering.html



Q 5) Testing scholarship competency in  
logging reflective observations on your concrete experiences of this last month : (10 marks) 

Reflective logging  of one's own experiences is a vital tool toward competency development in medical education and research. 

Answer 5:

Presently the impacts of COVID-19 in daily life are extensive and have far reaching consequences. Healthcare category got to face a lot consequences too.

    • • Challenges in the diagnosis, and treatment of suspected or confirmed cases
    • • High burden of the functioning of the existing medical system
    • • Patients with other disease and health problems are getting neglected
    • • Overload on doctors and other healthcare professionals, who are at a very high risk
    • • Overloading of medical shops
    • • Requirement for high protection
    • • Disruption of medical supply chain. 


Comments

Post a Comment

Popular posts from this blog

A 21 YR OLD MALE WITH SOB SINCE 15 DAYS

Case History and Clinical Findings C/O FEVER,COUGH,SOB SINCE 15 DAYS C/O ABDOMINAL PAIN SINCE 3 DAYS HISTORY OF PRESENTING ILLNESS : PATIENT WAS APPARENTLY ALRIGHT 15 DAYS BACK,THEN HE HAD FEVER WHICH IS INSIDIOUS IN ONSET,GRADUALLY PROGRESSIVE ,HIGH GRADE, ASSOCIATED WITH CHILLS AND RIGORS.EVENING RISE OF TEMPERATURE PRESENT. C/O COUGH WITH SPUTUM SINCE 15 DAYS,GREENISH COLOURED SPUTUM,COPIOUS AMOUNT. SHORTNESS OF BREATH SINCE 15 DAYS ,GRADE 2 ,RELIEVED BY TAKING REST . NO ORTHOPNEA,NO PND. DIFFUSE ABDOMINAL PAIN WHICH IS SQUEEZING TYPE OF PAIN . NO H/O VOMITING,LOOSE STOOLS. BURNING MICTURITION + LOSS OF APPETITE + H/O WEIGHT LOSS PRESENT 10-15 KGS IN 1 MONTH. PAST HISTORY : N/K/C/O DM,HTN,EPILEPSY,THYROID DISORDERS,TB,ASTHMA HISTORY OF TONSILLECTOMY 10 YEARS AGO PERSONAL HISTORY : DIET : MIXED APPETITE : DECREASED SINCE 15 DAYS SLEEP : NORMAL BOWEL AND BLADDER : REGULAR ( BURNING MICTURITION +) NO ALLERGIES FAMILY HISTORY :INSIGNIFICANT GENERAL EXAMINATION : PATIENT IS CONSCIOUS , C...
Read more

A 55year old female with h/o seizures

Image
This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. 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 diagnosis and treatment plan. This blog is done by 103.Pavan.Ch & 104.Jeshmitha.P A 55yr old female resident of chityal with history of seizures  Chief complaints:- The patient was brought to casuality with cheif complaints of Active in...
Read more

A 31 YR OLD FEMALE PT.WITH B/L PEDAL EDEMA

Image
Case History and Clinical Findings Patient came to casualty with complaints of1.abdominal distention since 10days2.B/L pedal oedema since(below knee) since 10days3.SOB on exertion since 10 days4.generalised weakness since 10 days5.decreased urine output since 10 days6.constipation since 10 daysPatient is apparently asymptomatic 4months ago and she developed fever which is insidious in onset,low grade, intermittent,no diurnal variation not associated with chills and rigor.Vomiting insidious in onset,non projectile, non bilious, less quantity,odorless,non blood stained,content is food.Then she noticed yellowish discoloration of eyes, initially noticed in eye with high coloured urine and loss of appetite.Not associated with pruritis,clay coloured stool.For which she took herbal treatment for 1 week,after which there is no improvement .Then she went to local hospital at miryalguda and tested positive for HbSAg she took treatment for 10 days and no improvement is observedThen she went to Ga...
Read more