general medicine monthly online assessment

  B.Ananya Roll no.18 3rd semester This is online E log book to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. A CASE OF ANAEMIA UNDER EVALUATION WITH THYRITOXICOSIS:   This E-log has been created under the guidance of  Dr sreeja. Introduction:A 40year old female patient who is labourer came to OPD with chief complaints of CHIEF COMPLAINTS : 1.Cough ass c̅ sputum 2.Fever (on and off)  3.SOB @REST 4.Pedal odema   Since 15 days  HOPI: The patient was asymptomatic 8 months back She  had sudden onset of Cough-productive small quantity, not ass c̅ fever, SOB .  On taking IV fluids as prescribed by RMP patient developed SOB(grade 2 and 3) c̅ pedal odema.  Patient visited NIMS [cough and odema subsided

2019 Batch (3rd semester) B.Ananya Roll no.18 I was given the assessment to review and analyse the elogs and clinical cases. Question 1 : peer review   Link: https://snehithachintala31.blogspot.com/ I chose my friend snehitha,roll no.31 as reference for reviewing a blog. She took a neurology case and gave reviews to 10 random answers,even I studied the case thoroughly and also 10 random answers which was mentioned in her blog. Neurology case details was given in following link: https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html My analysis of case: The patient was talking,as well as laughing to himself. He was also unable to lift himself off the bed and move around,and had to be assisted. All the above things are signs of mental confusion. He was alcoholic, had stopped drinking .he developed seizures following cessation of alcohol for 24 hrs, which was associated with restlessness, sweating and tremors. All the above are signs of alcohol withdrawal delirium. Album

Name  :Ananya bhukya Rollno :18 Batch  :2019(3rd sem) Question 1-Peer review of one particular answer of 10 randomly selected students. Answer- I have chosen the following case to review: A 40 year old male presented to the hospital from yadagirigutta with the chief complaints of irrelevent talking and decreased food intake since 9 days. For link to case study: https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html My answer and understanding of the above case: The patient was talking,as well as laughing to himself. He was also unable to lift himself off the bed and move around,and had to be assisted. All the above things are signs of mental confusion. He was alcoholic, had stopped drinking .he developed seizures following cessation of alcohol for 24 hrs, which was associated with restlessness, sweating and tremors. All the above are signs of alcohol withdrawal delirium. Albumin is decreased,this may indicate liver or renal problems. Most probable diagnosis would be