SHRUTHI ARUKONDA 02

 

    GENERAL MEDICINE

           SHRUTHI ARUKONDA 02 ( 3rd sem)

         BIMONTHLY ASSIGNMENT- August 

I have been given the following assignment in an attempt to read, comprehend, analyze, reflect upon and discuss captured patient centered data

This is the link of the questions asked regarding the cases:

https://medicinedepartment.blogspot.com/2021/08/medicine-paper-for-aug-2021-bimonthly.html?m=1

Below are my answers to the Medicine Assignment based on my comprehension of the cases.

QUESTION ONE : 

Long case: 

• The history taking was exceptionally good 
• The exacerbating factors were very well depicted 
• The details of his joint pains has been explained well. 
• The general and systemic examination were very explicit. 
• The various differential diagnosis approach was very depicted along with proper explanations. 

Short case: 

• The history of present illness was taken down exceptionally well 
• All the alleviating and exacerbating factors were very well mentioned. 
• The personal history is very explicit 
• The CNS examination done was put down very well. 
• The pictures of the 2D echo and ECG help us understanding the case better. 

QUESTION TWO:

(Problem list)

Long case: 

• Facial puffiness 
• Bilaterally symmetric, pitting type of pedal oedema
• Frothing of urine 
• Gradually decreasing urine output over the past three days 
• Joint pains which were once asymmetric are now bilaterally symmetrical.
• Joint pains are associated with local oedema and painful limitation of movements. 
• Subcutaneous swellings in the proximal joints of his fingers 

Short case: 

• Progressive asymmetric involuntary movements of right index and middle fingers, which often worsened with rest and abated with activity. 
• Movements are involuntary, rhythmic to and fro oscillations. 
• There’s a stiffness in the wrist (right>left), which now ascended to his elbows. 
• Same involuntary movements started appearing in his left hand. 
• Walking has become difficult. 
• Sometimes he loses balance while walking down the stairs.
• Loss of sexual desire 
• The bowel movements have been erratic. 
• Slight disorientation in his behaviour  

QUESTION THREE : 

Long case:

• Etoricoxib- NSAID 
• Febuxostat- decreases the amount of Uric acid 
• Water restriction for hyponatremia 
• Prednisolone- reduces inflammation 
• Haemodialysis for worsening renal dysfunction. 

Short case: 

• Syndopa plus- treatment of Parkinson’s disease 
• Syndopa 125 mg CR OD- treat the symptoms of Parkinson’s disease like tremors, stiffness and slowness of movement. 
• Telma 40 mg OD- treatment of hypertension 

QUESTION FOUR: 

Elog of a patient, related case discussion.  

I have made an E-log on a 37 year old male with chief complaints of passing hard stools since 8 months. 

Link of the case: 

 https://shruthiarukonda02.blogspot.com/2021/08/shruthi-arukonda-02.html

QUESTION FIVE: 

The month of august has been very informative and challenging. Though we haven’t had the opportunity to go to the clinical postings in person we have tried to gain as much knowledge as possible via the e logs we have been making online  over the course of past one month. The elogs which we have been making has given us a new perspective of how to approach a case with the given set of symptoms and also of the differential diagnosis with the same set of symptoms. However we’re very enthusiastic towards the postings in person as  it would make our learning experience unfathomable and much more knowledgeable.