24.prannai reddy

 

Question no.1

https://23bonthadivya.blogspot.com/

1)The reviews were very precise. the points highlighted and missing were mentioned clearly giving a clear review. Links of each review was mentioned which is very helpful to understand the review given. 

2)peer has given a satisfactory presentation about the case and treatment

3)peer has given the positive view on reflection on telemedical learning 

4)chief complaints were explained clearly


QUESTION NO.2

. I haven't taken any review 

Question no.3

Case no.1

http://srinaini25.blogspot.com/2021/07/srinaini-roll-no-33-3rd-semester-this.html

.It is a case of AcuteCKD

.The history is very detailed. The investigation pictures are provided accurately. 

Case no.2
https://laharikantoju.blogspot.com/2021/07/58-year-old-male-patient-elog-lahari.html?m=1
.A CASE OF AkI 
.presentation was very well done
.everything was mentioned clearly along with pictures 

CASE NO.3
https://krupalatha54.blogspot.com/2021/07/a-49-yr-old-female-with-generalized.html?m=1
.A CASE OF CKD
.I find that the symptomology of the case was well explained this helps in identification of particular cause of a case

CASE NO.4
https://ananyapulikandala106.blogspot.com/2021/06/a-35yr-old-female-elog.html

.A PATIENT WITH COMA AND RENAL FAILURE 
.Scenario of the case was well presented with all the essential relevant pictures 


CASE NO.5

https://kavyasamudrala.blogspot.com/2021/05/medicine-case-discussion-this-is-online.html?m=1
.A CASE OF ACUTE ON CKD
.well presented with all relevant pictures 

CASE NO.6

https://keerthireddy42.blogspot.com/2021/07/43-yr-old-male-of-nalgonda-came-to.html?m=1
.A CASE OF AkI 
.well presented with all essential and relevant pictures 


CASE NO.7
https://rishikakolotimedlog.blogspot.com/2021/07/45-year-old-male-with-chief-complains.html?m=1
.IT IS A CASE OF HFREF SECONDARY TO CAD
.case presentation was very well done

CASE NO.8

https://pallavi191.blogspot.com/2021/06/gm-cases_30.html?m=1
.A CASE OF AKI SECONDARY TO UTI On CKD
.case presentation was well

CASE NO.9
https://casescape.blogspot.com/2021/06/acute-kidney-injury-secondary-to.html?m=1

.case presentation was very well


QUESTION NO.4

Case 1


DIAGNOSIS 

Acute kidney injury( AKI)  2° to UTI, associated with Denovo - DM -2

With ? Right HEART FAILURE,

With K/C/O - HTN ( Not on Rx)

TREATMENT 


1)IVF : -RL  @ UO+ 30ml/hr
2)SALT RESTRICTION  < 2.4gm/day
3)INJ    TAZAR    4.5gm  IV/TI                                      
4)INJ     PANTOP 40mg  IV/OD
5)INJ     THIAMINE  1AMP  IN  100ml   NS   IV/TID
6)INJ     HAI  S/C  ACC  TO   SLIDING SCALE

CASE 2:-

DIAGNOSIS 

 : Hyperuricemia 2° to Renal failure 

 TREATMENT 

1)IVF -    NS-0.9%  @100ml/hr
2)Inj. Tazar 2.25gm I.V -TID 
3)Inj. Lasik 40mg I.V -BD
4)Inj. Pantop 40mg I.V -OD 
5)Tab. PCM 650mg -TID 

Case 3


DIAGNOSIS 

•Chronic interstitial nephritis secondary to plasma cell dyscariasis

TREATMENT 

oral fluids upto 1.5 - 2 lit / day 

- T. PAN 40mg /PO / OD 

-  T. ZOFER 4mg / PO /SOS 

- TAB NODOSIS  550 mg / PO/BD 

- Protein - x ( plant based ) 2 tablespoon   in 1 glass of  milk 

Case 4


DIAGNOSIS:-

•INFECTIVE ENDOCARDITIS and AKI

TREATMENT:-


1)Inj. NORAD 2amp in 50ml NS
2)Inj. PIPTAZ 2.25gm.
3)Inj. DOPAMINE 2amp in 50ml
4)Inj. HAI 1ml in 39ml NS

CASE 5


DIAGNOSIS:-

•INFECTIVE ENDOCARDITIS 

TREATMENT:-

1. Inj. Monocef 1gm IV/BD
2. Inj. Vancomycin 500mg IV/BD in 100ml NS over 1hr
3. Procto clysis enema
4. Inj. Pan 40 mg Iv/OD
5. Inj. Thiamine 200mg in 100ml NS /BD

CASE 6


DIAGNOSIS 

•Renal AKI secondary to urosepsis with b/L hydroureteronephrosis with K/c/of DM -2

TREATMENT 


1)Injection PANTOP 40mg IV/OD
2)Injection PIPTAZ  4.5 stat  and 2.25 gm  IV/ TID
3)Injection LASIX 40mg IV/BD
4)Injection optineuron 1AMP in 100ml NS slow IV/OD
5)Injection NEDMOL 100ml IV/SOS

CASE 7



DIAGNOSIS 


•HFrEF secondary to CAD; CRF

TREATMENT 


1. TAB. BISOPROLOL 5mg OD
2.TAB. NITROHART 20/37.5mg 1/2 T/D
3.TAB NICARDIA XL 30mg OD
4.TAB. GLICIAZIDE 80mg BD
5.TAB. NODOSIS 500 mg TD
6.Cap. BIO-D3 OD
7.Cap. GEMSOLINE OD

CASE 8


DIAGNOSIS

•Acute on CKD 

TREATMENT 

. Tab. Pan 40 mg po OD 
3. Inj. Lasix 80 mg IV BD
4. Thiamin 200 mg in 100 ml NS IV BD
5.Tab. Levocet 5 mg Po BD
6.Liquid paraffin for LIA

CASE 9


DIAGNOSIS 

•Alcoholic Hepatitis and aki sec to gastroenteritis

TREATMENT 

1)INJ THIAMINE 100 mg in 100 ml NS slow IV / TID
2)INJ OPTINEURON 1AMP in 100 ml NS slow IV / OD
3)INJ LASIX 40 mg  

CASE 10



DIAGNOSIS 

•Acute kidney injury secondary to urosepsis

TREATMENT 


1)Inj LASIX 40mg (8am- 2pm -8pm)
2)IVF - NS @ UO + 50 ml/hr

CASE 11



DIAGNOSIS 

•Acute pancreatitis  and AKI

TREATMENT 


1) Iv fluids : NS 40 ml /hr.
2)IV lasix  40 mg BD .
3)Tab Nodosis .
4)IV PIPTAZ 4.5 Gms. BD 
5)Iv 25%Dextrose. 100 


QUESTION NO.5

.This is helping us learn despite not being with the patient. It gives us an understanding on history taking and how to understand the investigations and come to a conclusive diagnosis. It gives us a knowledge of various aspects of medicine. We have also learnt to respect the privacy of the patient and that we should never expose the patient information. It teaches us that even tiny details play an important role in diagnosis of the disease. Personal history is important for giving the right treatment without causing any side effects to the patient. I hereby look forward to learning more about this and hopefully one day will be good enough to provide the right diagnosis and treatment for the patient. 


Comments

Post a Comment

Popular posts from this blog

CKD CASE

CKD CASE 20,06,2022 CASE SCENARIO  Pt aged 70 years came to opd with chief complaints of flank pain and decreased urine output  HISTORY OF PRESENT ILLNESS  Since a week pt has flank pain and decreased urine output   HISTORY OF PAST ILLNESS Pt was asymptomatic 4years back than he met with an accident for which he has been taking medication for pain as post operative medication for pain as a result of chronic use of pain medication pt's kidneys got gradually damaged which resulted in kidney failure  TREATMENT HISTORY  patient is on hypertensive therapy since 3 years and pain killers  PERSONAL HISTORY  Regular bowel habbit  Mixed diet  Decreased urine out put  PHYSICAL EXAMINATION  .patient is conscious,coherent ,and cooperative  .moderately built and moderately nourished  .No signs of --pallor                           .icterus                           .clubbing                           .cynosis     .no edema present    .  VITALS   .Temperature-:98.4F   .pulse rate     -:86   .Rp 
Read more

HEART FAILURE WITH MID RANGE EJECTION FRACTION( EF 44%) WITH RIGHT LOWER LOBE COLLAPSE WITH BRONCHIECTASIS WITH RIGHT MIDDLE LOBE PLEURAL EFUSION WITH CHRONIC PANCREATITIS WITH SEPSIS WITH GRADE 2 BED SORE WITH K/C/O DM II SINCE 20 YEARS WITH K/C/O CAD-S/P: PTCA DONE 2 YEARS AGO D9-S/P: TRACHEOSTOMY

Case History and Clinical Findings  PATIENT CAME WITH C/O LOWER BACK ACHE SINCE 3 WEEKS RADIATING TO LEFT LOWER LIMB  HOPI:PATIENT WAS APPARENTLY ASYMPTOMATIOC 3 WEEKS BACK SINCE THEN, PATIENT COMPLAINTS OF LOWER BACK ACHE WHICH IS SUDDEN ONSET,NON PROGRESSIVE,AGRAVATES ON MOVEMENT RELEIVES ON REST H/O TRAUMA(SLIP AND FALL FROM STEPS) 3 WEEKS BACK ,WAS TAKEN TO OUTSIDE HOSPITAL FOUND TO HAVE L5 BURST FRACTURE ON CT PELVIS AND CAME HERE FOR FURTHER MANAGEMENT NO H/O LIFTING OF HEAVY WEIGHTS,FEVER BURNING MICTURITION BOWEL AND BLADDER INCONTINENCE PAST HISTORY OF RIGHT PROXIMAL FEMUR FRACTURE AND DONE IMILN 10 YEARS BACK. H/O PTCA DONE ONE AND HALF YEAR BACK AND IS ON REGULAR MEDICATION  K/C/O DM II SINCE 20 YEARS AND IS ON T. METFORMIN 500 MG + T. VOGLIBOSE 0.2 MG + T. GLIMIPERIDE 2 MG GENERALEXAMINATION:  PATIENT IS CONSCIOUS,COHERENT AND CO OPERATIVE NO SIGNS OF PALLOR,ICTERUS,CLUBBING,CYANOSIS,EDEMA AND LYMPHADENOPATHY  VITALS: TEMP:AFEBRILE BP: 110/80MMHG PR:80BPM RR:18CPM  SYSTEMIC
Read more

DIABETIC KETOACIDOSIS

Image
A50 yr old female came to GM OPD with chief complaints of fever, vomiting, difficulty in breathing. HISTORY OF PRESENTING ILLNESS:- patient was apparently asymptomatic 2 weeks back then she developed fever of low grade with vomiting 4 episodes per day which is non-bilious, non-projectile. HISTORY OF PAST ILLNESS:- K/C/O- DM since 20yrs K/C/O- HTN since 20yrs. Not a K/C/O of TB, ASTHMA, EPILEPSY TREATMENT HISTORY:- METFORMIN since 20yrs TELMISARTAN since 20yrs PERSONAL HISTORY:- Diet- mixed Appetite- normal Bowel and bladder habits- regular Burning micturition No addiction FAMILY HISTORY:- Not significant PHYSICAL EXAMINATION:- #GENERAL:- No pallor No icterus No cyanosis No clubbing No lymphadenopathy Vitals:- B.p- 140/90mmHg Pulse-  Temp- Afebrile Respiratory rate- 18/min #Systemic examination:- CVS- S1,S2 heard           No cardiac murmurs           No thrills Respiratory system- dyspnoea present                                       No wheeze                                       Pos
Read more