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. 


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