101 rakesh palli
BIMONTHLY BLENDED ASSESSMENT - JULY,2021.
Name :rakesh
Roll n.o:101
The following is a link to the assignment which I have been given for a monthly progress evaluation scheme.
Link to the assignment:
QUESTION-1
Peer review: Review the last assignment of the person closest to your roll no. Example: If you are roll no. 10 review 11 or 9.
Give positives, negatives, or comment on relevancy of the answers.
For the peer review I have choosed Roll.no:143(V.Saiteja).The e-log was informative and easy to comprehend to the point. Points are precised and well written. The usage of the text would be better. All the questions were answered and All the sub-questions have been answered in a detailed and comprehensive manner.It would be better if he use colours in the main headings and for the highlighted text, so we can glance the e-log easily.
QUESTION-2
Link the Elog you made this month
This is the e-log which I have made in this month.
QUESTION-3
Again a kind of peer review but this time of the renal failure cases that have been linked in the assignment.
a.Patients with low back ache and renal failure :
AKI :
This e-log well explained about the daily treatment. The points are precised and well written.
The usage of text can be better and it would be good if they add colours for the main headings for highlighting them.Treatment plan shows the drugs administered but does not tell why and what their mechanism of action is.
b. Acute on CKD :
The e-log was very informative and easy to comprehend the points. The usage of highlighted text made the information clear. Choice of diagrams, pictures and their placement is good.Treatment used for the patient is mentioned in a correct order. I found this case really interesting .
c. CKD :
The History e-log is presented in a systematic manner. General examination and Systemic examination are perfect and thoroughly written. Diagnosis of the patient is well written.
d. Patient with coma and renal failure :
History of present and past illness is coherent and well established. Investigations showing ECHO and related photos are remarkable. The videos are great for understanding of case. It would be better if text would be highlighted better and use some colours for headings. Overall the case is well written and easily understandable.
All the data of the patient is in correct order and correctly arranged. All the investigations showing ECHO and related photos are well explained and are done very perfectly. The patients history and day wise treatment is well explained. The usage of text can be better.
e. Patients with acute on CKD :
The patient's history is arranged in a well manner and is easily understandable. Diagnosis of patient is precise. The graphs use in tis e-log is good. The highlighted text made the information clear. The investigations and clinical findings arranged in neat and well mannered.
This e-log has been done in a point wise manner, with nice detailing and informative. Written in a simple and easy to understand manner with to the point information.
f. Patients with AKI :
The patient's history is arranged in a well manner and is easily understandable. The points are precised and well written. Day-wise medication described in a well manner.
In this e-log the history of patient is well explained. The daily treatment history and medications for urosepis also arranged in well mannered. The daily investigations done also mentioned in a proper manner. It would be better if the text highlighted. Overall this e-log is well written and easilyunderstandable.
QUESTION-4
Problem and solution list. Example: problems could be electrolyte imbalance, urosepsis, calculi etc. Solutions would be specific medicines prescribed, dialysis etc. Again.. All cases.. But a lot of them are similar.
No uncertainities founded in the above e-log. I think the treatment given in the above e-log's is fine.
a.ELECTROLYTE IMBALANCE:-
Patients with chronic renal failure, since there is an absence of renal regulatory mechanisms. In renal failure, acute or chronic, one most commonly sees patients who have a tendency to develop hypervolemia, hyperkalemia, hyperphosphatemia, hypocalcemia, and bicarbonate deficiency (metabolic acidosis). Sodium is generally retained, but may appear normal, or hyponatremic, because of dilution from fluid retention. Following the relief of a urinary tract obstruction, hypovolemia, hyponatremia (true loss of sodium), hypokalemia, hypocalcemia, hypomagnesemia, and bicarbonate loss are most apt to occur. Electrolyte imbalances after urinary diversion vary depending on the site of urine diversion.
Treatment:-
Intravenous fluids, electrolyte replacement.
A Minor electrolyte imbalance may be corrected by diet changes. For example; eating a diet rich in potassium if you have low potassium levels, or restricting your water intake if you have a low blood sodium level.
b.UROSEPSIS:- is a term used to describe a type of sepsis that is caused by an infection in the urinary tract.
Symptoms of urosepsis include:-
pain near the kidneys, on the lower sides of the back
nausea with or without vomiting
extreme fatigue
reduced urine volume or no urine
trouble breathing or rapid breathing
confusion or brain fog
unusual anxiety levels
changes in heart rate, such as palpitations or a rapid heartbeat
weak pulse
high fever or low body temperature
profuse sweating
A doctor may diagnose urosepsis after confirming that the person has a UTI, which is done through a simple urine sample. If a UTI has been left untreated or the doctor thinks the infection may have spread, they may order immediate blood tests to help diagnose urosepsis.
*Treatment:-
If caught early, UTIs are easy to treat with antibiotics. A person with a UTI also needs to drink plenty of fluids to help flush the urinary tract,it may not respond to antibiotics alone.
Some people will need surgery to get rid of the source of an untreated infection completely.
QUESTION-5
Essay type of question.
Treat it like ethics question and write about any case experience
This assignment has helped me to learn the basics of clinical practice like history taking, presentation of the case and how to approach a patient, etc ,. It would be a better experience if it was offline. till now we have learned general examination and history taking. It would be easy in learning the basics for clinical practise in offline it is quite difficult in learning all this in online.Overall I appreciate the efforts of the faculty in making General Medicine interactive and fun to learn. I'm also glad that we are connected to our patients discussing about their illnesses through telepathy,we're learning and exploring new medical cases through this new change that's bought up in our lives
Thank you sir:)
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