E-LOGS MEDICINE
GENERAL MEDICINE ASSESSMENT-JULY 2021
-108 R.KOUSHIK CHANDRA
Question.1
PULMONOLOGY
Quantitative assessment:9/10
Qualitative assessment:
1.The evolution of symptomatology is perfect and well established.2.Mechanism of drug intervention is well explained.
3.Anatomical localization of the problem and its cause are easy to understand.
NEUROLOGY
Quantitative assessment:8/10
Qualitative assessment:
1.The Pathophysiology of the case is easy to read and understand.
2.The systems which are affected by the disease are well written.
3.Symptoms and the causes are coherent.
CARDIOLOGY
Quantitative assessment:9/10
Qualitative assessment:
1.The pictures used explain the case well and are easy to understand.
2.Points mentioned are cohesive.
GASTROENTEROLOGY
Quantitative assessment:8/10
Qualitative assessment:
1.The flowchart explaining the timeline of the symptoms is good.
2.Drugs used and approach to patient is well written.
NEPHROLOGY
Quantitative assessment:7/10
Qualitative assessment:
1.Causes of the disease are not well detailed.
2.Answering is precise and to the point.
3.Answers are easily comprehendible.
INFECTIOUS DISEASE AND HEPATOLOGY
Quantitative assessment:8/10
Qualitative assessment:
1.The pathogenesis of the patient is precise and excellent.
2.Indications for the disease are coherent.
PULMONOLOGY
Quantitative assessment:8/10
Qualitative assessment:
1.The timeline of the symptoms and anatomical localization is precise.
2.Mechansim of action and indication of the drugs is highlighted.
3.Possible causes are well written.
CARDIOLOGY
Quantitative assessment:9/10
Qualitative assessment:
1.The e-log was presented with information arranged neatly and concisely.
2. The usage of highlighted text made the information clear.
3. Choice of diagrams, pictures, and their placement is good.
NEPHROLOGY
Quantitative assessment:9/10
Qualitative assessment:
1.The e-log was informative and easy to comprehend to the point.
2. Answers are very brief the usage of flow charts and diagrams is good.
3. The usage of text can be better .
CARDIOLOGY
Quantitative assessment:8/10
Qualitative assessment:
1.Table explaining the differences of disease is perfectly explained.
2.The points are precise and well written.
3.Text is clear and coherent.
Question 3:
Critical appraisal:
1.CNS
History is presented in a systematic manner. General examination and Systemic examination are perfect and thoroughly written. Diagnosis of the patient is well written.
2.CVS
History of present and past illness is coherent and well established .Investigations showing ECG and related photos are remarkable. The videos are great for understanding of the case. Overall the case is well written and easily understandable.
3.ABDOMINAL:
The patient's history is arranged in a well manner and is easily understandable. Diagnosis of the patient is precise and to the point.
4.RENAL:
All the data of the patient is in correct order and correctly arranged. All the investigations are done perfectly. The chief complaints of the patient which are the most important are written perfectly.
5.MULTISYSTEM:
The investigations of the patient are listed and the provisional diagnosis is well explained .The chief complaint ,the history of presenting illness and personal history is well written the vitals have been explained well.
Question 4:
1.CNS
Problems:
1.Weakness of limbs
2.TB
3.Edema is present
Diagnosis:
Quadreparesis secondary to infectious spondylitis of C4, C5, C6, C7 and D1 with Epidural abscess at C5 - C6 level.
Treatment:
1.Optineuron
2.Thiamine
3.ATT
2.CVS
Problems:
1.Distension of abdomen
2. shortness of breath
3.Hypothroidism
Diagnosis:
HFrEF with Atrial fibrillation 2 to ?IHD.
Treatment:
1.Inj. Amiodarone
2.Inj.Amiodarone infusion
3.Inj.clexane
3.ABDOMINAL:
Problems:
1.Pedal edema bilateral and pitting type
2.decreased urine output
3.burning micturition
4.Fever
Diagnosis:
Acute kidney injury secondary to urosepsis with hyperkalemia ( resolved)
With anemia of chronic disease .
Treatment:
1.Inj LASIX
2.Inj MAGNEXFORTE
3.Tab NODOSIS
4.RENAL
Problems:
1.Altered Sensorium (Hypo active)
2.Lethargy.
3.fever
4.Pedal edema with Anasarca
5.Shortness of breath
Diagnosis:
AKI ON CKD(HYPERTENSIVE NEPHROPATHY) WITH URAEMIC ENCEPHALOPATHY.
Treatment:
1.INJ.LASIX
2.INJ.NaHCO3
5.MULTISYSTEM:
Problems:
1.low backache
2.fever
3.yellowish discoloration of eyes
4.vomitings
5.loose stools
6.blood tinged urine
7.polyuria,nocturia,polydypsia
Diagnosis:
Acute viral hepatitis is the provisional diagnosis in the patient and cerebral malaria is also suspected
Treatment:
1.FALCIGO- anti-malarial drug.
2.DOXYCYCLINE - is an anti-malarial.
Question 5:
These covid times have been really tough on everyone of us and doing e-logs is a bit difficult during this time as we are not able to directly interact with the patient, but we are trying our level best to present our logs. Interns, pg's and faculty of general medicine are helping us to understand the case during our online classes. The online classes are not perfect due to the connection issues and other problems but the faculty is trying their best to make us understand amidst the pandemic. As we recently entered our 3rd semester and postings started just 2-3 weeks ago we are having a bit difficulty to understand all the topics and comprehend them but we will try cope up with the subject as soon as possible. We are able to know different cases ,their symptoms and treatment. Discussing the topic with my friends made my work a bit easy.
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