SUMMATIVE ASSESSMENT 2

 I am, B.Medha, MBBS 3rd semester

roll no: 13

I have been given this assignment to slove: http://medicinedepartment.blogspot.com/2021/07/medicine-paper-for-july-2021-bimonthly.html?m=1

QUESTION 1:  Question 1: Competency tested for Peer to peer review and assessment 

https://ankesh017.blogspot.com/2021/07/bimonthly-assignment-of-medicine-for.html

A.) 

1.) INFECTIOUS DISEASE (COVID-19)

https://meesumabbas82.blogspot.com/2021/05/case-opinions-may-2021.html

the positive points about the blog have been highligthed and well appreciated.

good evaluation was done and the appropriate links to study about the case have been provided.

2.) GASTROENTEROLOGY (& PULMONOLOGY)

https://sofiajabeen1912.blogspot.com/2021/05/pulmonogy-1.html

the review should have been more detailed and more positive and negative points should have been included.

3.)PULMONOLOGY

http://haqansariblogformonthlyassiggnment.blogspot.com/2021/06/questions-1-what-is-evolution-of.html

a good review was given, detailed explaination was provided. valuable insights were added about the reasons behind exacerbation, and the role of medication in the cause of drug induced hyponatremia .

4.)NEPHROLOGY

https://abhignyareddy71.blogspot.com/2021/05/online-blended-bimonthly-assignment.html

appreciation was given about the illustration of causes of drowsinesss.

it has been explained well, about what the proper explaination is, for passage of pus cells in urine.

5.) INFECTIOUS DISEASE AND HEPATOLOGY 

https://muskaangoyal.blogspot.com/2021/05/bimonthly-clinical-case-assignment-1.html

the review was good, and to the point. positive points have been well identified and mentioned.

6.)NEUROLOGY

https://mdparvezahmedansari.blogspot.com/2021/06/medicine-blended-assignment.html

additional points about what should have been included in the answer were mentioned, and his opinions were given about the standard medication (thiamine and loraepam)

7.) INFECTIOUS DISEASE (HI VIRUS, MYCOBACTERIA, GASTROENTEROLOGY, PULMONOLOGY)

https://srinithya27.blogspot.com/2021/05/genral-medicine-e-blogs.html

good insights were given about the preventive measures and clinical symptoms although more detailed review should have been give.

8.) INFECTIOUS DISEASE (MUCORMYCOSIS, OPHTHALMOLOGY, OTORHINOLARYNGOLOGY, NEUROLOGY) 

https://143vibhahegde.blogspot.com/2021/05/medicine-blended-assignment-may.html

the positive points ( symptomatology, mechanism and efficacy)  about the answer were well acknowledged.

9.)  CARDIOLOGY

https://meesumabbas82.blogspot.com/2021/05/case-opinions-may-2021.html

the good points about the answers were highlighted and personal opinion about it has been described.

10.)  MEDICAL EDUCATION

the importance of  blogging in learning, during this panemic situation has been described. personal opinion about it has been shared, which is appreciable

 QUESTION 2:  Share the link to your own case report of a patient that you connected with and engaged while capturing his her sequential life events before and after the illness and clinical and investigational images along with your discussion of that case. 

https://13medhabaswa.blogspot.com/2021/07/67-year-old-male-patient-with-ckd-this.html

QUESTION 3: Testing peer review competency of the examinees

1.)https://laharikantoju.blogspot.com/2021/07/58-year-old-male-patient-elog-lahari.html?m=1

•   all the aspects like history, investigations, treatment have been well presented.
•   history taking was done properly, all aspects are covered.
•    the blogger was able to present the data in such a way that it is easy to analyse 

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

• all the data was arranged in a proper and  systematic way 
• easily comprehendable
• useful leads provided to analyse the diagnostic and theraputic uncratainities.

3) https://krupalatha54.blogspot.com/2021/07/a-49-yr-old-female-with-generalized.html?m=1

• a very good history taken was done and presented
• all details were paid attention to, including minute ones
• all the datils about investigation have been presnted in a sequential manner, making it easy to analyse

4.) https://casereports.bmj.com/content/2009/bcr.03.2009.1726

• pictures of the investigations are very clear and good
• detailed description was given about the case, helping us to understand the pathology behind it
• useful links are provided at the end 

5.) https://ananyapulikandala106.blogspot.com/2021/06/a-35yr-old-female-elog.html

• everything was explained properly, in detail and in an easily comprehendable manner
• 
  
  

6.) https://pallavi191.blogspot.com/2021/06/gm-cases_30.html?m=1

• history of the case was described well, which helps to give a proper diagnosis
• the order of the events occuring was  proper
• required pictures were added too, like bedsores

7.) https://kavyasamudrala.blogspot.com/2021/05/medicine-case-discussion-this-is-online.html?m=1

• key words and phrases were highlighted, which makes it easy for the readers to focus on the important points
• lots of pictures of investigations were posted, especially xrays along with the impression

8.) https://rishikakolotimedlog.blogspot.com/2021/07/45-year-old-male-with-chief-complains.html?m=1

• useful links related to the case  have been provided at the end of the blog
• the presentation of the data of the case was very good
• pre medication and post medication findings were included too

9.) https://krupalatha54.blogspot.com/2021/06/this-is-online-e-log-book-to-discuss.html?m=1

• the course in the hospital was explained properly under separate heading, which is good, helps us in understanding the order of events occuring

• discharge summary not updated

10.) https://keerthireddy42.blogspot.com/2021/07/43-yr-old-male-of-nalgonda-came-to.html?m=1

• separate headings should have been given for each investigation picture
• history was taken and explained well

11.) https://casescape.blogspot.com/2021/06/acute-kidney-injury-secondary-to.html?m=1

• everything was well presented
• data was arranged in an easily understandable manner

12.) http://chavvaclassworkdecjan.blogspot.com/2021/06/pancreatitis-in-chronic-alcoholic-with.html?m=1

• summary was given at the end which i think is necessary
• history and examination details were described well

QUESTION 4 : : Testing scholarship competency of the examinees ( ability to read comprehend, analyze, reflect upon and discuss captured patient centered data as in their 'original' answers to the assignment for May 2021):

1.)  AKI :

https://laharikantoju.blogspot.com/2021/07/58-year-old-male-patient-elog-lahari.html?m=1 

COMPLAINTS AND DURATION:

• -week back , after weight lifting 
• Patient had sudden onset of pain in abdomen 
• By burning micturation with high fever : grade associated with chills and rigor 
• Decrease urine output associated with SOB (grade -4)
• With no H/O chest pain, palpitations, pedal oedema, facial puffiness.

the patient has bacterial infection assosiated with burning micturition.

2.) Acute on CKD :

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

COMPLAINTS

• Lower backache since 10days

• dribbling of urine since 10days

• Pedal edema since 3days 

• SOB at rest since 3days 

• Increased involuntary movements of both upper limbs since 10days . 

The patient has hyperurecemia secondary to renal failure.

3.) CKD :

https://krupalatha54.blogspot.com/2021/07/a-49-yr-old-female-with-generalized.html?m=1

COMPLAINTS

• - Since 3 yrs she has history of muscle aches, for which she is using NSAIDs.
• - She has h/o fever 20 days back, got treated in the local hospital, and 
• - Since 20 days she has generalized weakness.
• - She also has h/o vomitings since 3 days, with food as content, non - projectile , non bilious.
• - Urine output - Normal 
• - No fatigability , pedal oedema , 
• -  No SOB , facial fluffiness , yellowish discoloration of stools 

the patient has mutiple myeloma according to the investigations

4.)  Patient with coma and renal failure  :

https://ananyapulikandala106.blogspot.com/2021/06/a-35yr-old-female-elog.html

COMPLAINTS

• Fever and Diarrhea since 5 days( 4 to 5 times a day with blood discharge).

• Back pain( 5 days ago) with abdominal pain and chest pain.

diabetic ketoacidosis with renal faliure

5.)  Patients with acute on CKD :

https://kavyasamudrala.blogspot.com/2021/05/medicine-case-discussion-this-is-online.html?m=1

COMPLAINTS

• Fever since 4 days

• Pus in the urine

The patient has diabetic nephropathy with anemia. had also undegone TURP.

6.) Patients with AKI :

https://keerthireddy42.blogspot.com/2021/07/43-yr-old-male-of-nalgonda-came-to.html?m=1

• loose stools since 20 days

• Pedal edema since 20 days

• Abdominal distension since 20 days

The patient is an alcoholic, smokes and has hepatitis.

QUESTION 5: Testing scholarship competency in  

logging reflective observations on your concrete experiences of this last month : (10 marks) 

I am really glad to have an oppurtunity to attent these online postings where we get to come across so many cases, take up a case , talk to the patient/attendant and take history and make a blog on that case. in this whole process we are getting clinical exposure which we were supposed to get by attending the hospital but due to this pandemic we have been missing it, but his whole process has really helped us not to miss out on the clinical aspects of learning which is of utmost importance in becoming a good clinician . i have personally taken history of the patient,  which helped me learn better about what and how the questions should be asked to the patient/ attendant.