Case of acute pancreatitis

GENERAL MEDICINE ASSIGNMENT-2021

NAME:L NITIN KUMAR ,3rd semester

ROLL NO:70

We have been giving 5 questions to assess the ability to connect with and capture patient centered data and ability to connect with and engage in shared learning with their peers through peer review feedback.

Below is the link to the questions given to us:-

https://medicinedepartment.blogspot.com/2021/06/medicine-department-paper-for-june-2021.html?m=1

QUESTION 1

1)NEUROLOGY

Link to the case:-https://neerajareddysingur.blogspot.com/2021/05/general-medicine-case-discussion.html?m=1

Insights:- Seizure episodes is well mentioned which can explain the remaining symptoms. Correlation of various aspects is seen.

2)PULMONOLOGY

Link to the case:-https://soumyanadella128eloggm.blogspot.com/2021/05/a-55-year-old-female-with-shortness-of.html

Insights:- The evolution of symptamology was compactly explained with a beautiful flowchart and the mechanisms of each drug was very briefly explained.

3)GASTROENTEROLOGY

Link to the case:- https://63konakanchihyndavi.blogspot.com/2021/05/case-discussion-on-pancreatitis-with.html

Insights:- The evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem was clearly explained.

4)CARDIOLOGY

Link to the case:- https://muskaangoyal.blogspot.com/2021/05/a-73-year-old-male-patient-with-pedal.html

Insights:-The provided information was very reasonable and the indications and containdications were mentioned clearly.

5)PULMONOLOGY

Link to the case:-https://143vibhahegde.blogspot.com/2021/05/covid-in-26-yo-female.html

Insights:-  I find that all the symptomatology is well explained clearly. This helps in identification of particular problem. Etiology and anatomical location of the problem is well identified and mentioned.

6)NEPHROLOGY

Link to the case:-http://54tejasreekandregula.blogspot.com/2021/05/general-medicine-assignment.html

Insights:- The reasons for shortness of breath,intermittent episodes of drowsiness were clearly explained in the case.

7)NEUROLOGY

Link to the case:-https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html 

Insights:-The evolution of the symptomatology in this patient in terms of an event timeline and where is the anatiomical locyalization for the problem and what is the primary etiology of the patients,s problem.

8)CARDIOLOGY

Link to the case:-https://muskaangoyal.blogspot.com/2021/05/a-78year-old-male-with-shortness-of.html.

Insights:-The provided information was very reasonable and the indications and containdications were mentioned clearly,its very clearly explained as the flow charts and diagrams were included in it.

9)MUCORMYCOSIS

Link to the case:-http://manikaraovinay.blogspot.com/2021/05/50male-came-in-altered-sensorium.html

Insights:-the evolution of the symptomatology in this patient in terms of an event timeline and where is the anatomical localization for the problem and what is the primary etiology of the patient's problem,the efiicacy of the drugs used along with other non pharmacological treatment modalities were explained clearly in the case.

10)NEPHROLOGY

Link to the case:-https://kavyasamudrala.blogspot.com/2021/05/medicine-case-discussion-this-is-online.html

Insights:-The reasons for shortness of breath,intermittent episodes of drowsiness were clearly explained in the case.

QUESTION 2

Still didn't get a chance to do a case E log. Once its completed shall be updated here.

QUESTION 3&4

Link to the case:-

https://61tejarshini.blogspot.com/2021/06/general-medicine-case-discussion.html?m=1

A CASE OF A 45 YEAR OLD MALE WITH ACUTE KIDNEY INJURY ON CHRONIC KIDNEY DISEASE (HYPERTENSIVE NEPHROPATHY) WITH URAEMIC ENCEPHALOPATHY.

Patient was apparently asymtomatic 5 Years back,then he Complained of lower back pain and neck pain in 2014 and was found to have creatinine of 3.0 mg/dl for which he was managed symptomatically for 1Year.

Patient didn't come for further follow up after 2015 and attenders said that he was noncompliant in taking medications untill last week when he Came with the complaint of Shortness of breath even at rest(grade 4) and loss of appetite .

Now he complaint of Altered Sensorium (Hypo active):It's since  Morning,lethargy.History of fever 10 days back,lasted for 3 days,Followed by Pedal edema with Anasarca with Shortness of breath present even at rest .

Investigations:ECG,CBP,complete urine examination,ultra sound report form,HBsAg-RAPID,ANTI HCV ANTIBODIES-RAPID,HIV RAPID TEST examinations were made and the data provided is much more sufficient to diagnose the the case.

ECG

COMPLETE URINE EXAMINATION

ULTRASOUND REPORT 

TREATMENT:

IVF-NS(0.0+30ml/hr)

INJ.LASIX(40mg/IV/TID)

INJ.NaHCO3(100meq in 100ml NS/IV/Stat)

T.NODOSIS 550mg/P.O/TID

BP/PR/Strict I/O Charting

QUESTION 5

Due to this pandemic we are unable to appear directly and experience the patient but even though we had a very good experience which is not had been possible without the general medicine department. Dr. Rakesh biswas sir, HOD made possible by teaching every single aspect regarding capturing the patient centered data. We have learned how to take the history and data from a patient so as to communicate and diagnose the problem. This paved us a way of learning new things in a different way. Sharing knowledge with our peers and interacting with them regarding the cases has been so much help full to us. We have learning the basic knowledge regarding how to interact with the patient and taking history from them. This has been a wonderful opportunity to interact with the peers. The E logs which has been kept for us are helpful and made me learning so many new things. Once again thank you for this opportunity.