General medicine bimonthly assessment August

General medicine assessment

Name:Jaswanth Raj
Batch:2019

Q1
𝐋𝐨𝐧𝐠 𝐜𝐚𝐬𝐞
A 44 year old man presented to OPD  with a 3-day history of bilaterally symmetrical rapidly progressive generalized edema. 

The symptomatology of the case was accurately presented . All the positive. findings of acute glomerulopathy and chronic problem were clearly discussed along with the favouring features of inflammatory pathology  were elaboratively diacussed before coming into the final diagnosis which is acute glomerulonephritis secondary to Amyloidosis, anaemia of chronic disease secondary to poorly treated rheumatoid arthritis.

Short cases:

Q2

𝑪𝒉𝒊𝒆𝒇 𝒄𝒐𝒎𝒑𝒍𝒂𝒊𝒏𝒕𝒔-
• Itchy Ring leisons over arms ,abdomen ,thigh and groin since 1 and half year
•  Purple stretch marks all over abdomen ,lower back ,upper limbs ,thighs since 1 year
•  Abdominal distension
•  Facial puffiness since 6 months
•  Pedal edema since 3 months 
• Low back ache since 3 months . 

𝑫𝒊𝒂𝒈𝒏𝒐𝒔𝒊𝒔
Iatrogenic cushings syndrome
Tinea Corporis
Denovo HTN 

𝑻𝑹𝑬𝑨𝑻𝑴𝑬𝑵𝑻 𝑷𝑳𝑨𝑵
• Ointment AMLORFINE 
• FUSIDIC ACID CREAM.
• SALINE COMPRESS OVER LEISONS. 

This was the treatment given for tinea corporis.
• Tab. Telma 20 mg OD-for left ventricular hypertrophy
• Tab.Hizone 15mg TID-as there was suppresion of HPA Axis. 

25/6/21
• Dose of tab. Hizone was reduced to 10mg.
• Tab. Shelcal 500mg OD
• Tab.Vitamin D3 OD
• Tab. Ultracet SOS 

6/8/21
• Telma dose increased to 40mg OD
• Tab Itraconazole 100 mg BD
• lulifin cream 
• Tab levocitrixine 5mg od.
• Ultracet tab.is continued


Q3.
Case3 link:

𝑪𝒂𝒔𝒆 𝒊𝒏 𝒃𝒓𝒊𝒆𝒇-
A 19 year old male resident of Nalgonda and currently studying intermediate ,came to opd with complaints of :
-Itchy Ring leisons over arms ,abdomen ,thigh and groin since 1 and half year ,Purple stretch marks all over abdomen ,lower back ,upper limbs ,thighs since 1 year ,Abdominal distension and facial puffiness since 6 months, Pedal edema since 3 months , Low back ache since 3 months .

𝑰𝒏𝒔𝒊𝒈𝒉𝒕𝒔-
The case is presented in a chronological order.The CNS examination was report was presented elaboratively and all the investigation reports are also provided.
The images of the purple striae were also attached and updated regularly.

Q4. We are not yet assigned to any intern as we didn't get our roll numbers.

Q5.
Reflective logging  of one's own experiences is a vital tool toward competency development in medical education and research. 

𝐌𝐨𝐧𝐭𝐡 𝐛𝐲 𝐦𝐨𝐧𝐭𝐡 𝐰𝐞 𝐚𝐫𝐞 𝐠𝐞𝐭𝐭𝐢𝐧𝐠 𝐚 𝐧𝐮𝐦𝐛𝐞𝐫 𝐨𝐟 𝐝𝐢𝐟𝐟𝐞𝐫𝐞𝐧𝐭 𝐨𝐩𝐩𝐮𝐫𝐭𝐮𝐧𝐢𝐭𝐢𝐞𝐬 𝐭𝐨 𝐥𝐞𝐚𝐫𝐧 𝐭𝐡𝐞 𝐬𝐮𝐛𝐣𝐞𝐜𝐭 𝐛𝐞𝐭𝐭𝐞𝐫.𝐈𝐧 𝐭𝐡𝐞 𝐬𝐭𝐚𝐫𝐭𝐢𝐧𝐠 𝐨𝐟 𝐭𝐡𝐞 𝐦𝐨𝐧𝐭𝐡 𝐰𝐞 𝐰𝐞𝐫𝐞 𝐚 𝐛𝐢𝐭 𝐝𝐢𝐬𝐚𝐩𝐩𝐨𝐢𝐧𝐭𝐞𝐝 𝐭𝐡𝐚𝐭 𝐰𝐞 𝐰𝐞𝐫𝐞 𝐧𝐨𝐭 𝐚𝐛𝐥𝐞 𝐭𝐨 𝐚𝐭𝐭𝐞𝐧𝐝 𝐜𝐥𝐢𝐧𝐢𝐜𝐚𝐥 𝐩𝐨𝐬𝐭𝐢𝐧𝐠𝐬 𝐚𝐥𝐭𝐡𝐨𝐮𝐠𝐡 𝐰𝐞 𝐰𝐞𝐫𝐞 𝐢𝐧 𝐭𝐡𝐞 𝐜𝐨𝐥𝐥𝐞𝐠𝐞,𝐛𝐮𝐭 𝐢 𝐫𝐞𝐚𝐥𝐥𝐲 𝐭𝐡𝐚𝐧𝐤 𝐭𝐡𝐞 𝐠𝐞𝐧𝐞𝐫𝐚𝐥 𝐦𝐞𝐝𝐢𝐜𝐢𝐧𝐞 𝐝𝐞𝐩𝐚𝐫𝐭𝐦𝐞𝐧𝐭 𝐟𝐨𝐫 𝐚𝐥𝐥𝐨𝐰𝐢𝐧𝐠 𝐮𝐬 𝐭𝐨 𝐭𝐚𝐤𝐞 𝐭𝐡𝐞 𝐡𝐢𝐬𝐭𝐨𝐫𝐲 𝐨𝐟 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐝𝐢𝐫𝐞𝐜𝐭𝐥𝐲.𝐈𝐭 𝐰𝐚𝐬 𝐚𝐧 𝐞𝐱𝐜𝐞𝐩𝐭𝐢𝐨𝐧𝐚𝐥 𝐞𝐱𝐩𝐞𝐫𝐢𝐞𝐧𝐜𝐞 𝐨𝐟 𝐝𝐢𝐫𝐞𝐜𝐭𝐥𝐲 𝐭𝐚𝐥𝐤𝐢𝐧𝐠 𝐭𝐨 𝐚𝐧𝐝 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐚𝐧𝐝 𝐭𝐚𝐤𝐢𝐧𝐠 𝐭𝐡𝐞 𝐡𝐢𝐬𝐭𝐨𝐫𝐲!𝐀𝐧𝐝 ,𝐚𝐥𝐬𝐨 𝐭𝐡𝐞 𝐞-𝐥𝐨𝐠𝐬 𝐰𝐡𝐢𝐜𝐡 𝐰𝐞 𝐡𝐚𝐯𝐞 𝐛𝐞𝐞𝐧 𝐠𝐢𝐯𝐞𝐧 𝐭𝐨 𝐫𝐞𝐯𝐢𝐞𝐰 𝐭𝐡𝐢𝐬 𝐦𝐨𝐧𝐭𝐡 𝐰𝐞𝐫𝐞 𝐯𝐞𝐫𝐲 𝐞𝐥𝐚𝐛𝐨𝐫𝐚𝐭𝐢𝐯𝐞𝐥𝐲 𝐩𝐫𝐞𝐬𝐞𝐧𝐭𝐞𝐝 ,𝐰𝐞 𝐠𝐨𝐭 𝐭𝐨 𝐥𝐞𝐚𝐫𝐧 𝐡𝐨𝐰 𝐛𝐫𝐢𝐞𝐟𝐥𝐲 𝐰𝐞 𝐚𝐫𝐞 𝐬𝐮𝐩𝐩𝐨𝐬𝐞𝐝 𝐭𝐨 𝐩𝐫𝐞𝐬𝐞𝐧𝐭 𝐭𝐡𝐞 𝐜𝐚𝐬𝐞 𝐚𝐧𝐝 𝐡𝐨𝐰 𝐰𝐞 𝐚𝐫𝐞 𝐬𝐮𝐩𝐩𝐨𝐬𝐞𝐝 𝐭𝐨 𝐜𝐨𝐦𝐞 𝐭𝐨 𝐭𝐡𝐞 𝐟𝐢𝐧𝐚𝐥 𝐝𝐢𝐚𝐠𝐧𝐨𝐬𝐢𝐬.𝐒𝐨,𝐚𝐥𝐭𝐨𝐠𝐞𝐭𝐡𝐞𝐫 𝐭𝐡𝐢𝐬 𝐦𝐨𝐧𝐭𝐡 𝐡𝐚𝐬 𝐛𝐞𝐞𝐧 𝐯𝐞𝐫𝐲 𝐢𝐧𝐬𝐭𝐫𝐮𝐜𝐭𝐢𝐯𝐞.

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