June 2021 GENERAL MEDICINE BIMONTHLY ASSESSMENT

Subject matter : Scholarship of integration in medical education and research, a tool to facilitate connections between different systems in healthcare. 

This assignment enables us to read,comprehend, integrate,analyze and discuss captured patient centered data at an undergraduate level. 

Questions for the assignment( linked herehttps://medicinedepartment.blogspot.com/2021/06/medicine-department-paper-for-june-2021.html?m=1.)

Q1. Competency tested for peer to peer review and assessment .

I've gone through the neurology case (https://143vibhahegde.blogspot.com/2021/05/wernickes-encephalopathy.html) Considering this case, I've reviewed 10 random answers.

Case review 1

(https://93deepanandikonda.blogspot.com/2021/05/blended-bimonthly-assignment-toward.html)

☆☆☆☆

Pathophysiology was well explained. Pharmacological interventions were clearly outlined with adverse reactions of few drugs. 

Case review 2

(http://manoharnadella94elogcases.blogspot.com/2021/06/medicine-blended-assignment.html)

☆☆☆

Could be more informational and less time consuming to read with use of flowcharts/diagrams.

Case review 3

(https://raveelaravi.blogspot.com/2021/06/medicine-case-discussion.html)

☆☆☆

The answers were precise and on point to the questions asked.

Case review 4 (https://sahithinalaboluelog.blogspot.com/2021/05/medicine-case-discussion.html)

☆☆☆

The explanations with flowcharts would make the answers easy to understand.

Case review 5

(https://nehapradeep99.blogspot.com/2021/05/bimonthy-assessment-may-2021-99-neha.html)

☆☆☆☆☆

Event timeline was neatly presented. Etiology was clearly explained. Answers were comprehensive with appropriate diagrams, informative with additional links cited.

Case review 6

(https://nehae-logs.blogspot.com/2021/05/bimonthly-assignment-for-may-2021.html)

☆☆☆☆

Explanations with flowcharts and highlights made them clear and understandable.

Case review 7 (https://aitharaveena.blogspot.com/2021/05/online-blended-medicine-assignment-may.html)

☆☆☆☆

Reasoning was good and the diagrams used makes the understanding easy .

Case review 8 (http://02shishirareddy.blogspot.com/2021/05/assignment-45-year-old-female-patient.html)

☆☆☆☆

The pharmacological intervention was elaborate and explained well. 

Case review 9 (https://amishajaiswal03eloggm.blogspot.com/2021/05/medicine-blended-assignment.html)

☆☆☆☆☆

The mechanism of action was very informative. The rest,comprehensive with good reasoning. 

Case review 10 (https://amitsharma1996.blogspot.com/2021/05/medicine-assignment-may-2021.html)

☆☆☆

The answers were concise.

Q2. Case report of a patient. 

( will be doing this soon after getting a case)

Q3. Provide critical appraisal of the captured data in terms of completeness, correctness and ability to provide useful leads to analyze the diagnostic and therapeutic uncertainties around the case.

Case linked https://pallavi191.blogspot.com/2021/06/gm-cases.html?m=1

The data captured is complete.

Taking the past history revealed that the patient was a known case of TB. This provides a useful lead to the diagnosis of any infections of the spine caused by bacteria.The treatment regimen was clearly stated.

Infections of the spine, although uncommon, are extremely destructive and can lead to spinal instability, neurologic damage including paraplegia, and death if not properly treated. Spine infections that involve the vertebrae are called vertebral osteomyelitis. An infection of the disc is called discitis; an infection with pus within the spinal canal is called an epidural abscess.Infections of the spine can be caused by bacterial infection, fungus, or tuberculosis.

For further reading, you could refer the link https://www.uscspine.com/conditions-treated/neck-disorders/neck-cervical-spine-infections/

Q4. The problem list and the diagnostic and therapeutic interventions in the case linked above. 

Problem list

• Paraplegia
• Loss of hand grip 
• Bowel and bladder incontinence 
• Known case of TB 

Diagnostic and therapeutic interventions 

MRI scan

• Shows significant erosion of endplates of C5 and C6.
• Epidural abcess.
• Multiple enlarged cervical lymph nodes.
• Suggests cord edema.

Treatment

• Day 1:

1. Inj. Optineuron 1Amp in 100ml NS IV/OD

2. Inj. Thiamine 200mg in 100ml NS IV/TID

3. ATT - according to body weight 2 tab PO/OD

4. Bp/ PR/ Spo2/ Temp charting

• Day 2&3:

Same treatment followed.

• Day 4:

Inj. Monocef added.

The patient was referred to higher center for neurological decompression. 

Q5. Testing Scholarship competency in logging reflective observations on experiences of this last  one month.

The last month has been new in terms of clinical exposure as we got a chance to be a part of an actual case for the first time. We learned how to take up and log a patient's history. With the clinical cases given to us, we are trying to integrate them to the best of our knowledge on current 3rd sem subjects. The online clinicals are although not relatively effective, the professors from their end and we from our end are trying to be productive.