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GM first internal assessment

Name: SOUMYADEEP BISWAS

Roll no. 127

General medicine assessment

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CLINICAL MEDICINE FORMATIVE ASSESSMENT (July)

SOUMYADEEP BISWAS  ROLL NO. 127 I have been given the following cases to analyse and solve, in an attempt to understand the topic of  'Patient clinical data analysis' to develop my competency in reading and to comprehending clinical data including history, clinical findings, investigations and diagnosis, and then come up with a treatment plan. Below are my answers to the medicine assignment based on my comprehension of cases. ASSIGNMENT   Ans.1 The link is attached for the peer review assessment  https://rsubhiksha128.blogspot.com/2021/07/128-subhikshar.html 1. The review is done very well. It’s concise and to the point. She has brought up each and every said points about the same and highlighted the negative as well as the positive aspect of each case. 2. Her e-log is well written giving us a clear picture about the case , history , past illness , history of present illness and the treatment methodology that was taken up and the differential diagnosis. 3. She has h...

A CASE of 48 yr old male with fever , paraperisis and altered sensorium

E-LOGS MEDICINE Hi , I am Soumyadeep Biswas a medical student. This is an E-Log that would help us to understand the patient centered approach for learning medicine. This E-Log has been created after taking consent from the patient and their relatives. Hope you gain some knowledge after going through the case. July 2 , 2021 48 YR OLD MALE PATIENT DIAGNOSED WITH ALTERED SENSORIUM SECONDARY TO MENINGOENCEPHALITIS CHIEF COMPLAINTS Fever since 10 days Altered sensorium  since 5 days Weakness of bilateral lower limbs - 3days  H/O of Oliguria since 3days HISTORY OF PRESENT ILLNESS  Patient was apparently  asymptomatic 1yr back , then he developed decreased urine output for which they admitted in hospital and Foley’s Catheter was placed , then he was diagnosed with  Prostatomegaly  with Rt renal calculi.  Since 10 days patient has high grade fever on and off  not associated with vomiting/loose stools/cough. Altered sensorium since 5 days. Si...

A CASE OF 45 yr old male with CKD on MHD (Second degree Diabetic nephropathy)

Soumyadeep Biswas  Roll no. 127 This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. CASE : A 45 yr old male presented with fever , burning micturition , pedal edema CHIEF COMPLAINTS:  fever  Burning micturition  Facial puffiness  Pedal edema progresses to anasarca 5 sessions of Hemodialysis were done  HISTORY OF PRESENTING ILLNESS:  The patient has been readmitted to our hospital first dialysis was done on 5/09/21 No h/o pedal edema , oliguria and SOB (from past 7 days) HISTORY OF PAST ILLNESS:  He is a known case of Diabetes mellitus (DM2) on medication ie. Actrapid  Hypertension , on medication tab NICARDIA 20mg x PO x BD tab ...