General Medicine Assignment 2

Tejomayi Algubelli 

Roll no. 130 

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

Question 1 

Peer review and assessment. 
I’m going to be reviewing the assignment of the roll number closest to mine 


1) Respiratory 

Review was good and to the point. Positive points identified and mentioned. 

2) Neurology

Good insights into the proper care of patient. Although, more detailed review should have been given.

3) Neurology 

Acknowledged that the investigations were done properly. More insight should have been given. 

4) Neurology

Opinions about the lack of reports were conveyed. 

5) Neurology 

A good review was given, lack of clarity of reports was mentioned. Positives also pointed out.

6) Neurology

Positive points about the answer was well acknowledged.

7) Neurology 

The review should have been more detailed and more positives and negatives should have been included. 

8) Neurology

Correctly pointed out lack of reasoning of elevation of values. 

9) Neurology 

Mentioned that the patients details are deidentified. Added the positives in the treatment explanation. 

10) Cardiology 

Good evaluation was done and positive points about blog well appreciated.



Question 2 

The link to the patient that I connected with and engaged while capturing her sequential life events before and after the illness and clinical and investigation images along with my discussion of that case.


Question 3


  •  Present and past history of the illness have been taken and presented properly in great detail. 
  • Daily follow up investigations are shown in a methodical way till the end of treatment. 
  • Treatment was shown in a detailed way.


  • All the information was arranged systematically and was easy to follow.
  • The treatment was updated daily and noted down meticulously



  • The case and lab reports were discussed and analysis was also done, making it easy to understand the diagnosis.
  • The follow up of the case outside the hospital was also shown.


  • The case was explained properly and the pathological basis was also explained. 
  • Investigations were shown and presented properly.


  • History was briefly presented but the examinations, lab reports and treatment were presented in great detail. 
  • Clear pictures of patient progress shown. 


  • The case was described in a very detailed way. The investigations were presented thoroughly with clear images and videos.
  • Easily comprehensible diagnosis with proper explanation.


  • Very neatly presented elog with clearly presented points. 
  • Investigations given properly.


  • Data clearly presented.
  • Useful links given at the end for better understanding.



  • Treatment updates given daily under separate headings, making it easy to understand prognosis.
  • Discharge summary not updated 


  • History taken thoroughly.
  • General examination explained with pictures.
  • Investigations not clearly labelled.


Question 4 

1) Acute Kidney Infection 

Complaints- 
Burning micturition 
Decreased urine output 
Kidney infection 

Solutions- 
Thiamine injection to reduce infection 
Lactulose syrup to maintain stools

2) Chronic Kidney Disease 

Complaints-
Dribbling of urine 
Pedal edema 
Hyperuricemia 

Solutions-
Lasix injection for fluid retention 
Piptaz injection 

3) CKD 


Complaints-
Muscle aches 
Vomitings from 3 days 
Generalised weakness 

Solutions- 
Oral fluids 
Erythropoietin injection 

4) Renal failure, Coma 


Complaints- 
Fever, diarrhoea 
Back pain 
Diabetic ketoacidosis 

Solutions- 
Dopamine and nor adrenaline 
Levoflox to prevent any bacterial infection 


5) Patient with AKI

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



Complaints-

Loose stools 

Pedal edema 

Abdominal distension 


Solutions- 

Thiamine 

Lasix for fluid retention 

Pantop 


Question 5

Testing scholarship competency in logging reflective observations on your concrete experiences of this last month. 

What I learnt this past month is that interacting with a patient and understanding what they’re going through by listening to their experience first hand is the most valuable. Following up on the patients treatment helps us get the clinical exposure that we have been missing. I am so thankful for this opportunity and will continue to learn as much ans I can. 

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