120-S.Nikhil kumar

BIMONTHLY BLENDED ASSESSMENT - JULY,2021... Roll.no:120 Name:S.Nikhil kumar The following is a link to the assignment which I have been given for a monthly progress evaluation scheme. Link to the assignment:  http://medicinedepartment.blogspot.com/2021/07/medicine-paper-for-july-2021-bimonthly.html?m=1 QUESTION-1 Peer review: Review the last assignment of the person closest to your roll no. Example: If you are roll no. 10 review 11 or 9. Give positives, negatives, or comment on relevancy of the answers.  *  http://medicinedepartment.blogspot.com/2021/07/2019-batch-medicine-department-online.html?m=1#:~:text=https%3A//119roopesh.blogspot.com/%C2%A0    For the peer review I have choosed Roll.no:119(S.Roopesh).The e-log was informative and easy to comprehend to the point. Points are precised and well written. The usage of the text would be better. It would be better if he use colours in the main headings and for the highlighted text, so we can glance the e-log easily.      QUESTION-2 Link

CASE STUDY - 03 roll.no:120  S.Nikhil kumar             This is an online e log book to discuss our patient de-identified health data shared after taking his/her/guardians signed informed consent. Here we discuss our individual patient problem through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evidence input.                    This E blog also reflect my patient centered online learning portfolia and your valuable inputs on the comment box is welcome.                                    I have been given this case to solve in an attempts to understand the topic of patient clinical data analysis to develop my compentency in reading and comphrending clinical data including history , clinical finding , investigation and come up with diagnosis and treatment plan....  35years old  male who is an electrician came to OPD on 21/7/21 with the cheif complaint of sudden weakness and giddin

50 yr old female ,resident of farmer by occupation came to the casuality with  c/o SOB( Grade II -III) since 3 days B/L pedal edema since 8 months (on &off) subsiding with medication & worsening since 1 week  Past History:- Patient was her usual self 15 yrs back  ; then she had c/o SOB and was taken to hospital where angiogram (coronary) was done and      7 yrs back Mitral valve replacement was done (she was on regular medications since then ) H/o B/L pedal edema ,pitting type and H/o vomitings (2/3 episodes per day ) on &off since 8 months  K/c/o DM since 4 yrs  H/o similar complaints in the past Blood transfusion done at the time of surgery (MVR) Dietary history:- Diet - Mixed Appetite - Normal Sleep -adequate Bowel and bladder movements - Regular No h/o burning micturition No addictions General Examination:- Patient is conscious ,coherent and cooperative  Moderately built and nourished   No pallor , icterus , cyanosis and lymphadenopathy  Edema - present Vitals:- Afebril

            This is an online e log book to discuss our patient de-identified health data shared after taking his/her/guardians signed informed consent.  Here we discuss our individual patient problem through series of inputs from available global online community of experts  with an aim to solve those patients clinical problem with collective current best evidence input.                    This E blog also reflect my patient centered online learning portfolia and your valuable inputs on the comment box is welcome.                                    I have been given this case to solve in an attempts to understand the topic of patient clinical data analysis to develop my compentency in reading and comphrending clinical data including history ,  clinical finding , investigation and come up with diagnosis and treatment plan....  A 64 year old male tractor driver by occupation, was brought to casualty on 18.7.2021 at 6pm in a drowsy state. With a cheif complaints given by the patient atte