Thursday, October 21, 2021

Oct 2021 formative bimonthly blended learning assignment

21/102/2021 9:00 PM


Answer all questions:                                                      

Max Marks: 100 (5 questions in total and 20 marks for each  answer) 

Submit by:   25/09/2021               

Please be original and refrain from plagiarism. Please note that every logged answer paper should contain the link to this current "assignment/question paper" page and the patient context for each answer. Also share the detailed online links to every quote or reference cited in your answer. 



Questions plan and context:

All questions are around student driven patient centered case reports prepared by our students from our real but deidentified patients. These cases have also been discussed in theory lectures as well as practical training sessions which are available here : https://medicinedepartment.blogspot.com/2021/10/updated-october-2021-weekly-log-and.html?m=0

Please review the E logged case report links around our current cases by some of our students in the links below :




CNS :


(Captured by 2016 batch intern post final year mbbs) :


(Captured by 2017 batch student final year MBBS):


(Captured by 2016 batch intern post final year mbbs) :



(Captured by 2017 batch student final year MBBS):



(Captured by 2016 batch intern post final year mbbs) :


Hematology :


(Captured by 2016 batch intern post final year mbbs) :


Nephrology :

(Captured by 2018 batch student final year MBBS):



Q1) (Testing peer review competency in the active reader of this assignment) :

Please go through the case reports in the links shared above and provide your 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 cases shared.


Q2: Testing scholarship competency of the examinees ( ability to read comprehend, analyze, reflect upon and discuss captured patient centered data):

Please analyze the above linked long and short cases patient data by first preparing a problem list for each patient in order of perceived priority (based on the shared data) and then discuss the diagnostic and therapeutic uncertainty around solving those problems. 

Q3) Include the review of literature around sensitivity and specificity of the diagnostic interventions mentioned and same around efficacy of the therapeutic interventions mentioned for each patient. 

Q4) Testing competency in patient data capture and representation through ethical case reporting/case presentation with informed consent :

Share the link to your own case report this month of a patient that you connected with and engaged while capturing his her sequential life events before and after the illness and clinical and investigational images along with your discussion of that case. 


Q 5) Testing scholarship competency in  
logging reflective observations on your concrete experiences of this last month : (10 marks) 

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

A sample answer to this last assignment around sharing your experience log of the month can be seen in one student's  answer to Q10 in the  May 2021 assignment in the link below:


And another student answer to Q5 in the June and July 2021 assignment in the links below :




Please reflect on and share  your telemedical learning experiences from the  hospital as well as community  patients over the last month particularly while you were E logging their case report while even in the hospital or perhaps when locked down at home.

Sunday, October 17, 2021

Updated October 2021 weekly log and outcomes of regular patient centered learning sessions

This is a regular academic session log for the post graduate residency training program comprising currently of residents of 2019 and 2020 batch. 

The training program comprises of a regular hands on learning of clinical decision making during the bedside rounds from 10 AM to 1:00 PM as well as 2-4 sessions officially divided daily into:

Theory on Monday, 

Seminar on Tuesday, 

Journal club on Wednesday, 

Tutorial on Thursday 

Group discussion on Friday 

Log Book audit on Saturday 

These are blended learning sessions with both online and offline components and while the offline learning timings are as mentioned above, the online component of the learning continues 24x7.

1st October 
Friday 
Group Discussion 

Topic : Pancytopenia 


2nd October 
Saturday 

Gandhi Jayanti holiday 

3rd October 
Sunday 

4th October 
Monday 

Theory 

Fever and Altered sensorium 

Presenter Dr Rashmita 
Attendees Other PGs 

5th October 2021

Tuesday 

clinical seminar 2-4 PM 

Presenter Dr Rashmita 

Cerebral osmotic demyelination syndrome

Context : ICU bed 1

Attended by 

Dr Vamsi 
UGs 2018, 2017 batches

6th October 2021

Wednesday 

Journal club 2-4 PM 

Presenter Dr KV




Attended and signed by :

Dr Vamsi 
Dr Rashmita 
Other PGs 
UGs 2018 batch


7th October 2021

Thursday 

Tutorial 2-4 PM 

CNS diagnosis and treatment 

Presenter Dr AV

Link:

Context : A young man with visual blurring, band like sensation and motor paralytic bladder 


Attended and signed by :

Dr DK
Dr Ajit 
Dr Zain 
Dr Divya 
Dr Rashmita 
Other PGs 
UGs 2018 batch



8th October 2021

Friday 

Group discussion 2-4 PM 

Bone marrow failure sepsis 

Presenter: Dr DK, Dr Sushmita, Dr Rashmita 

Link:

Context : A middle aged woman with bicytopenia and sudden severe leucopenia and terminal sepsis 


Attended and signed by :

Dr Ajit 
Dr Zain 
Dr Divya 
Dr Rashmita 
Dr AV 
Dr Usha 
Dr Vamsi 
Other PGs 
UGs 2018 batch

9th October 2021

Saturday 
Log Book evaluation :

Review of Dr Zain's revised log book after the inputs provided on September :

Dr Zain has prepared a fresh log book documenting his non verbal and verbal workflow better than previously here : (link) 

10th October 2021 Sunday 


11th October 2021

Monday Theory 

Chronic hemolytic anemias and 

Diagnosis and Management of chronic biliary stricture 


12th October 2021

Tuesday 

Clinical seminar 

Cardiac arrhythmias particularly Multifocal atrial tachycardia 

Link to context : 

13th October 2021

Wednesday 

Journal club : Efficacy of steroids in Covid 19

Presenter Dr Zain 

Link to presentation :

14th October 2021

Thursday 

Tutorial : CNS examination findings and neuroanatomical localization of stroke 


15th October 2021

Friday 

Academic holiday due to Dussehra

16th October 2021

Saturday 

Log Book evaluation :

Dr Raveen's, Dr Vamsi's  and Dr Karnati Vaishnavi's log book answers to May 2021 online assignment compared and critically appraised. 

Learning points from the appraisal : To be shared by Dr Nikita and Dr Vamsi. 

18th October 2021
Monday 
Theory of CNS localization with particular reference to hemiparesis 
Links to context :


Clinical seminar : Approach to diagnosis and management of heart failure 

Context :



20th October 2021

Wednesday 

Journal club : 
 

Context 


As per the journal club "The gold standard test for the serologic diagnosis of scrub typhus is the indirect immunofluorescence assay (IFA)" and the ICT test done here in this patient's context from Nalgonda is barely comparable.

21st October 2021

Thursday :

Tutorial : Diagnosis of brain death 


Context :


22nd October 2021

Friday:

Group discussion : Approach to pleural effusion management 

Context :



23rd October 2021

Saturday :

Log Book Dr Raveen's May 2021 online assignment along with answers by other present PGs such as Dr Karnati , Dr Zain and Dr Vamsi  

24th October 2021 

Sunday

25th October 2021

Monday 

Theory: PUO 


26th October 2021

Tuesday 

Clinical seminar : 


27th October 2021

Wednesday 

Journal club : 
  • Reis G 
  • dos Santos Moreira-Silva EA 
  • Medeiros-Silva DC 
  • et al.
Effect of early treatment with fluvoxamine on risk of emergency care and hospitalisation among patients with COVID-19: the TOGETHER randomised, platform clinical trial.
Lancet Glob Health. 2021; (published online Oct 27.)

main study limitations are related to the lack of event adjudication and to the inconclusive effects on patient-important outcomes such as hospitalisation and mortality. https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(21)00501-5/fulltext

Our take : 

 PICO 

"P" outpatients with laboratory-documented SARS-CoV-2

"I" Fluvoxamine (n=741) 

"C" placebo (n=756)

"O" the fluvoxamine group 79 (11%) participants had a primary outcome event compared with 119 (16%) in the placebo group (table 2). Most events (87%) were hospitalisations.

the minor differences between hospitalization could be the anxiolytic effect of fluvoxamine. 

28th October 2021

Thursday 

Tutorial: Hypokalemic periodic paralysis 

Context: 



30th October 2021

Saturday :

Log Book : Online assignment and monthly reflective experiences for 

August 2021--Chandana 

May 2021--Vamsi 



Thursday, October 7, 2021

BDS 2018 batch August 2021 Internal assessment question paper prepared from patient data driven group learning with shared date and time links from the group

III BDS I – INTERNAL EXAMINATION: AUGUST 2021

DEPARTMENT OF GENERAL MEDICINE

Time: 3 Hours                                                                                                     Max Marks: 70

Note:  Answer all questions

Give Diagrammatic representation wherever necessary                Date: 30.08.2021


Write an essay on the following questions:                                                         9X2=18



1)write a note on pattern of fever in dengue,describe a)pathophysiology of serositis, bleeding manifestations in dengue fever.
b) management of dengue fever.

2)Define Chronic kidney disease.(CKD)
How do you  differentiate between Acute kidney injury and chronic kidney disease.
what are the  indications for initiating dialysis?

Write Short note on the following:                                                                     8X4=32
3)Enumerate NSAID’s, (non -steroidal anti inflammatory drugs)describe their mechanism of action and effect on kidneys.

4)Write about the pathophysiology of developing
Heart failure in Chronic kidney disease.
Hypertension in Chronic kidney disease.

5)Differential diagnosis of pain in epigastrium.

6)How to approach a case of suspected pulmonary Tuberculosis? add a note on its management

7)What is deep vein thrombosis?  write about Etiology and management of DVT.

8)Describe the physiology of speech  and differentiate between aphasia and dysarthria.
(discussed in whatsapp group)

9)Pathophysiology of AKI (acute kidney injury)
a)urinary tract infection 
b)Snake bite
c)Gastro enteritis
d)Renal calculi

10)Enumerate on clinical manifestations of Microvascular dysfunction in diabetes. 
(discussed during rounds)

Write Briefly on the following:                                                                         10X2=20
11)What is pulmonary edema? Describe the clinical features, X-Ray findings and etiology.

12)Evaluation of edema.

13)Systemic manifestations of alcohol consumption.

14)What is role of fluid and salt restriction in patients with heart failure.

15)Write about pathophysiology of anemia in CKD.(chronic kidney disease)

16)How do you evaluate a case of low backache.
(whatsapp discussion)

17)Mention Causes for thrombocytopenia.

18)Write lesions in oral cavity.

19)Modes of transmission of HIV, Hepatitis B.

20)Etiology of COPD(chronic obstructive pulmonary disease) in kidney disease.

MBBS 2017 batch Oct 2021 internal assessment question paper prepared from patient data driven group learning with shared date and time links from the group

 DEPARTMENT OF GENERAL MEDICINE

8TH SEM I - INTERNAL ASSESSMENT EXAMINATION

OCTOBER - 2021 

Date:                       

Time: 10 am to 1 pm

Note: Answer all questions        SET - A                  Max Marks: 60   



10 Marks questions:

1 Define bone density, how is it measured? What are the causes, clinical features,diagnosis and management of osteoporosis? (1+2+2+2+3)


 2 What is myxedema coma? Describe its clinical features , diagnosis and treatment of myxedema coma (2+2+2+4)




4 marks questions:

3 What is the diagnostic approach of young onset hypertension and it’s treatment.


4 How do you clinically localize the anatomical level of lesion in spinal cord diseases.


5 Causes,diagnosis and treatment of atrial fibrillation.

(Shared on 25th sep, 8:22pm)

6 Describe about megaloblastic anemia.
(Shared on 22nd sep, 2:23pm)

7 What are the causes, pathogenesis and differential diagnosis of ascites.

One more Elog shared on 31st aug ,3:39pm)

8 Approach to acute pancreatitis.
(Shared on 22nd sep,1:28pm)


2 marks questions:

9 Mention the differences in findings between UMN and LMN lesion.
(Discussed on 20th sep 10-11 am class)

10) Indications of hemodialysis.

11) Role of sucralfate in treatment of erosive gastritis?
(Shared on4th sep, 7:48am)


12) Mention the renal manifestations of snake bite?


13) causes of portal hypertension
(Shared on 23rd sep ,12:35pm and discussed during postings)

14 clinical features of Downs syndrome


15) post streptococcal glomerulonephritis complications.
(Shared on 23rd sep, 7:45pm)

16 Causes of cervical myleopathy.
( discussed on 20th sep 10-11am class)