Virtual case bank Hematology

Hematology 

28 year old man, civil engineer,presented to the casualty with the complains of 

1.Vomitings since 15 days 

2.High colored urine since 4 days 

3.Dyspnea on exertion since 3 days

http://rakeshkumar04.blogspot.com/2020/07/hi-this-is-intern-posted-in-general.html

Dr Soundarya 2015

A 47 year old woman presented to OPD with complaints of difficulty in breathing since 10 days not aggravated or relieved with positional or diurnal variation palpitations since 10 days which were short lasting

https://soundarya1206.blogspot.com/2020/05/hello-all-im-intern-and-here-is-case.html?m=1

Dr Ruchita 2015

15 year old woman with chief complains of

Generalised weakness since 1 month 

Loss of appetite since 1 month 

Headache since 1 month

Yellowish discoloration of sclera and  urine since 1 week

Vomitings since 3 days 

https://ruchithareddy007.blogspot.com/2020/06/e-log.html?m=1

Dr Advitha 2015

60 year old woman with anemia 

https://advitha25.blogspot.com/2020/05/kims-hospitals-narketpally-hello-all-im_23.html?m=1

Virtual case bank Cardiology

CVS 

Presented by Dr Madhuri 2015 batch

A 35 years old man presented with complaints of shortness of breath since 2weeks and pedal Edema since 2weeks after a febrile episode one month prior. More in the E log below:

https://madhur116.blogspot.com/2020/05/on-1452020.html?m=1

http://hitesh116.blogspot.com/2020/05/elog-14th-may-2020.html

Same case JVP video link: https://drive.google.com/file/d/1Gr2xuU5bcPUbNmQaPjVIavwn1m-FK7gr/view?usp=drivesdk

Same case Echo video link: https://drive.google.com/file/d/1K9Fk66l6c79ziOF-dIYQ3vDlGbSavlr7/view?usp=drivesdk

PG intern offline Case presentation and discussion video here:https://youtu.be/4YnJZwbp0eE


2) Presented by Dr Himabindu 2015 batch

A 55 years old woman with chest pain, palpitations and shortness of breath since two months:

https://himabindu5.blogspot.com/2020/05/hello-everyone.html

Offline intern PG discussion around 55F with chest pain, palpitations and

shortness of breath since two months:

https://youtu.be/Rrc5r1MFZ2Y (part 1)

https://youtu.be/zzxTuzdUvwA (part 2)

3) Presented by Dr Saikiran 2014 batch

30 years old man with bilateral pedal edema extending up to knee, dyspnea on exertion since 15 days and he also complains of palpitations since 1 year.

https://saikiranpatnam.blogspot.com/2020/05/medicine-case.html?m=1

https://vidya8829.blogspot.com/2020/05/hello-all-im-intern-and-here-is-case.html?m=1

The active learning session linked below was initiated by the treating unit PG before the treating unit intern collated the patient information into this E log above 


https://medicinedepartment.blogspot.com/2020/05/re-active-learning-session-on-global.html?m=1

Post active learning global online session with our global CBBLE the same PG presented this patient offline locally here 

https://youtu.be/2GJicww_JJg

And here https://youtu.be/Z10RgxICaCY

Dr Rubeena 2015

A 46 years old male patient came with complaint of chest pain for 30 minutes yesterday evening and shortness of breath on exertion. 

https://rubeenamaheenruby.blogspot.com/2020/06/internship-medicine-posting.html?m=1

A few common questions for the students

1) Where are the different anatomical locations for the cause of the shortness of breath and palpitations for each of these patients?

2) What is the most likely pathology and etiology in that anatomical location?

3) What are the diagnostic and therapeutic options in such situations and what is the efficacy of each option/intervention?

4) Please share questions that come to your mind upon going through each of the cases.

Virtual case bank Gastroenterology

Gastroenterology  

66Y old man came with chief complaints of fever since 15 days and pain in right iliac fossa since 10 days

Patient was apparently asymptomatic 8 months back then he developed pain in right hypochindrium.

Dr Sapandana intern 2015  https://spandanatippireddy.blogspot.com/2020/08/multiple-liver-abscess.html?m=1

Presented by Dr Ruchita batch 2015

https://ruchithareddy007.blogspot.com/2020/07/e-log-of-ruchitha.html?m=1

Dr Geethika 2015

55 year old lady from Nalgonda presented to the medical OPD with complaints of distension of abdomen and swelling of lower limbs since 3 months

https://geethika110.blogspot.com/2020/06/medicine-case.html?m=1

 Presented by Dr Rashmita  PGY1: 

29 year old woman with abdominal distension after ceserian section  

 E log:

https://potlapallirashmitha.blogspot.com/2020/05/29-year-old-female-from-west-bengal.html?m=1

) Presented by Dr Ruchita batch 2015

55 Year old woman with abdominal distension since 10 days. 

Intern's E log:

https://ruchithareddy007.blogspot.com/2020/06/e-log-of-p-ruchithareddy.html?m=1

Dr Raveena 2015

45 year old male came to opd with chief complaints of decreased appetite since 1 month and loose stools since 20 days

https://raveena27.blogspot.com/2020/05/medicine-may-17-2020-hello.html?m=1

Abdomen (Oncology) 

Dr Sowmya 2015

65 year old man, was a driver in Dubai, hasn't been working the last 10 years, currently residing in nalgonda,  presented with the complains of 

Generalized weakness since 1 month 

Dyspnea on exertion since 1 month

Bilateral lower limb swelling since 1 month 

Difficulty in getting up from sitting posture since 1 month 

Urinary incontinence since 1 month

Black colored stools since 15 days

Difficulty in walking and sitting without support since 4 days 

https://sowmyamutyala.blogspot.com/2020/06/medicine.html?m=1

Two patients of acute  pancreatitis with fever 

Dr Likitha intern 2015

https://likithayadlapalli.blogspot.com/2020/08/likithas-elog.html

Dr Varshita intern 2015 

https://varshitha004.blogspot.com/2020/08/varshithas-elog.html?m=1

Virtual case bank Respiratory system

Respiratory system 

Presented by Dr Sambodhi 2015 batch:

A 54 year old male patient came with Pain in the left side of the chest radiating to the back side since 2 days, difficulty in breathing since two days.

Intern's E log:

https://sambodhibaiid.blogspot.com/2020/06/medicine-e-log.html?m=1

Active learning around the same case in social media after deidentifying and obtaining informed consent: 

https://m.facebook.com/story.php?story_fbid=10159957893554502&id=800154501

2) Presented by Dr Aditya 2015 batch

Intern's E log:

https://a-blog-by-adityarayilla.blogspot.com/2020/06/left-sided-pleural-effusion-case.html?m=1

Dr Hitesh 2015

43year old female came to opd with cheif complaint of right side hypochondrial pain , stabbing type , non radiating.increasd with inspiration and on lying down on rt side 

https://hitesh116.blogspot.com/2020/05/care-you-can-trust.html?m=1

Virtual case bank from global CBBLE elective student Vivek Poddar

More about Vivek Poddar here 


https://www.researchgate.net/profile/Vivek_Podder



His research journey began in one of the first case logs below sometime in early 2017 in one of his case logs below:

https://bmjcaselogvivek.blogspot.com/2020/07/virtual-case-bank-from-global-cbble.html

Virtual case bank Neurology

Quadriparesis:

Presented by Dr Sreeram 2015 MBBS batch 

45 year old diabetic with acute quadriparesis and dysphagia and squint 

http://sreeramsripadi.blogspot.com/2020/08/history.html

Hemiparesis 

65 year old woman with transient hemiparesis and hypoglycemia 

https://shivanibhashyam.blogspot.com/2020/08/65-year-old-woman-with-recurrent.html

40 year old man, farmer by occupation presented to the opd with the complains of 

Bilateral pedal edema since 20 days 

Dyspnea on exertion since 18 days

Tingling and numbness in lower limbs  since 1 week followed by tingling and numbness in his left forearm which he developed over the next 5 days

Dr Vineela Spandana 2015 intern 

https://vineelashambhavi.blogspot.com/2020/08/40year-old-with-aidp.html?m=1

Paraparesis 

Presented by Dr Anugna 2015 batch

18YEAR OLD MAN CAME TO OPD WITH CHIEF COMPLAINT OF WEAKNESS OF B/L LOWERLIMBS SINCE 20 DAYS

https://hitesh116.blogspot.com/2020/05/12may-2020-elog-medicine-intern.html?m=1st

https://srianugna.blogspot.com/2020/05/hello-everyone.html

PG intern offline Case presentation and discussion 18M with paraparesis proximal to distal and calf hypertrophy: https://youtu.be/3VVH7w3rWSM


2) Presented by Dr Vaishnavi 2015 batch

23 yr old male patient has   complaints of weakness of bilateral lower limbs since 5 days

complaints of tingling and numbness 

h/o vomitings 5days back

https://vaish7.blogspot.com/2020/05/medicine.html?m=1

Offline intern PG discussion around 23M with paraparesis

https://youtu.be/ClopCj2KwZc


Part 2 of offline PG intern discussion around 23M with chronic gluteal abscess and paraparesis: 

https://youtu.be/QhjiomY-S74

Part 3 of 23M with paraparesis case discussion

 https://youtu.be/g9CQKhxsXqY

Part 4 of Offline intern PG discussion around 23M with paraparesis

https://youtu.be/FL37cYp6ZqU


3) Presented by Dr Hitesh 2015 batch

A 18M with inability to climb and difficulty in walking

https://hitesh116.blogspot.com/2020/05/elog-13th-may-2020.html?m=1

Session video: https://youtu.be/VNq0rDdA-80

Presented by Dr Rakesh Kumar Intern 2015 batch:

65 year old man presented to the ER with a chief complaint of weakness in both his lower limbs since 15 days.

https://rakeshkumar04.blogspot.com/2020/06/medicine-blog_4.html?m=1

Presented by Dr Priyanka intern 2015 batch 

An 18 year old male patient came with complaints of tingling and numbness of both feet since 15 days, and both hands since 6 days.

https://pri422.blogspot.com/2020/06/medicine-intern-log.html?m=1

Hemiparesis 

1) Presented by Dr Jaswitha 2015 batch:

A 45 Year old woman with headache since 2 years and right sided swaying of the body since one month: 

https://doctorjaswitha.blogspot.com/2020/05/interns-log-book.html

Same case by Dr A Vaishnavi PGY 2

https://vaishnaviadepu.blogspot.com/2020/05/atypical-cns-demyelinating-disorder.html?m=1

Offline session video:

Part 1: https://youtu.be/kWCzSvpq_5I

Part 2: https://youtu.be/ziGv0RI4Pu4

2) Presented by Dr Vaishnavi 2015 batch

A thirty five year old woman with sudden altered sensorium, speech and right hemiparesis:

Intern's E log:

https://vaish7.blogspot.com/2020/05/stroke-case.html?m=1

Offline discussion session video: https://youtu.be/fx4Kygh6Nqc

3) Presented by Dr Sowmya and Dr Aditya 2015 batch: 

A 65F with right hemiparesis since October 2019 and sudden acute diarrhoea 

Intern's E log:

https://sowmyamutyala.blogspot.com/2020/05/hello-everyone.html?m=1

https://a-blog-by-adityarayilla.blogspot.com/2020/05/medicine-posting-log.html?m=1

Dr Manisha 2015

57F with paraplegia 

https://manisha420.blogspot.com/2020/06/june-6th2020-medicine-intern-log-hello.html?m=1

Dr Geethika 2015

20 year old milk supplier from eklur nalgonda who is a known case of retroviral disease diagnosed 1 year back came to the casualty with altered sensorium

https://geethika110.blogspot.com/2020/06/a-20-year-old-water-supplier-who-is.html?m=1

Dr Mahendran 2015

65 yr old came with the chief complaints of 

Vomitings since 5 days

 Altered sensorium since 4 days.

https://saimahendrareddy.blogspot.com/2020/06/e-log.html?m=1

A few common questions for the students

1) Where are the different anatomical locations for the cause of the problem  for each of these patients?

2) What is the most likely pathology and etiology in that anatomical location?

3) What are the diagnostic and therapeutic options in such situations and what is the efficacy of each option/intervention?

4) Please share questions that come to your mind upon going through each of the cases.

Post covid transformation of medicine summative assessments

In the current context one of the ways medical education and practice is insidiously or perhaps even dramatically being changed is through this new wave of virtual assessments as per the addendum to the MCI recommendations being circulated that encourages faculty to evaluate students using virtual patients rather than visit the bedside of real patients. 

Our interns have created a repository or sort of a question bank of virtual cases as shared earlier here https://medicinedepartment.blogspot.com/2020/07/virtual-clinical-long-and-short-cases.html?m=1 and we would be currently taking both the UG and PG exams in the traditional format offline as available here 

UG: https://docs.google.com/document/d/1ZlY57unJW-ZpFmwuZrfbvmsroaFTUVCmEWZrsB_Gz6I/edit?usp=drivesdk&ouid=106211649452385508461

PG:https://docs.google.com/document/d/1hpYxJgdS5l9lT1lh6PsF2SoFiltzT1aZbLCV_QNJcRI/edit?usp=drivesdk&ouid=106211649452385508461

using our virtual case bank for each candidate. We may even take them through an online webex call as demonstrated in this linked video where we were taking the MBBS pre final today.

However if I had a choice I would do it very differently from the traditional format which is quite dated (maybe five decades allegedly). 

This is the link to my competency based assessment format here https://docs.google.com/document/d/1BfwXdtygJaJ3prspg7S-nX6KFYZNvsKZJgK4-j0Y-IE/edit?usp=drivesdk&ouid=106211649452385508461

And our daily workflow described here https://medicinedepartment.blogspot.com/2020/06/daily-workflow-of-our-case-based.html?m=1 goes some way to achieve this. 

Also would like to incorporate live telemedical cases instead of just static virtual cases as previously described here 

https://www.quora.com/How-helpful-is-the-online-education-system-during-covid-19-for-medical-students-who-should-learn-more-from-their-postings-and-develop-skills-in-the-very-hospital