Tuesday, July 14, 2020

Virtual case bank Nephrology

1) Dr Sai Teja - intern 2015  .

A case of 40F with bilateral swelling of lower limbs ,facial puffiness ,sob since 3 months  and joint pains .




2) Dr Nishitha - Intern 2015 .

22 yr old previously healthy man presented with Anasarca, foamy urine and progressive shortness of breath since 2 weeks.



3) Dr Yamini - intern 2015 .

   70 year old woman from Chityal, a daily wage worker presented with the complains of Bilateral pedal edema ,Abdominal distension ,Facial puffines ,Dyspnea since 4 days .





4) Dr Aashitha - PGY 2 

A case of CKD ON MHD with 

Dypnea at rest since 5 days and  Bilateral pedal edema since 4 days .

https://ashiness92.blogspot.com/2020/07/38-year-old-woman-currently-on.html?m=1.


5) Dr Sindhu - Intern 2015 .

75 yr old female with chief complaints of decreased urine output a/w burning micturition since 15 days and  SOB since 7 days.

https://sindhusailajav.blogspot.com/2020/07/pre-renal-aki-on-ckd.html.


6) Dr Vinod Reddy 2015 intern

28 year old man with CKD on ATT


https://vinodreddy1698.blogspot.com/2020/08/vinod-reddys-elog.html?m=1



7) Dr Alekya 2015 intern 

30Y old male pt  presented to casualty with c/c  of bilateral pedal edema  since 7 days 

-decreased urine output,burning micturition and loss of appetite since 2 days.

-sob since 1day(grade 3-4)

patient got admitted in outside hospital and got treated for urosepsis and AKI.

On presentation to our casualty patient had grade 4 dyspnea with mild confusion.


https://alekyatummala.blogspot.com/2020/08/pulmonary-embolism.html?m=



10)Dr Rangam Sandeep intern 2015

 A 38 year old male came with compliants of dysuria with reduced urine output since four days and pain in hip region since 4 days.

http://rangamsandeep.blogspot.com/2020/06/hello-everyone-i-am-intern-in-medicine.html?m=1


11)Dr Bhargavi Sadam 2015 Intern 


This is a case of 55 yr old male, a farmer who presented with complaints of 

1)pedal edema since 2 months , left sided gradually progressive swelling 

2)pain and swelling in the left gluteal region

http://bhargavisadam.blogspot.com/2020/06/interns-e-log.html



12)Dr Roshini Sathputhe intern 2015


A 65 year old female presented to Opd with chief complaints of 

-Abdominal distension,Diffuse abdominal pain,decreased urinary output,Burning micturition since 4 days 

-Constipation since 2 days





Dr Nikhil Narimeti 2015


24 F with nephrotic syndrome 




Dr Sowmya 2015


40 year old woman, farmer by occupation from Miryalguda, Hypertensive since 1 month, non diabetic, non alcoholic and

Not a smoker presented to our Out Patient Department with the chief complaints of 

Reduced urine output since 2 months

Bilateral lower limbs swelling since 1 month

Lower back ache since 1 month

Facial puffiness since 15 days




Dr Ram Reddy 2015


28 year female in perperium( 20th day post partum) presented to opd with retrosternal pain, and with hemogram report showing low platelet count .




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


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 

Dr Advitha 2015

60 year old woman with anemia 

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:






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)




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.






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 



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. 



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

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


 Presented by Dr Rashmita  PGY1

29 year old woman with abdominal distension after ceserian section  

 E log:

) Presented by Dr Ruchita batch 2015
55 Year old woman with abdominal distension since 10 days. 


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


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 

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:


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

2) Presented by Dr Aditya 2015 batch
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 


Sunday, July 12, 2020

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 



Hemiparesis 

65 year old woman with transient hemiparesis and hypoglycemia 


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.


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: 

Same case by Dr A Vaishnavi PGY 2


Offline session video:




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:


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:


Dr Manisha 2015

57F with paraplegia 



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

Dr Mahendran 2015

65 yr old came with the chief complaints of 
Vomitings since 5 days
 Altered sensorium since 4 days.





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.